NIDA MANSOOR (NPI# 1033694054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033694054 |
| Entity Type | Individual |
| Full Name | NIDA MANSOOR |
| Practice Address |
1565 S Harbor Blvd Fullerton CA 92832-3402 |
| Practice Telephone | 6572175755 |
| Mailing Telephone | 6572175755 |
| Enumeration Date | 2018-09-25 |
| Last Update Date | 2018-10-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA22701 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1565 S HARBOR BLVD |
| City | FULLERTON |
| State | CA |
| Zip Code | 92832-3402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932735669 | Diana Hernandez | Behavior Technician | 413 W Commonwealth Ave, Suite C, Fullerton, CA 92832 | 2020-03-13 |
| 1942830013 | Karen Marie Winkle | Speech-Language Pathologist | 812 Lois Lane, Fullerton, CA 92832 | 2020-01-17 |
| 1578122487 | Andrea Arevalo | Behavior Technician | 713 Commonwealth Ave, Suite C, Fullerton, CA 92832 | 2019-06-13 |
| 1275090193 | Madison Elizabeth Miller | Behavior Technician | 714 W Commonwealth Ave, Suite C, Fullerton, CA 92832 | 2019-02-27 |
| 1528525862 | Samantha Rivas | Behavior Technician | 713 W Commonwealth Ave., Suite C, Fullerton, CA 92832 | 2019-02-22 |
| 1760948483 | Marcus Gerard Chavez | Behavioral Analyst | 713 West Commonwealth Suite A, Fullerton, U.S.A 92832 | 2019-02-19 |
| 1710443437 | Rolando Jimenez | Behavior Technician | 713 W. Commonwealth, Suite A, La Habra, CA 92832 | 2019-02-18 |
| 1659872919 | Anthony James Arneson | Marriage & Family Therapist | 120 N Lawrence, Fullerton, CA 92832 | 2018-02-22 |
| 1407302243 | Be Well Pharmacy Inc | Pharmacy | 105 N Lawrence Ave, Fullerton, CA 92832 | 2016-08-31 |
| 1871907972 | Edward Walls | Counselor | 771 W.orangethorpe Ave., Fullerton, CA 92832 | 2014-06-17 |
| Find all providers in zip 92832 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881234714 | Erica Marie Shepard | Physician Assistant | 909 Oakdale Ave, Fullerton, CA 92831-2912 | 2020-01-08 |
| 1154889327 | Rose-ann Guevarra | Physician Assistant | 735 W Hill Ave, Fullerton, CA 92832-2819 | 2019-03-06 |
| 1467804112 | Megan Kyoko Schulz | Physician Assistant | 3251 Santa Monica Ave, Fullerton, CA 92835-1703 | 2016-07-06 |
| 1104283183 | Patricia Buchholtz | Physician Assistant | 808 N Tamarack Dr, Fullerton, CA 92832-2137 | 2016-01-21 |
| 1265840987 | Allison Leigh Kennedy | Physician Assistant | 100 Laguna Rd Ste 208, Fullerton, CA 92835 | 2014-07-25 |
| 1114343886 | Silvia Albertini | Physician Assistant | 300 W Las Palmas Dr, Fullerton, CA 92835-1534 | 2014-03-05 |
| 1629322110 | Maria Mehaela Tiu | Physician Assistant | 2720 N Harbor Blvd Ste 130, Fullerton, CA 92835-2625 | 2012-11-05 |
| 1649535600 | David Chong | Physician Assistant | 1319 Ponderosa Ave, Fullerton, CA 92835-2034 | 2012-07-05 |
| 1851615371 | Bung Joo Choi | Physician Assistant | 1117 Klose Ln, Fullerton, CA 92833-5777 | 2010-03-26 |
| 1629278460 | Julie Christine Gordon | Physician Assistant | 729 W Wilshire Ave, Fullerton, CA 92832-1661 | 2007-07-19 |
| Find all providers in FULLERTON | ||||
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| 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.