MR. VICTOR BRADY CRAIG (NPI# 1427189125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427189125 |
| Entity Type | Individual |
| Full Name | MR. VICTOR BRADY CRAIG |
| Practice Address |
665 Camino De Los Mares # 101 San Clemente CA 92673-2859 |
| Mailing Address |
503 Avenida Victoria Apt A San Clemente CA 92672-6613 |
| Practice Telephone | 9494960123 |
| Practice Fax Number | 9494960489 |
| Mailing Telephone | 9493661286 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 44921 | CA | Pharmacy Service Providers |
| Street Address |
665 CAMINO DE LOS MARES # 101 |
| City | SAN CLEMENTE |
| State | CA |
| Zip Code | 92673-2859 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063419604 | Gabriel Carabulea | Internal Medicine | 665 Camino De Los Mares, Ste 208, San Clemente, CA 92673-2859 | 2005-06-28 |
| 1013250729 | Anesthesia Snooz Inc | Anesthesiology | 665 Camino De Los Mares, #103, San Clemente, CA 92673-2859 | 2013-04-01 |
| 1053573519 | Hitesh K. Patel | Internal Medicine | 665 Camino De Los Mares, Suite 200, San Clemente, CA 92673-2859 | 2008-06-26 |
| 1790945970 | John R Gorny Md Inc | Obstetrics & Gynecology | 665 Camino De Los Mares, 203a, San Clemente, CA 92673-2859 | 2008-06-11 |
| 1548459944 | Karen Suzanne Potter | Dentist | 665 Camino De Los Mares, Suite 204, San Clemente, CA 92673-2859 | 2007-10-22 |
| 1699978304 | Theodore Vandam M.d. | Internal Medicine | 665 Camino De Los Mares, Ste 210, San Clemente, CA 92673-2859 | 2007-06-08 |
| 1346457009 | Dena Marie De La Torre | Registered Nurse | 665 Camino De Los Mares, Suite 203a, San Clemente, CA 92673-2859 | 2007-05-16 |
| 1609990209 | William W Martin Phd PC | Psychologist | 665 Camino De Los Mares, Suite 104, San Clemente, CA 92673 | 2007-03-19 |
| 1952437261 | Painmd Medical Associates Inc | Pain Medicine | 665 Camino De Los Mares, Suite 202, San Clemente, CA 92673-2859 | 2007-02-23 |
| 1235273327 | Daniel T. Tam, M.d. Inc | Internal Medicine | 665 Camino De Los Mares, Ste 305, San Clemente, CA 92673-2841 | 2007-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497246474 | Cynthia Hull Warren | Nutritionist | 2027 Via Concha, San Clemente, CA 92673 | 2018-05-24 |
| 1063942688 | Trinh T Tran | Pharmacist | 638 Camino De Los Mares #d5, San Clemente, CA 92673 | 2017-06-15 |
| 1427421791 | Jessica A Currens | Nurse Practitioner | 1001 Avenida Pico Ste C517, San Clemente, CA 92673 | 2015-11-08 |
| 1184010647 | Garrett Bryon Rubio | Student in an Organized Health Care Education/Training Program | 905 Calle Amanecer Ste. 265, San Clemente, CA 92673 | 2015-04-11 |
| 1255733853 | Body Mind Spirit Iop Inc | Psychologist | 665 Camino De Los Mares Ste 104, San Clemente, CA 92673 | 2014-09-25 |
| 1548677438 | Jessica Ann Riley | Dermatology | 1300 Avenida Vista Hermosa Ste 150, San Clemente, CA 92673 | 2014-07-13 |
| 1427398718 | Veena Menda | Specialist | 2232 Calle Opalo, San Clemente, CA 92673 | 2013-02-22 |
| 1124383781 | Alexandra Rose Corporation | Substance Abuse Rehabilitation Facility | 4009 Calle Abril, San Clemente, CA 92673 | 2012-07-10 |
| 1457612574 | Noelle J Deckman | Psychologist | 629 Camino De Los Mares Ste 207a, San Clemente, CA 92673 | 2012-06-05 |
| 1851686471 | Meighan Bartholomew Merono | Pharmacist | 990 Avenida Vista Hermosa, San Clemente, CA 92673 | 2011-06-10 |
| Find all providers in zip 92673 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063942688 | Trinh T Tran | Pharmacist | 638 Camino De Los Mares #d5, San Clemente, CA 92673 | 2017-06-15 |
| 1528508165 | Timothy Black | Pharmacist | 322 Camino San Clemente, San Clemente, CA 92672-3704 | 2017-03-01 |
| 1407391410 | Sylvester Arcaro | Pharmacist | 2305 Via Clavel, San Clemente, CA 92673-3737 | 2016-12-29 |
| 1487040085 | Johnna Marie Cunningham | Pharmacist | 26 Via Alcamo, San Clemente, CA 92673-7043 | 2015-04-09 |
| 1588922165 | Larry Mark Drechsler | Pharmacist | 909 Rio Lindo, San Clemente, CA 92672-7202 | 2012-05-02 |
| 1104101518 | Edward Kewitz | Pharmacist | 10 Calle Ameno, San Clemente, CA 92672-2346 | 2011-10-17 |
| 1851686471 | Meighan Bartholomew Merono | Pharmacist | 990 Avenida Vista Hermosa, San Clemente, CA 92673 | 2011-06-10 |
| 1194043596 | Sima Moayed | Pharmacist | 801 N. Elcamino Real, San Clemente, CA 92672 | 2010-05-10 |
| 1720687288 | Lauren Wong | Pharmacist | 989 Avenida Pico, San Clemente, CA 92673-3908 | 2020-10-25 |
| 1225677628 | Samey Abdulrub | Pharmacist | 638 Camino De Los Mares, San Clemente, CA 92673-2848 | 2020-01-02 |
| Find all providers in SAN CLEMENTE | ||||
| City | SAN CLEMENTE |
| Zip Code | 92673 |
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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.