DR. JERRY ANDES SR. (NPI# 1427472778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427472778 |
| Entity Type | Individual |
| Full Name | DR. JERRY ANDES SR. |
| Credential | M.D. |
| Practice Address |
1243 Miramar Dr Fullerton CA 92831-2038 |
| Practice Telephone | 7148799179 |
| Practice Fax Number | 7148790369 |
| Mailing Telephone | 7148799179 |
| Mailing Fax Number | 7148790369 |
| Enumeration Date | 2014-02-06 |
| Last Update Date | 2014-02-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
A19731 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1243 MIRAMAR DR |
| City | FULLERTON |
| State | CA |
| Zip Code | 92831-2038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982169280 | Jennifer Ann Carroll | Counselor | 2246 N. State College Blvd, Fullerton, CA 92831 | 2019-01-31 |
| 1043733736 | Jimmy K Bhatt | Dentist | 1126 E Commonweath Ave, Fullerton, CA 92831 | 2017-07-25 |
| 1447625090 | Kairos Management | Assisted Living Facility | 1621 E. Chapman Ave, Fullerton, CA 92831 | 2015-12-08 |
| 1407251630 | Sam's West, Inc | Technician/Technologist | 601 S Placentia Ave, Fullerton, CA 92831 | 2014-10-30 |
| 1114361813 | Teresa Kyu Thin Khoo | Internal Medicine | 1907 Deerpark Dr Apt 546, Fullerton, CA 92831 | 2013-04-24 |
| 1699020586 | Julia A Bock | Occupational Therapy Assistant | 1240 N Frances Avenue, Fullerton, CA 92831 | 2012-07-17 |
| 1649566225 | The Center for The Treatment of Addiction | Preferred Provider Organization | 104 N. Raymond Ave., A-2, Fullerton, CA 92831 | 2011-06-22 |
| 1366746877 | Leticia Vallejo | Rehabilitation Practitioner | 801 E.chapman Ave, Fullerton, CA 92831 | 2010-12-28 |
| 1083916860 | Angelica Victoria Norman | Counselor | 801 East Chapman Suite 203, Fullerton, CA 92831 | 2010-11-30 |
| 1457683237 | The Paradise | Home Delivered Meals | 659 S Sate College Blvd., Ste. 51, Fullerton, CA 92831 | 2010-02-04 |
| Find all providers in zip 92831 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588001267 | Ricarda Benz Md, Inc | Obstetrics & Gynecology | 100 E Valencia Mesa Dr, Suite 215, Fullerton, CA 92835-3813 | 2013-06-04 |
| 1003068065 | A. Ngo M.d. Prof. Corp. | Obstetrics & Gynecology | 508 W Commonwealth Ave, Fullerton, CA 92832-1723 | 2008-10-21 |
| 1780752659 | Fullerton Gyn Assoc. | Obstetrics & Gynecology | 301 W Bastanchury Rd, #170, Fullerton, CA 92835-3419 | 2006-12-01 |
| 1194829184 | Gordon Colin Gunn | Obstetrics & Gynecology | 100 E Valencia Mesa Dr, Suite # 215, Fullerton, CA 92835-3813 | 2006-09-11 |
| 1578520722 | Thomas C Hughes | Obstetrics & Gynecology | 1950 Sunnycrest Dr, Suite 2800, Fullerton, CA 92835-3638 | 2006-04-28 |
| 1881672665 | Donald Armstrong | Obstetrics & Gynecology | 100 E Valencia Mesa Dr, Suite #215, Fullerton, CA 92835-3813 | 2006-01-03 |
| 1669453254 | Ricarda D Benz | Obstetrics & Gynecology | 100 E Valencia Mesa Dr, #215, Fullerton, CA 92835-3813 | 2005-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013526862 | My Optimal Life | Obstetrics & Gynecology | 72301 Country Club Dr Ste 105, Rancho Mirage, CA 92270-8007 | 2020-07-28 |
| 1740833078 | Lillian Shumate Md | Obstetrics & Gynecology | 1401 Spanos Ct Ste 124, Modesto, CA 95355-2814 | 2019-07-16 |
| 1568927754 | J Kingsley Fife | Obstetrics & Gynecology | 1165 Las Pulgas Pl, Pacific Palisades, CA 90272-2440 | 2019-02-01 |
| 1518457704 | Leon Baginski Md Inc | Obstetrics & Gynecology | 26800 Crown Valley Pkwy Ste 560, Mission Viejo, CA 92691 | 2018-05-14 |
| 1396253340 | Yasharpour Medical Doctor, Inc A Professional Medical Corporation | Obstetrics & Gynecology | 21013 Sherman Way Ste 4, Canoga Park, CA 91303-3675 | 2018-01-11 |
| 1851828222 | Desert Valley Obgyn Inc | Obstetrics & Gynecology | 39000 Bob Hope Dr Ste 303, Rancho Mirage, CA 92270-3221 | 2017-05-17 |
| 1295274660 | Koe Medical Consulting, Inc. | Obstetrics & Gynecology | 5680 Trinidad Way, San Diego, CA 92114-5310 | 2017-02-18 |
| 1518404441 | Women's Health Care Research Corporation | Obstetrics & Gynecology | 3750 Convoy St Ste 311, San Diego, CA 92111-3741 | 2017-01-30 |
| 1730626722 | Aela Paiz Do Inc | Obstetrics & Gynecology | 9620 Clybourn Ave, Sun Valley, CA 91352-1623 | 2017-01-27 |
| 1538521125 | Randal Sloop Md Inc | Obstetrics & Gynecology | 2068 Talbert Dr Ste 150, Chico, CA 95928-7723 | 2016-03-23 |
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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.