PROF. KIRSTEN HOPE FICK (NPI# 1184828659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184828659 |
| Entity Type | Individual |
| Full Name | PROF. KIRSTEN HOPE FICK |
| Credential | P.A. |
| Practice Address |
12556 Valley View St Garden Grove CA 92845-2006 |
| Mailing Address |
6 Mojo Ct Newport Beach CA 92663-2334 |
| Practice Telephone | 7148979355 |
| Practice Fax Number | 7148975117 |
| Mailing Telephone | 9496311867 |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA18599 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DEA # | MF1498105 | 01 |
| Street Address |
12556 VALLEY VIEW ST |
| City | GARDEN GROVE |
| State | CA |
| Zip Code | 92845-2006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194814020 | Michael Z Kurtz | Family Medicine | 12556 Valley View St, Garden Grove, CA 92845-2006 | 2006-10-11 |
| 1518305168 | Karlyssa Rae Chung | Physician Assistant | 12556 Valley View St, Garden Grove, CA 92845-2006 | 2013-06-05 |
| 1720267990 | Omid Avraham Shaye | Internal Medicine | 12556 Valley View St, Garden Grove, CA 92845-2006 | 2007-10-24 |
| 1750434908 | Valley View Wellness Medical Center Inc | Family Medicine | 12556 Valley View St, Garden Grove, CA 92845-2006 | 2007-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962059352 | Maria Sanchez Selvas | Technician | 5922 Belgrave Ave, Garden Grove, CA 92845 | 2019-08-21 |
| 1205342524 | Ahcs Specialty Care LLC | Pharmacy | 12832 Valley View St Ste A&b, Garden Grove, CA 92845 | 2017-12-22 |
| 1154745594 | Amanda Siu | Dentist | 12062 Valley View St #250, Garden Grove, CA 92845 | 2014-02-05 |
| 1295085660 | Harrell M Reznick | Psychologist | 12792 Longden St, Garden Grove, CA 92845 | 2012-09-13 |
| 1093065328 | Jessica Eldridge | Psychologist | 12777 Valley View, Suite 212, Garden Grove, CA 92845 | 2012-09-13 |
| 1205114501 | Hideki Ikeda D.d.s., M.s., Dental Corporation | Dentist | 12777 Valley View St.., Suite 222, Garden Grove, CA 92845 | 2011-08-03 |
| 1669652533 | David D. Brown | Psychiatry & Neurology | 12062 Valley View St Ste 107, Garden Grove, CA 92845 | 2007-11-08 |
| 1427267608 | Stacy Derenard | Speech-Language Pathologist | 12060 Valley View St, Suite 137, Garden Grove, CA 92845 | 2007-05-22 |
| 1992914170 | Erin Dawn Densmore | Speech-Language Pathologist | 12060 Valley View St., Suite 137, Garden Grove, CA 92845 | 2007-05-22 |
| 1902944929 | Regency Hospice Inc | Hospice Care, Community Based | 12062 Valley View Street #125, Garden Grove, CA 92845 | 2007-02-02 |
| Find all providers in zip 92845 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689290637 | Julie Nguyen | Physician Assistant | 12881 Lemonwood Ln, Garden Grove, CA 92840-5520 | 2020-06-24 |
| 1235761040 | Janet Tran | Physician Assistant | 9012 Ingram Ave, Garden Grove, CA 92844-2709 | 2020-02-10 |
| 1174091326 | Anne K Le | Physician Assistant | 10141 Westminster Ave Ste E, Garden Grove, CA 92843-4790 | 2018-11-06 |
| 1841715232 | Scott R. Blair | Physician Assistant | 12828 Harbor Blvd Ste 200, Garden Grove, CA 92840 | 2017-08-07 |
| 1548504533 | Chau Duc Nguyen | Physician Assistant | 11581 Fredrick Dr, Garden Grove, CA 92840-3542 | 2012-11-15 |
| 1932470788 | Dang Bao Nguyen | Physician Assistant | 9191 Wesminster Ave, Garden Grove, CA 92844 | 2012-01-24 |
| 1336425644 | William To | Physician Assistant | 12555 Garden Grove Blvd Ste 504, Garden Grove, CA 92843-1903 | 2011-11-01 |
| 1720686983 | Jocelyn Linh Nguyen | Physician Assistant | 8342 Garden Grove Blvd, Garden Grove, CA 92844-1151 | 2020-10-11 |
| 1548802416 | Michael Jeffrey Farley | Physician Assistant | 12495 Valley View St, Garden Grove, CA 92845-2032 | 2019-10-11 |
| 1356804587 | Tiffany Quyen Nguyen | Physician Assistant | 12495 Valley View St, Garden Grove, CA 92845-2032 | 2019-04-14 |
| Find all providers in GARDEN GROVE | ||||
| City | GARDEN GROVE |
| Zip Code | 92845 |
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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.