ALI ETESSAM (NPI# 1558403733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558403733 |
| Entity Type | Individual |
| Full Name | ALI ETESSAM |
| Credential | D.P.T. |
| Practice Address |
62 Corporate Park Irvine CA 92606-3122 |
| Practice Telephone | 9492077377 |
| Practice Fax Number | 9492073227 |
| Mailing Telephone | 9492077377 |
| Mailing Fax Number | 9492073227 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2014-05-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | PT20329 | CA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PT0203290 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053620609 | Ali Etessam | Dentist | 1575 Pine Ridge Rd, Suite 18, Naples, FL 34109-2107 | 2010-09-30 |
| Street Address |
62 CORPORATE PARK |
| City | IRVINE |
| State | CA |
| Zip Code | 92606-3122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376583120 | Mohsen S Alinaghian | Optometrist | 62 Corporate Park, Irvine, CA 92606-3131 | 2006-06-08 |
| 1447798178 | Chunzhu Yu Dds,inc | Dentist | 62 Corporate Park, Ste 215, Irvine, CA 92606-3122 | 2017-02-01 |
| 1518331859 | Jin Joo Park | Acupuncturist | 62 Corporate Park, Suite 130, Irvine, CA 92606-3122 | 2015-11-24 |
| 1902225212 | New Light Physical Therapy and Wellness Center Inc. | Clinic/Center | 62 Corporate Park, Suite # 235, Irvine, CA 92606-3122 | 2014-04-15 |
| 1003168626 | Peter C. Kim, D.p.m. | Podiatrist | 62 Corporate Park, 245, Irvine, CA 92606-3122 | 2012-10-05 |
| 1659609683 | Advanced Hearing Services Inc. | Audiologist | 62 Corporate Park, Suite 112, Irvine, CA 92606-3122 | 2009-12-02 |
| 1588895684 | Won Il Yoon Chiropractic Inc. | Chiropractor | 62 Corporate Park, Suite 115, Irvine, CA 92606 | 2009-08-06 |
| 1568617587 | Peter Robertson Sumarsono | Dentist | 62 Corporate Park, Barranca Medical Plaza, Suite 200, Irvine, CA 92606 | 2008-11-18 |
| 1932357340 | Hyesun Kim, M.d., Inc. | General Practice | 62 Corporate Park, Suite 125, Irvine, CA 92606-3122 | 2008-08-28 |
| 1841483740 | Shahnaz Bonyanpoor | Dentist | 62 Corporate Park, Suite 135, Irvine, CA 92606-3122 | 2007-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912384967 | Roxanne Betancourt | Behavioral Analyst | 16782 Von Karman Avenue Suite 11, Irvine, CA 92606 | 2015-04-29 |
| 1942552096 | East Haradin | Acupuncturist | 3 Corporate Park, Irvine, CA 92606 | 2012-10-12 |
| 1730434622 | Fountain Modern Dentistry and Orthodontics, LLP | Dentist | 2860 Michelle Drive 2nd Floor, Irvine, CA 92606 | 2012-07-17 |
| 1205100898 | Maria Del Pilar Aguero | Marriage & Family Therapist | 20 Corporate Park #118, Irvine, CA 92606 | 2012-02-29 |
| 1013292077 | Hanah &health, Inc. | Acupuncturist | 2691 Richter Ave Suite 120, Irvine, CA 92606 | 2011-10-20 |
| 1831474345 | Elham Shoja | Psychologist | 8 Corporate Park Suite 300, Irvine, CA 92606 | 2011-10-15 |
| 1154631869 | Frances Lam | Acupuncturist | 2400 Alton Ave., Ste. 208, Irvine, CA 92606 | 2010-10-15 |
| 1174848055 | Oc Physical Therapy Corporation | Clinic/Center | 62 Coporate Park, 145, Irvine, CA 92606 | 2010-04-02 |
| 1770714941 | Yuhong She | Obstetrics & Gynecology | 3500 Barranca Parkway, Ste. 230, Irvine, CA 92606 | 2009-08-05 |
| 1235396136 | Kevin K Lim | Dentist | 16525 Von Karman Ave, #f, Irvine, CA 92606 | 2008-05-19 |
| Find all providers in zip 92606 | ||||
| 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 |
|---|---|---|---|---|
| 1093169328 | Bing Chou | Specialist | 1 Waterway, Irvine, CA 92614-7092 | 2016-04-22 |
| 1578935391 | Recovery & Rehabilitation Medical Group, P.C. | Specialist | 17901 Von Karman Ave, 600, Irvine, CA 92614-6297 | 2015-10-21 |
| 1255711248 | Ka Yiu Wong | Specialist | 9 Oroville, Irvine, CA 92602-0923 | 2015-06-04 |
| 1619354834 | Ca1comp | Specialist | 14252 Culver Dr # 719, Irvine, CA 92604-0317 | 2015-04-27 |
| 1245630607 | Global Transitional Care, LLC | Specialist | 2 Executive Cir Ste 100, Irvine, CA 92614-6770 | 2014-09-03 |
| 1881000214 | Laurie Cohen | Specialist | 49 Washington, Irvine, CA 92606-1758 | 2014-07-07 |
| 1285040824 | Access California Imaging Medical Group | Specialist | 512 Luminous, Irvine, CA 92603-4263 | 2014-07-03 |
| 1609281328 | Patricia Brenn | Specialist | 17851 Arbor Ln, Irvine, CA 92612-2801 | 2014-06-23 |
| 1265792543 | Siu Wa Tang | Specialist | N Campus Psychiatry Zot 1681, University of California Irvine, Irvine, CA 92697-1681 | 2012-05-21 |
| 1033481973 | Non-invasive Pain Treatment PC | Specialist | 18101 Von Karman Ave Ste 300, Irvine, CA 92612-1012 | 2012-02-08 |
| Find all providers in IRVINE | ||||
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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.