PROACTIVE CARE NURSING, INC (NPI# 1154713790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154713790 |
| Entity Type | Organization |
| Organization Name | PROACTIVE CARE NURSING, INC |
| Practice Address |
17822 Beach Blvd Suite 400 Huntington Beach CA 92647-7101 |
| Mailing Address |
8692 Wagers Cir Huntington Beach CA 92647-5027 |
| Practice Telephone | 7143327016 |
| Mailing Telephone | 7143327016 |
| Enumeration Date | 2015-02-18 |
| Last Update Date | 2017-04-04 |
| Authorized Official Name | MISS SHERRY E DO (COO) |
| Authorized Official Telephone | 7143327016 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
17822 BEACH BLVD SUITE 400 |
| City | HUNTINGTON BEACH |
| State | CA |
| Zip Code | 92647-7101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376546259 | Steven L Swartz | Podiatrist | 17822 Beach Blvd, Suite 407, Huntington Beach, CA 92647-7101 | 2005-05-24 |
| 1265986145 | Oc Neurology Clinic, Inc. | Clinic/Center | 17822 Beach Blvd, # 374, Huntington Beach, CA 92647-7101 | 2016-08-09 |
| 1770945883 | Westside Pain Management, Inc. | Anesthesiology | 17822 Beach Blvd, Ste 300, Huntington Beach, CA 92647 | 2016-03-28 |
| 1093139792 | Richard B Mantell Md Inc | Dermatology | 17822 Beach Blvd, Suite 301, Huntington Beach, CA 92647-7101 | 2014-02-16 |
| 1740627934 | Yun Wang | Physician Assistant | 17822 Beach Blvd, Huntington Beach, CA 92647-7101 | 2013-05-28 |
| 1790039469 | C F Chin, Md Inc | Internal Medicine | 17822 Beach Blvd, Ste 252, Huntington Beach, CA 92647-7101 | 2012-11-02 |
| 1588911549 | Alamitos Dermatological Medical Clinic, Inc | Specialist | 17822 Beach Blvd, Suite 427, Huntington Beach, CA 92647-7101 | 2012-08-09 |
| 1831452002 | David Hellewell | Podiatrist | 17822 Beach Blvd, #407, Huntington Beach, CA 92647 | 2012-06-21 |
| 1356644967 | Arthur Calick, M.d., Inc | Internal Medicine | 17822 Beach Blvd, Suite 215, Huntington Beach, CA 92647 | 2010-12-21 |
| 1467775551 | Nahid Eskandari Md Inc | Family Medicine | 17822 Beach Blvd, Suite 442, Huntington Beach, CA 92647-7101 | 2010-03-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417464231 | Patricia Michelle Ramsey | Counselor | 16761 Viewpoint Lane, Apt 386, Huntington Beach, CA 92647 | 2018-01-02 |
| 1780103390 | Luz Flores | Health Educator | 8041 Newman Avenue, Hungtington Beach, CA 92647 | 2017-09-14 |
| 1134649106 | Louise Polzel | Social Worker | 17111 Beach Blvd St 205, Huntington Beach, CA 92647 | 2017-06-21 |
| 1205364015 | Chi Hong Nguyen | Family Medicine | 8201 Newman Ave 101, Huntington, CA 92647 | 2017-05-24 |
| 1396281770 | Sandra Vera | Specialist/Technologist | 7812 Edinger Ave. #400, Huntington Beach, CA 92647 | 2017-01-10 |
| 1245773050 | Sherika Benjamin | Technician, Pathology | 8211 San Angelo Drive Suit #f2, Huntington Beach, CA 92647 | 2016-11-28 |
| 1306389440 | Nhi Pham Nguyen | Behavioral Analyst | 17732 Beach Blvd., Suite G, Huntington Beach, CA 92647 | 2016-11-21 |
| 1710345095 | Pacific Beach Medical Group, Inc. | Internal Medicine | 16111 Beach Blvd., Huntington Beach, CA 92647 | 2016-02-02 |
| 1699148494 | Daniel Bui | Dentist | 16900-a Goldenwest St, Huntington Beach, CA 92647 | 2015-11-03 |
| 1598132359 | Hayley Patricia Buchanan | Specialist/Technologist | 23441 S. Pointe Drive, Suite 245, Laguna Hills, ORANGE COUNTY 92647 | 2015-08-27 |
| Find all providers in zip 92647 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811462310 | Patricia Kelleher Tynan | Nurse Practitioner | 6692 Carlow Dr, Huntington Beach, CA 92647-3113 | 2018-10-10 |
| 1891234464 | Kristina Mouradian | Nurse Practitioner | 203 Huntington St, Huntington Beach, CA 92648-5226 | 2017-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699388504 | Daniel Ngo | Nurse Practitioner | 1180 S Hilda St, Anaheim, CA 92806-5007 | 2020-08-28 |
| 1407464522 | Laura Bradigan | Nurse Practitioner | 1744 Grand Ave Unit 2, Long Beach, CA 90804-2022 | 2020-07-15 |
| 1538787031 | Kelly Olcott | Nurse Practitioner | 4004 Via Lucero Apt 12, Santa Barbara, CA 93110-1692 | 2020-07-10 |
| 1629695440 | Kelley Ibarra | Nurse Practitioner | 1613 Celeste Dr, Modesto, CA 95355-5039 | 2020-06-26 |
| 1497379333 | Gloria Jean Campbell | Nurse Practitioner | 5055 E Garford St Apt 6, Long Beach, CA 90815-2861 | 2020-06-06 |
| 1851913115 | Lilly Fong | Nurse Practitioner | 15821 Square Top Ln, Fontana, CA 92336-4586 | 2020-05-09 |
| 1548880750 | Sharkeiya Terrell | Nurse Practitioner | 2752 Harrison Ave Ste A, Eureka, CA 95501-4738 | 2020-04-17 |
| 1730714007 | Julissa Leonides Caraballo | Nurse Practitioner | 4044 Promontory St, San Diego, CA 92109-5334 | 2020-03-07 |
| 1194355404 | Bethany Leda Donowho | Nurse Practitioner | 845 Via De La Paz Ste 16, Pacific Palisades, CA 90272-3627 | 2020-01-26 |
| 1518507078 | Rachel Saake Collar | Nurse Practitioner | 5100, 1000 Executive Pkwy, Oroville, CA 95966 | 2020-01-13 |
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| City | HUNTINGTON BEACH |
| Zip Code | 92647 |
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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.