DR. SALLY S AGERSBORG (NPI# 1053505743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053505743 |
| Entity Type | Individual |
| Full Name | DR. SALLY S AGERSBORG |
| Credential | M.D., PH.D. |
| Practice Address |
33608 Ortega Hwy Bldg A San Juan Capistrano CA 92675-2042 |
| Practice Telephone | 9497287866 |
| Mailing Telephone | 9497287866 |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2008-09-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZH0000X |
Pathology Specialization: Hematology |
MD432959 | PA | Allopathic & Osteopathic Physicians |
| N | 207ZH0000X |
Pathology Specialization: Hematology |
D0066759 | MD | Allopathic & Osteopathic Physicians |
| Y | 207ZH0000X |
Pathology Specialization: Hematology |
A82499 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
33608 ORTEGA HWY BLDG A |
| City | SAN JUAN CAPISTRANO |
| State | CA |
| Zip Code | 92675-2042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891744520 | Stanley J Naides | Internal Medicine | 33608 Ortega Hwy, Immunology 101a, San Juan Capistrano, CA 92675-2042 | 2006-05-09 |
| 1043580921 | Jay Wohlgemuth | General Practice | 33608 Ortega Hwy, San Juan Capistrano, CA 92675-2042 | 2012-01-09 |
| 1336450113 | Michael E Van Ness | Pathology | 33608 Ortega Hwy, San Juan Capistrano, CA 92675-2042 | 2010-06-28 |
| 1700016813 | Weidong Zhou | Pathology | 33608 Ortega Hwy, San Juan Capistrano, CA 92690 | 2009-07-23 |
| 1437393188 | Zhong Zhang | Pathology | 33608 Ortega Hwy, San Juan Capistrano, CA 92675-2042 | 2009-04-24 |
| 1831344845 | Kathleen Ann Lynch | Pathology | 33608 Ortega Hwy, San Juan Capistrano, CA 92690 | 2008-11-19 |
| 1083770440 | Jon Masao Nakamoto | Pediatrics | 33608 Ortega Hwy, San Juan Capistrano, CA 92675-2042 | 2006-12-29 |
| 1063593473 | Maher Albitar | Clinical Medical Laboratory | 33608 Ortega Hwy, San Juan Capistrano, CA 92675-2042 | 2006-10-19 |
| 1972697233 | Charles Martin Strom | Pediatrics | 33608 Ortega Hwy, San Juan Capistrano, CA 92690 | 2006-10-03 |
| 1780620526 | Quest Diagnostics Nichols Institute | Clinical Medical Laboratory | 33608 Ortega Hwy, San Juan Capistrano, CA 92675-2042 | 2006-06-21 |
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| 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 | 207ZH0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Hematology |
| A hematopathologist is expert in diseases that affect blood cells, blood clotting mechanisms, bone marrow and lymph nodes. This physician has the knowledge and technical skills essential for the laboratory diagnosis of anemias, leukemias, lymphomas, bleeding disorders and blood clotting disorders. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pathology. The Certification is NO longer provided. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336450113 | Michael E Van Ness | Pathology | 33608 Ortega Hwy, San Juan Capistrano, CA 92675-2042 | 2010-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982059168 | Michael Greas | Pathology | 1100 N. State Street, Clinic Tower - A7e (department of Pathology), Los Angeles, CA 90033 | 2016-04-26 |
| 1932528304 | Chunlai Zuo | Pathology | 10833 Le Conte Ave # Chs255-c, Los Angeles, CA 90095-9521 | 2014-04-14 |
| 1386062347 | Matthew Koo | Pathology | Stanford University Medical Center Dept of Pathology, 300 Pasteur Drive Room H-2110, Stanford, CA 94305 | 2014-04-06 |
| 1639519770 | Adam Cloe | Pathology | 6033 Hillandale Dr, Los Angeles, CA 90042 | 2013-07-03 |
| 1477990125 | John Paul Graff | Pathology | 4400 V St Ste 1107, Department of Pathology, Sacramento, CA 95817-1445 | 2013-06-03 |
| 1770861957 | Sue Beruti | Pathology | 6635 Halite Pl, Carlsbad, CA 92009-1738 | 2011-07-22 |
| 1528353786 | Joshua R Menke | Pathology | 300 Pasteur Dr Bldg L235, Stanford, CA 94305-2295 | 2011-06-16 |
| 1033410626 | Thomas C Laipply | Pathology | 2340 Zodiac St, Carlsbad, CA 92009-5340 | 2010-11-12 |
| 1093959371 | Stephen Lewis Cook | Pathology | 300 Pasteur Dr # H2110, Stanford, CA 94305 | 2009-04-30 |
| 1891939450 | Sonic Labzone Inc | Pathology | 18543 Devonshire St, Suite 449, Northridge, CA 91324-1308 | 2009-04-27 |
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| City | SAN JUAN CAPISTRANO |
| Zip Code | 92675 |
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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.