DR. BERNARD JOSEPH ILAGAN (NPI# 1063746485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063746485 |
| Entity Type | Individual |
| Full Name | DR. BERNARD JOSEPH ILAGAN |
| Credential | MD, MHA |
| Practice Address |
33608 Ortega Highway San Juan Capistrano CA 92675 |
| Mailing Address |
Po Box 379 Loma Linda CA 92354-0379 |
| Practice Telephone | 9497284000 |
| Enumeration Date | 2009-10-01 |
| Last Update Date | 2016-06-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207SG0203X |
Medical Genetics Specialization: Clinical Molecular Genetics |
ME125766 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
33608 ORTEGA HIGHWAY |
| City | SAN JUAN CAPISTRANO |
| State | CA |
| Zip Code | 92675 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124130653 | Quest Diagnostics Infectious Disease, Inc | Clinical Medical Laboratory | 33608 Ortega Highway, Building B, San Juan Capistrano, CA 92675-2042 | 2006-08-31 |
| 1528151669 | Delbert Arthur Fisher | Pediatrics | 33608 Ortega Highway, Quest Diagnostics Nichols Institute, San Juan Capistrano, CA 92690 | 2006-10-02 |
| 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 | 207SG0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Medical Genetics |
| Specialization | Clinical Molecular Genetics |
| A clinical molecular geneticist demonstrates competence in performing and interpreting molecular analyses relevant to the diagnosis and management of human genetic diseases and is a consultant regarding laboratory diagnosis of a broad range of inherited disorders. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Medical Genetics, 2007. http://www.abmg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Medical Genetics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679103873 | Rady Children's Hospital Research Center | Medical Genetics | 7910 Frost St Ste 240, San Diego, CA 92123-2781 | 2020-01-16 |
| 1083279830 | Diagnomics | Medical Genetics | 5795 Kearny Villa Rd, San Diego, CA 92123-1111 | 2019-05-07 |
| 1518428119 | Dnafeed Inc | Medical Genetics | 13423 Moreton Gln, San Diego, CA 92130-1421 | 2019-03-27 |
| 1063992386 | Jennifer D. Keen-kim | Medical Genetics | 201 Industrial Rd Ste 410, San Carlos, CA 94070-2396 | 2018-08-16 |
| 1073054722 | Helio Azevedo Costa | Medical Genetics | 3375 Hillview Ave Rm 2201, Palo Alto, CA 94304-1204 | 2017-03-14 |
| 1023190857 | Xiao-dong Han | Medical Genetics | 5755 Cottle Road, Building #6, Tpmg Regional Genetics Laboratory, San Jose, CA 95123 | 2006-10-20 |
| 1669082558 | Kristin Kimberly Mcdonald Gibson | Medical Genetics | 1400 16th St, San Francisco, CA 94103-5110 | 2020-08-05 |
| 1043846728 | Chia-ling Gau Kawakami | Medical Genetics | 15 Argonaut, Aliso Viejo, CA 92656-1423 | 2020-03-13 |
| 1174031850 | Saurav Guha | Medical Genetics | 180 Kimball Way, South San Francisco, CA 94080-6218 | 2018-01-17 |
| 1972057362 | Victoria Howell | Medical Genetics | 10666 N Torrey Pines Rd, Box 217, La Jolla, CA 92037-1027 | 2016-08-15 |
| Find all providers with the same taxonomy | ||||
| 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.