STEPHEN JOHN IERARDI (NPI# 1548308836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548308836 |
| Entity Type | Individual |
| Full Name | STEPHEN JOHN IERARDI |
| Credential | MD |
| Practice Address |
24422 Avenida De La Carlota Ste 272 Laguna Hills CA 92653-3648 |
| Practice Telephone | 9492826500 |
| Practice Fax Number | 9492826501 |
| Mailing Telephone | 9492826500 |
| Mailing Fax Number | 9492826500 |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2018-12-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | G63246 | CA | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | G63246 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 24411 Health Center Dr, Suite 670, Laguna Hills, CA 926533651 | 9494527755 | 9494527750 |
| Street Address |
24422 AVENIDA DE LA CARLOTA STE 272 |
| City | LAGUNA HILLS |
| State | CA |
| Zip Code | 92653-3648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336288745 | Saddleback Family Medicine | Family Medicine | 24422 Avenida De La Carlota Ste 272, Laguna Hills, CA 92653-3648 | 2007-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708476 | Nikkie Veyseh | Behavior Technician | 26921 Falling Leaf Dr., Laguna Hills, CA 92653 | 2020-10-24 |
| 1609480425 | Steve Ceja | Behavior Technician | 25201 Paseo De Alicia Suite 110, Laguna Hills, CA 92653 | 2020-08-31 |
| 1467006882 | Kristina Alexa Puno Morales | Dietitian, Registered | 24552 Health Center Drive, Laguna Hills, CA 92653 | 2019-07-25 |
| 1164929626 | Shoreline Consulting Services, Inc. | Clinic/Center | 23010 Lake Forest Drive, Suite B, Laguna Hills, CA 92653 | 2018-04-11 |
| 1023511045 | Performance Health Medical Group | Non-Pharmacy Dispensing Site | 25431 Cabot Road Suite 118, Laguna Hills, CA 92653 | 2018-03-15 |
| 1831613850 | Stephani A Berg | Physical Medicine & Rehabilitation | 24422 Avenida De La Carlota Suite 190, Laguna Hills, CA 92653 | 2017-08-01 |
| 1497299945 | Stephanie Lyle | Nurse Practitioner | 24221 Calle De Louisa, Suite 400, Laguna Hills, CA 92653 | 2016-12-16 |
| 1053776278 | Meillanny Gladness | Counselor | 23151 Verdugo Dr Ste 203, Laguna Hills, CA 92653 | 2015-12-16 |
| 1912383183 | Pmdca, LLC | Clinical Medical Laboratory | 23297 S Pointe Dr Ste 100, Laguna Hills, CA 92653 | 2015-08-10 |
| 1821486630 | 4mpw, Inc. | Home Health | 23232 Peralta Drive 216, Laguan Hills, CA 92653 | 2014-12-31 |
| Find all providers in zip 92653 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780218958 | Moeller Naturopathic Medicine, Inc | Family Medicine | 25301 Cabot Rd Ste 103, Laguna Hills, CA 92653-5511 | 2020-02-26 |
| 1417343690 | Physician Associates Medical Group, Inc | Family Medicine | 23183 La Cadena Dr Ste 103, Laguna Hills, CA 92653-1449 | 2015-04-14 |
| 1841622016 | Prohealth Partners A Medical Group | Family Medicine | 23181 La Cadena Dr Ste 101, Laguna Hills, CA 92653-1479 | 2013-07-30 |
| 1922247634 | Ghazvini Md,inc | Family Medicine | 23961 Calle De La Magdalena # 430, Laguna Hills, CA 92653 | 2009-02-19 |
| 1477690154 | Doctors Care Medical Group Inc. | Family Medicine | 26534 Moulton Pkwy Ste E, Laguna Hills, CA 92653-8241 | 2007-01-31 |
| 1902979511 | Laguna Medical Care Inc | Family Medicine | 25431 Cabot Road, Suite #205, Laguna Hills, CA 92653 | 2006-11-15 |
| 1104902378 | Shahrokh Poormehr | Family Medicine | 24953 Paseo De Valencia, #22a, Laguna Hills, CA 92653 | 2006-10-31 |
| 1881662690 | Henry Leung | Family Medicine | 24801 Alicia Pkwy, Suite C, Laguna Hills, CA 92653-4654 | 2006-03-08 |
| 1316934284 | Judy Minh-hang Huynh | Family Medicine | 25401 Cabot Rd Ste 101, Laguna Hills, CA 92653-5513 | 2005-10-05 |
| 1427610138 | Oc Family & Industrial Practice | Family Medicine | 25431 Cabot Rd Ste 118, Laguna Hills, CA 92653-5527 | 2019-07-02 |
| Find all providers in LAGUNA HILLS | ||||
| City | LAGUNA HILLS |
| Zip Code | 92653 |
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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.