MRS. KATHLEEN MARIE DUBOURDIEU


Address: 2192 Martin Ste 110, Irvine, CA 92612-1484
Phone: 9499550072

MRS. KATHLEEN MARIE DUBOURDIEU (NPI# 1326365446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326365446
Entity Type Individual
Full Name MRS. KATHLEEN MARIE DUBOURDIEU
Other Name MRS. KATHY MARIE DUBOURDIEU
Credential RNP, MN
Practice Address 2192 Martin Ste 110
Irvine
CA 92612-1484
Mailing Address 500 Superior Ave
Ste 310
Newport Beach
CA 92663-3609
Practice Telephone 9499550072
Mailing Telephone 9496442722
Mailing Fax Number 9497605438
Enumeration Date 2010-04-29
Last Update Date 2016-07-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LX0001X Nurse Practitioner
Specialization: Obstetrics & Gynecology
429686 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2192 MARTIN STE 110
City IRVINE
State CA
Zip Code 92612-1484

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063783413 Evelyn Lillian Nguyen Physician Assistant 2192 Martin Ste 110, Irvine, CA 92612-1484 2012-01-17

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Taxonomy Information

Taxonomy Code 363LX0001X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Obstetrics & Gynecology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639641699 Zahra Jeylani Nur Nurse Practitioner 15101 Spectrum, Irvine, CA 92618-3426 2018-12-31
1194817353 Janet Van Epps Nurse Practitioner 501 Student Health, Uci, Irvine, CA 92697-5200 2006-09-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1548819964 Myra Sepulveda Nurse Practitioner 1700 Lombard St Ste 110, Oxnard, CA 93030-8288 2019-09-09
1518486125 Patty Montoya Nurse Practitioner 1026 Felder St, Gardena, CA 90248-3348 2017-09-14
1902357817 Alexandria Ludlow Nurse Practitioner 350 John Muir Pkwy Ste 205, Brentwood, CA 94513-5193 2016-10-17
1477922102 Vanessa Domush Nurse Practitioner 845 E. Willow St, Signal Hill, CA 90755 2015-09-23
1174999015 Kristina Hagopian Nurse Practitioner 8920 Wilshire Blvd Ste 525, Beverly Hills, CA 90211-1968 2015-08-14
1639553076 Pacific Women's Healthcare Associates Nurse Practitioner 500 Superior Ave Ste 310, Newport Beach, CA 92663-3609 2015-07-15
1548655921 Trudi J Petersen Nurse Practitioner 1700 Shattuck Ave # 75, Berkeley, CA 94709-3402 2015-04-01
1932590775 Samah Shahzya Kureshi Nurse Practitioner 2619 Vanderbilt Ln Unit B, Redondo Beach, CA 90278-3318 2015-02-16
1346645801 Norma Nix Nurse Practitioner 22423 Chase St, West Hills, CA 91304-3321 2014-10-27
1942602594 Jeanelle T Margosian Nurse Practitioner 6215 N Fresno St Ste 108, Fresno, CA 93710-5267 2014-09-25
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Competitor

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City IRVINE
Zip Code 92612

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Dataset Information

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.

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