THAVARAT PRUITT (NPI# 1497875827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497875827 |
Entity Type | Individual |
Full Name | THAVARAT PRUITT |
Practice Address |
5825 E Camino Manzano Anaheim CA 92807-3254 |
Practice Telephone | 7143967421 |
Mailing Telephone | 7143967421 |
Enumeration Date | 2007-03-30 |
Last Update Date | 2009-05-06 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
RN499241 | CA | Nursing Service Providers |
Street Address |
5825 E CAMINO MANZANO |
City | ANAHEIM |
State | CA |
Zip Code | 92807-3254 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801400759 | Katie Greasby | Marriage & Family Therapist | 509 S. Villa Real Dr. #117, Anaheim Hills, CA 92807 | 2020-09-08 |
1386201481 | Joseph Hasrouni | Counselor | Cvs 9753, 5735 E. La Palma Ave, Anaheim, CA 92807 | 2019-05-23 |
1144739277 | Luis Antonio Perez | Social Worker | 2112 E 4th St. #107, Santa Ana, CA 92807 | 2017-09-20 |
1548781883 | F.foroutan Dds Inc. | Dentist | 5031 E. Orangethorpe Ave., Suite # B-2, Anaheim Hills, CA 92807 | 2017-06-27 |
1487101515 | Eloy Ramirez | Counselor | 233 S. Quintana Drive, Anaheim, CA 92807 | 2016-09-07 |
1255786448 | K's Loving Care | Custodial Care Facility | 1211 N Amelia St, Anaheim, CA 92807 | 2016-04-26 |
1265806673 | Jessica Vickers | Marriage & Family Therapist | 5500 E Santa Ana Canyon Rd Ste 216, Anaheim, CA 92807 | 2015-11-23 |
1033596796 | Donovan Garcia Teves | Specialist | 1261 Lakeview Ave., Suite 'a', Anaheim Hills, CA 92807 | 2015-05-01 |
1235544354 | Nicole Reaves | Occupational Therapist | 5630 E Santa Ana Canyon Rd Ste 105, Anaheim, CA 92807 | 2014-06-26 |
1093143471 | Behrang E Toubak | Counselor | 6381 E Via Arboles, Anaheim, CA 92807 | 2013-10-23 |
Find all providers in zip 92807 |
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 |
1366961005 | Brian Tuason | Registered Nurse | 2035 E Ball Rd, Anaheim, CA 92806-5159 | 2017-09-13 |
1457793671 | South Coast Psychiatric Advanced Nursing Practice | Registered Nurse | 3400 W Ball Rd, Suite 100b, Anaheim, CA 92804-3738 | 2013-07-29 |
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 |
Find all providers with the same taxonomy |
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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.