MR. ADRIAN CARABALLO (NPI# 1437486966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437486966 |
| Entity Type | Individual |
| Full Name | MR. ADRIAN CARABALLO |
| Credential | RN |
| Practice Address |
2569 Santa Ana Ave #4 Costa Mesa CA 92627-5400 |
| Practice Telephone | 9493104733 |
| Practice Fax Number | 9495488667 |
| Mailing Telephone | 9493104733 |
| Mailing Fax Number | 9495488667 |
| Enumeration Date | 2009-11-04 |
| Last Update Date | 2009-11-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0807X |
Registered Nurse Specialization: Psych/Mental Health, Child & Adolescent |
613514 | CA | Nursing Service Providers |
| Street Address |
2569 SANTA ANA AVE #4 |
| City | COSTA MESA |
| State | CA |
| Zip Code | 92627-5400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407174 | Ryan Allen Merrell | Technician | 313 E. 17th Pl #l Costa Mesa, Costa Mesa, CA 92627 | 2020-11-04 |
| 1245703412 | Allure Transportation | Non-emergency Medical Transport (VAN) | 1835 Newport Blvd Ste 109 #110, Costa Mesa, CA 92627 | 2019-01-09 |
| 1750857686 | Living Success Center | Marriage & Family Therapist | 445 E. 17th Street, Suites D & E, Costa Mesa, CA 92627 | 2018-10-18 |
| 1790298909 | Akua Behavioral Health, Inc | Substance Abuse Rehabilitation Facility | 319-a University Drive, Costa Mesa, CA 92627 | 2017-11-09 |
| 1679086862 | Akua Behavioral Health, Inc | Substance Abuse Rehabilitation Facility | 319-b University Drive, Costa Mesa, CA 92627 | 2017-11-09 |
| 1245759018 | Surgical Assistant Associates | Clinic/Center | 186 E. 16th Street, Suite C, Costa Mesa, CA 92627 | 2017-09-13 |
| 1366962334 | Guadalupe A. Mejia Dental Corp. | Dentist | 700 W 19th St., Suite C, Costa Mesa, CA 92627 | 2017-06-21 |
| 1386189033 | Jian Yi Ye | Acupuncturist | 2488 Newport Blvd Ste B1, Costa Mesa, CA 92627 | 2017-01-04 |
| 1144764606 | Michele Marie Patton | Dental Hygienist | 2220 Fairview Rd., Costa Mesa, CA 92627 | 2016-12-18 |
| 1881148500 | Valerie Nguyen | Pharmacist | 1835 Newport Blvd # C, Costa Mesa, CA 92627 | 2016-08-10 |
| Find all providers in zip 92627 | ||||
| Taxonomy Code | 163WP0807X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Child & Adolescent |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609492107 | Katherine Niemela | Registered Nurse | 5619 W 4th St, Suite 5, Los Angeles, CA 90036 | 2020-06-19 |
| 1669006169 | Manal Qaqi | Registered Nurse | 6625 Green Valley Cir Unit 302, Culver City, CA 90230-8108 | 2020-02-24 |
| 1023671732 | Minerva Jordan | Registered Nurse | 4321 Eliot Ct, Modesto, CA 95356-8936 | 2019-04-18 |
| 1578930202 | Angela Johnson | Registered Nurse | 8470 Roswell St, Ventura, CA 93004-2109 | 2015-08-28 |
| 1255707246 | Heraclio Vidal Herrera | Registered Nurse | 26889 Cherry Willow Dr, Santa Clarita, CA 91387-1813 | 2015-08-13 |
| 1396174660 | Stacy Eileen Joseph-tohl | Registered Nurse | 13749 Riverside Dr., Suite 201, Sherman Oaks, CA 91401 | 2013-11-06 |
| 1912340969 | Caitlin Sierra Maclaurin | Registered Nurse | 3260 Kerner Blvd Ste A, San Rafael, CA 94901-4840 | 2013-04-09 |
| 1528391646 | Debra Jane Milligan | Registered Nurse | 410 La Cresta Heights Rd, El Cajon, CA 92021-3834 | 2009-09-08 |
| 1669615985 | Ari Max Bachrach | Registered Nurse | 445 Bellevue Ave Ste 101c, Oakland, CA 94610-4923 | 2009-04-16 |
| 1265677983 | Elisabeth Lippincott Collins | Registered Nurse | 1212 Broadway Ste 1200, Oakland, CA 94612-1814 | 2008-12-09 |
| Find all providers with the same taxonomy | ||||
| City | COSTA MESA |
| Zip Code | 92627 |
Please comment or provide details below to improve the information on MR. ADRIAN CARABALLO.
| 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.