BRIAN HAACK (NPI# 1073055521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 242T00000X | Perfusionist | 940111 | Technologists, Technicians & Other Technical Service Providers |
Street Address |
4638 PEPPERWOOD AVE |
City | LONG BEACH |
State | CA |
Zip Code | 90808-1071 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629558713 | Long Beach-lakewood Orthopedic Institute | Orthopaedic Surgery | 3828 Schaufele Ave Ste 320, Long Beach, CA 90808 | 2018-08-17 |
1376072710 | Premiere Cottages Inc. | Assisted Living Facility | 4815 Premiere Ave, Long Beach, CA 90808 | 2017-06-08 |
1760911184 | Collaborative Partners for Success, LLC | Speech-Language Pathologist | 3472 Tulane Avenue, Long Beach, CA 90808 | 2017-06-08 |
1942658604 | Susan S Orr | Physical Therapist | 3833 Worsham Ave #301, Long Beach, CA 90808 | 2016-06-02 |
1447611298 | Rac Brittany House | Alzheimer Center (Dementia Center) | 5641 Centralia Avenue, Long Beach, CA 90808 | 2016-03-08 |
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 |
Find all providers in zip 90808 |
Taxonomy Code | 242T00000X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Perfusionist |
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] |
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 |
Find all providers with the same taxonomy |
City | LONG BEACH |
Zip Code | 90808 |
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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.