CHRISTINE MARIE THEARD (NPI# 1356410740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356410740 |
| Entity Type | Individual |
| Full Name | CHRISTINE MARIE THEARD |
| Credential | M.D. |
| Practice Address |
30131 Town Center Drive Suite # 237 Laguna Niguel CA 92677 |
| Practice Telephone | 9494950800 |
| Practice Fax Number | 9494950805 |
| Mailing Telephone | 9494950800 |
| Mailing Fax Number | 9494950805 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2010-07-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
C50353 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE LICENSE NUMBER | C50353 | 01 |
| Street Address |
30131 TOWN CENTER DRIVE SUITE # 237 |
| City | LAGUNA NIGUEL |
| State | CA |
| Zip Code | 92677 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750304705 | Pamela Moldauer | Social Worker | 30131 Town Center Drive, Suite 235, Laguna Niguel, CA 92677 | 2006-07-25 |
| 1235509597 | Dental Sleep Therapy, A Professional Dental Group By F Burrell Dds | Dentist | 30131 Town Center Drive, Suite 160, Laguna Niguel, CA 92677-2040 | 2015-09-30 |
| 1508901927 | Geeta Grover | Pediatrics | 30131 Town Center Drive, Suite 130, Laguna Niguel, CA 92677 | 2007-02-21 |
| 1689762346 | Jeanne Lynn Moore | Psychologist | 30131 Town Center Drive, Suite 280, Laguna Niguel, CA 92677 | 2006-10-10 |
| 1861509341 | Sharon Lee Delgado | Counselor | 30131 Town Center Drive, Ste 280, Laguna Niguel, CA 92677 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114566049 | Amber Kramer | Physical Therapist | 30100 Town Center Drive #yz, Laguna Niguel, CA 92677 | 2019-12-23 |
| 1811548340 | Morgan Peikar | Rehabilitation Hospital | 28441 Springfield Dr, Laguna Niguel, CA 92677 | 2019-09-25 |
| 1871056382 | Jacqueline Evamarie Serrano | Chiropractor | 28062 Forbes Road, Laguna Niguel, CA 92677 | 2019-04-11 |
| 1316408859 | Azadeh Ghafari | Social Worker | 30100 Town Center Dr # 179, Laguna Niguel, CA 92677 | 2019-03-27 |
| 1346741857 | Diana Wang | Physical Medicine & Rehabilitation | 30100 Town Center Drive Suite, Suite Yz, Laguna Niguel, CA 92677 | 2018-02-21 |
| 1750833554 | James H. Tran Dds, Dental Corp. | Dentist | 23876 Aliso Creek Road, Laguna Niguel, CA 92677 | 2016-10-27 |
| 1215486139 | Kevin Sun | Dentist | 49 Blue Horizon, Laguna Niguel, CA 92677 | 2016-10-04 |
| 1740637842 | Michael Dacosta | Dentist | 28862 Calle Vista, Laguna Niguel, CA 92677 | 2016-05-18 |
| 1235590373 | Adrian Gomez | Counselor | 24361 Nugget Falls Ln, Laguna Niguel, CA 92677 | 2016-03-17 |
| 1427455906 | Gracie Heart Home Health LLC | Home Health | 24318 El Pilar, Laguna Niguel, CA 92677 | 2014-11-26 |
| Find all providers in zip 92677 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871564948 | Michael Douglas Moran | Internal Medicine | 30131 Town Center Dr Ste 211, Laguna Niguel, CA 92677-2088 | 2006-01-27 |
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| 1043871627 | Gy Medical Clinic Inc | Internal Medicine | 7400 Van Nuys Blvd Ste 112, Van Nuys, CA 91405-1972 | 2019-06-25 |
| 1902465792 | Pacific Heart & Vascular | Internal Medicine | 1234 W. Chapman Ave, Ste #101, Orange, CA 92868-2862 | 2019-06-06 |
| Find all providers with the same taxonomy | ||||
| City | LAGUNA NIGUEL |
| Zip Code | 92677 |
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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.