DR. THOMAS L ATLAS (NPI# 1346288321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346288321 |
| Entity Type | Individual |
| Full Name | DR. THOMAS L ATLAS |
| Credential | MD |
| Practice Address |
13422 Newport Ave Suite I Tustin CA 92780-3746 |
| Practice Telephone | 7146656900 |
| Practice Fax Number | 7146656904 |
| Mailing Telephone | 7146656900 |
| Mailing Fax Number | 7146656904 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2011-09-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2471C3402X |
Radiologic Technologist Specialization: Radiography |
G74535 | CA | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 002082232 | 05 | |
| CA | BLUE SHIELD GROUP NUMBER | 00G745350 | 01 |
| CA | 00G745350 | 05 |
| Street Address |
13422 NEWPORT AVE SUITE I |
| City | TUSTIN |
| State | CA |
| Zip Code | 92780-3746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477559896 | Maureen Roberta Dornan | Dentist | 13422 Newport Ave, Ste B, Tustin, CA 92780-3746 | 2005-06-21 |
| 1023558210 | Tustin Longevity Center | Preferred Provider Organization | 13422 Newport Ave, Suite L, Tustin, CA 92780-3746 | 2017-03-07 |
| 1821478694 | Bigdeli Dds Inc | Dentist | 13422 Newport Ave, E, Tustin, CA 92780-3746 | 2015-06-05 |
| 1396999280 | Tustin Longevity Center | Family Medicine | 13422 Newport Ave, Suite L, Tustin, CA 92780-3746 | 2008-11-05 |
| 1528225067 | Sandi E Silva | Dentist | 13422 Newport Ave, Suite A, Tustin, CA 92780-3746 | 2008-05-21 |
| 1447271093 | Cyndee Ayson Mitchell | Obstetrics & Gynecology | 13422 Newport Ave, Suite L, Tustin, CA 92780-3746 | 2006-07-21 |
| 1689601973 | Janel Larson Meric | Obstetrics & Gynecology | 13422 Newport Ave, Suite L, Tustin, CA 92780 | 2006-06-26 |
| 1326086703 | Tustin Teleradiology Medical Group Inc. | Radiologic Technologist | 13422 Newport Ave, Suite I, Tustin, CA 92780-3746 | 2006-06-04 |
| 1306848809 | Rita Renee Ellithorpe | General Practice | 13422 Newport Ave, Suite L, Tustin, CA 92780-3746 | 2005-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437780947 | John Michael Michael | Pharmacist | 14481 Wildeve Ln, Tustin, CA 92780 | 2020-02-03 |
| 1609426881 | Abigail Joy Maqsood | Behavior Technician | 290a S Prospect Ave, Tustin, CA 92780 | 2019-09-19 |
| 1255814711 | Hyun Dong Lee | Chiropractor | 14591 Newport Ave Ste 106, Tustin, CA 92780 | 2018-09-11 |
| 1346733573 | Elizabeth Kim Nguyen Dds Inc | Clinic/Center | 14521 Red Hill Ave, Tustin, CA 92780 | 2018-06-12 |
| 1255829503 | Hw Physical Therapy | Physical Therapist | 250 El Camino Real Ste 100, Tustin, CA 92780 | 2018-04-23 |
| 1912494352 | Gary Wayne Mcbeath | Marriage & Family Therapist | 17821 E 17th Street, Suite # 260, Tustin, CA 92780 | 2018-04-20 |
| 1104334598 | Catherine Bogues | Speech-Language Pathologist | 661 West 1st Street, Suite E, Tustin, CA 92780 | 2018-01-19 |
| 1972019941 | Lighthouse Behavioral Solutions | Behavioral Analyst | 18002 Irvine Blvd., Suite 202c, Tustin, CA 92780 | 2017-12-28 |
| 1629597299 | Lifecab, LLC | Non-emergency Medical Transport (VAN) | 13732 Newport Ave, Suite #1, Tustin, CA 92780 | 2017-09-14 |
| 1437606555 | Tustin Speech Therapy, Inc. | Speech-Language Pathologist | 661 West First Street, Suite E, Tustin, CA 92780 | 2016-09-07 |
| Find all providers in zip 92780 | ||||
| Taxonomy Code | 2471C3402X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Radiography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568968899 | Conrado Olalia Quemuel | Radiologic Technologist | 242 Preble Dr, Tustin, CA 92780-3720 | 2018-04-04 |
| 1326086703 | Tustin Teleradiology Medical Group Inc. | Radiologic Technologist | 13422 Newport Ave, Suite I, Tustin, CA 92780-3746 | 2006-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861016883 | Eric Robert Holmgren | Radiologic Technologist | 601 Duboce Ave, North Tower, Level A, San Francisco, CA 94114 | 2020-06-05 |
| 1831657402 | Excel Imaging | Radiologic Technologist | 18158 Us Highway 18, Apple Valley, CA 92307-2202 | 2019-03-03 |
| 1073036315 | United Mobile Rad LLC | Radiologic Technologist | 1720 E Cartagena St, Long Beach, CA 90807 | 2017-07-19 |
| 1134582083 | Bertha Patricia Orna | Radiologic Technologist | 1206 E 17th St Ste 205, Santa Ana, CA 92701-2641 | 2016-03-29 |
| 1467825703 | Jack Pavich | Radiologic Technologist | 9411 Sunnyside Ave, Ben Lomond, CA 95005-9345 | 2015-11-09 |
| 1306234703 | Socal Surgical Imaging | Radiologic Technologist | 10755 Scripps Poway Pkwy # 709, San Diego, CA 92131-3924 | 2015-01-07 |
| 1013320605 | Hera Nal | Radiologic Technologist | 406 E. Poppy St., Long Beach, CA 90805 | 2014-06-11 |
| 1245643279 | Coastal Diagnostic Services Inc | Radiologic Technologist | 1010 W La Veta Ave Ste 615, Orange, CA 92868-4310 | 2014-06-06 |
| 1003237439 | Amir Nahavandi | Radiologic Technologist | 6206 1/2 Nita Ave, Woodland Hills, CA 91367-7652 | 2014-01-03 |
| 1023445855 | George Gallap | Radiologic Technologist | 1435 Mcfarlan St, Eureka, CA 95501-1345 | 2013-10-14 |
| Find all providers with the same taxonomy | ||||
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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.