SIMON MADORSKY M.D A MEDICAL CORPORATION (NPI# 1548407455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548407455 |
| Entity Type | Organization |
| Organization Name | SIMON MADORSKY M.D A MEDICAL CORPORATION |
| Practice Address |
1140 W La Veta Ave Suite 515 Orange CA 92868-4223 |
| Mailing Address |
Po Box 15788 Newport Beach CA 92659-5788 |
| Practice Telephone | 7149536928 |
| Practice Fax Number | 7145438804 |
| Mailing Telephone | 9495744638 |
| Mailing Fax Number | 9495744680 |
| Enumeration Date | 2009-01-14 |
| Last Update Date | 2012-01-31 |
| Authorized Official Name | SIMON J MADORSKY (OWNER) |
| Authorized Official Telephone | 7145432000 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
A50075 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417108556 | Simon Madorsky M.d A Medical Corporation | Otolaryngology | 180 Newport Center Dr, Suite 158, Newport Beach, CA 92660-6972 | 2008-10-07 |
| Street Address |
1140 W LA VETA AVE SUITE 515 |
| City | ORANGE |
| State | CA |
| Zip Code | 92868-4223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225031735 | Mark A. George | Dentist | 1140 W La Veta Ave, Ste 530, Orange, CA 92868-4227 | 2005-05-31 |
| 1356878052 | Pavilion Surgery Center LLC | Clinic/Center | 1140 W La Veta Ave, Orange, CA 92868-4225 | 2017-05-12 |
| 1639555394 | Uc Irvine Cardiopulmonary Clinic | Clinic/Center | 1140 W La Veta Ave, Suite 750, Orange, CA 92868-4225 | 2015-08-05 |
| 1437538485 | Jessica Gaeta Weaver | Registered Nurse | 1140 W La Veta Ave, Orange, CA 92868 | 2015-05-22 |
| 1114349701 | Uc Irvine Cardiopulmonary Clinic | Clinic/Center | 1140 W La Veta Ave, Suite 750, Orange, CA 92868-4225 | 2014-01-15 |
| 1841626702 | Nancy Berard-shuman | Occupational Therapist | 1140 W La Veta Ave, Suite 860, Orange, CA 92868-4225 | 2013-09-23 |
| 1215238522 | Jeffrey M. Johnsrud, A Medical Corporation | Specialist | 1140 W La Veta Ave, Suite 760, Orange, CA 92868-4223 | 2010-11-03 |
| 1962631101 | Aidan Rupert Raney | Internal Medicine | 1140 W La Veta Ave, Ste 430, Orange, CA 92868-4225 | 2009-07-09 |
| 1417181470 | Teresa H Garcia, M.d., Inc | Clinic/Center | 1140 W La Veta Ave, Suite 480, Orange, CA 92868-4223 | 2009-05-06 |
| 1962636928 | Lilly F Ramirez-boyd, M.d., Inc | Clinic/Center | 1140 W La Veta Ave, Suite 410, Orange, CA 92868-4223 | 2009-05-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346859386 | Sadaf Abrishami | Pharmacist | 101 The City Dr S., Orange, CA 92868 | 2020-07-27 |
| 1245869825 | Helena Yijia Hong | Student in an Organized Health Care Education/Training Program | Uci Medical Center, 101 The City Drive, Orange, CA 92868 | 2020-04-06 |
| 1932736527 | Joshua Kristopher Livingston | Student in an Organized Health Care Education/Training Program | 101 The City Dr S, Rte. 128-01, Orange, CA 92868 | 2020-03-24 |
| 1831725894 | Michelle Brown | Student in an Organized Health Care Education/Training Program | 101 The City Dr S. Rte 128-01, Orange, CA 92868 | 2020-03-20 |
| 1093363491 | Kristin Lee | Pharmacist | 132 S. Anita Dr., Orange, CA 92868 | 2019-08-28 |
| 1740834217 | Matthew Brian Mecheal | Dentist | 725 W. La Veta Suite 260, Orange, CA 92868 | 2019-08-01 |
| 1245897990 | Brent Tyler Louie | Student in an Organized Health Care Education/Training Program | 101 The City Drive South Building 3, Route 88, Neuropsychiatric Center Uc Irvine Medical Center, Orange, CA 92868 | 2019-05-28 |
| 1093277972 | Danielle Amato | Student in an Organized Health Care Education/Training Program | Uc Irvine Health 101 The City Drive, City Tower, Ste 40, Orange, CA 92868 | 2019-04-01 |
| 1851852206 | Julia Ting Bu | Student in an Organized Health Care Education/Training Program | Uc Irvine Health, 101 The City Drive, City Tower, Ste 400, Orange, CA 92868 | 2019-03-28 |
| 1326507344 | Harrison Beene Lowder | Student in an Organized Health Care Education/Training Program | 505 S. Main St, Suite 525, Orange, CA 92868 | 2019-03-19 |
| Find all providers in zip 92868 | ||||
| Taxonomy Code | 207YS0123X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Facial Plastic Surgery |
| An otolaryngologist who specializes in facial plastic surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate was, but is no longer issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073545968 | William Clay Cohen | Otolaryngology | 2501 E. Chapman Ave., Suite 401, Orange, CA 92869 | 2006-07-07 |
| 1467936831 | Johnny Mao, Md PC | Otolaryngology | 200 S Orange Center Rd, Orange, CT 06477-3349 | 2018-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114550498 | Hootan Zandifar Md Inc | Otolaryngology | 8920 Wilshire Blvd Ste 604, Beverly Hills, CA 90211-2006 | 2020-02-14 |
| 1548751183 | Farhad Ardesh Md Inc | Otolaryngology | 11620 Wilshire Blvd Ste 280, Los Angeles, CA 90025-1263 | 2018-05-18 |
| 1174943377 | Sunny Park Md, Inc | Otolaryngology | 901 Dover Dr Ste 126, Newport Beach, CA 92660-5546 | 2014-04-26 |
| 1154743987 | Keith Jay Wahl | Otolaryngology | 8735 Nottingham Pl, La Jolla, CA 92037-2129 | 2014-01-14 |
| 1295179570 | Ari Joseph Hyman | Otolaryngology | 16311 Ventura Blvd Ste 600, Encino, CA 91436-2134 | 2013-04-17 |
| 1710229893 | Zachary Calnan Fridirici | Otolaryngology | 2233 Post St Fl 3, San Francisco, CA 94115 | 2013-03-26 |
| 1376883975 | Su Mai | Otolaryngology | 13071 Brookhurst St Ste 150, Garden Grove, CA 92843-1024 | 2013-02-20 |
| 1710244892 | Meaghan Noud | Otolaryngology | 421 Post St Fl 14, San Francisco, CA 94102 | 2012-04-13 |
| 1508164500 | Dr. Sasha Maher D.o. | Otolaryngology | 10861 Cherry St Ste 106, Los Alamitos, CA 90720-5403 | 2011-03-01 |
| 1871804187 | Edwin E Breitenbach | Otolaryngology | 2601 Augusta, Tustin, CA 92782-1201 | 2010-07-01 |
| Find all providers with the same taxonomy | ||||
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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.