CORDOVA MEDICAL & DIAGNOSTIC GROUP INC (NPI# 1285916221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285916221 |
Entity Type | Organization |
Organization Name | CORDOVA MEDICAL & DIAGNOSTIC GROUP INC |
Practice Address |
26732 Crown Valley Pkwy Ste 421 Mission Viejo CA 92691-6306 |
Practice Telephone | 9493478721 |
Practice Fax Number | 9493478709 |
Mailing Telephone | 9493478721 |
Mailing Fax Number | 9493478709 |
Enumeration Date | 2011-09-15 |
Last Update Date | 2011-10-07 |
Authorized Official Name | MR. WARNER GLASSFORD (CFO) |
Authorized Official Telephone | 3107757795 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | A51101 | CA | Allopathic & Osteopathic Physicians |
Street Address |
26732 CROWN VALLEY PKWY STE 421 |
City | MISSION VIEJO |
State | CA |
Zip Code | 92691-6306 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477558252 | Lynn Elizabeth Napoli | General Practice | 26732 Crown Valley Pkwy, Suite 461, Mission Viejo, CA 92691-6306 | 2005-06-17 |
1194340661 | Heather Lan-phuong Nguyen | Technician/Technologist | 26732 Crown Valley Pkwy, Mission Viejo, CA 92691-6306 | 2020-06-10 |
1457974933 | Jill Kilzer | Radiology | 26732 Crown Valley Pkwy, Mission Viejo, CA 92691-6306 | 2020-05-19 |
1336794130 | Ched Nwagwu Md PC | Neurological Surgery | 26732 Crown Valley Pkwy, Ste 561, Mission Viejo, CA 92691-8527 | 2019-08-08 |
1518410216 | Vikas Rao Md Inc | Neurological Surgery | 26732 Crown Valley Pkwy, Suite 541, Mission Viejo, CA 92691-6306 | 2016-07-28 |
1619320454 | Michael K. Lee, M.d., Inc. | Plastic Surgery | 26732 Crown Valley Pkwy, Suite 585, Mission Viejo, CA 92691-6306 | 2016-07-17 |
1205210747 | Alexander Taghva, M.d., Inc. | Neurological Surgery | 26732 Crown Valley Pkwy, Suite 541, Mission Viejo, CA 92691-6376 | 2015-07-15 |
1992108302 | Salib Dds Inc | Dentist | 26732 Crown Valley Pkwy, Suite 531, Mission Viejo, CA 92691-6306 | 2014-09-29 |
1356764245 | Shruti M Ariza Md Inc | Internal Medicine | 26732 Crown Valley Pkwy, Suite 241, Mission Viejo, CA 92691-6306 | 2014-01-28 |
1669716791 | Visoth Chan | Podiatrist | 26732 Crown Valley Pkwy, Suite 317, Mission Viejo, CA 92691-6306 | 2012-11-15 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134748247 | Sonja Wood | Registered Nurse | 92691 Avenida Deseo, Mission Viejo, CA 92691 | 2020-04-09 |
1912488487 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 27551 Puerta Real, Mission Viejo, CA 92691 | 2018-08-23 |
1518457704 | Leon Baginski Md Inc | Obstetrics & Gynecology | 26800 Crown Valley Pkwy Ste 560, Mission Viejo, CA 92691 | 2018-05-14 |
1215426762 | Gail G Warner | Marriage & Family Therapist | 26050 Acero, Suite 301, Mission Viejo, CA 92691 | 2018-05-09 |
1508354176 | Tania Choudhary | Student in an Organized Health Care Education/Training Program | 23595 Rangoon St, Mission Viejo, CA 92691 | 2018-04-28 |
1710486519 | Aubriana Denise Gray | Counselor | 25802 Pacifica Ave, Mission Viejo, CA 92691 | 2018-02-07 |
1487162707 | Alberto Israel Galicia | Case Manager/Care Coordinator | 27261 Las Ramblas, Suite 220, Mission Viejo, CA 92691 | 2018-01-22 |
1629595244 | Elisabeth A Lischer | Counselor | 26137 La Paz Road, Suite 230, Mission Viejo, CA 92691 | 2017-08-24 |
1639694227 | Dr. Horiyat, A Dental Corporation | Dentist | 27652 Crown Valley Parkway, Mission Viejo, CA 92691 | 2017-08-04 |
1255851689 | Jackelin Liseth Martinez | Counselor | 25402 Pacifica Avenue, Mission Viejo, CA 92691 | 2017-06-27 |
Find all providers in zip 92691 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376818989 | John Ralph Coon | General Practice | 27022 La Paja Ln, Mission Viejo, CA 92691-6023 | 2012-03-14 |
1477558252 | Lynn Elizabeth Napoli | General Practice | 26732 Crown Valley Pkwy, Suite 461, Mission Viejo, CA 92691-6306 | 2005-06-17 |
1659820298 | Jeremy La Motte Md | General Practice | 25982 Pala, Suite 120, Mission Viejo, CA 92691-6719 | 2016-09-23 |
1215336201 | Cep America - Auc, PC | General Practice | 26137 La Paz Rd, Ste 120, Mission Viejo, CA 92691-3940 | 2014-08-15 |
1811273667 | Alexander Prattes Md LLC | General Practice | 27871 Medical Center Rd, Suite 160, Mission Viejo, CA 92691-6404 | 2011-10-25 |
1356503627 | California Emergency Physc Med Grp | General Practice | 26137 La Paz Rd, Suite 120, Mission Viejo, CA 92691-5319 | 2008-06-27 |
1144318346 | Alexander Arthur Prattes | General Practice | 27871 Medical Center Rd, #160, Mission Viejo, CA 92691 | 2006-10-11 |
1871537167 | Lynn Napoli, M.d., Inc. | General Practice | 26732 Crown Valley Pkwy, Suite 461, Mission Viejo, CA 92691-6306 | 2006-06-16 |
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Find all providers with the same taxonomy |
City | MISSION VIEJO |
Zip Code | 92691 |
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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.