SANDRA DAWN KAZIM (NPI# 1508230244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508230244 |
| Entity Type | Individual |
| Full Name | SANDRA DAWN KAZIM |
| Credential | N.P. |
| Practice Address |
200 W Center Street Promenade Anaheim CA 92805-3960 |
| Mailing Address |
964 Junipero Dr Costa Mesa CA 92626-5839 |
| Practice Telephone | 7147129559 |
| Mailing Telephone | 7144425094 |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2015-11-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 335697 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
200 W CENTER STREET PROMENADE |
| City | ANAHEIM |
| State | CA |
| Zip Code | 92805-3960 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699396655 | St. Joseph Health System Home Care Services | Pharmacy | 200 W Center Street Promenade, Anaheim, CA 92805-3960 | 2020-04-30 |
| 1639715709 | St Joseph Heritage Healthcare | Family Medicine | 200 W Center Street Promenade, Anaheim, CA 92805-3960 | 2019-11-22 |
| 1679133920 | Christa Marie Ellsworth | Pharmacist | 200 W Center Street Promenade, Anaheim, CA 92805-3960 | 2019-06-19 |
| 1245777465 | St. Jude Hospital Yorba Linda | Non-Pharmacy Dispensing Site | 200 W Center Street Promenade, Suite 100b, Anaheim, CA 92805-3960 | 2017-01-25 |
| 1033654736 | St. Joseph Health Personal Care Services | In Home Supportive Care | 200 W Center Street Promenade, Suite 200, Anaheim, CA 92805-3960 | 2017-01-04 |
| 1447615414 | St. Joseph Health System Home Care Services | Home Health | 200 W Center Street Promenade, Anaheim, CA 92805-3960 | 2015-12-17 |
| 1093189102 | St. Joseph Health Personal Care Services, LLC | Home Health | 200 W Center Street Promenade, Anaheim, CA 92805-3960 | 2015-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841840097 | Jesus Jaime Rodriguez | Technician | 805 N. Pauline St., Anaheim, CA 92805 | 2019-09-18 |
| 1225680994 | Michael Cross | Counselor | 710 N. Anaheim Blvd Anaheim, Ca 92805, 710 N.anaheim Blvd, Anaheim, CA 92805 | 2019-07-12 |
| 1588123459 | Dania Jesri | Behavior Technician | 300 N Avelia Way, Anaheim, CA 92805 | 2019-03-19 |
| 1346708872 | Tiffany Chauvet | Behavior Technician | 1300 East Orangewood Ave, Anaheim, CA 92805 | 2019-03-04 |
| 1972087740 | Jehanzeb Shahab Khairi | Behavior Technician | 3101 E Orangewood Ave, Anaheim, CA 92805 | 2018-09-18 |
| 1033693825 | Baotran Minh Le | Behavior Technician | 3101 E. Orangewood Ave., Anaheim, CA 92805 | 2018-09-18 |
| 1841778354 | Jonathan Besuamlak | Behavior Technician | 1301 E. Orangewood Ave., Anaheim, CA 92805 | 2018-08-06 |
| 1700364973 | Erica Vanderlinden | Behavioral Analyst | 1301 East Orangewood Avenue, Anaheim, CA 92805 | 2018-07-31 |
| 1578054391 | Us Care Transportation LLC | Non-emergency Medical Transport (VAN) | 248 S Seneca Cir, Anaheim, CA 92805 | 2018-05-29 |
| 1578081691 | Christopher Mills | Counselor | 1025 S. Anaheim Blvd, Anaheim, CA 92805 | 2017-09-08 |
| Find all providers in zip 92805 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326514084 | Nancy Wu | Nurse Practitioner | 2111 E Ball Rd, Anaheim, CA 92806-5127 | 2018-10-22 |
| 1497242762 | George Leo R Olarte | Nurse Practitioner | 3417 W Canoga Pl Apt 1, Anaheim, CA 92804-2752 | 2018-04-21 |
| 1538680897 | Valerie Tagle | Nurse Practitioner | 6756 E Swarthmore Dr, Anaheim, CA 92807-5041 | 2017-06-27 |
| 1831404375 | Regina A Farhar | Nurse Practitioner | 3460 E La Palma Ave # 406, Anaheim, CA 92806-2020 | 2010-08-09 |
| 1285816488 | Victoria Morrison | Nurse Practitioner | 201 South Anaheim Boulevard, Anaheim Fire & Rescue, Anaheim, CA 92805-7853 | 2007-11-29 |
| 1437339637 | Angela Desai | Nurse Practitioner | 1673 W Broadway Ste 6, Anaheim, CA 92802-1109 | 2007-11-06 |
| 1750505053 | Susan S Lee | Nurse Practitioner | 411 North Lakeview Ave, Anaheim, CA 92807 | 2007-04-11 |
| 1881239341 | Reliacare Inc | Nurse Practitioner | 710 N Euclid St, Anaheim, CA 92801-4122 | 2019-11-08 |
| 1972155430 | Marie Anna Salazar | Nurse Practitioner | 1211 W La Palma Ave, Anaheim, CA 92801-2815 | 2019-07-15 |
| 1306310750 | Eliana Marquez | Nurse Practitioner | 300 W Carl Karcher Way, Anaheim, CA 92801-2426 | 2019-01-18 |
| Find all providers in ANAHEIM | ||||
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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.