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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208000000X | Pediatrics | A26326 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 00A263260 | 05 |
Street Address |
1515 S BROADWAY SUITE A |
City | SANTA ANA |
State | CA |
Zip Code | 92707-2253 |
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 |
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 Code | 208000000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
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. |
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 |
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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.