BRIAN HAACK


Address: 4638 Pepperwood Ave, Long Beach, CA 90808-1071
Phone: 5628226400

BRIAN HAACK (NPI# 1073055521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073055521
Entity Type Individual
Full Name BRIAN HAACK
Credential CCP
Practice Address 4638 Pepperwood Ave
Long Beach
CA 90808-1071
Practice Telephone 5628226400
Mailing Telephone 5628226400
Enumeration Date 2016-11-15
Last Update Date 2016-11-15
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 242T00000X Perfusionist 940111 Technologists, Technicians & Other Technical Service Providers

Office Location

Street Address 4638 PEPPERWOOD AVE
City LONG BEACH
State CA
Zip Code 90808-1071

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1942658604 Susan S Orr Physical Therapist 3833 Worsham Ave #301, Long Beach, CA 90808 2016-06-02
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1003234261 Ray Ira Apter Social Worker 4333 N. Greenbrier Road, Long Beach, CA 90808 2014-04-03
1043590649 Fonda Jiang Allergy & Immunology 3816 Woodruff Ave Ste 209, Long Beach, CA 90808 2011-08-26
1457640757 Alexander Cristian Gavrila Dentist 4200 Lakewood Blvd, Long Beach, CA 90808 2011-04-07
1851629034 Reyana Ewing Dietitian, Registered 4195 N Viking Way Ste D, Long Beach, CA 90808 2009-11-25
1548497597 Veronika Lee Hoover Social Worker 4195 N. Viking Way, Suite F, Long Beach, CA 90808 2009-06-17
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Taxonomy Information

Taxonomy Code 242T00000X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Perfusionist

Taxonomy Definition

A perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient’s circulatory or respiratory function. The perfusionist is knowledgeable concerning the variety of equipment available to perform extracorporeal circulation functions and is responsible, in consultation with the physician, for selecting the appropriate equipment and techniques to be used.
Notes: Source: Health Professions Career and Education Directory, American Medical Association [1/1/2007: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1518574599 Jonathan Persa Perfusionist 500 Race St Apt 4204, San Jose, CA 95126-5155 2020-09-24
1215551825 Samantha Rhymer Perfusionist 2280 W El Camino Real Apt 3117, Mountain View, CA 94040-6231 2020-05-31
1912537770 Ecmo Prn LLC Perfusionist 1246 Mission Rd, South San Francisco, CA 94080-1212 2020-01-21
1174082424 Tun Win Perfusionist 580 N Wilma Ave Ste F, Ripon, CA 95366-9514 2019-03-17
1265900609 Juan Carlos Tud Perfusionist 250 Fernando Ave, Palo Alto, CA 94306-2814 2018-11-04
1801318431 Kevin Saiki Perfusionist 27729 Willow Trl, Escondido, CA 92026-7327 2017-07-14
1528597234 Samantha Kollmann Perfusionist 700 Bair Island Rd # 230-204, Redwood City, CA 94063-2872 2017-06-06
1023546991 Vina Nguyen Perfusionist 105 Fairchild Dr, Mountain View, CA 94043-2014 2017-05-23
1285175679 Monette Thiele Perfusionist 668 Alice St, Monterey, CA 93940-2002 2017-03-17
1922550664 Pablo Zubiate Perfusionist 13999 Limousin Drive, Chico, CA 95973 2016-10-28
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Competitor

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City LONG BEACH
Zip Code 90808

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Dataset Information

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.

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