NATHANIEL GANDY LANE (NPI# 1528427994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528427994 |
| Entity Type | Individual |
| Full Name | NATHANIEL GANDY LANE |
| Credential | PA-C |
| Practice Address |
420 S. Bristol St. Santa Ana CA 92703 |
| Mailing Address |
420 S Bristol St Santa Ana CA 92703-4527 |
| Practice Telephone | 7145415252 |
| Mailing Telephone | 7145415252 |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2016-02-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
53182 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023314309 | Nathaniel Graham Lane | Emergency Medicine | 6451 Brentwood Stair Rd Ste 200, Fort Worth, TX 76112 | 2011-02-02 |
| Street Address |
420 S. BRISTOL ST. |
| City | SANTA ANA |
| State | CA |
| Zip Code | 92703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316580806 | F Rodef & B Yousefi Dental Corporation | Dentist | 100 N. Harbor Blvd Suite #c-7, Santa Ana, CA 92703 | 2019-10-28 |
| 1699283465 | Vinnie Quan Nguyen | Pharmacist | 941 Fair Way, Santa Ana, CA 92703 | 2018-01-16 |
| 1174058978 | Caroline Jo Dimatteo | Physician Assistant | 901 W Civic Center Clinic, Ste 120, Santa Ana, CA 92703 | 2017-04-29 |
| 1568823342 | Reina M Escolero | Registered Nurse | 1708 W. 12th Street, Santa Ana, CA 92703 | 2016-03-08 |
| 1285035626 | Elizabeth Nieto Patino | Specialist/Technologist | 4201 W 5th St #211, Santa Ana, CA 92703 | 2014-09-04 |
| 1790113108 | Monica Susie Kim | Acupuncturist | 100 N Harbor Blvd., Unit C-7, Santa Ana, CA 92703 | 2013-10-22 |
| 1730525833 | Ryan Hoida | Counselor | 1202 W Civic Dr, Santa Ana, CA 92703 | 2013-05-15 |
| 1861777625 | Minh Pharmacy | Pharmacy | 5110 Westminster Ave #b, Santa Ana, CA 92703 | 2011-10-12 |
| 1518241868 | James Shon | Acupuncturist | 1111 N. Bristol #j, Santa Ana, CA 92703 | 2011-10-05 |
| 1235466681 | Mehdi Mohammad Saghafi | Chiropractor | 1202 W First St., Santa Ana, CA 92703 | 2009-11-05 |
| Find all providers in zip 92703 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1497808497 | Ebrahim Mamour Jagne Sr. | Physician Assistant | 1329 E 1st St, Santa Ana, CA 92701-6310 | 2007-01-21 |
| 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.