PRACTICE DIAGNOSTICS LLC (NPI# 1346652781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346652781 |
| Entity Type | Organization |
| Organization Name | PRACTICE DIAGNOSTICS LLC |
| Practice Address |
1200 N Tustin Ave Suite 120 Santa Ana CA 92705-3508 |
| Mailing Address |
Po Box 921332 Sylmar CA 91392-1332 |
| Practice Telephone | 7143405990 |
| Mailing Telephone | 8183560661 |
| Mailing Fax Number | 8183641751 |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2014-05-20 |
| Authorized Official Name | MR. SHAWN M ROWLAND (CEO) |
| Authorized Official Telephone | 8183560661 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Street Address |
1200 N TUSTIN AVE SUITE 120 |
| City | SANTA ANA |
| State | CA |
| Zip Code | 92705-3508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427051994 | Sanford Chen | Ophthalmology | 1200 N Tustin Ave, Ste 140, Santa Ana, CA 92705-3501 | 2005-05-27 |
| 1295152668 | Community Outreach Medical Services | Clinic/Center | 1200 N Tustin Ave, Suite 130, Santa Ana, CA 92705-3508 | 2014-03-24 |
| 1487947842 | Community Outreach Medical Services | Clinic/Center | 1200 N Tustin Ave, Suite 130, Santa Ana, CA 92705-3508 | 2011-05-18 |
| 1679801757 | Arthur Selvan, Md; Inc. | Clinic/Center | 1200 N Tustin Ave, Suite 260, Santa Ana, CA 92705-3508 | 2009-11-30 |
| 1013165380 | North Tustin Surgery Center, Inc. | Clinic/Center | 1200 N Tustin Ave, Suite 155, Santa Ana, CA 92705-3508 | 2008-08-28 |
| 1386814994 | Michael Sheety M.d., Inc. | Optometrist | 1200 N Tustin Ave, Suite # 230, Santa Ana, CA 92705-3508 | 2008-03-11 |
| 1811170830 | Xinming Fu, Md, Inc | Internal Medicine | 1200 N Tustin Ave, Suite 255, Santa Ana, CA 92705-3508 | 2007-12-13 |
| 1154514388 | Sanford L. Ratner Dds and Monty C.wilson Dds Inc. | Dentist | 1200 N Tustin Ave, Suite 108, Santa Ana, CA 92705-3508 | 2007-08-21 |
| 1154511145 | Haled Hajdari | Dentist | 1200 N Tustin Ave, 110, Santa Ana, CA 92705-3508 | 2007-07-26 |
| 1386848141 | Merrill E Schmidt | Dentist | 1200 N Tustin Ave, Suite 200, Santa Ana, CA 92705-3508 | 2007-06-13 |
| Find all providers in the same location | ||||
| 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 | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215220215 | North Park Surgery Center, Inc. | Clinic/Center | 1200 N Tustin Ave Ste 155, Santa Ana, CA 92705-3594 | 2011-05-24 |
| 1487743647 | Universal Care | Clinic/Center | 1400 N Main Street, Santa Ana, CA 92701-2321 | 2006-10-12 |
| 1396906095 | Imran Sharief, M.d., Inc. | Clinic/Center | 1901 E 4th St, Suite 200, Santa Ana, CA 92705-3918 | 2008-06-24 |
| 1104873686 | Santa Ana Clinica Medica General Medical Center Inc. | Clinic/Center | 505 N Main St, Santa Ana, CA 92701-4619 | 2006-05-28 |
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| 1104432673 | Aleracare Medical Group of California | Clinic/Center | 17777 Ventura Blvd Ste 220, Encino, CA 91316-3748 | 2020-09-21 |
| 1205447687 | Shawn Richard Oneill | Clinic/Center | 5979 Trotters Ln, Alta Loma, CA 91701-2644 | 2020-08-11 |
| 1134738032 | Healthworks Med Group of California A Medical Corporation | Clinic/Center | 2821 Scott Blvd Ste 2126, Santa Clara, CA 95050-2549 | 2020-07-27 |
| 1437767951 | Miro Health | Clinic/Center | 260 King St Unit 1505, San Francisco, CA 94107-6415 | 2020-07-21 |
| 1598383895 | Alacrity Patient Services, Inc. | Clinic/Center | 1002 N Hudson Ave Apt 1, Los Angeles, CA 90038-2595 | 2020-07-13 |
| 1306464979 | Aleracare Medical Group of California | Clinic/Center | 4849 Van Nuys Blvd Ste 220, Sherman Oaks, CA 91403-2155 | 2020-07-10 |
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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.