HAIDEH MOBARAK (NPI# 1093991002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093991002 |
| Entity Type | Individual |
| Full Name | HAIDEH MOBARAK |
| Credential | M.D. |
| Practice Address |
2650 S Bristol St 101&103 Santa Ana CA 92704-5751 |
| Mailing Address |
26 Capobella Irvine CA 92614-8103 |
| Practice Telephone | 7147541444 |
| Practice Fax Number | 7147547009 |
| Mailing Telephone | 9494747445 |
| Enumeration Date | 2008-01-21 |
| Last Update Date | 2012-01-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | A97509 | CA | Other Service Providers |
| Street Address |
2650 S BRISTOL ST 101&103 |
| City | SANTA ANA |
| State | CA |
| Zip Code | 92704-5751 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184669871 | Roxana P Minkus | Family Medicine | 2650 S Bristol St, Suite 105, Santa Ana, CA 92704 | 2006-06-18 |
| 1184089922 | Ashley Zaw | Nurse Practitioner | 2650 S Bristol St, Suites 101-103, Santa Ana, CA 92704-5751 | 2015-12-21 |
| 1114310372 | Michelle Thusinh Tran | Nurse Practitioner | 2650 S Bristol St, Suite 101, Santa Ana, CA 92704-5751 | 2015-03-12 |
| 1811317001 | Maydole Lopez Aldalur | Nurse Practitioner | 2650 S Bristol St, Ste 101, Santa Ana, CA 92704-5751 | 2014-04-26 |
| 1174945794 | Byong Hwi Lee, D.d.s, Inc | Dentist | 2650 S Bristol St, Suite 107, Santa Ana, CA 92704-5751 | 2014-01-16 |
| 1497991483 | Byong-hwi Lee | Dentist | 2650 S Bristol St, Suite107, Santa Ana, CA 92704-5751 | 2008-12-23 |
| 1528222767 | Ahmed Khosrowshahi | Pediatrics | 2650 S Bristol St, Suite 101, Santa Ana, CA 92704-5751 | 2008-07-16 |
| 1760661516 | Lubna Ajmal | Specialist | 2650 S Bristol St, 101- 103, Santa Ana, CA 92704-5751 | 2007-10-29 |
| 1962615369 | Jaime Raul Luna | Physician Assistant | 2650 S Bristol St, Suite 101, Santa Ana, CA 92704-5751 | 2007-05-08 |
| 1821115817 | South Coast Family Medicine, Inc | Clinic/Center | 2650 S Bristol St, 105, Santa Ana, CA 92704-5751 | 2007-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437771805 | Mohammad Abul-fielat Dds Inc | Dentist | 2341 S Bristol Street, Santa Ana, CA 92704 | 2020-05-08 |
| 1639728538 | Dorothy A Powell | Technician | 722 S. Arapaho Dr, Santa Ana, CA 92704 | 2019-09-04 |
| 1851945646 | Skinzone Medical Inc | Plastic Surgery | 3374 S. Bristol St, Santa Ana, CA 92704 | 2019-07-30 |
| 1215414024 | Sonia Molina | Dietitian, Registered | 2100 W Alton Ave Ste 2, Santa Ana, CA 92704 | 2018-07-24 |
| 1558854612 | Laura Fessler | Nurse Practitioner | 3501 S. Harbor Blvd, Santa Ana, CA 92704 | 2018-06-12 |
| 1104317940 | The Mend of California, LLC | Substance Abuse Rehabilitation Facility | 1909 W. Carlton Place, Santa Ana, CA 92704 | 2018-05-29 |
| 1154811784 | Phleetbo LLC | In Home Supportive Care | 3760 W Mcfadden Ave # B164, Santa Ana, CA 92704 | 2018-05-18 |
| 1588151393 | United Medical Imaging Healthcare, Inc. | Clinic/Center | 3501 S Harbor Blvd Ste 140-b, Santa Ana, CA 92704 | 2018-04-17 |
| 1952811978 | Rising Roads Recovery Services for Women, LLC | Substance Abuse Rehabilitation Facility | 2750 S Harbor Blvd Ste G, Santa Ana, CA 92704 | 2017-10-04 |
| 1427577907 | Advance Oc Surgical Inc. | Clinic/Center | 3500 S. Bristol St., Suite 200, Santa Ana, CA 92704 | 2017-09-15 |
| Find all providers in zip 92704 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972003325 | Joanie S Gonella | Specialist | 1780 E Mcfadden Ave Ste 115, Santa Ana, CA 92705-4648 | 2018-02-12 |
| 1588906390 | Consuelo Merce' Edwards | Specialist | 1391 Faren Dr, Santa Ana, CA 92705-2451 | 2013-03-19 |
| 1225370133 | Andrea Dunkelman, Md Inc. A Medical Corporation | Specialist | 1710 La Loma Dr, Santa Ana, CA 92705-3027 | 2013-03-19 |
| 1689916595 | Alfredo Zarate | Specialist | 13671 Yellowstone Dr, Santa Ana, CA 92705-2657 | 2013-03-19 |
| 1407194624 | Hamid U. Rahman, M.d., F.r.c.s., Inc. | Specialist | 1220 Hemlock Way Ste 203, Santa Ana, CA 92707-3655 | 2013-01-23 |
| 1053678920 | Ebrahim Duel M.d. Inc | Specialist | 301 N. Main Sreet, Santa Ana, CA 92701-4852 | 2012-04-17 |
| 1326313560 | Enriqueta Silva | Specialist | 1110 W 21st St, Santa Ana, CA 92706-3530 | 2012-03-21 |
| 1205146156 | N Charle Morcos Md Phd Inc | Specialist | 999 N Tustin Ste 15, Santa Ana, CA 92705-3530 | 2010-10-13 |
| 1518277516 | Hector J. Fernandez, M.d. Inc | Specialist | 1970 Old Tustin Ave, Santa Ana, CA 92705-7865 | 2010-10-09 |
| 1639485543 | Marilyn G. Myers, M.d., Apc | Specialist | 2220 E Fruit St Ste 217, Santa Ana, CA 92701-4459 | 2010-08-30 |
| Find all providers in SANTA ANA | ||||
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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.