PACIFIC PRIVATE PRACTICE NETWORK INC (NPI# 1033501077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033501077 |
| Entity Type | Organization |
| Organization Name | PACIFIC PRIVATE PRACTICE NETWORK INC |
| Practice Address |
30230 Rancho Viejo Rd Suite 110 San Juan Capistrano CA 92675-1557 |
| Practice Telephone | 9494415681 |
| Practice Fax Number | 9496293716 |
| Mailing Telephone | 9494415681 |
| Mailing Fax Number | 9496293716 |
| Enumeration Date | 2015-02-27 |
| Last Update Date | 2015-04-21 |
| Authorized Official Name | MICHAEL A ROVZAR (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 9492916521 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians |
| Street Address |
30230 RANCHO VIEJO RD SUITE 110 |
| City | SAN JUAN CAPISTRANO |
| State | CA |
| Zip Code | 92675-1557 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982655304 | Patricia Ann Ahearn | Specialist | 30230 Rancho Viejo Rd, Suite 200, San Juan Capistrano, CA 92675-1557 | 2006-05-12 |
| 1679816680 | Karen Jean Caruso | Nurse Practitioner | 30230 Rancho Viejo Rd, Suite 200, San Juan Capistrano, CA 92675-1557 | 2013-03-28 |
| 1801129663 | Sanjivan Singh Kohli | Internal Medicine | 30230 Rancho Viejo Rd, Suite 200, San Juan Capistrano, CA 92675-1557 | 2009-09-11 |
| 1124250022 | Prajan Subedi | Internal Medicine | 30230 Rancho Viejo Rd, 200, San Juan Capistrano, CA 92675-1557 | 2009-08-12 |
| 1871785220 | Bryan O King | Internal Medicine | 30230 Rancho Viejo Rd, Ste 200, San Juan Capistrano, CA 92675-1557 | 2007-08-09 |
| 1306910906 | Beverly R Hendrickson | Pediatrics | 30230 Rancho Viejo Rd, Suite A, San Juan Capistrano, CA 92675 | 2006-11-17 |
| 1447330915 | Rahul Madhav Kale | Internal Medicine | 30230 Rancho Viejo Rd, Suite 200, San Juan Capistrano, CA 92675-1557 | 2006-10-17 |
| 1457431504 | William Gustin | Hospitalist | 30230 Rancho Viejo Rd, Suite 200, San Juan Capistrano, CA 92675-1557 | 2006-10-16 |
| 1346331725 | Paloma Medical Group Inc | Specialist | 30230 Rancho Viejo Rd, Suite 200, San Juan Capistrano, CA 92675-1557 | 2006-09-28 |
| 1417902149 | William Weiming Chang | Specialist | 30230 Rancho Viejo Rd, Suite 200, San Juan Capistrano, CA 92675-1557 | 2006-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184268088 | Dana Caballero | Social Worker | 30240 Racho Viejo Rd, Suite C-1, San Juan Capistrano, CA 92675 | 2019-11-04 |
| 1801363858 | Hgrt Medical Group Inc | Internal Medicine | 31741 Rancho Hill Viejo Road, San Juan Capistrano, CA 92675 | 2018-10-29 |
| 1487132551 | Alex James Vanderschelden | Chiropractor | 36461 Rancho Viejo Rd. Suiete 103, Suite 103, San Juan Capistrano, CA 92675 | 2018-08-01 |
| 1295224780 | Gateway Healthcare, Inc. | Skilled Nursing Facility | 29222 Rancho Viejo Rd Ste 127, San Juan Capistrano, CA 92675 | 2018-05-09 |
| 1033606991 | Pelican Point Dental | Dentist | 31103 Rancho Viejo Road Ste D2444, San Juan Capistrano, CA 92675 | 2018-04-17 |
| 1639677511 | Ocean Hills Recovery Inc. | Substance Abuse Rehabilitation Facility | 27126b Paseo Espada, Suite 725, San Juan Capistrano, CA 92675 | 2018-01-25 |
| 1679091441 | D Dawn Maxwell | Counselor | 30950 Rancho Viejo Rd Suite 225, San Juan Capistrano, CA 92675 | 2017-08-31 |
| 1417491523 | Terry D'amico | Physical Therapy Assistant | 32961 Calle Miguel, San Juan Capistrano, CA 92675 | 2016-12-08 |
| 1235580556 | Marriage Made Better Relationship Counseling | Community/Behavioral Health | 30200 Rancho Viejo Road, Suite D, San Juan Capistrano, CA 92675 | 2016-06-28 |
| 1679923288 | Shanti Recovery Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 31211 Casa Grande Drive, San Juan Capistrano, CA 92675 | 2016-06-14 |
| Find all providers in zip 92675 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871785220 | Bryan O King | Internal Medicine | 30230 Rancho Viejo Rd, Ste 200, San Juan Capistrano, CA 92675-1557 | 2007-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184221137 | Newport Superior Medical & Infusion Inc | Internal Medicine | 1501 Superior Ave Ste 111, Newport Beach, CA 92663-3661 | 2020-10-02 |
| 1205472339 | Christian Gronbeck IIi | Internal Medicine | 37 E Mission Ave, San Rafael, CA 94901-4208 | 2019-11-25 |
| 1497304497 | Ralph Zitnik | Internal Medicine | 606 E Valerio St, Santa Barbara, CA 93103-1954 | 2019-09-11 |
| 1578118295 | Adventist Health Physicians Network | Internal Medicine | 1231 W Vine St Ste 19, Lodi, CA 95240-5109 | 2019-08-08 |
| 1063079176 | Kasra Sedarati M.d. Inc. | Internal Medicine | 325 N Maple Dr Unit 1863, Beverly Hills, CA 90213-4754 | 2019-05-23 |
| 1124586367 | Coast Concierge Medicine Inc | Internal Medicine | 31852 Coast Hwy Ste 201, Laguna Beach, CA 92651-6765 | 2019-03-06 |
| 1801373352 | Antelope Valley Lung & Sleep Institute, Inc | Internal Medicine | 1331 W Avenue J Ste 101, Lancaster, CA 93534-2942 | 2018-07-26 |
| 1659864338 | Orange County Respiratory Physicians Corp | Internal Medicine | 18111 Brookhurst St Ste 4600, Fountain Valley, CA 92708 | 2018-06-07 |
| 1841780301 | San Joaquin Critical Care Medical Group, Inc. | Internal Medicine | 1801 E March Ln Ste C300, Stockton, CA 95210-6657 | 2018-05-10 |
| 1912408691 | Northern California Medical Assoc | Internal Medicine | 2315 Dean St, Eureka, CA 95501-3208 | 2018-02-27 |
| Find all providers with the same taxonomy | ||||
| City | SAN JUAN CAPISTRANO |
| Zip Code | 92675 |
Please comment or provide details below to improve the information on PACIFIC PRIVATE PRACTICE NETWORK INC.
| 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.