SECURE HEALTH MEDICAL GROUP INC (NPI# 1376891580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376891580 |
| Entity Type | Organization |
| Organization Name | SECURE HEALTH MEDICAL GROUP INC |
| Other Organization Name | SECURE HEALTH MEDICAL GROUP |
| Practice Address |
1275 N Rose Dr 126 Placentia CA 92870-3941 |
| Mailing Address |
5626 Oberlin Dr Suite 110 San Diego CA 92121-1705 |
| Practice Telephone | 7145243880 |
| Enumeration Date | 2012-08-17 |
| Last Update Date | 2012-10-25 |
| Authorized Official Name | KENNY HEINE (VP OPS) |
| Authorized Official Telephone | 8589641506 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDVANTX INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | A53433 | CA | Suppliers |
| Other Name | Type Code |
|---|---|
| SECURE HEALTH MEDICAL GROUP | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275690828 | Secure Health Medical Group Inc | Clinic/Center | 1275 N Rose Dr, Ste 126, Placentia, CA 92870-3919 | 2007-01-02 |
| Street Address |
1275 N ROSE DR 126 |
| City | PLACENTIA |
| State | CA |
| Zip Code | 92870-3941 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841298106 | Brea Family Care, A Medical Corporation | Family Medicine | 1275 N Rose Dr, Ste 130, Placentia, CA 92870-3941 | 2005-07-12 |
| 1376915462 | Ravi B Shah, Do Inc | Surgery | 1275 N Rose Dr, Suite #118, Placentia, CA 92870-3941 | 2015-10-28 |
| 1609267954 | John S. Marshburn, M.d., Inc | Ophthalmology | 1275 N Rose Dr, #112, Placentia, CA 92870-3941 | 2015-02-09 |
| 1316291024 | Taryn Elizabeth Sommers | Physician Assistant | 1275 N Rose Dr, Suite 126, Placentia, CA 92870-3941 | 2012-11-01 |
| 1356571723 | Yvette Rene Cressey Do Inc | Family Medicine | 1275 N Rose Dr, Suite 124, Placentia, CA 92870-3941 | 2009-07-20 |
| 1265669360 | Saleem A. Waraich, M.d., A Professional Medical Corporation | Internal Medicine | 1275 N Rose Dr, Suite 110, Placentia, CA 92870-3941 | 2009-06-16 |
| 1871770321 | Kenneth E Schemmer, M.d., Inc | Specialist | 1275 N Rose Dr, Suite 108, Placentia, CA 92870-3941 | 2008-01-28 |
| 1912180845 | Alfred W. Sloan, Md, Apc | Obstetrics & Gynecology | 1275 N Rose Dr, Suite 122, Placentia, CA 92870-3941 | 2007-12-13 |
| 1164601332 | Saleem A. Waraich | Internal Medicine | 1275 N Rose Dr, 110, Placentia, CA 92870-3941 | 2007-10-24 |
| 1942497946 | Joseph G Mayo IIi Md Inc | Orthopaedic Surgery | 1275 N Rose Dr, Suite 130, Placentia, CA 92870-3941 | 2007-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952887499 | Makaela Mendelson | Speech-Language Pathologist | 240 South Placentia Avenue, Placentia, CA 92870 | 2018-07-18 |
| 1194186106 | Carrie Schultz | Licensed Vocational Nurse | 543 Del Rey Dr., Placentia, CA 92870 | 2016-03-18 |
| 1710350277 | Caremore Health Plan | Nurse Practitioner | 1325 N. Rose Drive #102, Placentia Linda, CA 92870 | 2015-11-05 |
| 1871999847 | Heather Ellen Johnson | Occupational Therapist | 740 S. Placentia Ave, Suite 100, Placentia, CA 92870 | 2014-11-18 |
| 1992101257 | Arcel Lopez Escoto | Physical Therapist | 740 S. Placentia Ave. Suite 100, Placentia, CA 92870 | 2014-11-14 |
| 1144642109 | Christine Taheran | Nurse Practitioner | 120 Downey Lane, Placentia, CA 92870 | 2014-01-10 |
| 1851644587 | Peter Glickman | Ophthalmology | 1050 E Yorba Linda Blvd., Suite 205, Placentia, CA 92870 | 2012-10-18 |
| 1396003844 | Jaymie Coria, D.d.s., Inc | Dentist | 302 E. Palm Drive, Suite #a, Placentia, CA 92870 | 2012-05-02 |
| 1164798609 | Adelina Rachi | Occupational Therapist | 740 S. Placentia Ave., Suite 100, Placentia, CA 92870 | 2012-03-29 |
| 1023305067 | Patricia Inez Byrne | Registered Nurse | 2001-d E. Orangethorpe Ave., Placentia, CA 92870 | 2011-06-28 |
| Find all providers in zip 92870 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093062549 | Dr Joseph Longnecker | Non-Pharmacy Dispensing Site | 1041 E Yorba Linda Blvd, 306, Placentia, CA 92870-3728 | 2012-08-14 |
| 1366707929 | Centers of Rehabilitation & Pain Medicine, Inc | Non-Pharmacy Dispensing Site | 1041 E Yorba Linda Blvd, Suite 210, Placentia, CA 92870-3728 | 2012-07-10 |
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|---|---|---|---|---|
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| 1285268391 | Artius Dermatology Associates PC | Non-Pharmacy Dispensing Site | 1337 S Lovers Ln Ste D, Visalia, CA 93292-5249 | 2020-02-27 |
| 1790327732 | Triumph Specialties LLC | Non-Pharmacy Dispensing Site | 11100 Sepulveda Blvd # 8-519, Mission Hills, CA 91345-1131 | 2019-10-10 |
| 1487210365 | Artius Dermatology Associates P.C. | Non-Pharmacy Dispensing Site | 325 Mall Dr Ste 111, Hanford, CA 93230-5950 | 2019-05-15 |
| 1376030080 | Jane F Kardashian Md Inc | Non-Pharmacy Dispensing Site | 6769 N Fresno, Fresno, CA 93710 | 2018-04-18 |
| 1023511045 | Performance Health Medical Group | Non-Pharmacy Dispensing Site | 25431 Cabot Road Suite 118, Laguna Hills, CA 92653 | 2018-03-15 |
| 1043719206 | Southern California Orthopedic Institute L.p | Non-Pharmacy Dispensing Site | 4100 Empire Dr Ste 120, Bakersfield, CA 93309-0408 | 2018-02-02 |
| 1174032353 | Golden Gate Urology, Inc. | Non-Pharmacy Dispensing Site | 139 Townsend St Ste 100, San Francisco, CA 94107-1946 | 2017-09-20 |
| 1215462080 | Mas Management Group, Inc. | Non-Pharmacy Dispensing Site | 28446 Constellation Rd, Valencia, CA 91355-5081 | 2017-04-28 |
| 1730624719 | St. John's Well Child and Family Center Inc | Non-Pharmacy Dispensing Site | 326 W 23rd St, Los Angeles, CA 90007-2612 | 2016-12-29 |
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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.