SOUTH COAST PSYCHIATRIC ADVANCED NURSING PRACTICE (NPI# 1457793671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457793671 |
| Entity Type | Organization |
| Organization Name | SOUTH COAST PSYCHIATRIC ADVANCED NURSING PRACTICE |
| Practice Address |
3400 W Ball Rd Suite 100b Anaheim CA 92804-3738 |
| Practice Telephone | 7144844900 |
| Practice Fax Number | 7144844903 |
| Mailing Telephone | 7144844900 |
| Mailing Fax Number | 7144844903 |
| Enumeration Date | 2013-07-29 |
| Last Update Date | 2013-07-29 |
| Authorized Official Name | MRS. GEORGETA LAURA DRANCEA (PRESIDENT) |
| Authorized Official Telephone | 7144844900 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
16553 | CA | Nursing Service Providers |
| Street Address |
3400 W BALL RD SUITE 100B |
| City | ANAHEIM |
| State | CA |
| Zip Code | 92804-3738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548238660 | Dilip Chhaganbhai Patel | Internal Medicine | 3400 W Ball Rd, Anaheim, CA 92804-3737 | 2006-03-14 |
| 1417493172 | Marie Melendrez | Nurse Practitioner | 3400 W Ball Rd, Suite 203, Anaheim, CA 92804-3738 | 2017-01-18 |
| 1245620442 | Santa Marya Family Medicine Clinic,inc | Clinic/Center | 3400 W Ball Rd, Suite 202, Anaheim, CA 92804-3735 | 2015-01-27 |
| 1306273610 | Gn Acupuncture Inc | Acupuncturist | 3400 W Ball Rd, Suite 101 A, Anaheim, CA 92804-3738 | 2013-10-01 |
| 1366759771 | Bpp Medical Services Inc | Radiology | 3400 W Ball Rd, 101, Anaheim, CA 92804-3738 | 2010-09-07 |
| 1679705750 | Ronald F Young Medical Corporation | Neurological Surgery | 3400 W Ball Rd, Suite 101, Anaheim, CA 92804-3738 | 2009-08-21 |
| 1073754255 | Rotating Gamma Institute Orange | Clinic/Center | 3400 W Ball Rd, Ste 101, Anaheim, CA 92804-3738 | 2009-03-17 |
| 1427265123 | Georgeta Laura Drancea | Nurse Practitioner | 3400 W Ball Rd, Suite 100 B, Anaheim, CA 92804-3738 | 2007-05-16 |
| 1528285848 | Ali R Tajik Md Inc | Family Medicine | 3400 W Ball Rd, Suite 207, Anaheim, CA 92804-3738 | 2007-04-19 |
| 1073628657 | Maria Corazon A Meris | Specialist | 3400 W Ball Rd, Suite 102, Anaheim, CA 92804-3738 | 2006-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811517261 | Crown Care Hospice Inc | Hospice Care, Community Based | 10568 Magnolia Ave., Suite106, Stanton, CA 92804 | 2020-04-24 |
| 1154971646 | Leita Pawline Lawrene | Technician | 900 S Beach Blvd # 132, Anaheim, CA 92804 | 2019-09-17 |
| 1942767611 | Yasmen Abuyousef | Behavior Technician | 714 W Commonweath Ave, Suite C, Fullerton, CA 92804 | 2019-02-28 |
| 1225501224 | Brandon Pourazima | Physician Assistant | 631 S Brookhurst St Ste 213b, Anaheim, CA 92804 | 2019-01-02 |
| 1043782576 | Origins Home Health Care Inc. | Home Health | 137 1/2 S So Knott, Anaheim, CA 92804 | 2018-12-21 |
| 1346762150 | Inhee Shinn | Acupuncturist | 1717 W. Ball Road., Anaheim, CA 92804 | 2017-07-13 |
| 1689122459 | Jayanthi Ravikumar Md Inc | Physical Medicine & Rehabilitation | 3356 W Ball Road, #216, Anaheim, CA 92804 | 2016-09-21 |
| 1215307954 | Tuan Manh Hoang | Dentist | 1317 S. Courtright Street, Anaheim, CA 92804 | 2015-10-06 |
| 1598101602 | Optimal Sleep Center | Clinical Medical Laboratory | 3340 West Ball Road Suite B, Anaheim, CA 92804 | 2013-05-15 |
| 1376885673 | Michelle Lananh Dang | Pharmacist | 1913 W. Elm Pl, Anaheim, CA 92804 | 2013-03-25 |
| Find all providers in zip 92804 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083858401 | Mitzi Llamas Cabaltica | Registered Nurse | 1359 S Walnut St, # 5025, Anaheim, CA 92802-2260 | 2009-04-29 |
| 1497875827 | Thavarat Pruitt | Registered Nurse | 5825 E Camino Manzano, Anaheim, CA 92807-3254 | 2007-03-30 |
| 1366961005 | Brian Tuason | Registered Nurse | 2035 E Ball Rd, Anaheim, CA 92806-5159 | 2017-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063998 | Jonathan Eguia | Registered Nurse | 10161 Croydon Way Ste 2, Sacramento, CA 95827-2107 | 2020-11-03 |
| 1396346961 | Patricia Yamilet Morales | Registered Nurse | 18300 Roscoe Blvd Dignity Health- Northridge Hospital M, Northridge, CA 91325 | 2020-11-02 |
| 1881292910 | Molly E Reid | Registered Nurse | 1000 S Grand Ave Apt 451, Los Angeles, CA 90015-3474 | 2020-10-12 |
| 1699372375 | Shawnalle Guadalupe Guzman | Registered Nurse | 125 Rowardennan Dr, Ben Lomond, CA 95005-9388 | 2020-10-06 |
| 1760091201 | Amara Michella Altman | Registered Nurse | 1796 Camino Verde Apt C, Walnut Creek, CA 94597-2291 | 2020-07-30 |
| 1609484476 | Loretta Lynn Ballard | Registered Nurse | 11514 Poema Pl Unit 102, Chatsworth, CA 91311-1114 | 2020-07-17 |
| 1174141550 | Aline Marie Bales | Registered Nurse | 1669 Marina Way, Brentwood, CA 94513-5133 | 2020-07-11 |
| 1447874730 | Deborah Colleen Rheinfurth | Registered Nurse | 25727 Mcbean Parkway, Valencia, CA 91355 | 2020-06-02 |
| 1235767393 | Julianne Vilardi | Registered Nurse | 3410 Birdsall Ave Unit B, Oakland, CA 94619-2621 | 2020-04-01 |
| 1275169328 | Jennifer Khan | Registered Nurse | 4201 Topanga Canyon Blvd Spc 113, Woodland Hills, CA 91364-5262 | 2020-03-20 |
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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.