PALLIATIVE CARE SPECIALISTS INC (NPI# 1568522365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568522365 |
| Entity Type | Organization |
| Organization Name | PALLIATIVE CARE SPECIALISTS INC |
| Other Organization Name | PALLIATIVE CARE SPECIALISTS |
| Practice Address |
3130 S Harbor Blvd Ste 270 Santa Ana CA 92704-6824 |
| Practice Telephone | 7146198793 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | TROY SMITH (OFFICE MANAGER) |
| Authorized Official Telephone | 7146198793 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | ========= | CA | Managed Care Organizations |
| Other Name | Type Code |
|---|---|
| Palliative Care Specialists | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659512788 | Palliative Care Specialists Inc | General Practice | 3401 W Sunflower Ave, Suite 250, Santa Ana, CA 92704-6948 | 2009-03-19 |
| Street Address |
3130 S HARBOR BLVD STE 270 |
| City | SANTA ANA |
| State | CA |
| Zip Code | 92704-6824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649208760 | Maria Veles Cachola | Nurse Practitioner | 3130 S Harbor Blvd, Suite 250, Santa Ana, CA 92704-6824 | 2006-06-29 |
| 1861680555 | Li Yao | Nurse Practitioner | 3130 S Harbor Blvd, Suite 250, Santa Ana, CA 92704-6824 | 2007-10-09 |
| 1952528788 | Care Dimensions - Nevada LLC | Durable Medical Equipment & Medical Supplies | 3130 S Harbor Blvd, Suite 270, Santa Ana, CA 92704-6824 | 2007-04-20 |
| 1538296686 | Lioudmila Koudrina | Nurse Practitioner | 3130 S Harbor Blvd, Ste 250, Santa Ana, CA 92704-6824 | 2007-02-27 |
| 1326194689 | Elizabeth J Ortega | Nurse Practitioner | 3130 S Harbor Blvd, Santa Ana, CA 92704-6824 | 2007-01-26 |
| 1861565012 | Mary E Bassham | Nurse Practitioner | 3130 S Harbor Blvd, 250, Santa Ana, CA 92704-6824 | 2006-11-16 |
| 1881767895 | Jounghwa Ko | Nurse Practitioner | 3130 S Harbor Blvd, 250, Santa Ana, CA 92704-6824 | 2006-11-16 |
| 1336218734 | Jefferson Aquino Bautista | Nurse Practitioner | 3130 S Harbor Blvd, 250, Santa Ana, CA 92704-6824 | 2006-11-07 |
| 1821167214 | Venus Macias Marin | Nurse Practitioner | 3130 S Harbor Blvd, 250, Santa Ana, CA 92704-6824 | 2006-11-07 |
| 1144304569 | Norina Lora Nillas | Registered Nurse | 3130 S Harbor Blvd, 250, Santa Ana, CA 92704-6824 | 2006-10-24 |
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| 1215414024 | Sonia Molina | Dietitian, Registered | 2100 W Alton Ave Ste 2, Santa Ana, CA 92704 | 2018-07-24 |
| 1558854612 | Laura Fessler | Nurse Practitioner | 3501 S. Harbor Blvd, Santa Ana, CA 92704 | 2018-06-12 |
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| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
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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.