GORDON GUNN M.D INC A MEDICAL CORPORATION (NPI# 1518302777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518302777 |
| Entity Type | Organization |
| Organization Name | GORDON GUNN M.D INC A MEDICAL CORPORATION |
| Practice Address |
100 E Valencia Mesa Dr # 215 Fullerton CA 92835-3813 |
| Mailing Address |
100 E. Valencia Mesa Dr #215 Fullerton CA 92835-3800 |
| Practice Telephone | 7149122211 |
| Practice Fax Number | 7142138750 |
| Mailing Telephone | 7149122211 |
| Mailing Fax Number | 7142138750 |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2013-05-01 |
| Authorized Official Name | JUDITH WERTS (ADMINISTRATOR) |
| Authorized Official Telephone | 7149122211 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | C27175 | CA | Other Service Providers |
| Street Address |
100 E VALENCIA MESA DR # 215 |
| City | FULLERTON |
| State | CA |
| Zip Code | 92835-3813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891795449 | Raed Ali | Orthopaedic Surgery | 100 E Valencia Mesa Dr, Suite 310, Fullerton, CA 92835-3813 | 2005-07-26 |
| 1083088678 | Monica Martyn | Dietitian, Registered | 100 E Valencia Mesa Dr, Suite 111, Fullerton, CA 92835-3813 | 2015-11-19 |
| 1972991149 | Megan Somerville Wroe | Dietitian, Registered | 100 E Valencia Mesa Dr, Suite 111, Fullerton, CA 92835-3813 | 2014-12-22 |
| 1457750762 | Linda Cox | Registered Nurse | 100 E Valencia Mesa Dr, Suite 111, Fullerton, CA 92835-3813 | 2014-08-22 |
| 1952700320 | Cynthia Crystal Carrasco-gonzalez | Registered Nurse | 100 E Valencia Mesa Dr, Suite 111, Fullerton, CA 92835-3813 | 2014-08-21 |
| 1548697311 | Theodore Pastrana Md., Apc | Preferred Provider Organization | 100 E Valencia Mesa Dr, Ste. 100, Fullerton, CA 92835-3813 | 2013-10-10 |
| 1831526953 | Kathryn V Woeckener | Dietitian, Registered | 100 E Valencia Mesa Dr, Suite 105, Fullerton, CA 92835-3813 | 2013-10-03 |
| 1588001267 | Ricarda Benz Md, Inc | Obstetrics & Gynecology | 100 E Valencia Mesa Dr, Suite 215, Fullerton, CA 92835-3813 | 2013-06-04 |
| 1770831521 | Aileen Sabio Estrada | Physician Assistant | 100 E Valencia Mesa Dr, Suite 310, Fullerton, CA 92835-3813 | 2012-08-28 |
| 1053682971 | Bowen Jiang | Neurological Surgery | 100 E Valencia Mesa Dr, Fullerton, CA 92835-3813 | 2012-01-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538774302 | Natalie Baugh | Nutritionist | 333 W Bastanchury Rd 110, Fullerton, CA 92835 | 2020-09-09 |
| 1073127098 | Cecile Mae Sam | Physical Therapist | 2932 Clover Ct, Fullerton, CA 92835 | 2020-09-08 |
| 1861966087 | Kimson F Johnston | Marriage & Family Therapist | 1370 Brea Blvd Suite 210, Fullerton, CA 92835 | 2019-01-22 |
| 1134636327 | Michelle Harriman, Psychologist - A Professional Corporation | Psychologist | 1440 N Harbor Blvd Ste 808, Fullerton, CA 92835 | 2018-01-09 |
| 1659818631 | Jacqueline Rene Miller | Specialist/Technologist | 2610 Associated Rd, Apt A4, Fullerton, CA 92835 | 2017-01-27 |
| 1912361106 | John Nathaniel Alvarez | Psychiatry & Neurology | 401 E Imperial Highway, Fullerton, CA 92835 | 2016-04-13 |
| 1083075030 | Advance Recovery Solution, LLC | Substance Abuse Rehabilitation Facility | 3744 N Hermosa Pl, Fullerton, CA 92835 | 2016-03-17 |
| 1467817981 | Michele Ledesma | Physical Therapy Assistant | 2800 N. Harbor Blvd., Fullerton, CA 92835 | 2015-12-29 |
| 1467820571 | Jonghan Kang | Acupuncturist | 1321 N Harbor Blvd Ste 205, Fullerton, CA 92835 | 2015-09-04 |
| 1265840987 | Allison Leigh Kennedy | Physician Assistant | 100 Laguna Rd Ste 208, Fullerton, CA 92835 | 2014-07-25 |
| Find all providers in zip 92835 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023586229 | Meyri Luisana Kroell | Specialist | 1438 S Highland Ave Apt J104, Fullerton, CA 92832-3502 | 2018-11-05 |
| 1730536871 | Audrey O'neill | Specialist | 1340 N Acacia Ave, Fullerton, CA 92831-1202 | 2016-05-18 |
| 1548565443 | Ailene Torio Ventress | Specialist | 3220 La Travesia Dr, Fullerton, CA 92835-1423 | 2011-01-24 |
| 1083928329 | Moises R. Carpio, M.d., Inc. | Specialist | 2271 W Malvern Ave, Suite 359, Fullerton, CA 92833-2106 | 2010-07-28 |
| 1639408602 | Jamie T Wiekamp | Specialist | 141 W Wilshire Ave, Ste C, Fullerton, CA 92832-1858 | 2009-12-21 |
| 1174769525 | Beverly Hendricks | Specialist | 1612 E Union Ave, Fullerton, CA 92831-2936 | 2009-01-06 |
| 1407068984 | Lynda Joy Trachtman | Specialist | 1535 Deerpark Drive, Fullerton, CA 92831 | 2007-05-04 |
| 1437217502 | Jackie R See | Specialist | 541 Riviera Ct, Fullerton, CA 92835-2729 | 2006-12-04 |
| 1306866462 | Eric Yoshihiro Waki | Specialist | 2240 N Harbor Blvd Ste 200, Fullerton, CA 92835-2635 | 2006-07-20 |
| 1528085537 | Christopher J Quilligan | Specialist | 1950 Sunnycrest Dr Ste 3800, Fullerton, CA 92835-3647 | 2006-07-16 |
| Find all providers in FULLERTON | ||||
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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.