DR. SHARON PULIKKOTTIL XAVIOER (NPI# 1346784246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346784246 |
Entity Type | Individual |
Full Name | DR. SHARON PULIKKOTTIL XAVIOER |
Credential | PHARMD |
Practice Address |
2720 S Bristol St Suite 102 Santa Ana CA 92704-6207 |
Practice Telephone | 7144265468 |
Practice Fax Number | 7144265215 |
Mailing Telephone | 7144265468 |
Mailing Fax Number | 7144265215 |
Enumeration Date | 2016-12-12 |
Last Update Date | 2016-12-12 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 183500000X | Pharmacist | 76015 | CA | Pharmacy Service Providers |
Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
76015 | CA | Pharmacy Service Providers |
N | 1835P2201X |
Pharmacist Specialization: Ambulatory Care |
76015 | CA | Pharmacy Service Providers |
Street Address |
2720 S BRISTOL ST SUITE 102 |
City | SANTA ANA |
State | CA |
Zip Code | 92704-6207 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962461392 | Leticia Nedilskyj | Physician Assistant | 2720 S Bristol St, Santa Ana, CA 92704-6207 | 2006-03-23 |
1730611831 | Baudelia Ruvalcaba | Case Management | 2720 S Bristol St, Santa Ana, CA 92704-6207 | 2017-03-29 |
1891242293 | John Aldrich N Alejandro | Nurse Practitioner | 2720 S Bristol St, Santa Ana, CA 92704-6207 | 2016-09-02 |
1013372101 | Chrystel Murrieta | Health Educator | 2720 S Bristol St, Santa Ana, CA 92704-6207 | 2015-12-16 |
1013383728 | Pharmedquest Pharmacy Services | Pharmacy | 2720 S Bristol St, Suite 102, Santa Ana, CA 92704-6299 | 2015-08-17 |
1760863443 | Kayla Ferrari | Physician Assistant | 2720 S Bristol St, Santa Ana, CA 92704-6207 | 2015-06-17 |
1730595745 | Dianet Pineda | Health Educator | 2720 S Bristol St, Suite 200, Santa Ana, CA 92704-6207 | 2014-07-10 |
1194168724 | Alexa Judith Merchant | Registered Nurse | 2720 S Bristol St, Suite 110, Santa Ana, CA 92704-6207 | 2013-04-13 |
1295094993 | Nancy Velasquez | Health Educator | 2720 S Bristol St, Suite 200, Santa Ana, CA 92704-6207 | 2012-05-15 |
1760651814 | Altamed Health Services Corp | Clinic/Center | 2720 S Bristol St, Suite 110, Santa Ana, CA 92704-6207 | 2008-02-22 |
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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 |
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Taxonomy Code | 1835P0018X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245783844 | Cinna Phan | Pharmacist | 1635 Camile Pl, Santa Ana, CA 92703-4401 | 2016-07-31 |
1306191267 | Anhvuong Ly | Pharmacist | 1833 West Blackhawk Drive, Santa Ana, CA 92704-7122 | 2012-07-17 |
1407126543 | Minh B Tran | Pharmacist | 2911 W Cubbon St, Santa Ana, CA 92704-1515 | 2012-01-06 |
1881112696 | Krinaben Amitkumar Shah | Pharmacist | 2001 E 4th St, Santa Ana, CA 92705-3916 | 2017-08-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376142430 | Daria Mohazzab Hosseinian | Pharmacist | 450 E Spring St Ste 11, Long Beach, CA 90806-1625 | 2020-10-20 |
1235745100 | Ngoc Tran | Pharmacist | 10371 Luders Ave, Garden Grove, CA 92843-3213 | 2020-09-16 |
1275143752 | Sherine Ann Legge | Pharmacist | 17 Westchester Ct, Trabuco Canyon, CA 92679-4955 | 2020-08-09 |
1922618412 | Ashley Keane Hayes | Pharmacist | 6551 E El Pulcro St, Long Beach, CA 90815-2302 | 2020-08-09 |
1750991543 | Priyankumar Arvind Patel | Pharmacist | 2339 S G St, Fresno, CA 93721-3425 | 2020-08-05 |
1912521261 | Sharon Jung | Pharmacist | 851 Langholm Way, Riverside, CA 92508-6075 | 2020-06-02 |
1710500376 | Christine Nguyen | Pharmacist | 2248 E Nyon Ave, Anaheim, CA 92806-4634 | 2020-05-18 |
1134740582 | Cj3m Corporation | Pharmacist | 2626 El Camino Real Ste A, Carlsbad, CA 92008-1253 | 2020-04-27 |
1629607775 | Tiffany Chang | Pharmacist | 213 Quarry Rd Rm 2726a, Palo Alto, CA 94304-1416 | 2020-04-01 |
1124655782 | Noor Mikhail | Pharmacist | 220 W Main St Ste 102, El Cajon, CA 92020-3462 | 2020-03-24 |
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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.