DR. ANDREW A CEAVATTA (NPI# 1164486965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164486965 |
| Entity Type | Individual |
| Full Name | DR. ANDREW A CEAVATTA |
| Credential | M.D. |
| Practice Address |
11100 Warner Ave 264 Fountain Valley CA 92708-4053 |
| Practice Telephone | 7145491770 |
| Practice Fax Number | 7145495049 |
| Mailing Telephone | 7145491770 |
| Mailing Fax Number | 7145495049 |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2008-03-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | G21227 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
11100 WARNER AVE 264 |
| City | FOUNTAIN VALLEY |
| State | CA |
| Zip Code | 92708-4053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720083181 | Luc Sinh Nguyen | Internal Medicine | 11100 Warner Ave, Ste 350, Fountain Valley, CA 92708-7513 | 2005-06-14 |
| 1639617558 | Tim T. Lai, Md, Inc. | Psychiatry & Neurology | 11100 Warner Ave, Suite 152, Fountain Valley, CA 92708-7506 | 2017-02-11 |
| 1316495047 | Daniel Recalde Dpm, Inc | Podiatrist | 11100 Warner Ave, Suite 306, Fountain Valley, CA 92708-7506 | 2016-09-12 |
| 1811356470 | Platinum Medical Care A Medical Corporation | Pharmacy | 11100 Warner Ave, Suite 218, Fountain Valley, CA 92708-7506 | 2016-02-11 |
| 1053791095 | Platinum Medical Care | Internal Medicine | 11100 Warner Ave, Suite 218, Fountain Valley, CA 92708-7511 | 2015-06-04 |
| 1376922021 | Stewart Elvis Rendon, M.d., Inc. | Surgery | 11100 Warner Ave, Suite 258, Fountain Valley, CA 92708-7506 | 2015-05-28 |
| 1891118048 | Gregorio D. Abad-santos Inc | Pediatrics | 11100 Warner Ave, Suite 352, Fountain Valley, CA 92708-7506 | 2014-01-23 |
| 1093159063 | Select Healthcare System, A Medical Corporation | Health Maintenance Organization | 11100 Warner Ave, Suite 152, Fountain Valley, CA 92708-7506 | 2013-04-22 |
| 1962755702 | Michael Wan, M.d., Inc | Clinic/Center | 11100 Warner Ave, Suite 150b, Fountain Valley, CA 92708-7506 | 2012-10-17 |
| 1295094324 | Tim Tien Lai | Psychiatry & Neurology | 11100 Warner Ave, Ste 152, Fountain Valley, CA 92708-7510 | 2012-05-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932716222 | Changing Directions Psychological Corporation | Psychologist | 17280 Newhope Street, Suite 4, Fountain Valley, CA 92708 | 2020-09-30 |
| 1124632757 | Neck & Back Pain Specialists, A Balta Chiropractic Corporation | Chiropractor | 10231 Slater Ave. #113, Fountain Valley, CA 92708 | 2020-09-01 |
| 1295205425 | Alexander Nee Dds Inc | Dentist | 337 S Rancho Santa Fe Rd, San Marcos, CA 92708 | 2018-11-30 |
| 1093293052 | Claudia Raquel Santos | Physical Therapist | 18384 Brookhurst Street, Fountain Valley, CA 92708 | 2018-08-01 |
| 1659864338 | Orange County Respiratory Physicians Corp | Internal Medicine | 18111 Brookhurst St Ste 4600, Fountain Valley, CA 92708 | 2018-06-07 |
| 1992297881 | Ereny Abdelmalak Metry | Pharmacist | 9064 Daffodil Ave, Fountain Valley, CA 92708 | 2018-06-06 |
| 1144746348 | Goose Pharma, LLC | Pharmacy | 18049 Magnolia Street, Fountain Valley, CA 92708 | 2017-08-18 |
| 1932622347 | Mayra Alejandra Guerra | Social Worker | 18350 Mt Langley St, Suite 200, Fountain Valley, CA 92708 | 2017-07-18 |
| 1942722129 | Graph Surgery Inc | Plastic Surgery | 10760 Warner Ave, Ste 201, Fountain Valley, CA 92708 | 2017-07-10 |
| 1871022277 | Cathy A Castagna-petersen | Counselor | 10529 Slater Avenue, Fountain Valley, CA 92708 | 2017-06-08 |
| Find all providers in zip 92708 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396741351 | Tien Quang Nguyen | Dermatology | 17271 Brookhurst St, Fountain Valley, CA 92708-3701 | 2005-06-24 |
| 1972990869 | Brent Charles Martin | Dermatology | 17271 Brookhurst St, Fountain Valley, CA 92708-3701 | 2015-04-19 |
| 1710124417 | Tien Q Nguyen Inc | Dermatology | 17271 Brookhurst St, Fountain Valley, CA 92708-3701 | 2009-01-16 |
| 1952598203 | Andrew A Ceavatta Md Inc | Dermatology | 11100 Warner Ave, 264, Fountain Valley, CA 92708 | 2007-10-01 |
| 1407974967 | Coast Pulmonary & Internal Medicine Associates | Dermatology | 9940 Talbert Ave, Suite 101, Fountain Valley, CA 92708-5153 | 2007-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275144024 | Lumins Aesthetic and Wellness, Inc | Dermatology | 20281 Sw Birch St, Suite 201, Newport Beach, CA 92660 | 2020-08-14 |
| 1669081204 | Lucy Boyadzhian | Dermatology | 7472 Melrose Ave, Los Angeles, CA 90046-7524 | 2020-07-29 |
| 1033730981 | Adrianna Janell Browne, Md, Inc. | Dermatology | 8 Camino Encinas Ste 115, Orinda, CA 94563-3350 | 2020-05-01 |
| 1215564877 | Jasmine Khachatrian | Dermatology | 302 Sierra Woods Dr, Sierra Madre, CA 91024-1015 | 2020-03-24 |
| 1386277499 | Jessica Hsu, M.d.,inc | Dermatology | 1506 Chapman Avenue, Address Line 2, Orange, CA 92866 | 2020-02-17 |
| 1245862101 | Yuval Bibi, A Professional Corporation | Dermatology | 7266 Franklin Ave Apt 321, Los Angeles, CA 90046-8324 | 2020-02-09 |
| 1457982001 | Modesty Joy Isaguirre | Dermatology | 140 S Grand Ave, Glendora, CA 91741-4259 | 2020-02-03 |
| 1790322063 | Mfc Dermatology | Dermatology | 3655 Lomita Blvd Ste 221, Torrance, CA 90505-1918 | 2019-12-05 |
| 1336784206 | Barbara Kinkle Pa Inc., A Physician Assistant Corporation | Dermatology | 24575 Hunt Ave, Corning, CA 96021-8607 | 2019-11-14 |
| 1497399141 | Dermatology Specialists Inc | Dermatology | 4765 Carmel Mountain Rd Ste 201, San Diego, CA 92130-6657 | 2019-11-05 |
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| City | FOUNTAIN VALLEY |
| Zip Code | 92708 |
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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.