SENTINEL MEDICAL GROUP INC (NPI# 1295297570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295297570 |
| Entity Type | Organization |
| Organization Name | SENTINEL MEDICAL GROUP INC |
| Practice Address |
505 N Tustin Ave Ste 195 Santa Ana CA 92705-3775 |
| Practice Telephone | 8667867816 |
| Practice Fax Number | 8667867806 |
| Mailing Telephone | 8667867816 |
| Mailing Fax Number | 8667867806 |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2019-04-30 |
| Authorized Official Name | MAXWELL YUI CHUN JEN (PRESIDENT) |
| Authorized Official Telephone | 9099649472 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Street Address |
505 N TUSTIN AVE STE 195 |
| City | SANTA ANA |
| State | CA |
| Zip Code | 92705-3775 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952919763 | John G. Alevizos, D.o., A Professional Medical Corporation | Preventive Medicine | 1530 East Edinger Avenue, Suite 1, Santa Ana, CA 92705 | 2020-07-17 |
| 1477186625 | Joyce Altman Interpreters, Inc. | Interpreter | 1971 East 4th Street, Ste 206, Santa Ana, CA 92705 | 2020-02-17 |
| 1588214688 | Cindy Mejia | Behavior Technician | 505 N. Tustin Ave., #152, Santa Ana, CA 92705 | 2019-09-19 |
| 1588210504 | Jennifer Ang Lim-quevedo | Nurse Practitioner | 18362 Whitney Dr, Santa Ana, CA 92705 | 2019-08-15 |
| 1962056820 | Melinda Acosta Black | Social Worker | 1526 Brookhollow Drive, Santa Ana, CA 92705 | 2019-07-30 |
| 1972069631 | Amy Marie Elit | Nurse Practitioner | 1751 E Harry Ave, Santa Ana, CA 92705 | 2019-02-18 |
| 1386118180 | Unified Behavioral Health, LLC | Substance Abuse Rehabilitation Facility | 1218 W Santa Ana Blvd, Santa Ana, CA 92705 | 2019-01-15 |
| 1952884736 | Javier Perales | Social Worker | 1652 Windsor Ln, Santa Ana, CA 92705 | 2018-09-08 |
| 1073009700 | Eva E Kuncewicki | Marriage & Family Therapist | 1001 S Grand Ave # B, Santa Ana, CA 92705 | 2018-07-05 |
| 1487149886 | Nimbus Medtransport Inc. | Non-emergency Medical Transport (VAN) | 2112 E 4th St Ste 235, Santa Ana, CA 92705 | 2018-06-27 |
| Find all providers in zip 92705 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811248669 | Clinica Medica Mi Pueblo, Medical Clinic, Inc | Clinic/Center | 720 S Harbor Blvd, Santa Ana, CA 92704-2337 | 2012-09-19 |
| 1679600852 | Childrens Hospital of Orange County | Clinic/Center | 1000 Highland St, Santa Ana, CA 92703-4822 | 2007-02-27 |
| 1629141056 | Careways Children's Foundation | Clinic/Center | 1902 W Chestnut Ave, Santa Ana, CA 92703-4304 | 2006-11-15 |
| 1851705818 | North Bristol Family and Injury Medical Center | Clinic/Center | 1415 N Broadway, Santa Ana, CA 92706-3904 | 2014-06-18 |
| 1033522560 | Gutierrez Espinoza Physician Assistant Corp | Clinic/Center | 2222 S Main St, Santa Ana, CA 92707-3220 | 2014-06-02 |
| 1467725846 | Antonio Carbayo Md A Medical Corporation | Clinic/Center | 1911 N Broadway, Santa Ana, CA 92706-2609 | 2012-02-16 |
| 1487947842 | Community Outreach Medical Services | Clinic/Center | 1200 N Tustin Ave, Suite 130, Santa Ana, CA 92705-3508 | 2011-05-18 |
| 1942503933 | Vision Center Lp | Clinic/Center | 3301 S Harbor Blvd, Ste 104, Santa Ana, CA 92704-6857 | 2010-12-13 |
| 1437485513 | Kelvin Mai, D.o., Inc | Clinic/Center | 2337 W 1st St, Santa Ana, CA 92703-3503 | 2009-10-26 |
| 1851537708 | P K A Medical Corporation | Clinic/Center | 1610 W Edinger Ave, Ste B, Santa Ana, CA 92704-4339 | 2008-12-24 |
| Find all providers in SANTA ANA | ||||
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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.