EDWARD H BESTARD M D INC (NPI# 1235432493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235432493 |
| Entity Type | Organization |
| Organization Name | EDWARD H BESTARD M D INC |
| Practice Address |
653 Camino De Los Mares 102 San Clemente CA 92673-2808 |
| Practice Telephone | 9496618817 |
| Practice Fax Number | 9496619033 |
| Mailing Telephone | 9496618817 |
| Mailing Fax Number | 9496619033 |
| Enumeration Date | 2010-12-09 |
| Last Update Date | 2012-04-24 |
| Authorized Official Name | MS. DEBORAH L WELLS (ASSISTANT OFFICE MANAGER) |
| Authorized Official Telephone | 9496618817 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
G50298 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| INDIVIDUAL NPI | 1396857769 | 01 |
| Street Address |
653 CAMINO DE LOS MARES 102 |
| City | SAN CLEMENTE |
| State | CA |
| Zip Code | 92673-2808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548271042 | Amir Pirouzian | Ophthalmology | 653 Camino De Los Mares, Suite 107, San Clemente, CA 92604 | 2006-08-10 |
| 1891237764 | Kirsten R. Hertzler | Physical Therapist | 653 Camino De Los Mares, Suite 110, San Clemente, CA 92673-2808 | 2016-11-09 |
| 1871953901 | Krista Sornborger | Physical Therapist | 653 Camino De Los Mares, Suite 110, San Clemente, CA 92673-2808 | 2016-03-02 |
| 1104244219 | Christina Virginia Howard | Physical Therapist | 653 Camino De Los Mares, #110, San Clemente, CA 92673-2808 | 2014-04-04 |
| 1386964575 | Adam Z Franklin Md Inc | Orthopaedic Surgery | 653 Camino De Los Mares, Suite 109, San Clemente, CA 92673-2808 | 2010-06-10 |
| 1730419243 | William Van Der Reis Md Inc | Orthopaedic Surgery | 653 Camino De Los Mares, Suite 109, San Clemente, CA 92673-2808 | 2010-01-05 |
| 1245465632 | Tyler Charles Seppanen | Physical Therapist | 653 Camino De Los Mares, Suite 110, San Clemente, CA 92673-2808 | 2009-05-28 |
| 1134363674 | Patricia S Yavorsky | Physical Therapist | 653 Camino De Los Mares, Suite 110, San Clemente, CA 92673-2808 | 2009-04-28 |
| 1295999647 | Peter Joson M.d. Inc | Ophthalmology | 653 Camino De Los Mares, Suite 107, San Clemente, CA 92673-2808 | 2008-07-15 |
| 1841465986 | Ramin Tayani Md Inc | Ophthalmology | 653 Camino De Los Mares, 107, San Clemente, CA 92673-2808 | 2008-04-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497246474 | Cynthia Hull Warren | Nutritionist | 2027 Via Concha, San Clemente, CA 92673 | 2018-05-24 |
| 1063942688 | Trinh T Tran | Pharmacist | 638 Camino De Los Mares #d5, San Clemente, CA 92673 | 2017-06-15 |
| 1427421791 | Jessica A Currens | Nurse Practitioner | 1001 Avenida Pico Ste C517, San Clemente, CA 92673 | 2015-11-08 |
| 1184010647 | Garrett Bryon Rubio | Student in an Organized Health Care Education/Training Program | 905 Calle Amanecer Ste. 265, San Clemente, CA 92673 | 2015-04-11 |
| 1255733853 | Body Mind Spirit Iop Inc | Psychologist | 665 Camino De Los Mares Ste 104, San Clemente, CA 92673 | 2014-09-25 |
| 1548677438 | Jessica Ann Riley | Dermatology | 1300 Avenida Vista Hermosa Ste 150, San Clemente, CA 92673 | 2014-07-13 |
| 1427398718 | Veena Menda | Specialist | 2232 Calle Opalo, San Clemente, CA 92673 | 2013-02-22 |
| 1124383781 | Alexandra Rose Corporation | Substance Abuse Rehabilitation Facility | 4009 Calle Abril, San Clemente, CA 92673 | 2012-07-10 |
| 1457612574 | Noelle J Deckman | Psychologist | 629 Camino De Los Mares Ste 207a, San Clemente, CA 92673 | 2012-06-05 |
| 1851686471 | Meighan Bartholomew Merono | Pharmacist | 990 Avenida Vista Hermosa, San Clemente, CA 92673 | 2011-06-10 |
| Find all providers in zip 92673 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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| Find all providers with the same taxonomy | ||||
| City | SAN CLEMENTE |
| Zip Code | 92673 |
Please comment or provide details below to improve the information on EDWARD H BESTARD M D INC.
| 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.