V-TACH MEDICAL GROUP INC. (NPI# 1578501110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578501110 |
| Entity Type | Organization |
| Organization Name | V-TACH MEDICAL GROUP INC. |
| Practice Address |
301 Victoria St Costa Mesa CA 92627-1995 |
| Mailing Address |
506 16th St Huntington Beach CA 92648-4014 |
| Practice Telephone | 9496422734 |
| Mailing Telephone | (714) 374-9111 |
| Mailing Fax Number | 7143747311 |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | DR. KENNETH RICH (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7147475050 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
AO50272 | CA | Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6135 Vineland Ave, North Hollywood, CA 916064913 | 8187603778 | 8187603785 |
| Street Address |
301 VICTORIA ST |
| City | COSTA MESA |
| State | CA |
| Zip Code | 92627-1995 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811722 | Karen Ranei Tamayo Cabrera | Registered Nurse | 301 Victoria St, Costa Mesa, CA 92627-1995 | 2020-11-08 |
| 1871193029 | Jordan Francis Roberts | Registered Nurse | 301 Victoria St, Costa Mesa, CA 92627-7131 | 2020-10-27 |
| 1326653056 | December Loraine Shore | Registered Nurse | 301 Victoria St, Costa Mesa, CA 92627-7131 | 2020-09-10 |
| 1619586690 | Alexis Flora | Registered Nurse | 301 Victoria St, Costa Mesa, CA 92627-1995 | 2020-07-27 |
| 1396362489 | David Sallee | Registered Nurse | 301 Victoria St, Costa Mesa, CA 92627-1995 | 2020-07-06 |
| 1598382095 | Briana April Miller | Registered Nurse | 301 Victoria St, Costa Mesa, CA 92627-7131 | 2020-06-30 |
| 1770100364 | Debra Ruiz Aquino | Licensed Vocational Nurse | 301 Victoria St, Costa Mesa, CA 92627-1995 | 2020-06-29 |
| 1043836257 | Jeremy Quang Le | Social Worker | 301 Victoria St, Costa Mesa, CA 92627-1995 | 2020-06-23 |
| 1033741541 | Brian Jacobo | Social Worker | 301 Victoria St, Costa Mesa, CA 92627-1995 | 2020-02-12 |
| 1366073298 | Arthur Velante | Registered Nurse | 301 Victoria St, Costa Mesa, CA 92627-1995 | 2020-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407174 | Ryan Allen Merrell | Technician | 313 E. 17th Pl #l Costa Mesa, Costa Mesa, CA 92627 | 2020-11-04 |
| 1245703412 | Allure Transportation | Non-emergency Medical Transport (VAN) | 1835 Newport Blvd Ste 109 #110, Costa Mesa, CA 92627 | 2019-01-09 |
| 1750857686 | Living Success Center | Marriage & Family Therapist | 445 E. 17th Street, Suites D & E, Costa Mesa, CA 92627 | 2018-10-18 |
| 1790298909 | Akua Behavioral Health, Inc | Substance Abuse Rehabilitation Facility | 319-a University Drive, Costa Mesa, CA 92627 | 2017-11-09 |
| 1679086862 | Akua Behavioral Health, Inc | Substance Abuse Rehabilitation Facility | 319-b University Drive, Costa Mesa, CA 92627 | 2017-11-09 |
| 1245759018 | Surgical Assistant Associates | Clinic/Center | 186 E. 16th Street, Suite C, Costa Mesa, CA 92627 | 2017-09-13 |
| 1366962334 | Guadalupe A. Mejia Dental Corp. | Dentist | 700 W 19th St., Suite C, Costa Mesa, CA 92627 | 2017-06-21 |
| 1386189033 | Jian Yi Ye | Acupuncturist | 2488 Newport Blvd Ste B1, Costa Mesa, CA 92627 | 2017-01-04 |
| 1144764606 | Michele Marie Patton | Dental Hygienist | 2220 Fairview Rd., Costa Mesa, CA 92627 | 2016-12-18 |
| 1881148500 | Valerie Nguyen | Pharmacist | 1835 Newport Blvd # C, Costa Mesa, CA 92627 | 2016-08-10 |
| Find all providers in zip 92627 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598902660 | Costa Mesa Medical Clinic | Clinic/Center | 745 W 19th St Ste F, Costa Mesa, CA 92627-3536 | 2009-01-12 |
| 1114459302 | Strongkids Medical Group, Inc. | Clinic/Center | 136 Broadway, Costa Mesa, CA 92627-2818 | 2017-03-28 |
| 1528465762 | Sano Medical Clinic | Clinic/Center | 700 W 19th St, Costa Mesa, CA 92627-3517 | 2014-12-03 |
| 1528195716 | Childrens Hospital of Orange County | Clinic/Center | 136 Broadway, Costa Mesa, CA 92627-2818 | 2007-02-27 |
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| Find all providers with the same taxonomy | ||||
| City | COSTA MESA |
| Zip Code | 92627 |
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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.