MARK A RETTENMAIER (NPI# 1134166697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134166697 |
| Entity Type | Individual |
| Full Name | MARK A RETTENMAIER |
| Credential | M.D. |
| Practice Address |
1010 W La Veta Ave Ste 775 Orange CA 92868-4306 |
| Mailing Address |
1010 W La Veta Ave Ste 775 Orange CA 92868-4306 |
| Practice Telephone | 9497059015 |
| Mailing Telephone | 7147492330 |
| Mailing Fax Number | 9498311624 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2017-12-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
A32692 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A326920 | 05 |
| Street Address |
1010 W LA VETA AVE STE 775 |
| City | ORANGE |
| State | CA |
| Zip Code | 92868-4306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659371581 | Troy Michael Reyna | Surgery | 1010 W La Veta Ave, Suite 640, Orange, CA 92868-4300 | 2005-07-21 |
| 1053849406 | Amy Nicole Woody | Emergency Medicine | 1010 W La Veta Ave, Orange, CA 92868-4300 | 2017-05-30 |
| 1730636226 | Jennifer Choe | Nurse Practitioner | 1010 W La Veta Ave, #570, Orange, CA 92868-4300 | 2016-09-01 |
| 1427419530 | Daniel Chiu | Registered Nurse | 1010 W La Veta Ave, Suite 570, Orange, CA 92868-4300 | 2016-03-16 |
| 1104218494 | My Phuong Pham Nguyen | Nurse Practitioner | 1010 W La Veta Ave, Ste 750, Orange, CA 92868-4300 | 2015-02-24 |
| 1548509102 | Elizabeth Anne Kovacs | Registered Nurse | 1010 W La Veta Ave, Ste 610, Orange, CA 92868-4300 | 2013-02-01 |
| 1003182130 | Kathryn L Thompson | Physician Assistant | 1010 W La Veta Ave, 200, Orange, CA 92868-4300 | 2012-03-22 |
| 1326327933 | Lawrence David Wagman Md Professional Corporation | Surgery | 1010 W La Veta Ave, Ste 470, Orange, CA 92868-4300 | 2011-08-12 |
| 1679875942 | Center for Comprehensive Care & Diagnosis of Inherited Blood Disorders | Clinic/Center | 1010 W La Veta Ave, Suite 670, Orange, CA 92868-4300 | 2010-11-18 |
| 1881995199 | Keller Eye Associates, Inc. A Medical Group | Specialist | 1010 W La Veta Ave, Suite 175, Orange, CA 92868-4300 | 2010-11-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346859386 | Sadaf Abrishami | Pharmacist | 101 The City Dr S., Orange, CA 92868 | 2020-07-27 |
| 1245869825 | Helena Yijia Hong | Student in an Organized Health Care Education/Training Program | Uci Medical Center, 101 The City Drive, Orange, CA 92868 | 2020-04-06 |
| 1932736527 | Joshua Kristopher Livingston | Student in an Organized Health Care Education/Training Program | 101 The City Dr S, Rte. 128-01, Orange, CA 92868 | 2020-03-24 |
| 1831725894 | Michelle Brown | Student in an Organized Health Care Education/Training Program | 101 The City Dr S. Rte 128-01, Orange, CA 92868 | 2020-03-20 |
| 1093363491 | Kristin Lee | Pharmacist | 132 S. Anita Dr., Orange, CA 92868 | 2019-08-28 |
| 1740834217 | Matthew Brian Mecheal | Dentist | 725 W. La Veta Suite 260, Orange, CA 92868 | 2019-08-01 |
| 1245897990 | Brent Tyler Louie | Student in an Organized Health Care Education/Training Program | 101 The City Drive South Building 3, Route 88, Neuropsychiatric Center Uc Irvine Medical Center, Orange, CA 92868 | 2019-05-28 |
| 1093277972 | Danielle Amato | Student in an Organized Health Care Education/Training Program | Uc Irvine Health 101 The City Drive, City Tower, Ste 40, Orange, CA 92868 | 2019-04-01 |
| 1851852206 | Julia Ting Bu | Student in an Organized Health Care Education/Training Program | Uc Irvine Health, 101 The City Drive, City Tower, Ste 400, Orange, CA 92868 | 2019-03-28 |
| 1326507344 | Harrison Beene Lowder | Student in an Organized Health Care Education/Training Program | 505 S. Main St, Suite 525, Orange, CA 92868 | 2019-03-19 |
| Find all providers in zip 92868 | ||||
| Taxonomy Code | 207VX0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecologic Oncology |
| An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295977932 | Danielle D. Jandial | Obstetrics & Gynecology | 101 The City Dr., Bldg. 56, Room 260, Orange, CA 92683-1491 | 2009-03-26 |
| 1265759807 | Jill Tseng | Obstetrics & Gynecology | 101 The City Drive South, Pav IIi, Bldg 29, Suite 501, Orange, CA 92868-5900 | 2010-04-21 |
| 1770663932 | Alberto Manetta | Obstetrics & Gynecology | Uci Medical Center, 101 The City Drive South, Orange, CA 92868 | 2006-10-16 |
| 1295815371 | Michael L Berman | Obstetrics & Gynecology | Uci Medical Center, 101 The City Drive South, Orange, CA 92868 | 2006-10-16 |
| 1093895138 | Philip J Disaia | Obstetrics & Gynecology | 101 The City Drive South, Uci Medical Center, Orange, CA 92868 | 2006-10-16 |
| 1255346763 | Fabio Cappuccini | Obstetrics & Gynecology | 101 The City Dr S, Building 29, Suite 501, Orange, CA 92868-3201 | 2006-07-31 |
| 1205868445 | Krishnansu Sujata Tewari | Obstetrics & Gynecology | 101 The City Dr S, Orange, CA 92868-3201 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548727928 | Hhlp Medical Group Inc | Obstetrics & Gynecology | 500 N Garfield Ave Ste 104, Monterey Park, CA 91754-1242 | 2019-02-21 |
| 1003289919 | East Bay Gynecologic Oncology | Obstetrics & Gynecology | 105 Monte Vista Rd, Orinda, CA 94563-1619 | 2015-11-02 |
| 1760824833 | Cecil O Lynch | Obstetrics & Gynecology | 6500 Countrywoods Lane, Granite Bay, CA 95746 | 2013-07-18 |
| 1669713012 | Conley Gerard Lacey | Obstetrics & Gynecology | 1935 Stonebrook Ln, Clovis, CA 93611-5985 | 2013-03-11 |
| 1427342294 | Mae Zakhour | Obstetrics & Gynecology | 200 Ucla Medical Plz Ste 220, Los Angeles, CA 90095 | 2011-06-08 |
| 1447575568 | Kristen Marie Anderson | Obstetrics & Gynecology | 26520 Cactus Ave Ste B2020, Moreno Valley, CA 92555-3927 | 2010-03-31 |
| 1962639203 | Laurie Brunette | Obstetrics & Gynecology | 2020 Zonal Ave # Ird220, Los Angeles, CA 90089-0121 | 2009-06-13 |
| 1629235783 | Jeff Feng Hsu Lin | Obstetrics & Gynecology | 455 Oconnor Dr Ste 370, San Jose, CA 95128-1600 | 2008-05-16 |
| 1306038096 | Uma Chandavarkar | Obstetrics & Gynecology | 2800 L St Ste 300, Sacramento, CA 95816-5616 | 2007-08-15 |
| 1144424615 | Yvonne Gail Lin-liu | Obstetrics & Gynecology | 1441 Eastlake Ave # 7419, Los Angeles, CA 90089-0112 | 2007-06-11 |
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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.