PHET YOON TEJAVANIJA (NPI# 1578554986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578554986 |
| Entity Type | Individual |
| Full Name | PHET YOON TEJAVANIJA |
| Other Name | PHET TEJAVANIJA |
| Credential | M.D. |
| Practice Address |
24355 Lyons Ave Suite 210 Newhall CA 91321-2300 |
| Mailing Address |
777 Flower St Suite A Glendale CA 91201-3015 |
| Practice Telephone | 6612229381 |
| Practice Fax Number | 6612222264 |
| Mailing Telephone | 8186372000 |
| Mailing Fax Number | 8182428761 |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2019-02-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A89277 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A892770 | 05 |
| Street Address |
24355 LYONS AVE SUITE 210 |
| City | NEWHALL |
| State | CA |
| Zip Code | 91321-2300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538433370 | Coleen A Harkins | Nurse Practitioner | 24355 Lyons Ave, Newhall, CA 91321-2300 | 2012-02-24 |
| 1073634200 | Chad Cox, M.d. | Family Medicine | 24355 Lyons Ave, #130, Newhall, CA 91321-2300 | 2007-04-03 |
| 1306962519 | James R Weagley, Md, Inc. | Family Medicine | 24355 Lyons Ave, Suite 130, Newhall, CA 91321-2300 | 2007-03-21 |
| 1265599815 | William Dennis Pagliano | Podiatrist | 24355 Lyons Ave, 110, Newhall, CA 91321-2300 | 2007-01-02 |
| 1215018502 | Gregory Dean Jenkins | Family Medicine | 24355 Lyons Ave, #130, Newhall, CA 91321-2300 | 2006-10-17 |
| 1144252560 | Gregory Jenkins, M.d. | Emergency Medicine | 24355 Lyons Ave, Suite 130, Newhall, CA 91321-2300 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275157265 | Lauren Tolcher | Behavioral Analyst | 23502 Lyons Avenue, Suite 304a, Santa Clarita, CA 91321 | 2020-06-04 |
| 1427613900 | Weston William Lensing | Behavior Technician | 3502 Lyons Ave, Ste 304a, Santa Clarita, CA 91321 | 2019-05-09 |
| 1174005003 | Eparthenos | Psychologist | 23504 Lyons Ave #304, Santa Clarita, CA 91321 | 2018-09-06 |
| 1740761105 | The Center for Creative Therapy, Inc | Marriage & Family Therapist | 23030 Lyons Ave Ste 207, Santa Clarita, CA 91321 | 2018-08-23 |
| 1982196879 | Brandi Wright-dohopolski | Acupuncturist | 27820 Freemont Court, Unit 5, Suite E, Valencia, CA 91321 | 2018-06-06 |
| 1780113209 | Jennifer Ann Woods | Physician Assistant | 23645 Meadowridge Drive, 110, Newhall, CA 91321 | 2017-06-08 |
| 1942661624 | Sina Tebi Md Inc | Internal Medicine | 23938 Lyons Avenue, #204, Newhall, CA 91321 | 2016-03-09 |
| 1720452220 | Julie Kim | Pharmacist | 26863 Sierra Hwy, Santa Clarita, CA 91321 | 2015-11-20 |
| 1568855773 | Carly Nikiforuk | Counselor | 24625 Arch St., Newhall, CA 91321 | 2015-03-12 |
| 1437562741 | Teresa Cha Waggoner | Nurse Practitioner | 23772 Newhall Avenue, Newhall, CA 91321 | 2014-06-04 |
| Find all providers in zip 91321 | ||||
| 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 |
|---|---|---|---|---|
| 1134200454 | James Robert Weagley | Family Medicine | 24355 Lyons Ave Ste 130, Newhall, CA 91321-2323 | 2006-10-17 |
| 1073634200 | Chad Cox, M.d. | Family Medicine | 24355 Lyons Ave, #130, Newhall, CA 91321-2300 | 2007-04-03 |
| 1306962519 | James R Weagley, Md, Inc. | Family Medicine | 24355 Lyons Ave, Suite 130, Newhall, CA 91321-2300 | 2007-03-21 |
| 1326103169 | David Eugene Mysko | Family Medicine | 23928 Lyons Ave, Suite #201, Newhall, CA 91321-2409 | 2006-12-22 |
| 1215018502 | Gregory Dean Jenkins | Family Medicine | 24355 Lyons Ave, #130, Newhall, CA 91321-2300 | 2006-10-17 |
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| 1902407711 | Prohealth Partners A Medical Group | Family Medicine | 3700 Katella Ave Ste D, Los Alamitos, CA 90720-6410 | 2020-11-06 |
| 1831790112 | Universal Healthcare Services, Inc. | Family Medicine | 6025 Niles St, Bakersfield, CA 93306-4696 | 2020-11-04 |
| 1568063923 | Claude Kathy Marquis | Family Medicine | 400 S June St, Los Angeles, CA 90020-4812 | 2020-11-03 |
| 1417558842 | San Judas Tadeo Medical Group, Inc. | Family Medicine | 1000 S La Brea Ave Ste 2, Inglewood, CA 90301-3869 | 2020-11-03 |
| 1174123038 | Socal Medical Center., Inc. | Family Medicine | 1350 E Los Angeles Ave Ste 204, Simi Valley, CA 93065-2860 | 2020-10-29 |
| 1205435864 | Montana Affinity LLC | Family Medicine | 820 N Mountain Ave Ste 103, Upland, CA 91786-4163 | 2020-10-23 |
| 1861091126 | Silvia Diego Md Inc A Professional Medical Corp | Family Medicine | 1317 Oakdale Rd Ste 100, Modesto, CA 95355-3362 | 2020-10-19 |
| 1245838879 | Lalaine Talagtag Smith | Family Medicine | 919 Mariner Dr Apt C, Mountain View, CA 94043-3372 | 2020-10-15 |
| 1417554023 | Hameed A. Khan, M.d., Inc. | Family Medicine | 3655 Lomita Blvd Ste 421, Torrance, CA 90505-1934 | 2020-10-06 |
| 1073120085 | Garrison Family Medical Group Inc | Family Medicine | 41210 11th St W Ste C, Palmdale, CA 93551-1447 | 2020-09-24 |
| 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.