SEA STARS WELLNESS CENTER (NPI# 1134362346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134362346 |
| Entity Type | Organization |
| Organization Name | SEA STARS WELLNESS CENTER |
| Practice Address |
1775 E Lincoln Ave Ste 101 Anaheim CA 92805-4300 |
| Practice Telephone | 7143000609 |
| Practice Fax Number | 7143000610 |
| Mailing Telephone | 7143000609 |
| Mailing Fax Number | 7143000610 |
| Enumeration Date | 2009-04-17 |
| Last Update Date | 2009-04-17 |
| Authorized Official Name | MARIA D NAVARRO (OWNER) |
| Authorized Official Telephone | 7143000609 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
1775 E LINCOLN AVE STE 101 |
| City | ANAHEIM |
| State | CA |
| Zip Code | 92805-4300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174878714 | Heather Eloise Elam | Speech-Language Pathologist | 1775 E Lincoln Ave Ste 101, Anaheim, CA 92805-4300 | 2012-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841840097 | Jesus Jaime Rodriguez | Technician | 805 N. Pauline St., Anaheim, CA 92805 | 2019-09-18 |
| 1225680994 | Michael Cross | Counselor | 710 N. Anaheim Blvd Anaheim, Ca 92805, 710 N.anaheim Blvd, Anaheim, CA 92805 | 2019-07-12 |
| 1588123459 | Dania Jesri | Behavior Technician | 300 N Avelia Way, Anaheim, CA 92805 | 2019-03-19 |
| 1346708872 | Tiffany Chauvet | Behavior Technician | 1300 East Orangewood Ave, Anaheim, CA 92805 | 2019-03-04 |
| 1972087740 | Jehanzeb Shahab Khairi | Behavior Technician | 3101 E Orangewood Ave, Anaheim, CA 92805 | 2018-09-18 |
| 1033693825 | Baotran Minh Le | Behavior Technician | 3101 E. Orangewood Ave., Anaheim, CA 92805 | 2018-09-18 |
| 1841778354 | Jonathan Besuamlak | Behavior Technician | 1301 E. Orangewood Ave., Anaheim, CA 92805 | 2018-08-06 |
| 1700364973 | Erica Vanderlinden | Behavioral Analyst | 1301 East Orangewood Avenue, Anaheim, CA 92805 | 2018-07-31 |
| 1578054391 | Us Care Transportation LLC | Non-emergency Medical Transport (VAN) | 248 S Seneca Cir, Anaheim, CA 92805 | 2018-05-29 |
| 1578081691 | Christopher Mills | Counselor | 1025 S. Anaheim Blvd, Anaheim, CA 92805 | 2017-09-08 |
| Find all providers in zip 92805 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
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| 1104384189 | Healthcare Services Consulting Inc | General Practice | 421 S Brookhurst St Ste 371, Anaheim, CA 92804-2413 | 2019-03-07 |
| 1689107427 | Paul Boetcher | General Practice | 810 N Loara St Apt 219, Anaheim, CA 92801-4215 | 2017-04-08 |
| 1316257900 | George Youssef, M.d., A Medical Corporation | General Practice | 1120 W La Palma Ave Ste 10, Anaheim, CA 92801-2805 | 2010-10-15 |
| 1366672099 | Mpn, Medical Providers Group, Inc. | General Practice | 1811 E Center St, 210, Anaheim, CA 92805-3401 | 2009-07-15 |
| 1194965798 | Pramar Medical Clinic Inc. | General Practice | 1775 E Lincoln Ave, Anaheim, CA 92805-4366 | 2009-02-23 |
| 1710156245 | Hung Tran | General Practice | 6017 E La Paz Cir, Anaheim, CA 92807-3926 | 2008-02-28 |
| 1194934711 | Humberto Agustin Florian | General Practice | 2090 S Euclid St, Suite 104, Anaheim, CA 92802-3143 | 2007-05-21 |
| 1285788059 | Central City Community Health Center, Inc. | General Practice | 2237 W Ball Rd, Anaheim, CA 92804 | 2007-01-22 |
| 1932281573 | Adela P Pena | General Practice | 50 S Anaheim Blvd, #96, Anaheim, CA 92805 | 2006-10-20 |
| 1467400192 | Lp Angel Medical Center, A Prof. Corp. | General Practice | 3111 W Orange Ave, Suite 120, Anaheim, CA 92804-3153 | 2006-05-05 |
| Find all providers in ANAHEIM | ||||
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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.