DR. JACOB SWEIDAN (NPI# 1265494835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265494835 |
| Entity Type | Individual |
| Full Name | DR. JACOB SWEIDAN |
| Credential | M.D. |
| Practice Address |
12665 Garden Grove Blvd Suite 713 Garden Grove CA 92843-1901 |
| Practice Telephone | 7145376595 |
| Practice Fax Number | 7145372176 |
| Mailing Telephone | 7145376595 |
| Mailing Fax Number | 7145372176 |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2011-10-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
A44664 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
12665 GARDEN GROVE BLVD SUITE 713 |
| City | GARDEN GROVE |
| State | CA |
| Zip Code | 92843-1901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780688572 | Douglas George Clark | Internal Medicine | 12665 Garden Grove Blvd, Suite 301, Garden Grove, CA 92843-1901 | 2005-06-09 |
| 1467980854 | Jonathan S Warnelo | Internal Medicine | 12665 Garden Grove Blvd, #502, Garden Grove, CA 92843-1904 | 2017-05-30 |
| 1538518444 | Peter H. Dang, Dds, Inc. | Dentist | 12665 Garden Grove Blvd, #208, Garden Grove, CA 92843-1901 | 2016-06-10 |
| 1538529185 | Negin Behazin Md, A Med Corp | General Practice | 12665 Garden Grove Blvd, Suite 710, Garden Grove, CA 92843-1901 | 2016-02-24 |
| 1922467299 | Shieun Hong | Nurse Practitioner | 12665 Garden Grove Blvd, #503, Garden Grove, CA 92843-1901 | 2016-02-16 |
| 1427416841 | Vivien T Thach | Nurse Practitioner | 12665 Garden Grove Blvd, 502a, Garden Grove, CA 92843-1901 | 2016-01-29 |
| 1588033773 | Dr. Grace Guimei Yao, A Professional Corporation | Specialist | 12665 Garden Grove Blvd, Suite 600, Garden Grove, CA 92843 | 2015-09-18 |
| 1952781932 | Ali Fouladi, M.d., Inc. | Surgery | 12665 Garden Grove Blvd, #502, Garden Grove, CA 92843-1901 | 2015-06-04 |
| 1346637352 | Crystal Tong | Optometrist | 12665 Garden Grove Blvd, Ste 301, Garden Grove, CA 92843-1901 | 2015-04-17 |
| 1114319621 | Select Multi Specialty Medical Care | Clinical Medical Laboratory | 12665 Garden Grove Blvd, 203, Garden Grove, CA 92843-1901 | 2015-02-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346759024 | Elite Wellness Chiropractic Center | Clinic/Center | 13125 Brookhurst St, Garden Grove, CA 92843 | 2017-09-25 |
| 1407375520 | Leontina Balos | Assisted Living Facility | 10452 Mildred Avenue, Garden Grove, CA 92843 | 2017-09-11 |
| 1548788235 | Lanson Tt Corp | Pharmacy | 14211 Euclid St Ste A, Garden Grove, CA 92843 | 2017-09-01 |
| 1598285512 | Ernest Youngchan Rhee | Acupuncturist | 12555 Garden Grove Blvd., Ste 505, Garden Grove, CA 92843 | 2017-06-21 |
| 1336681253 | Shane Hiromu Koga | Chiropractor | 13311 Garden Grove Blvd Suite B, Garden Grove, CA 92843 | 2016-11-09 |
| 1023461456 | Kelly Chau Quach | Counselor | 14411 Brookhurst St Ste D & E, Garden Grove, CA 92843 | 2016-07-21 |
| 1922484385 | Terry Chang | Counselor | 12800 Garden Grove Blvd. Ste. F, Garden Grove, CA 92843 | 2015-08-07 |
| 1942687132 | Sara Smith | Counselor | 11277 Garden Grove Blvd., Suite 100, Garden Grove, CA 92843 | 2015-04-27 |
| 1063848232 | Nexgen Chiropractic Inc | Chiropractor | 12832 Garden Grove Blvd A, Garden Grove, CA 92843 | 2013-09-19 |
| 1023369824 | American Medical Diagnostic Lab Inc. | Clinical Medical Laboratory | 12665 Garden Grove Blvd #111, Garden Grove, CA 92843 | 2012-09-20 |
| Find all providers in zip 92843 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184678799 | Jeffrey Glenn Teal | Pediatrics | 12665 Garden Grove Blvd, Suite 713, Garden Grove, CA 92843-1901 | 2006-05-19 |
| 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 | ||||
| City | GARDEN GROVE |
| Zip Code | 92843 |
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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.