CYRIL SHAN MADERA TENA


Address: 10127 Spectrum, Irvine, CA 92618-7389
Phone: 9492996040

CYRIL SHAN MADERA TENA (NPI# 1447799820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447799820
Entity Type Individual
Full Name CYRIL SHAN MADERA TENA
Credential NP
Practice Address 10127 Spectrum
Irvine
CA 92618-7389
Practice Telephone 9492996040
Mailing Telephone 9492996040
Enumeration Date 2017-02-17
Last Update Date 2018-04-24
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
95005908 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 10127 SPECTRUM
City IRVINE
State CA
Zip Code 92618-7389

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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

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Competitor

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City IRVINE
Zip Code 92618

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Dataset Information

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.

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