DR. TINA JUSSAL (NPI# 1164650206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164650206 |
| Entity Type | Individual |
| Full Name | DR. TINA JUSSAL |
| Other Name | DR. TINA MALIK |
| Credential | DPM |
| Practice Address |
1038 E Chapman Ave Orange CA 92868 |
| Practice Telephone | 9147714191 |
| Practice Fax Number | 7147712731 |
| Mailing Telephone | 7147714191 |
| Mailing Fax Number | 7147712731 |
| Enumeration Date | 2009-06-28 |
| Last Update Date | 2012-10-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
E5022 | CA | Podiatric Medicine & Surgery Service Providers |
| Street Address |
1038 E CHAPMAN AVE |
| City | ORANGE |
| State | CA |
| Zip Code | 92868 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437157526 | Lyman Harold Wilson | Podiatrist | 1038 E Chapman Ave, Orange, CA 92866-2111 | 2005-07-12 |
| 1548872781 | Upperline Healthcare California PC | Podiatrist | 1038 E Chapman Ave, Orange, CA 92866-2111 | 2020-08-19 |
| 1225663826 | Upperline Healthcare California PC | Clinic/Center | 1038 E Chapman Ave, Orange, CA 92866-2111 | 2020-03-04 |
| 1093262099 | Neil Patel | Podiatrist | 1038 E Chapman Ave, Orange, CA 92866-2111 | 2016-09-07 |
| 1932548393 | Ricardo Jose Negron | Podiatrist | 1038 E Chapman Ave, Orange, CA 92866-2111 | 2013-06-19 |
| 1669568580 | Jeffrey R Desantis Dpm PC | Durable Medical Equipment & Medical Supplies | 1038 E Chapman Ave, Orange, CA 92866-2111 | 2006-10-05 |
| 1659371748 | Jeffrey R Desantis | Podiatrist | 1038 E Chapman Ave, Orange, CA 92866-2111 | 2005-07-29 |
| 1124028691 | Howard Austin Hewlett | Podiatrist | 1038 E Chapman Ave, Orange, CA 92866-2111 | 2005-07-27 |
| 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 | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588951271 | Jacob Jones | Podiatrist | 845 W La Veta Ave Ste 101, Orange, CA 92868-3930 | 2011-07-01 |
| 1790974970 | Larry R Anthon | Podiatrist | 3121 N Hartman St, Orange, CA 92865-1214 | 2007-10-23 |
| 1548872781 | Upperline Healthcare California PC | Podiatrist | 1038 E Chapman Ave, Orange, CA 92866-2111 | 2020-08-19 |
| 1093262099 | Neil Patel | Podiatrist | 1038 E Chapman Ave, Orange, CA 92866-2111 | 2016-09-07 |
| 1467831420 | Bonnie Lin Dpm A Professional Corporation | Podiatrist | 705 W La Veta Ave, Suite 100, Orange, CA 92868-4402 | 2015-05-23 |
| 1205264280 | New Jersey Podiatric Physicians & Surgeons Group, LLC | Podiatrist | 85 S Jefferson St, Orange, NJ 07050-1562 | 2013-10-29 |
| 1932548393 | Ricardo Jose Negron | Podiatrist | 1038 E Chapman Ave, Orange, CA 92866-2111 | 2013-06-19 |
| 1669790358 | Joyce Yan | Podiatrist | 2501 E Chapman Ave, Orange, CA 92869 | 2010-05-06 |
| 1902034887 | Bonnie Lin | Podiatrist | 705 W La Veta Ave, Ste 100, Orange, CA 92868-4447 | 2009-06-30 |
| 1538332226 | Morris Podiatry Associates, Pa | Podiatrist | 294 Central Ave, 1st Floor, Orange, NJ 07050-3414 | 2008-04-02 |
| Find all providers in ORANGE | ||||
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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.