DR. EBRAHIM MAMOUR JAGNE SR. (NPI# 1497808497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497808497 |
| Entity Type | Individual |
| Full Name | DR. EBRAHIM MAMOUR JAGNE SR. |
| Credential | PA |
| Practice Address |
1329 E 1st St Santa Ana CA 92701-6310 |
| Mailing Address |
1137 W 58th Pl Los Angeles CA 90044-3702 |
| Practice Telephone | 7145476542 |
| Mailing Telephone | 3102831279 |
| Enumeration Date | 2007-01-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA 12322 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1329 E 1ST ST |
| City | SANTA ANA |
| State | CA |
| Zip Code | 92701-6310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548427032 | Dr Alonzo E Lockhart Md PC | Family Medicine | 1329 E 1st St, Santa Ana, CA 92701-6310 | 2008-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841807401 | Midori K Dirig | Psychologist | 405 W. 3rd Street, Santa Ana, CA 92701 | 2020-09-28 |
| 1952915456 | Alexandria Bekele | Counselor | Address: 405 W. 5th Street, Santa Ana, CA 92701 | 2020-09-02 |
| 1508479239 | Candice Bjorkman | Counselor | 1201 E Fruit St, Santa Ana, CA 92701 | 2020-08-24 |
| 1013527365 | Maryiam Elizabeth Barkho | Dentist | 809 South Main Street Suite B, Santa Ana, CA 92701 | 2020-08-02 |
| 1447803788 | Emmett Eugene Cook II | Counselor | 1207 E Fruit Street, Santa Ana, CA 92701 | 2019-07-16 |
| 1619538741 | Emily H Sanders | Marriage & Family Therapist | 1800-f Parkcourt Place, Suite 205, Santa Ana, CA 92701 | 2019-06-28 |
| 1184191769 | Peace of Mind Wellness & Family Counseling, Inc. | Counselor | 1651 E. Fourth St Ste 240, Santa Ana, CA 92701 | 2018-10-31 |
| 1841765815 | Kelly Marie Contreras | Clinical Medical Laboratory | 902 N. Grand Avenue, Suite 204, Santa Ana, CA 92701 | 2018-10-05 |
| 1780176537 | Diane Carol Navarro-prescott | Counselor | 1633 East 4th Street, Santa Ana, CA 92701 | 2018-06-06 |
| 1750873758 | Eileen Fernandez | Counselor | 615 W Civic Center Dr Fl 2, Santa Ana, CA 92701 | 2018-06-05 |
| Find all providers in zip 92701 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528427994 | Nathaniel Gandy Lane | Physician Assistant | 420 S. Bristol St., Santa Ana, CA 92703 | 2016-02-15 |
| 1588960702 | Michelle Christine O'valle | Physician Assistant | 2552 Valencia St, Santa Ana, CA 92706-1733 | 2011-02-04 |
| 1619167558 | Triet Sy Nguyen | Physician Assistant | 1610 W Edinger Ave Ste B, Santa Ana, CA 92704-4339 | 2007-07-26 |
| 1952504557 | Andrew A Bernal | Physician Assistant | 800 N Tustin Ave Ste A, Santa Ana, CA 92705-3605 | 2007-06-09 |
| 1215051974 | Nora Hanna Bebawi | Physician Assistant | 2621 S Bristol St Ste 105, Santa Ana, CA 92704 | 2007-03-19 |
| 1780708933 | Andre Joseph Hutchison | Physician Assistant | 812 W 17th St, Santa Ana, CA 92706-3625 | 2007-03-16 |
| 1881732741 | Nancy Nina Garrettt | Physician Assistant | 2015 W 1st St Ste K, Santa Ana, CA 92703-3516 | 2007-02-02 |
| 1346338225 | Irene Saldana | Physician Assistant | 3743 S Plaza Dr, Santa Ana, CA 92704-7463 | 2006-10-10 |
| 1184720062 | Aurora Elizabeth Butler | Physician Assistant | 1617 E. First. St., Ste. A, Santa Ana, CA 92701 | 2006-09-16 |
| 1285747964 | Abdol Hamid Abdali Hajiabadi | Physician Assistant | 1617 E 1st St, Suite A, Santa Ana, CA 92701-6385 | 2006-08-16 |
| Find all providers in SANTA ANA | ||||
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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.