DR. RAJ MENON (NPI# 1316014954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316014954 |
| Entity Type | Individual |
| Full Name | DR. RAJ MENON |
| Credential | M.D. |
| Practice Address |
3620 S Bristol St Suite 102 Santa Ana CA 92704-7300 |
| Practice Telephone | 7145566666 |
| Practice Fax Number | 7145564548 |
| Mailing Telephone | 7145566666 |
| Mailing Fax Number | 7145564548 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2010-03-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A38792 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A387920 | 05 | |
| UPIN | A85176 | 01 |
| Street Address |
3620 S BRISTOL ST SUITE 102 |
| City | SANTA ANA |
| State | CA |
| Zip Code | 92704-7300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144210105 | Mahallati Dental Corporation | Dentist | 3620 S Bristol St, Suite #307, Santa Ana, CA 92704-7300 | 2005-10-21 |
| 1649648825 | Fereshteh Kheyrdan | Dentist | 3620 S Bristol St, Suit # 104, Santa Ana, CA 92704-7300 | 2015-09-04 |
| 1609283126 | Fereshteh Kheyrdan, D.d.s., Inc. | Dentist | 3620 S Bristol St, Suit # 104, Santa Ana, CA 92704-7300 | 2014-07-16 |
| 1962834879 | Navid Mansour Ghods | Dentist | 3620 S Bristol St, Suite #104, Santa Ana, CA 92704-7300 | 2013-08-01 |
| 1487931598 | Shahin Mahallati | Dentist | 3620 S Bristol St, Ste. #307, Santa Ana, CA 92704-7300 | 2011-11-03 |
| 1942444518 | Hiroshi Murotani | Dentist | 3620 S Bristol St, Suite 209, Santa Ana, CA 92704-7300 | 2009-04-28 |
| 1871760827 | Roney Chiropractic Corp | Chiropractor | 3620 S Bristol St, 106, Santa Ana, CA 92704-7300 | 2008-05-09 |
| 1437324555 | Jerome N. Peterson D.d.s. Inc. | Point of Service | 3620 S Bristol St, #302, Santa Ana, CA 92704-7300 | 2008-04-29 |
| 1780885616 | Jaime Mata | Dentist | 3620 S Bristol St, Ste.306, Santa Ana, CA 92704-7300 | 2007-05-29 |
| 1942415831 | James K. Chen, D.d.s., Inc | Dentist | 3620 S Bristol St, Suite 301, Santa Ana, CA 92704-7300 | 2007-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437771805 | Mohammad Abul-fielat Dds Inc | Dentist | 2341 S Bristol Street, Santa Ana, CA 92704 | 2020-05-08 |
| 1639728538 | Dorothy A Powell | Technician | 722 S. Arapaho Dr, Santa Ana, CA 92704 | 2019-09-04 |
| 1851945646 | Skinzone Medical Inc | Plastic Surgery | 3374 S. Bristol St, Santa Ana, CA 92704 | 2019-07-30 |
| 1215414024 | Sonia Molina | Dietitian, Registered | 2100 W Alton Ave Ste 2, Santa Ana, CA 92704 | 2018-07-24 |
| 1558854612 | Laura Fessler | Nurse Practitioner | 3501 S. Harbor Blvd, Santa Ana, CA 92704 | 2018-06-12 |
| 1104317940 | The Mend of California, LLC | Substance Abuse Rehabilitation Facility | 1909 W. Carlton Place, Santa Ana, CA 92704 | 2018-05-29 |
| 1154811784 | Phleetbo LLC | In Home Supportive Care | 3760 W Mcfadden Ave # B164, Santa Ana, CA 92704 | 2018-05-18 |
| 1588151393 | United Medical Imaging Healthcare, Inc. | Clinic/Center | 3501 S Harbor Blvd Ste 140-b, Santa Ana, CA 92704 | 2018-04-17 |
| 1952811978 | Rising Roads Recovery Services for Women, LLC | Substance Abuse Rehabilitation Facility | 2750 S Harbor Blvd Ste G, Santa Ana, CA 92704 | 2017-10-04 |
| 1427577907 | Advance Oc Surgical Inc. | Clinic/Center | 3500 S. Bristol St., Suite 200, Santa Ana, CA 92704 | 2017-09-15 |
| Find all providers in zip 92704 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740822360 | Saint Youstina | Family Medicine | 809 S Main St Apt A, Santa Ana, CA 92701-6605 | 2019-10-15 |
| 1063927697 | Healthrive Medical Group | Family Medicine | 201 Sandpointe Ave Ste 600, Santa Ana, CA 92707-8700 | 2017-12-05 |
| 1093248510 | Ravi Prakash Bhakta | Family Medicine | 901 W Civic Center Dr Ste 120, Santa Ana, CA 92703-2380 | 2017-04-11 |
| 1770944019 | Alonzo Ellis Lockhart | Family Medicine | 1329 E. First Street, Santa Ana, CA 92701-6310 | 2016-03-15 |
| 1982002598 | Quang Binh Nguyen | Family Medicine | 202 N Euclid St Ste 103, Santa Ana, CA 92703-3006 | 2014-12-12 |
| 1598165201 | Bristol Plaza Family Medicine, A Professional Medical Corporation | Family Medicine | 3743 So Plaza Drive, Santa Ana, CA 92704 | 2014-08-29 |
| 1649614827 | Monica J. Ball-zondervan | Family Medicine | 1100b N Tustin Ave Ste A, Santa Ana, CA 92705 | 2013-04-18 |
| 1114269404 | Universa Medica Healh,inc | Family Medicine | 1125 E 17th St Ste 106, Santa Ana, CA 92701-2201 | 2013-03-25 |
| 1083962872 | Souhail N/a Toubia | Family Medicine | 2141 S Standard Ave, Santa Ana, CA 92707-3034 | 2012-08-27 |
| 1770852659 | Teresa Flores | Family Medicine | 1014 N Broadway, Santa Ana, CA 92701-3408 | 2011-12-21 |
| 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.