JEREMY SZYMANOWSKI (NPI# 1114976727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114976727 |
| Entity Type | Individual |
| Full Name | JEREMY SZYMANOWSKI |
| Credential | M.D. |
| Practice Address |
24451 Health Center Dr Laguna Hills CA 92653-3689 |
| Mailing Address |
Dept La 21650 Pasadena CA 91185-1650 |
| Practice Telephone | 9492638620 |
| Practice Fax Number | 9492631639 |
| Mailing Telephone | 9492638620 |
| Mailing Fax Number | 9492631639 |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2007-11-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
A78329 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD | 00A783290 | 01 |
| Street Address |
24451 HEALTH CENTER DR |
| City | LAGUNA HILLS |
| State | CA |
| Zip Code | 92653-3689 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841290228 | Monarch Health Care, A Medical Group, Inc. | General Acute Care Hospital | 24451 Health Center Dr, Saddleback Memorial Medical Center, Laguna Hills, CA 92653-3689 | 2005-07-27 |
| 1063076735 | Carmina Deleon Inductivo | Nurse Practitioner | 24451 Health Center Dr, Laguna Hills, CA 92653-3689 | 2019-04-27 |
| 1306313192 | Andrea Van Ry | Nurse Practitioner | 24451 Health Center Dr, Laguna Hills, CA 92653-3689 | 2018-10-30 |
| 1134600430 | Maria Heladia Hilton | Registered Nurse | 24451 Health Center Dr, Laguna Hills, CA 92653-3689 | 2018-08-24 |
| 1255856563 | California Emergency Physicians Medical Group A Professional Corp | Internal Medicine | 24451 Health Center Dr, Laguna Hills, CA 92653-3689 | 2017-08-08 |
| 1881047124 | Stacy Clark | Marriage & Family Therapist | 24451 Health Center Dr, Laguna Hills, CA 92653-3689 | 2016-07-21 |
| 1275990244 | Jordana Jones | Registered Nurse | 24451 Health Center Dr, Laguna Hills, CA 92653-3689 | 2016-01-21 |
| 1568835411 | Karen E Forhane | Nurse Practitioner | 24451 Health Center Dr, Laguna Hills, CA 92653-3689 | 2015-11-01 |
| 1265848733 | Jessica Alva | Registered Nurse | 24451 Health Center Dr, Laguna Hills, CA 92653-3689 | 2014-07-06 |
| 1386984219 | Cheryl Beth Johnson | Physical Medicine & Rehabilitation | 24451 Health Center Dr, Laguna Hills, CA 92653-3689 | 2013-03-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708476 | Nikkie Veyseh | Behavior Technician | 26921 Falling Leaf Dr., Laguna Hills, CA 92653 | 2020-10-24 |
| 1609480425 | Steve Ceja | Behavior Technician | 25201 Paseo De Alicia Suite 110, Laguna Hills, CA 92653 | 2020-08-31 |
| 1467006882 | Kristina Alexa Puno Morales | Dietitian, Registered | 24552 Health Center Drive, Laguna Hills, CA 92653 | 2019-07-25 |
| 1164929626 | Shoreline Consulting Services, Inc. | Clinic/Center | 23010 Lake Forest Drive, Suite B, Laguna Hills, CA 92653 | 2018-04-11 |
| 1023511045 | Performance Health Medical Group | Non-Pharmacy Dispensing Site | 25431 Cabot Road Suite 118, Laguna Hills, CA 92653 | 2018-03-15 |
| 1831613850 | Stephani A Berg | Physical Medicine & Rehabilitation | 24422 Avenida De La Carlota Suite 190, Laguna Hills, CA 92653 | 2017-08-01 |
| 1497299945 | Stephanie Lyle | Nurse Practitioner | 24221 Calle De Louisa, Suite 400, Laguna Hills, CA 92653 | 2016-12-16 |
| 1053776278 | Meillanny Gladness | Counselor | 23151 Verdugo Dr Ste 203, Laguna Hills, CA 92653 | 2015-12-16 |
| 1912383183 | Pmdca, LLC | Clinical Medical Laboratory | 23297 S Pointe Dr Ste 100, Laguna Hills, CA 92653 | 2015-08-10 |
| 1821486630 | 4mpw, Inc. | Home Health | 23232 Peralta Drive 216, Laguan Hills, CA 92653 | 2014-12-31 |
| Find all providers in zip 92653 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245861368 | Health Diagnostics of California A Professional Corporation | Radiology | 24022 Calle De La Plata Ste 100, Laguna Hills, CA 92653-3627 | 2020-01-28 |
| 1881747756 | Andrew Steven Malatskey | Radiology | 23961 Calle De La Magdalena 243, Laguna Hills, CA 92653-3600 | 2007-01-22 |
| 1134176969 | Brooke Caldwell | Radiology | 24401 Calle De La Louisa Ste 200, Laguna Hills, CA 92653 | 2006-05-27 |
| 1295727261 | Breast Specialists Medical Group, Inc. | Radiology | 24401 Calle De La Louisa, Ste. 200, Laguna Hills, CA 92653-3623 | 2005-08-16 |
| 1992108898 | Breast Care Specialists Medical Group, Inc. | Radiology | 24401 Calle De La Louisa, Suite 200, Laguna Hills, CA 92653 | 2014-10-06 |
| 1588982615 | Angelique C Floerke | Radiology | 24401 Calle De La Louisa Ste 200, Laguna Hills, CA 92653-3624 | 2010-05-13 |
| 1922272103 | Gretchen Lynn Conroy | Radiology | 24401 Calle De La Louisa Ste 200, Laguna Hills, CA 92653-3624 | 2008-04-17 |
| 1215130976 | Freddie Joe Combs Jr. | Radiology | 24401 Calle De La Louisa, #200, Laguna Hills, CA 92653-3623 | 2007-06-08 |
| 1538299334 | Benjamin Lee | Radiology | 24451 Health Center Dr, Laguna Hills, CA 92653-3689 | 2007-03-07 |
| 1801948302 | Nancy Bucciarelli | Radiology | 24401 Calle De La Louisa, Suite 200, Laguna Hills, CA 92653-3623 | 2007-01-17 |
| Find all providers in LAGUNA HILLS | ||||
| City | LAGUNA HILLS |
| Zip Code | 92653 |
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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.