MR. ALBERTO GEDISSMAN


Address: 1515 S Broadway, Suite A, Santa Ana, CA 92707-2253
Phone: 7149190280

MR. ALBERTO GEDISSMAN (NPI# 1104814086) 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) 1104814086
Entity Type Individual
Full Name MR. ALBERTO GEDISSMAN
Credential M.D.
Practice Address 1515 S Broadway
Suite A
Santa Ana
CA 92707-2253
Mailing Address 3141 Michelson Dr
Apt 1404
Irvine
CA 92612-5623
Practice Telephone 7149190280
Practice Fax Number 7142888970
Mailing Telephone 7144254319
Mailing Fax Number 9498543975
Enumeration Date 2005-10-13
Last Update Date 2011-11-07
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics A26326 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA 00A263260 05

Office Location

Street Address 1515 S BROADWAY
SUITE A
City SANTA ANA
State CA
Zip Code 92707-2253

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932751443 Said M Gonzalez Dietitian, Registered 1515 S Broadway, Santa Ana, CA 92707-2253 2019-07-15
1962960591 Yessenia Marie Vazquez Dietitian, Registered 1515 S Broadway, Santa Ana, CA 92707-2253 2019-03-02
1659798585 Marie Kim Lan Vu Registered Nurse 1515 S Broadway, Santa Ana, CA 92707-2253 2014-03-28
1861754806 Lizet Espinoza Bande Nutritionist 1515 S Broadway, Santa Ana, CA 92707-2253 2012-06-14
1477859833 Arthur Vincent Saavedra Health Educator 1515 S Broadway, Santa Ana, CA 92707-2253 2011-02-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831743301 Nestor Carcache Marriage & Family Therapist 2201 Kilson Ave, Santa Ana, CA 92707 2019-08-01
1184113292 Ma Nehemiah Valencia Galindo Nurse Practitioner 201 E. Sandpointe Ave, Suite 600, Santa Ana, CA 92707 2018-05-03
1780089565 Raymond Nambar Registered Nurse 1030 W. Warner Ave., Santa Ana, CA 92707 2014-10-23
1366733073 Yellowstone Women's First Step House, Inc. Substance Abuse Rehabilitation Facility 1621 Indus Street, Santa Ana Heights, CA 92707 2011-04-28
1972809051 American Logistics Company, LLC Transportation Broker 530 W Dyer Rd, Santa Ana, CA 92707 2011-02-07
1972807022 Faraz Valaie Pediatrics 15 Macarthur Place, #601, Santa Ana, CA 92707 2011-01-04
1073815353 Alicia Tokunaga Physician Assistant 2621 S Bristol St #203, Santa Ana, CA 92707 2010-11-18
1518279017 Laura Reynoso Case Manager/Care Coordinator 2416 S Main St., Santa Ana, CA 92707 2010-07-13
1477705671 Vanessa E. Carmona Counselor 2416 S. Main St, Suite B, Santa Ana, CA 92707 2008-10-21
1144379785 Community Dental Services Dentist 2 Macarthur Place, Santa Ana, CA 92707 2007-01-10
Find all providers in zip 92707

Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750685780 Mona Jasuja Pediatrics 2650 S Bristol St Ste 101, Santa Ana, CA 92704-5751 2011-01-05
1972807022 Faraz Valaie Pediatrics 15 Macarthur Place, #601, Santa Ana, CA 92707 2011-01-04
1750533535 Sornya Ponrartana Pediatrics 3526 W 1st St, Santa Ana, CA 92703-3302 2008-10-13
1184801573 Norka Iriarte Wilkinson Pediatrics 2212 E 4th St Ste 103, Santa Ana, CA 92705-3871 2008-01-28
1801089578 Liberty Grace Lowe Pediatrics 801 W Civic Center Dr Ste 100, Santa Ana, CA 92701-4079 2007-08-24
1083736474 South Coast Pediatrics Pediatrics 1619 N Spurgeon St, Santa Ana, CA 92701-2328 2007-04-04
1063562908 Patricia Ann Riba Pediatrics 2100 W Alton Ave # 2, Santa Ana, CA 92704-7170 2007-01-11
1245326982 Oranee Ekmaha Chai Pediatrics 1212 S Bristol St, Suite 16, Santa Ana, CA 92704-3476 2006-10-04
1922193598 Maged G Ramsy Pediatrics 2720 Bristol St, Santa Ana, CA 92704 2006-10-03
1225131857 Saowaree Ponrartana Pediatrics 3526 West First Street, Santa Ana, CA 92703-3302 2006-09-07
Find all providers in SANTA ANA

Competitor

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City SANTA ANA
Zip Code 92707

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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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