MICHAEL WAN (NPI# 1134580061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134580061 |
| Entity Type | Individual |
| Full Name | MICHAEL WAN |
| Credential | PHARMD |
| Practice Address |
2456 S Grove Ave Ontario CA 91761-6224 |
| Practice Telephone | 9099479390 |
| Enumeration Date | 2016-03-20 |
| Last Update Date | 2016-03-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | PHA.0021036 | CO | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 74190 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720567977 | Michael Quon Yiu Wan | Pharmacist | 11051 Victory Blvd, North Hollywood, CA 91606-3719 | 2018-08-08 |
| 1750721684 | Michael Wan | Ophthalmology | 300 Longwood Ave, Fegan 4th Floor, Boston, MA 02115-5724 | 2013-06-25 |
| 1588628788 | Michael Wan | Obstetrics & Gynecology | 11100 Warner Ave, Suite 150b, Fountain Valley, CA 92708-7510 | 2006-04-14 |
| Street Address |
2456 S GROVE AVE |
| City | ONTARIO |
| State | CA |
| Zip Code | 91761-6224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225070428 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 2456 S Grove Ave, Ontario, CA 91761-6224 | 2006-06-12 |
| 1770113201 | Kim Thi Tran | Pharmacist | 2456 S Grove Ave, Ontario, CA 91761-6224 | 2020-01-23 |
| 1467082693 | Ryan Balangue De Jesus | Pharmacist | 2456 S Grove Ave, Ontario, CA 91761-6224 | 2020-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902418163 | Blue Oak Counseling Services, Inc. | Counselor | 3200 Guasti Rd #100, Ontario, CA 91761 | 2020-08-19 |
| 1578115986 | Hadel Awad | Behavior Technician | 1801 South Excise Ave, 116, Ontario, CA 91761 | 2019-07-15 |
| 1265902845 | Stephanie Escalante | Behavior Technician | 1801 S. Excise Ave. #116, Ontario, CA 91761 | 2018-11-27 |
| 1801395595 | Optimum Bio Lab Inc | Clinical Medical Laboratory | 1910 S Archibald Ave #d, Ontario, CA 91761 | 2018-02-07 |
| 1871010033 | Evelyn Esther Martinez | Case Manager/Care Coordinator | 1556 S. Sultana Ave., Ontario, CA 91761 | 2017-08-28 |
| 1750812525 | Building Bridges Christian Counseling | Marriage & Family Therapist | 3200 Guasti Road, Suite 100, Ontario, CA 91761 | 2017-03-23 |
| 1659829513 | Gregory J Musselman | Physician Assistant | 3550 E Philadelphia St Ste 150, Ontario, CA 91761 | 2016-09-20 |
| 1700332327 | Ramon Cardenas | Registered Nurse | 721 E. Banyan St., Ontario, CA 91761 | 2016-09-01 |
| 1023565660 | Breanna Gonzalez | Occupational Therapist | 3449 S. Wrangler Pl., Ontario, CA 91761 | 2016-09-01 |
| 1326491507 | Sasha Khawaja | Specialist/Technologist | 1500 So. Haven Ave, Ste 190, Ontario, CA 91761 | 2016-07-22 |
| Find all providers in zip 91761 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154920155 | Jonathan Clevenger | Pharmacist | 1455 North Lexington-springmill Road, Ontario, OH 44906 | 2020-10-21 |
| 1790250793 | Kevin Vannukul | Pharmacist | 4355 E Lowell St Ste C, Ontario, CA 91761-2225 | 2018-10-05 |
| 1902393390 | Michael Sehyun Park | Pharmacist | 2920 Inland Empire Blvd Ste 112, Ontario, CA 91764-6581 | 2018-04-20 |
| 1811431521 | Ehab-tawfik Monir Tawfik | Pharmacist | 1520 N Mountain Ave # B106, Ontario, CA 91762-1128 | 2016-12-14 |
| 1861856171 | Celerino Vargas | Pharmacist | 2238 S Euclid Ave Ste A, Ontario, CA 91762-6503 | 2016-04-12 |
| 1215308697 | Timothy Fung | Pharmacist | 2295 S Vineyard Ave # D, Ontario, CA 91761-7925 | 2015-10-12 |
| 1588057764 | Robin B Ujoodha | Pharmacist | 231 Clare Rd, Ontario, OH 44906-1363 | 2015-03-11 |
| 1013327824 | Cindy Younger | Pharmacist | 2543 Fairway Xing, Ontario, OH 44903-6508 | 2014-05-01 |
| 1588090328 | Catherine J Prieto-quan | Pharmacist | 1670 E 4th St, Ontario, CA 91764-2638 | 2013-09-25 |
| 1346676400 | Eric Headlee | Pharmacist | 1648 E Idaho Ave, Ontario, OR 97914-3008 | 2013-09-20 |
| Find all providers in ONTARIO | ||||
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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.