KERRIE IMAGAWA (NPI# 1174716591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174716591 |
| Entity Type | Individual |
| Full Name | KERRIE IMAGAWA |
| Credential | DDS |
| Practice Address |
17400 Irvine Blvd Ste C Tustin CA 92780 |
| Practice Telephone | 7145441148 |
| Practice Fax Number | 7147318171 |
| Mailing Telephone | 7145441148 |
| Mailing Fax Number | 7147318171 |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2007-08-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
31804 | CA | Dental Providers |
| Street Address |
17400 IRVINE BLVD STE C |
| City | TUSTIN |
| State | CA |
| Zip Code | 92780 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689633125 | Tustin Irvine Internal Medicine Group Inc. | Internal Medicine | 17400 Irvine Blvd, Suite F, Tustin, CA 92780-3030 | 2006-03-22 |
| 1033592241 | Nevein Elgalad D.d.s. Inc | Dentist | 17400 Irvine Blvd, Suite D, Tustin, CA 92780-3030 | 2015-07-07 |
| 1346499118 | James Paul Boyd | Dentist | 17400 Irvine Blvd, Suite D, Tustin, CA 92780-3030 | 2008-09-16 |
| 1952557878 | Dr Charles Baik Inc | Podiatrist | 17400 Irvine Blvd, Suite H, Tustin, CA 92780-3030 | 2008-08-12 |
| 1396929774 | Orange County Foot & Ankle Group, Inc. | Podiatrist | 17400 Irvine Blvd, Suite J, Tustin, CA 92780-3030 | 2007-12-21 |
| 1962525063 | Nancy Mostaan | Dentist | 17400 Irvine Blvd, Suite A, Tustin, CA 92780 | 2007-04-06 |
| 1336284314 | Klemer Chiropractic Office A Professional Corporation | Chiropractor | 17400 Irvine Blvd, Suite L, Tustin, CA 92780-3030 | 2007-02-20 |
| 1659416741 | Jack Oscar Piasecki | Neuromusculoskeletal Medicine, Sports Medicine | 17400 Irvine Blvd, Suite L, Tustin, CA 92780-3030 | 2007-02-20 |
| 1962544494 | Julia Collins Motherway | Internal Medicine | 17400 Irvine Blvd, Suite F, Tustin, CA 92780-3030 | 2007-02-12 |
| 1285780338 | Christine Switzer Burnell | Speech-Language Pathologist | 17400 Irvine Blvd, Suite K, Tustin, CA 92780-3030 | 2007-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437780947 | John Michael Michael | Pharmacist | 14481 Wildeve Ln, Tustin, CA 92780 | 2020-02-03 |
| 1609426881 | Abigail Joy Maqsood | Behavior Technician | 290a S Prospect Ave, Tustin, CA 92780 | 2019-09-19 |
| 1255814711 | Hyun Dong Lee | Chiropractor | 14591 Newport Ave Ste 106, Tustin, CA 92780 | 2018-09-11 |
| 1346733573 | Elizabeth Kim Nguyen Dds Inc | Clinic/Center | 14521 Red Hill Ave, Tustin, CA 92780 | 2018-06-12 |
| 1255829503 | Hw Physical Therapy | Physical Therapist | 250 El Camino Real Ste 100, Tustin, CA 92780 | 2018-04-23 |
| 1912494352 | Gary Wayne Mcbeath | Marriage & Family Therapist | 17821 E 17th Street, Suite # 260, Tustin, CA 92780 | 2018-04-20 |
| 1104334598 | Catherine Bogues | Speech-Language Pathologist | 661 West 1st Street, Suite E, Tustin, CA 92780 | 2018-01-19 |
| 1972019941 | Lighthouse Behavioral Solutions | Behavioral Analyst | 18002 Irvine Blvd., Suite 202c, Tustin, CA 92780 | 2017-12-28 |
| 1629597299 | Lifecab, LLC | Non-emergency Medical Transport (VAN) | 13732 Newport Ave, Suite #1, Tustin, CA 92780 | 2017-09-14 |
| 1437606555 | Tustin Speech Therapy, Inc. | Speech-Language Pathologist | 661 West First Street, Suite E, Tustin, CA 92780 | 2016-09-07 |
| Find all providers in zip 92780 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467846139 | Vinit Joshi Dds Inc | Dentist | 3053 Edinger Ave Ste M, Tustin, CA 92780-7204 | 2015-03-20 |
| 1912337387 | Paul Richard Johnson | Dentist | 13132 Newport Blvd, Suite 200, Tustin, CA 92780 | 2013-11-20 |
| 1528409075 | John Quoc Tran | Dentist | 14592 Emerywood Rd, Tustin, CA 92780-6205 | 2013-07-12 |
| 1023370426 | M Roberta Dornan Dds Inc | Dentist | 13422 Newport Ave Ste B, Tustin, CA 92780-3746 | 2012-06-12 |
| 1255601688 | Lynn Ann Hua | Dentist | 14781 Newport Ave Apt D, Tustin, CA 92780-6141 | 2012-01-02 |
| 1750659066 | Long Steven Trieu | Dentist | 14521 Redhill Ave, Tustin, CA 92780 | 2011-12-01 |
| 1124300132 | Marisa Kawata Watanabe | Dentist | 1405 Montgomery St, Tustin, CA 92782-1793 | 2011-09-15 |
| 1285932954 | Thomas Boone | Dentist | 1076 E 1st St Ste D, Tustin, CA 92780-3852 | 2011-03-04 |
| 1154568111 | Archana Sanjiv Pimple | Dentist | 14591 Newport Ave Ste 104, Tustin, CA 92780-6026 | 2009-01-13 |
| 1164670931 | Nasrin Khajeh | Dentist | 2530 Bryan Ave Ste E, Tustin, CA 92782-8916 | 2008-09-04 |
| Find all providers in TUSTIN | ||||
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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.