MRS. MARYANNE IAN LAXA


Address: 91275 66th St, Mecca, CA 92254
Phone: 7603449951

MRS. MARYANNE IAN LAXA (NPI# 1184716458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184716458
Entity Type Individual
Full Name MRS. MARYANNE IAN LAXA
Credential MD
Practice Address 91275 66th St
Mecca
CA 92254
Practice Telephone 7603449951
Enumeration Date 2006-09-28
Last Update Date 2012-01-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080N0001X Pediatrics
Specialization: Neonatal-Perinatal Medicine
A76409 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA 00A764090 05

Office Location

Street Address 91275 66TH ST
City MECCA
State CA
Zip Code 92254

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942839816 County of Riverside Community/Behavioral Health 91-275 Ave 66, Mecca, CA 92254 2020-04-03
1851864060 Riverside Latino Commission On Alcohol & Drug Abuse Services, Inc. Clinic/Center 91275 66th Avenue, Suite 100, Mecca, CA 92254 2019-01-10
1679980585 Cecilia Tafoya Psychiatric Unit 65057 Wolff Drive, Mecca, CA 92254 2014-07-14
1831348515 Amis Pharmacy Corporation Pharmacy 91275 Avenue 66, Suite 200, Mecca, CA 92254 2008-09-17
1114108578 Katherine Roman Nurse Practitioner 91275 66th Street, 500, Mecca, CA 92254 2007-11-14
1811054315 Barbara P Ramos Nurse Practitioner 91275 Ave 66th, 500, Mecca, CA 92254 2007-01-03
1932280633 Clinicas De Salud Del Pueblo Inc Clinic/Center 91275 66th Ave, Suite 500, Mecca, CA 92254 2006-10-18
1902897218 Clinicas De Salud Del Pueblo, Inc. Clinic/Center 91275 66th Ave., Suite 300, Mecca, CA 92254 2005-11-04
1700359312 Riverside County Latino Commission On Alcohol and Drug Abuse Services Clinic/Center 91275 66th Ave., Mecca, CA 92254 2019-01-07
1164790846 Mfimecca Family Resource Center Community/Behavioral Health 91275 66th Ave, 100, Mecca, CA 92254 2011-12-08
Find all providers in zip 92254

Taxonomy Information

Taxonomy Code 2080N0001X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Neonatal-Perinatal Medicine

Taxonomy Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1699316695 Neonatal Hospitalist Group, Inc Pediatrics 501 S Buena Vista St Nicu, Burbank, CA 91505-4809 2019-10-01
1619418936 Natalie Hoi-man Chan Pediatrics 2516 Stockton Blvd Fl 2, Sacramento, CA 95817-2208 2017-03-20
1427502186 George Francis Tidmarsh Pediatrics 10182 Telesis Ct, San Diego, CA 92121-4760 2016-08-11
1477904530 Lida Irene Zeinali Pediatrics 2315 Stockton Blvd # 5, Sacramento, CA 95817-2201 2016-06-29
1104214196 Estrellita Rubio Reyes Pediatrics 3908 Beverly Blvd., Los Angeles, CA 90004 2014-12-30
1871921718 Mirin Hemasilpin Pediatrics 22554 Ventura Blvd Ste 117, Woodland Hills, CA 91364-1436 2013-10-30
1588937353 Jeffrey Joseph Pomerance Pediatrics 351 W Northridge Ave, Glendora, CA 91741-2036 2012-02-09
1447549225 Jimmy Thuan Nguyen Pediatrics 5621 W Barbette Ave, Santa Ana, CA 92704-1015 2011-04-01
1699085134 Rosemary Leake Pediatrics 2 Crest Rd W, Rolling Hills, CA 90274-5003 2010-10-18
1811200124 Katrina Tan Ibonia Pediatrics 9300 Valley Childrens Pl # Se21, Madera, CA 93636-8762 2010-07-16
Find all providers with the same taxonomy

Competitor

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City MECCA
Zip Code 92254

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Dataset Information

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.

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