DR. ERIC YOSHIHIRO WAKI (NPI# 1306866462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306866462 |
| Entity Type | Individual |
| Full Name | DR. ERIC YOSHIHIRO WAKI |
| Credential | M.D. |
| Practice Address |
2240 N Harbor Blvd Ste 200 Fullerton CA 92835-2635 |
| Practice Telephone | 7144474100 |
| Practice Fax Number | 7144471922 |
| Mailing Telephone | 7144474100 |
| Mailing Fax Number | 7144477922 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2020-07-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | G61076 | CA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RAIL ROAD MEDICARE | 040006753 | 01 |
| CA | GR0058670 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1950 Sunnycrest Dr Ste 3800, Fullerton, CA 928353647 | 7144474100 | 7144477923 |
| Street Address |
2240 N HARBOR BLVD STE 200 |
| City | FULLERTON |
| State | CA |
| Zip Code | 92835-2635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811465719 | Eric Waki Md Ent Inc | Otolaryngology | 2240 N Harbor Blvd Ste 200, Fullerton, CA 92835-2635 | 2018-11-08 |
| 1124434071 | Michael R. Kinzinger | Otolaryngology | 2240 N Harbor Blvd Ste 200, Fullerton, CA 92835-2635 | 2014-07-10 |
| 1154661015 | Eric Sugihara | Otolaryngology | 2240 N Harbor Blvd Ste 200, Fullerton, CA 92835-2635 | 2013-02-28 |
| 1639445554 | Michael Chan-wei Kao | Otolaryngology | 2240 N Harbor Blvd Ste 200, Fullerton, CA 92835-2635 | 2012-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538774302 | Natalie Baugh | Nutritionist | 333 W Bastanchury Rd 110, Fullerton, CA 92835 | 2020-09-09 |
| 1073127098 | Cecile Mae Sam | Physical Therapist | 2932 Clover Ct, Fullerton, CA 92835 | 2020-09-08 |
| 1861966087 | Kimson F Johnston | Marriage & Family Therapist | 1370 Brea Blvd Suite 210, Fullerton, CA 92835 | 2019-01-22 |
| 1134636327 | Michelle Harriman, Psychologist - A Professional Corporation | Psychologist | 1440 N Harbor Blvd Ste 808, Fullerton, CA 92835 | 2018-01-09 |
| 1659818631 | Jacqueline Rene Miller | Specialist/Technologist | 2610 Associated Rd, Apt A4, Fullerton, CA 92835 | 2017-01-27 |
| 1912361106 | John Nathaniel Alvarez | Psychiatry & Neurology | 401 E Imperial Highway, Fullerton, CA 92835 | 2016-04-13 |
| 1083075030 | Advance Recovery Solution, LLC | Substance Abuse Rehabilitation Facility | 3744 N Hermosa Pl, Fullerton, CA 92835 | 2016-03-17 |
| 1467817981 | Michele Ledesma | Physical Therapy Assistant | 2800 N. Harbor Blvd., Fullerton, CA 92835 | 2015-12-29 |
| 1467820571 | Jonghan Kang | Acupuncturist | 1321 N Harbor Blvd Ste 205, Fullerton, CA 92835 | 2015-09-04 |
| 1265840987 | Allison Leigh Kennedy | Physician Assistant | 100 Laguna Rd Ste 208, Fullerton, CA 92835 | 2014-07-25 |
| Find all providers in zip 92835 | ||||
| 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 |
|---|---|---|---|---|
| 1023586229 | Meyri Luisana Kroell | Specialist | 1438 S Highland Ave Apt J104, Fullerton, CA 92832-3502 | 2018-11-05 |
| 1730536871 | Audrey O'neill | Specialist | 1340 N Acacia Ave, Fullerton, CA 92831-1202 | 2016-05-18 |
| 1548565443 | Ailene Torio Ventress | Specialist | 3220 La Travesia Dr, Fullerton, CA 92835-1423 | 2011-01-24 |
| 1083928329 | Moises R. Carpio, M.d., Inc. | Specialist | 2271 W Malvern Ave, Suite 359, Fullerton, CA 92833-2106 | 2010-07-28 |
| 1639408602 | Jamie T Wiekamp | Specialist | 141 W Wilshire Ave, Ste C, Fullerton, CA 92832-1858 | 2009-12-21 |
| 1174769525 | Beverly Hendricks | Specialist | 1612 E Union Ave, Fullerton, CA 92831-2936 | 2009-01-06 |
| 1407068984 | Lynda Joy Trachtman | Specialist | 1535 Deerpark Drive, Fullerton, CA 92831 | 2007-05-04 |
| 1437217502 | Jackie R See | Specialist | 541 Riviera Ct, Fullerton, CA 92835-2729 | 2006-12-04 |
| 1528085537 | Christopher J Quilligan | Specialist | 1950 Sunnycrest Dr Ste 3800, Fullerton, CA 92835-3647 | 2006-07-16 |
| 1306888995 | Kendall Shannon Wagner | Specialist | 101 Laguna Rd Ste A, Fullerton, CA 92835-3635 | 2006-06-11 |
| Find all providers in FULLERTON | ||||
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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.