THAVARAT PRUITT


Address: 5825 E Camino Manzano, Anaheim, CA 92807-3254
Phone: 7143967421

THAVARAT PRUITT (NPI# 1497875827) 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) 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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WP0808X Registered Nurse
Specialization: Psych/Mental Health
RN499241 CA Nursing Service Providers

Office Location

Street Address 5825 E CAMINO MANZANO
City ANAHEIM
State CA
Zip Code 92807-3254

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 163WP0808X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1568063998 Jonathan Eguia Registered Nurse 10161 Croydon Way Ste 2, Sacramento, CA 95827-2107 2020-11-03
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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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Competitor

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City ANAHEIM
Zip Code 92807

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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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