CITRUS VALLEY PHYSICIAN PARTNERS (NPI# 1245722313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245722313 |
| Entity Type | Organization |
| Organization Name | CITRUS VALLEY PHYSICIAN PARTNERS |
| Practice Address |
1135 S Sunset Ave Ste 200 West Covina CA 91790-3937 |
| Mailing Address |
1325 N Grand Ave Ste 300 Covina CA 91724-4046 |
| Practice Telephone | 6269186655 |
| Mailing Telephone | 6267323159 |
| Mailing Fax Number | 6267323194 |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2018-06-04 |
| Authorized Official Name | CHRISTINE HADDAD (ASSIST. DIRECTOR OF AMBULATORY BUS.) |
| Authorized Official Telephone | 6267323159 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659870228 | Citrus Valley Physician Partners | Specialist | 412 W Carroll Ave Ste 107, Glendora, CA 91741-4708 | 2018-02-08 |
| 1043703150 | Citrus Valley Physician Partners | Specialist | 1135 S Sunset Ave Ste 401, West Covina, CA 91790-3921 | 2018-06-13 |
| 1669971347 | Citrus Valley Physician Partners | Specialist | 14375 Pipeline Ave, Chino, CA 91710-5642 | 2018-02-07 |
| Street Address |
1135 S SUNSET AVE STE 200 |
| City | WEST COVINA |
| State | CA |
| Zip Code | 91790-3937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801851670 | Thomas Orville Bryan | Orthopaedic Surgery | 1135 S Sunset Ave Ste 200, West Covina, CA 91790 | 2006-04-17 |
| 1902450620 | Bryan Felipe Sandoval | Physical Therapy Assistant | 1135 S Sunset Ave Ste 200, West Covina, CA 91790-3964 | 2019-07-31 |
| 1134522865 | Carol Wolcott | Physician Assistant | 1135 S Sunset Ave Ste 200, West Covina, CA 91790 | 2014-10-08 |
| 1942601018 | Brett Heslop | Physician Assistant | 1135 S Sunset Ave Ste 200, West Covina, CA 91790 | 2014-09-09 |
| 1154741858 | Anna Maria Maglunog Tan | Podiatrist | 1135 S Sunset Ave Ste 200, West Covina, CA 91790-3937 | 2014-04-21 |
| 1932441094 | Michael Yeranosian | Orthopaedic Surgery | 1135 S Sunset Ave Ste 200, West Covina, CA 91790-3964 | 2013-03-26 |
| 1497018410 | Ahmed Fasihuddin Khan | Family Medicine | 1135 S Sunset Ave Ste 200, West Covina, CA 91790-3964 | 2012-06-25 |
| 1659317733 | Vic A Osborne | Orthopaedic Surgery | 1135 S Sunset Ave Ste 200, West Covina, CA 91790 | 2006-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285279067 | Liang-wen Chen | Acupuncturist | 1433 West Merced Ave. Suite 304, West Covina, CA 91790 | 2019-11-15 |
| 1245880517 | Cheuk Man Chan | Acupuncturist | 1433 W Merced Ave., #309, West Covina, CA 91790 | 2019-09-18 |
| 1982174561 | Alexandra Isaacs | Marriage & Family Therapist | 1215 W. West Covina Pkwy., West Covina, CA 91790 | 2018-11-27 |
| 1568949709 | Lulua Zulfikarali Bahrainwala | Student in an Organized Health Care Education/Training Program | 1115 S Sunset Avenue #3940, West Covina, CA 91790 | 2018-07-20 |
| 1417442740 | Lydia Joy David | Nurse Practitioner | 1769 S Sunset Ave, West Covina, CA 91790 | 2018-06-28 |
| 1043721046 | Kimberly E Nevarez | Specialist/Technologist | 410 E Merced Ave Suite D, Suite D, West Covina, CA 91790 | 2017-10-17 |
| 1952825754 | Evan Lee Hendriks | Physician Assistant | 301 S Glendora Ave, Apt 2142, West Covina, CA 91790 | 2017-08-02 |
| 1669994588 | Meryl Francine Liu | Dentist | 1101 S. Glendora Ave #a, West Covina, CA 91790 | 2017-07-12 |
| 1326586330 | Athena Merianos | Marriage & Family Therapist | 1215 W. West Parkway, West Covina, CA 91790 | 2017-02-09 |
| 1912445990 | Lissette Bueno | Case Manager/Care Coordinator | 1517 West Garvey Ave North, West Covina, CA 91790 | 2017-02-09 |
| Find all providers in zip 91790 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871872697 | Medwin Hospitalist and Healthcare Network | Specialist | 910 S Sunset Ave Ste 7and8, West Covina, CA 91790-3409 | 2011-08-10 |
| 1750510129 | Jimenez Lopez Medical Corp | Specialist | 2550 E Amar Rd Ste A2, West Covina, CA 91792-2231 | 2009-07-07 |
| 1366671786 | Medwin A Professional Corporation | Specialist | 910 S Sunset Ave Ste 7&8, West Covina, CA 91790-3409 | 2009-07-07 |
| 1083807382 | Cua & Gan Medical Group | Specialist | 1433 W Merced Ave Ste 114, West Covina, CA 91790-3402 | 2007-08-21 |
| 1235343450 | Norvelle A Harris | Specialist | 1104 Wescove Pl, #c, West Covina, CA 91790-5059 | 2007-05-09 |
| 1922185743 | David E. Zinke | Specialist | 1135 So. Sunset Ave, # 315, West Covina, CA 91790 | 2006-11-01 |
| 1295847929 | Raymond Pierre Limansky | Specialist | 1433 W Merced Ave Ste 220, West Covina, CA 91790-3402 | 2006-08-31 |
| 1861420069 | Patrick Lincoln Maloney | Specialist | 933 S. Sunset Ave. #106, West Covina, CA 91790-3410 | 2006-06-28 |
| 1851371595 | Shirley Resurreccion Villarica | Specialist | 1535 W Merced Ave, Suite 301, West Covina, CA 91790-3404 | 2006-01-19 |
| 1982602298 | Edwin L Edillon | Specialist | 222 N Sunset Ave, Suite F, West Covina, CA 91790-2278 | 2005-07-11 |
| Find all providers in WEST COVINA | ||||
| City | WEST COVINA |
| Zip Code | 91790 |
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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.