COLIN X JAIRAM MD INC (NPI# 1093126609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093126609 |
| Entity Type | Organization |
| Organization Name | COLIN X JAIRAM MD INC |
| Other Organization Name | HYBRID MD |
| Practice Address |
1031 Avenida Pico Sutie 103 San Clemente CA 92673-6352 |
| Practice Telephone | 2029048490 |
| Mailing Telephone | 9494291919 |
| Enumeration Date | 2014-05-16 |
| Last Update Date | 2017-01-10 |
| Authorized Official Name | DR. COLIN XEPHARY JAIRAM (PRESIDENT) |
| Authorized Official Telephone | 9494291919 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A101534 | CA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Hybrid MD | Doing Business As Name - Organization |
| Street Address |
1031 AVENIDA PICO SUTIE 103 |
| City | SAN CLEMENTE |
| State | CA |
| Zip Code | 92673-6352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841300910 | Frank Joseph Mogavero | Dentist | 1031 Avenida Pico, Suite 101, San Clemente, CA 92673-6352 | 2006-08-30 |
| 1558815456 | Wee Thrive Pediatric Therapy Group | Clinic/Center | 1031 Avenida Pico, Suite 201, San Clemente, CA 92673-6352 | 2016-08-09 |
| 1538549449 | Camino Health Center | Clinic/Center | 1031 Avenida Pico, Ste 104, San Clemente, CA 92673-6352 | 2015-06-05 |
| 1528309754 | Teresa Delatolla Fiano | Specialist | 1031 Avenida Pico, Suite 201, San Clemente, CA 92673-6352 | 2013-03-13 |
| 1356635692 | Katherine Elizabeth Foster | Physical Therapist | 1031 Avenida Pico, Suite 201, San Clemente, CA 92673-6352 | 2011-06-03 |
| 1538327572 | Brighter Image Dental | Clinic/Center | 1031 Avenida Pico, #203, San Clemente, CA 92673-6352 | 2008-05-27 |
| 1821272295 | Colin Xephary Jairam | Emergency Medicine | 1031 Avenida Pico, Suite 103, San Clemente, CA 92673-6352 | 2007-12-20 |
| 1952511610 | Alfred Joseph Valenzuela | Physical Therapist | 1031 Avenida Pico, San Clemente, CA 92673 | 2007-05-23 |
| 1982810305 | Efraim John Moreno I | Dentist | 1031 Avenida Pico, Suite 202, San Clemente, CA 92673-6352 | 2007-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497246474 | Cynthia Hull Warren | Nutritionist | 2027 Via Concha, San Clemente, CA 92673 | 2018-05-24 |
| 1063942688 | Trinh T Tran | Pharmacist | 638 Camino De Los Mares #d5, San Clemente, CA 92673 | 2017-06-15 |
| 1427421791 | Jessica A Currens | Nurse Practitioner | 1001 Avenida Pico Ste C517, San Clemente, CA 92673 | 2015-11-08 |
| 1184010647 | Garrett Bryon Rubio | Student in an Organized Health Care Education/Training Program | 905 Calle Amanecer Ste. 265, San Clemente, CA 92673 | 2015-04-11 |
| 1255733853 | Body Mind Spirit Iop Inc | Psychologist | 665 Camino De Los Mares Ste 104, San Clemente, CA 92673 | 2014-09-25 |
| 1548677438 | Jessica Ann Riley | Dermatology | 1300 Avenida Vista Hermosa Ste 150, San Clemente, CA 92673 | 2014-07-13 |
| 1427398718 | Veena Menda | Specialist | 2232 Calle Opalo, San Clemente, CA 92673 | 2013-02-22 |
| 1124383781 | Alexandra Rose Corporation | Substance Abuse Rehabilitation Facility | 4009 Calle Abril, San Clemente, CA 92673 | 2012-07-10 |
| 1457612574 | Noelle J Deckman | Psychologist | 629 Camino De Los Mares Ste 207a, San Clemente, CA 92673 | 2012-06-05 |
| 1851686471 | Meighan Bartholomew Merono | Pharmacist | 990 Avenida Vista Hermosa, San Clemente, CA 92673 | 2011-06-10 |
| Find all providers in zip 92673 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598104069 | Gruber Medical Corporation | Family Medicine | 1613 Vista Luna, San Clemente, CA 92673-3661 | 2013-06-18 |
| 1982945085 | Nancy Krehbiel Brownell | Family Medicine | 99 Via Sonrisa, San Clemente, CA 92673-5664 | 2013-03-14 |
| 1386790400 | Ocean Breeze Medical Group, Inc. | Family Medicine | 150 Avenida Cabrillo Ste A, San Clemente, CA 92672-5595 | 2007-01-25 |
| 1326198144 | Amit Batra | Family Medicine | 101 W Avenida Vista Hermosa Ste 120, San Clemente, CA 92672 | 2007-01-12 |
| 1609943646 | Fred Howell Nelson | Family Medicine | 707 Calle Amable, San Clemente, CA 92673-3046 | 2006-11-28 |
| 1487735726 | Sara Shokouhi | Family Medicine | 675 Camino De Los Mares Ste 280, San Clemente, CA 92673-2836 | 2006-10-17 |
| 1881706026 | John P Chard | Family Medicine | 665 Camino De Los Maes, #207, San Clemente, CA 92673 | 2006-08-31 |
| 1356353502 | Family and Holistic Health | Family Medicine | 1450 N El Camino Real Ste A, San Clemente, CA 92672-5909 | 2006-08-13 |
| 1033149968 | Brian Francis Haskins | Family Medicine | 151 Avenida Barcelona, San Clemente, CA 92672-4245 | 2006-07-04 |
| 1952338600 | Andrea A Roberson | Family Medicine | 105 Avenida De La Estrella Ste 1a, San Clemente, CA 92672-3985 | 2006-06-27 |
| Find all providers in SAN CLEMENTE | ||||
| City | SAN CLEMENTE |
| Zip Code | 92673 |
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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.