STEVEN SECREST (NPI# 1194180182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194180182 |
| Entity Type | Individual |
| Full Name | STEVEN SECREST |
| Practice Address |
3206 Colorado Pl Costa Mesa CA 92626-2233 |
| Practice Telephone | 7146973369 |
| Mailing Telephone | 7146973369 |
| Enumeration Date | 2015-12-18 |
| Last Update Date | 2015-12-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2471N0900X |
Radiologic Technologist Specialization: Nuclear Medicine Technology |
RHN2685 | CA | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
3206 COLORADO PL |
| City | COSTA MESA |
| State | CA |
| Zip Code | 92626-2233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215536982 | Sergio Gutierrez | Behavior Technician | 3303 Harbor Blvd., Suite B8, Costa Mesa, CA 92626 | 2020-10-22 |
| 1780201848 | Kelly Chauvet | Behavior Technician | 1503 Nutmeg Place Suite 110, Costa Mesa, CA 92626 | 2020-07-06 |
| 1316564610 | Timo Rosa | Behavior Technician | 1503 Nutmeg Place, Suite 110, Costa Mesa, CA 92626 | 2020-07-02 |
| 1255966115 | Dalia A Sehweil | Behavior Technician | 1111 Baker, Costa Mesa, CA 92626 | 2020-03-11 |
| 1265071096 | Austin Stotelmyre | Behavior Technician | 1111 Baker St Costa Mesa 92626, Costa Mesa, CA 92626 | 2019-12-26 |
| 1396383022 | The Open Table | Community/Behavioral Health | 151 Kalmus Dr. Bldg C, Suite 100, Costa Mesa, CA 92626 | 2019-12-12 |
| 1851933550 | Jennifer Rivera | Behavior Technician | 1111 Baker St. Unit #a, Costa Mesa, CA 92626 | 2019-10-14 |
| 1962053595 | Peter Na | Behavior Technician | Behavior Functions 3303 Harbor Blvd, Ste B8, Costa Mesa, CA 92626 | 2019-09-25 |
| 1346897147 | Jennifer Lopez | Behavior Technician | 555 Alton Blvd Suite 150, Costa Mesa, CA 92626 | 2019-08-26 |
| 1679134084 | Danny Garcia Chiropractic, PC | Chiropractor | 1503 South Coast Drive, Suite 319, Costa Mesa, CA 92626 | 2019-06-26 |
| Find all providers in zip 92626 | ||||
| Taxonomy Code | 2471N0900X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Nuclear Medicine Technology |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629617923 | Melinda Elizabeth Summer | Radiologic Technologist | 3104 Cattleman St, Bakersfield, CA 93312-3307 | 2020-01-03 |
| 1609378199 | Vascular Imaging Professionals Inc. | Radiologic Technologist | 1061 N Shepard St Ste J, Anaheim, CA 92806-2818 | 2018-03-01 |
| 1386906485 | Andrea Toll | Radiologic Technologist | 4035 Lincoln Ave, Oakland, CA 94602-2429 | 2012-06-13 |
| 1255523338 | Dereje Tesfaye | Radiologic Technologist | 5715 Camerford Ave Apt 106, Los Angeles, CA 90038-3944 | 2007-08-13 |
| 1871712836 | Precision Diagnostic Imaging, Incorporated | Radiologic Technologist | 17814 Woodruff Ave Ste 3, Bellflower, CA 90706-7000 | 2007-04-25 |
| 1154464360 | Pet Imaging of San Francisco | Radiologic Technologist | 1700 California St Ste 480, San Francisco, CA 94109-4590 | 2007-02-15 |
| 1124120233 | Patrick James Laverty | Radiologic Technologist | 511 S Harbor Blvd Ste E, La Habra, CA 90631-9375 | 2006-09-01 |
| 1659394047 | Modern Nuclear, Inc. | Radiologic Technologist | 511 S Harbor Blvd, Bldg E, La Habra, CA 90631-9375 | 2006-07-26 |
| 1265062293 | Modern Nuclear, Inc | Radiologic Technologist | 511 S Harbor Blvd Ste E, La Habra, CA 90631-9375 | 2020-01-17 |
| 1932694932 | Andrea Rapp | Radiologic Technologist | 3801 Miranda Ave, Palo Alto, CA 94304-1290 | 2018-06-22 |
| Find all providers with the same taxonomy | ||||
| City | COSTA MESA |
| Zip Code | 92626 |
Please comment or provide details below to improve the information on STEVEN SECREST.
| 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.