EDGAR ANTONIO ENRIQUEZ (NPI# 1376632547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376632547 |
| Entity Type | Individual |
| Full Name | EDGAR ANTONIO ENRIQUEZ |
| Credential | M.D. |
| Practice Address |
25775 Mcbean Pkwy Suite 216 Valencia CA 91355-3708 |
| Mailing Address |
1401 Monterey Rd Apt E South Pasadena CA 91030-3845 |
| Practice Telephone | 6612531353 |
| Practice Fax Number | 6612531387 |
| Mailing Telephone | 3104354450 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2007-09-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | A80489 | CA | Allopathic & Osteopathic Physicians |
| N | 2086S0127X |
Surgery Specialization: Trauma Surgery |
A80489 | CA | Allopathic & Osteopathic Physicians |
| Y | 2086X0206X |
Surgery Specialization: Surgical Oncology |
A80489 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285073502 | Edgar Gomez Enriquez | Rehabilitation Practitioner | 6795 Lilac Sky Ave, Las Vegas, NV 89142-3620 | 2013-06-19 |
| Street Address |
25775 MCBEAN PKWY SUITE 216 |
| City | VALENCIA |
| State | CA |
| Zip Code | 91355-3708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013911460 | Douglas R Gadowski | Internal Medicine | 25775 Mcbean Pkwy, Ste 105, Valencia, CA 91355-3702 | 2005-06-13 |
| 1740634369 | Uc Regents | Clinic/Center | 25775 Mcbean Pkwy, Suite 108, Valencia, CA 91355-3708 | 2016-04-20 |
| 1548686413 | Meadow Surgical Center, LLC | Clinic/Center | 25775 Mcbean Pkwy, Suite 108, Valencia, CA 91355-3708 | 2014-03-14 |
| 1295026417 | George Pan | Anesthesiology | 25775 Mcbean Pkwy, Suite 214, Valencia, CA 91355-3708 | 2011-04-21 |
| 1629390901 | Lawrence Malcolm Mayer | General Practice | 25775 Mcbean Pkwy, 209, Valencia, CA 91355-3708 | 2010-02-27 |
| 1487985347 | Valencia Ambulatory Surgery Center LLC | Clinic/Center | 25775 Mcbean Pkwy, 108, Valencia, CA 91355-3708 | 2010-01-15 |
| 1902130305 | Rajan H. Patel | Internal Medicine | 25775 Mcbean Pkwy, Suite 215, Valencia, CA 91355-3708 | 2009-10-01 |
| 1194978338 | Douglas R. Gadowski Md Inc | Clinic/Center | 25775 Mcbean Pkwy, Suite 105, Valencia, CA 91355-3702 | 2008-10-31 |
| 1811140155 | Douglas Marsall Engh, M.d., F.a.c.s., Inc. | Ophthalmology | 25775 Mcbean Pkwy, Suite 208, Valencia, CA 91355-3708 | 2008-10-30 |
| 1922263474 | Catherine Lolita Finney | Internal Medicine | 25775 Mcbean Pkwy, Valencia, CA 91355-3708 | 2008-07-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447874730 | Deborah Colleen Rheinfurth | Registered Nurse | 25727 Mcbean Parkway, Valencia, CA 91355 | 2020-06-02 |
| 1396368106 | Carla Patricia Ponce | Behavior Technician | 25115 W, Avenue Stanford Suite A100, Santa Clarita, CA 91355 | 2020-05-27 |
| 1578197661 | Kathleen Megan Murphy Cross | Counselor | 24307 Magic Mountain Pkwy, #260, Valencia, CA 91355 | 2020-02-27 |
| 1780226340 | Logan Veis | Behavior Technician | 25515 Avenue Stanford, Suite A100, Valencia, CA 91355 | 2019-10-15 |
| 1376192906 | Yosef Desta | Behavior Technician | 25115 Ave Standard, Suit A100, Valencia, CA 91355 | 2019-09-06 |
| 1063060960 | Michauni Kimbrew | Behavioral Analyst | 27502 Ave Scott, Ste A, Santa Clarita, CA 91355 | 2019-09-04 |
| 1427607357 | Alissa Meadow Myatt | Social Worker | Henry Mayo Newhall Hospital 23845 Mcbean Parkway, Valencia, CA 91355 | 2019-09-04 |
| 1124672761 | Genon Catarroja | Behavior Technician | 25115 W. Avenue Stanford Suite A100, Valencia, CA 91355 | 2019-08-01 |
| 1730675455 | Jaquelyn Marlene Escobar | Community Health Worker | 24525 Town Center Drive, Valencia, CA 91355 | 2018-07-05 |
| 1265922843 | Jomil Prenzirose Conste | Behavior Technician | 25115 Avenue M14 Suite A, Valencia, CA 91355 | 2018-05-18 |
| Find all providers in zip 91355 | ||||
| Taxonomy Code | 2086X0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Oncology |
| A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. |
| Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669711354 | Gregory M Senofsky Md Inc | Surgery | 23929 Mcbean Pkwy, 110, Valencia, CA 91355-4466 | 2013-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801418702 | Farzad Alemi Md Inc | Surgery | 3628 E Imperial Hwy Ste 103, Lynwood, CA 90262-2600 | 2020-05-13 |
| 1699232801 | Megan Gregor | Surgery | One Hoag Dr., Bldg 41, Ste 122, Newport Beach, CA 92663 | 2019-02-24 |
| 1225511835 | Brendan Boland Md Inc | Surgery | 9001 Wilshire Blvd Ste 207, Beverly Hills, CA 90211-1843 | 2018-09-10 |
| 1508377409 | Curetology Surgical Oncology Medical Corporation & Associates | Surgery | 1127 Wilshire Blvd Ste 1604, Los Angeles, CA 90017-4007 | 2017-10-18 |
| 1770966178 | Sinziana Dumitra | Surgery | 1500 Durate Road California, Mob L001, Duarte, CA 91010 | 2015-07-02 |
| 1336572734 | Lana D Louie | Surgery | 18370 Burbank, Suite 607, Tarzana, CA 91356-2833 | 2013-08-21 |
| 1942544515 | Leland J Foshag, Md Inc | Surgery | 11818 Wilshire Blvd Ste 200, Los Angeles, CA 90025-6647 | 2012-11-20 |
| 1447516935 | Fank B Callipari X | Surgery | 14914 Huntington Gate Dr, Poway, CA 92064-6709 | 2012-04-09 |
| 1649549767 | Joseph Dotan | Surgery | 1618 Woodlands Rd, Beaumont, CA 92223-8569 | 2011-12-19 |
| 1679801609 | Carl Mason Sutherland II | Surgery | 539 28th Ave, San Mateo, CA 94403-2601 | 2009-12-02 |
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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.