SERIC CUSICK (NPI# 1033142914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033142914 |
| Entity Type | Individual |
| Full Name | SERIC CUSICK |
| Credential | MD |
| Practice Address |
1713 S Ola Vis San Clemente CA 92672-4343 |
| Practice Telephone | 7078122983 |
| Mailing Telephone | 7078122983 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2016-03-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | A94644 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1713 S OLA VIS |
| City | SAN CLEMENTE |
| State | CA |
| Zip Code | 92672-4343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355234 | Julie Case | Massage Therapist | 205 Via Presa, I Do Not Work From Home- I Am A Contractor, San Clemente, CA 92672 | 2020-10-30 |
| 1396213971 | Kirtney So Lim | Military Health Care Provider | 62 Area San Mateo Naval Clinic, Camp Pendleton, CA 92672 | 2018-11-13 |
| 1407322258 | Lodie Ikeda | Non-emergency Medical Transport (VAN) | 119 Avenida Dolores B, San Clemente, CA 92672 | 2018-10-19 |
| 1629566245 | I-ting Wang | Counselor | 3551 Camino Mira Costa San Clemente, Suite T, San Clemente, CA 92672 | 2018-04-30 |
| 1174046874 | Russell Thompson Chiropractic Inc | Clinic/Center | 629 Camino De Los Mares, Ste. 104, San Clemente, CA 92672 | 2017-07-25 |
| 1518320415 | Addiction Health Alliance LLC | Clinical Medical Laboratory | 605 Avenida Las Flores, San Clemente, CA 92672 | 2016-03-30 |
| 1871961342 | Paul Van Zeumeren | Marriage & Family Therapist | 2715 Calle Del Comercio, Unit C, San Clemente, CA 92672 | 2015-09-14 |
| 1194043596 | Sima Moayed | Pharmacist | 801 N. Elcamino Real, San Clemente, CA 92672 | 2010-05-10 |
| 1942539432 | Martha Elena Hall | Acupuncturist | 131 W. El Portal, San Clemente, CA 92672 | 2009-12-14 |
| 1922334515 | Katie B Mann | Social Worker | 1401 N. El Camino Real, #100, San Clemente, CA 92672 | 2009-11-02 |
| Find all providers in zip 92672 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093361925 | Scott Lawrence Ryan | Emergency Medicine | 1833 S El Camino Real, San Clemente, CA 92672-3245 | 2019-08-15 |
| 1073711792 | Christopher Melville | Emergency Medicine | 210 Calle Potro, San Clemente, CA 92672-4551 | 2007-07-03 |
| 1407975501 | Rajesh Kadakia | Emergency Medicine | 910 S El Camino Real Ste A, San Clemente, CA 92672-4279 | 2007-03-28 |
| 1669577128 | Kenneth B. Pierce | Emergency Medicine | 305 Cazador Ln Apt C, San Clemente, CA 92672-6642 | 2006-09-13 |
| 1821272295 | Colin Xephary Jairam | Emergency Medicine | 1031 Avenida Pico, Suite 103, San Clemente, CA 92673-6352 | 2007-12-20 |
| 1083822639 | South County Urgent Care Medical Corporation | Emergency Medicine | 1300 Avenida Vista Hermosa, #100, San Clemente, CA 92673-6315 | 2007-05-18 |
| 1033281993 | Cep America - California | Emergency Medicine | 654 Camino De Los Mares, San Clemente, CA 92673-2827 | 2006-11-15 |
| 1346327053 | Larry Burbridge | Emergency Medicine | 654 Camino De Los Mares, Emergency Department, San Clemente, CA 92673-2827 | 2006-11-01 |
| 1518980754 | Timothy O Roham | Emergency Medicine | 629 Camino De Los Mares, Suite # 103, San Clemente, CA 92673-2834 | 2006-07-26 |
| 1356365290 | Hubert E Wong | Emergency Medicine | 654 Camino De Los Mares, San Clemente, CA 92673-2827 | 2006-07-26 |
| Find all providers in SAN CLEMENTE | ||||
| City | SAN CLEMENTE |
| Zip Code | 92672 |
Please comment or provide details below to improve the information on SERIC CUSICK.
| 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.