JEREMY RAY VERHINES (NPI# 1003302605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003302605 |
| Entity Type | Individual |
| Full Name | JEREMY RAY VERHINES |
| Credential | NP |
| Practice Address |
3404 Via Lido Ste 2b Newport Beach CA 92663-3991 |
| Mailing Address |
32565 Golden Lantern St # B479 Dana Point CA 92629-3261 |
| Practice Telephone | 9497507082 |
| Practice Fax Number | 2522502029 |
| Mailing Telephone | 9497507082 |
| Mailing Fax Number | 2522502029 |
| Enumeration Date | 2018-07-06 |
| Last Update Date | 2019-12-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
95009393 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | NPI | 1003302605 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 32565 Golden Lantern St # B479, Dana Point, CA 926293261 | 9497507082 | 2522502029 |
| 31872 Coast Hwy, Laguna Beach, CA 926516773 | 9497507082 | 2522502029 |
| 333 Corporate Dr Ste 260, Ladera Ranch, CA 926942180 | 9497682988 | 9497682980 |
| 3404 Via Lido Ste 2b, Newport Beach, CA 926633991 | 9497507082 | 2522502029 |
| 18700 Main St Ste 108, Huntington Beach, CA 926481713 | 8663346286 | 7149884041 |
| 32565 Golden Lantern St # B479, Dana Point, CA 926293261 | 9497633065 |
| Street Address |
3404 VIA LIDO STE 2B |
| City | NEWPORT BEACH |
| State | CA |
| Zip Code | 92663-3991 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376845131 | Frances M. Milligan | Marriage & Family Therapist | 3404 Via Lido Ste 2b, Newport Beach, CA 92663-3991 | 2010-11-30 |
| 1730659723 | Jeremy R Verhines Nursing Corporation | Nurse Practitioner | 3404 Via Lido Ste 2b, Newport Beach, CA 92663-3991 | 2018-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851905483 | Oasis Anesthesia, Surgical and Medical Group, Inc | Anesthesiology | 496 Old Newpor Blvd., Suite 2, Newport Beach, CA 92663 | 2020-09-01 |
| 1699232801 | Megan Gregor | Surgery | One Hoag Dr., Bldg 41, Ste 122, Newport Beach, CA 92663 | 2019-02-24 |
| 1831621382 | Narges Maududi | Social Worker | 1965 Sherrington Place, K111, Newport Beach, CA 92663 | 2017-04-03 |
| 1225495153 | Mitchelle Giorgi | Physical Therapist | 351 Hospital Road, Suite 007, Newport Beach, CA 92663 | 2016-01-22 |
| 1043620057 | Leslie Mccormack | Speech-Language Pathologist | 270 Cagney Lane #101, Newport Beach, CA 92663 | 2014-04-29 |
| 1265867162 | Hotel California By The Sea, LLC | Substance Abuse Rehabilitation Facility | 4504 Seashore Drive, Newport Beach, CA 92663 | 2013-09-10 |
| 1538504733 | Shawn Zardouz | Psychiatry & Neurology | 3900 W Coast Hwy Ste 390, Newport Beach, CA 92663 | 2013-05-02 |
| 1326330119 | Denise Fortenberry Fortenberry-gratias | Nurse Practitioner | 520 Superior Ave, Suite 350, Newport Beach, CA 92663 | 2011-05-11 |
| 1043500390 | Romit Kumar Kar | Pediatrics | 355 Placentia Ave Ste 301, Newport Beach, CA 92663 | 2011-04-07 |
| 1477858546 | Newport Neurohospitalists | Neurological Surgery | 510 Superior Ave Ste 280, Newport Beach, CA 92663 | 2011-01-20 |
| Find all providers in zip 92663 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316269525 | Jacqueline D. Bredehoft | Nurse Practitioner | 901 Dove St Ste 299, Newport Beach, CA 92660-3036 | 2010-02-16 |
| 1194348318 | Thais Siewert | Nurse Practitioner | 4685 Macarthur Ct Ste 340, Newport Beach, CA 92660-1855 | 2020-05-21 |
| 1003444597 | Starly Alvarado | Nurse Practitioner | 4631 Teller Ave Ste 100, Newport Beach, CA 92660-8105 | 2020-03-30 |
| 1730659723 | Jeremy R Verhines Nursing Corporation | Nurse Practitioner | 3404 Via Lido Ste 2b, Newport Beach, CA 92663-3991 | 2018-12-03 |
| 1265978647 | Laura Osmanski | Nurse Practitioner | 3991 Macarthur Blvd, Newport Beach, CA 92660 | 2017-01-10 |
| 1942462536 | Shirley Furman | Nurse Practitioner | 1151 Dove St, #105, Newport Beach, CA 92660-2840 | 2008-06-26 |
| 1740351451 | Angela Waldron | Nurse Practitioner | 3991 Macarthur Blvd, Suite 200, Newport Beach, CA 92660-3009 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154573 | Marcus Jang | Nurse Practitioner | 1130 E Colorado St Apt 214, Glendale, CA 91205-2092 | 2020-11-04 |
| 1033718580 | John Sylvanus Allieu Sr. | Nurse Practitioner | 2672 Merganser Ct, Los Banos, CA 93635-9473 | 2020-10-25 |
| 1316546930 | Chika U Oguagha | Nurse Practitioner | 16240 Carmine St, Fontana, CA 92336-1481 | 2020-10-23 |
| 1215534888 | Rosa Maria Aguero | Nurse Practitioner | 9841 Alburtis Ave Unit 29, Santa Fe Springs, CA 90670-3264 | 2020-10-06 |
| 1134726995 | Margarita Maghtesyan | Nurse Practitioner | 20251 Ventura Blvd Ste A, Woodland Hills, CA 91364-2564 | 2020-10-05 |
| 1043827140 | April Lopez Ortiz | Nurse Practitioner | 500 W Ashland Ct, Visalia, CA 93277-6609 | 2020-09-23 |
| 1477167666 | David Joseph Russell | Nurse Practitioner | 17846 Glenwood Rd, Manteca, CA 95336-9521 | 2020-09-03 |
| 1194339382 | Albert Liu | Nurse Practitioner | 43559 Southerland Way, Fremont, CA 94539-5931 | 2020-09-03 |
| 1407469554 | Andre Alexandrian | Nurse Practitioner | 1606 Winona Ave, Burbank, CA 91504-2823 | 2020-08-28 |
| 1790398238 | Heather Richardson | Nurse Practitioner | 112 S Park St Ste 1, San Francisco, CA 94107-1809 | 2020-08-25 |
| Find all providers with the same taxonomy | ||||
| City | NEWPORT BEACH |
| Zip Code | 92663 |
Please comment or provide details below to improve the information on JEREMY RAY VERHINES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.