DR. NISHA VINOD JAYANI (NPI# 1124354584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124354584 |
| Entity Type | Individual |
| Full Name | DR. NISHA VINOD JAYANI |
| Credential | M.D. |
| Practice Address |
100 E Valencia Mesa Dr Suite 105 Fullerton CA 92835-3813 |
| Practice Telephone | 7144465640 |
| Practice Fax Number | 7144465625 |
| Mailing Telephone | 7144465640 |
| Mailing Fax Number | 7144465625 |
| Enumeration Date | 2009-10-20 |
| Last Update Date | 2014-07-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | A129516 | CA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
100 E VALENCIA MESA DR SUITE 105 |
| City | FULLERTON |
| State | CA |
| Zip Code | 92835-3813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891795449 | Raed Ali | Orthopaedic Surgery | 100 E Valencia Mesa Dr, Suite 310, Fullerton, CA 92835-3813 | 2005-07-26 |
| 1083088678 | Monica Martyn | Dietitian, Registered | 100 E Valencia Mesa Dr, Suite 111, Fullerton, CA 92835-3813 | 2015-11-19 |
| 1972991149 | Megan Somerville Wroe | Dietitian, Registered | 100 E Valencia Mesa Dr, Suite 111, Fullerton, CA 92835-3813 | 2014-12-22 |
| 1457750762 | Linda Cox | Registered Nurse | 100 E Valencia Mesa Dr, Suite 111, Fullerton, CA 92835-3813 | 2014-08-22 |
| 1952700320 | Cynthia Crystal Carrasco-gonzalez | Registered Nurse | 100 E Valencia Mesa Dr, Suite 111, Fullerton, CA 92835-3813 | 2014-08-21 |
| 1548697311 | Theodore Pastrana Md., Apc | Preferred Provider Organization | 100 E Valencia Mesa Dr, Ste. 100, Fullerton, CA 92835-3813 | 2013-10-10 |
| 1831526953 | Kathryn V Woeckener | Dietitian, Registered | 100 E Valencia Mesa Dr, Suite 105, Fullerton, CA 92835-3813 | 2013-10-03 |
| 1588001267 | Ricarda Benz Md, Inc | Obstetrics & Gynecology | 100 E Valencia Mesa Dr, Suite 215, Fullerton, CA 92835-3813 | 2013-06-04 |
| 1518302777 | Gordon Gunn M.d Inc A Medical Corporation | Specialist | 100 E Valencia Mesa Dr, # 215, Fullerton, CA 92835-3813 | 2013-05-01 |
| 1770831521 | Aileen Sabio Estrada | Physician Assistant | 100 E Valencia Mesa Dr, Suite 310, Fullerton, CA 92835-3813 | 2012-08-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538774302 | Natalie Baugh | Nutritionist | 333 W Bastanchury Rd 110, Fullerton, CA 92835 | 2020-09-09 |
| 1073127098 | Cecile Mae Sam | Physical Therapist | 2932 Clover Ct, Fullerton, CA 92835 | 2020-09-08 |
| 1861966087 | Kimson F Johnston | Marriage & Family Therapist | 1370 Brea Blvd Suite 210, Fullerton, CA 92835 | 2019-01-22 |
| 1134636327 | Michelle Harriman, Psychologist - A Professional Corporation | Psychologist | 1440 N Harbor Blvd Ste 808, Fullerton, CA 92835 | 2018-01-09 |
| 1659818631 | Jacqueline Rene Miller | Specialist/Technologist | 2610 Associated Rd, Apt A4, Fullerton, CA 92835 | 2017-01-27 |
| 1912361106 | John Nathaniel Alvarez | Psychiatry & Neurology | 401 E Imperial Highway, Fullerton, CA 92835 | 2016-04-13 |
| 1083075030 | Advance Recovery Solution, LLC | Substance Abuse Rehabilitation Facility | 3744 N Hermosa Pl, Fullerton, CA 92835 | 2016-03-17 |
| 1467817981 | Michele Ledesma | Physical Therapy Assistant | 2800 N. Harbor Blvd., Fullerton, CA 92835 | 2015-12-29 |
| 1467820571 | Jonghan Kang | Acupuncturist | 1321 N Harbor Blvd Ste 205, Fullerton, CA 92835 | 2015-09-04 |
| 1265840987 | Allison Leigh Kennedy | Physician Assistant | 100 Laguna Rd Ste 208, Fullerton, CA 92835 | 2014-07-25 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134574171 | Monica Jeanne Arnell | Internal Medicine | 2200 Jose Way, Fullerton, CA 92835-3303 | 2016-04-27 |
| 1144515099 | Rajiv Ishwarlal Bhavsar, M.d., A Medical Corporation | Internal Medicine | 1321 N Harbor Blvd Ste 302, Fullerton, CA 92835-4131 | 2011-06-17 |
| 1699952820 | Naureen Tareen | Internal Medicine | 831 W Las Palmas Dr, Fullerton, CA 92835-1439 | 2008-01-30 |
| 1003091539 | Kiho Woo | Internal Medicine | 101 E. Valencia Dr., Fullerton, CA 92835-3809 | 2008-01-03 |
| 1245431956 | Jane Woo Quon | Internal Medicine | 3006 Birchwood Ct, Fullerton, CA 92835-4317 | 2007-05-30 |
| 1104965383 | Jimmy K Liao | Internal Medicine | 2557 Pearblossom St, Fullerton, CA 92835-4407 | 2007-02-05 |
| 1477628840 | Arun Dahyabhai Patel | Internal Medicine | 907 W Wilshire Ave, Fullerton, CA 92832 | 2006-11-21 |
| 1912080094 | Eleanor Marie Kelly | Internal Medicine | 241 Imperial Hwy, Suite 350, Fullerton, CA 92835-1055 | 2006-10-23 |
| 1225122674 | Mythili Nagaraj | Internal Medicine | 1651 Avenida Selva, Fullerton, CA 92833-1559 | 2006-10-02 |
| 1902909534 | Wilbur Chew | Internal Medicine | 872 Arbolado Drive, Fullerton, CA 92835-1810 | 2006-09-07 |
| Find all providers in FULLERTON | ||||
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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.