STEPHANIE A MOCK (NPI# 1467849216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467849216 |
| Entity Type | Individual |
| Full Name | STEPHANIE A MOCK |
| Practice Address |
2120 S State College Blvd Apt 2093 Anaheim CA 92806-6240 |
| Mailing Address |
1734 Ewer Dr San Jose CA 95124-3701 |
| Practice Telephone | 4086234265 |
| Mailing Telephone | 4086234265 |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2019-01-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 146N00000X | Emergency Medical Technician, Basic | E132318 | CA | Emergency Medical Service Providers |
| N | 2083S0010X |
Preventive Medicine Specialization: Sports Medicine |
2000023261 | CA | Allopathic & Osteopathic Physicians |
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1734 Ewer Dr, San Jose, CA 951243701 | 4086234265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962676791 | Stephanie Christine Mock | Military Health Care Provider | 8501 Tanner Wms Rd, Mobile, AL 36608-8322 | 2008-04-14 |
| 1932728151 | Stephanie Mock | Physician Assistant | 1450 Chapel St, New Haven, CT 06511-4405 | 2020-04-09 |
| 1477943116 | Stephanie A Mock | Pharmacy Technician | 10100 Brook Rd, Glen Allen, VA 23059-6514 | 2015-02-03 |
| Street Address |
2120 S STATE COLLEGE BLVD APT 2093 |
| City | ANAHEIM |
| State | CA |
| Zip Code | 92806-6240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619513611 | Krista Mckinney | Family Medicine | 344o E. La Palma Avenue, Anaheim, CA 92806 | 2019-11-25 |
| 1780175968 | Brooke Lindsay Owen | Specialist/Technologist | 1300 N. Kraemer Blvd, Anaheim, CA 92806 | 2018-05-23 |
| 1033631973 | Biocorrx Inc. | Rehabilitation, Substance Use Disorder Unit | 2390 E Orangewood Avenue, Suite 575, Anaheim, CA 92806 | 2017-07-12 |
| 1437679784 | Margaret Elena Popp | Counselor | Adult and Older Adult Behavioral Health Services, 2035 E. Ball Rd, Anaheim, CA 92806 | 2017-06-27 |
| 1982134581 | Jessica Nguyen | Pharmacist | 2833 E Randy Ave, Anaheim, CA 92806 | 2017-06-15 |
| 1518493733 | Oksana Pradun | Nurse Practitioner | 2111 East Ball Rd., Anaheim, CA 92806 | 2017-05-08 |
| 1568828754 | Sanah Qureshi | Nurse Anesthetist, Certified Registered | 2546 E Strong Pl, Anaheim, CA 92806 | 2016-01-05 |
| 1689050379 | Wu Chiropractic Care, Inc. | Acupuncturist | 215 N State College Blvd., #b, Anaheim, CA 92806 | 2015-08-04 |
| 1659757375 | Jonathan Song | Dentist | 1134 N State College Blvd Ste C, Anaheim, CA 92806 | 2015-08-04 |
| 1558764761 | Mariko Horie | Acupuncturist | 504 N State College Blvd, Anaheim, CA 92806 | 2014-10-01 |
| Find all providers in zip 92806 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518564665 | Tuong-vy Tran | Student in an Organized Health Care Education/Training Program | 1608 S Songish St, Anaheim, CA 92804-6054 | 2020-10-01 |
| 1740805373 | Nelson S Poliran Jr. | Student in an Organized Health Care Education/Training Program | 2127 W Beacon Ave, Anaheim, CA 92804-4407 | 2020-06-09 |
| 1952925588 | Snehamayi Ramyanam | Student in an Organized Health Care Education/Training Program | 3033 W Oranage Ave, West Anaheim Medical Center, Anaheim, CA 92804-3156 | 2020-05-29 |
| 1578185757 | Katryna Fedora Olarte | Student in an Organized Health Care Education/Training Program | 3413 W Canoga Pl Apt 1, Anaheim, CA 92804-2751 | 2020-05-11 |
| 1669012894 | Hayley Ann Le Count | Student in an Organized Health Care Education/Training Program | 2011 W Katella Ave Unit 34, Anaheim, CA 92804-6539 | 2020-01-15 |
| 1811532195 | Sadia Chohan | Student in an Organized Health Care Education/Training Program | 1329 N Maple St, Anaheim, CA 92801-1635 | 2019-11-11 |
| 1861057556 | Michael Tieu Loi | Student in an Organized Health Care Education/Training Program | 600 S Sunkist St, Anaheim, CA 92806-4529 | 2019-05-08 |
| 1912487604 | Ana Mir-hosseini | Student in an Organized Health Care Education/Training Program | 260 S Loganberry St, Anaheim, CA 92808-2252 | 2018-08-21 |
| 1124510789 | Lucia Vazquez | Student in an Organized Health Care Education/Training Program | 2818 W Rome Ave, Anaheim, CA 92804-3926 | 2018-05-30 |
| 1225560204 | Amy Chenwei Huang | Student in an Organized Health Care Education/Training Program | 1685 E Lincoln Ave, Anaheim, CA 92805-2295 | 2017-03-30 |
| Find all providers in ANAHEIM | ||||
Please comment or provide details below to improve the information on STEPHANIE A MOCK.
| 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.