JOHN K. MAYENO (NPI# 1609943828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609943828 |
| Entity Type | Individual |
| Full Name | JOHN K. MAYENO |
| Credential | MD |
| Practice Address |
13652 Cantara St Panorama City CA 91402-5423 |
| Practice Telephone | 8183752000 |
| Mailing Telephone | 8183752000 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2008-09-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
G76674 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568579092 | John K Mayeno | Family Medicine | 17900 Talbot Rd, S # 102, Renton, WA 98055 | 2006-08-23 |
| Street Address |
13652 CANTARA ST |
| City | PANORAMA CITY |
| State | CA |
| Zip Code | 91402-5423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578560496 | Daniel Tri Vu | Optometrist | 13652 Cantara St, Panorama City, CA 91402-5423 | 2005-07-07 |
| 1982201406 | Nabbin Sonny Chammachel | Physical Therapist | 13652 Cantara St, Panorama City, CA 91402-5423 | 2020-10-07 |
| 1467090092 | Yoo Kyung Hong | Pharmacist | 13652 Cantara St, Panorama City, CA 91402-5423 | 2019-12-13 |
| 1518513860 | Jane Therese Morejon | Social Worker | 13652 Cantara St, Panorama City, CA 91402-5423 | 2019-08-13 |
| 1023575206 | Kristina Steinbruner | Occupational Therapist | 13652 Cantara St, Panorama City, CA 91402-5423 | 2019-02-25 |
| 1437626272 | Michelle Harden | Respiratory Therapist, Registered | 13652 Cantara St, Panorama City, CA 91402-5423 | 2018-10-30 |
| 1548736861 | Vahe Ghazarian | Respiratory Therapist, Registered | 13652 Cantara St, Panorama City, CA 91402-5423 | 2018-10-15 |
| 1366917197 | Julie Yoo | Pharmacist | 13652 Cantara St, Panorama City, CA 91402-5423 | 2018-10-08 |
| 1801361639 | Flavius Lucian Baiesc | Pharmacist | 13652 Cantara St, Panorama City, CA 91402-5423 | 2018-10-08 |
| 1447725361 | Vikram Sehdev | Respiratory Therapist, Registered | 13652 Cantara St, Panorama City, CA 91402-5423 | 2018-10-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457900979 | Natalie Levine | Physician Assistant | 9140 Van Nuys Blvd Ste 207, Panorama City, CA 91402 | 2019-09-06 |
| 1609423912 | Jannet De La Torre | Student in an Organized Health Care Education/Training Program | 8018 Broadleaf Ave., Panorama City, CA 91402 | 2019-08-21 |
| 1659838258 | Carlota Andon | Psychologist | 14907 Willard St., Panorama City, CA 91402 | 2019-03-01 |
| 1477037471 | Lisa Diaz | Respiratory Therapist, Registered | 13651 Cantara St, Panorama City, CA 91402 | 2018-09-17 |
| 1124500665 | Luis Valentine Ascencio Jr. | Respiratory Therapist, Certified | Southern Calif. Kaiser Permanente Hospital, 8110 Woodman Ave Building 5, Panorama City, CA 91402 | 2018-08-31 |
| 1669951562 | Floyd Bailey | Respiratory Therapist, Registered | 8110 Woodman Ave Bldg 5, Panorama City, CA 91402 | 2018-08-10 |
| 1265910285 | St. Rita's Congregate, Inc. | Nursing Facility/Intermediate Care Facility | 7818 Allott Ave, Van Nuys, CA 91402 | 2018-08-01 |
| 1255834370 | Bishoy Saad | Student in an Organized Health Care Education/Training Program | 8435 Minuet Pl, Panorama City, CA 91402 | 2018-03-15 |
| 1376080309 | International Pre-diabetes Center Inc | Registered Nurse | 14500 Roscoe Blvd., 4th Floor, 4th Floor, Panorama City, CA 91402 | 2017-01-29 |
| 1023489176 | Jane Ryang | Pharmacist | 13652 Cantara Street, Mo4 Room 105, Panorama City, CA 91402 | 2015-10-15 |
| Find all providers in zip 91402 | ||||
| Taxonomy Code | 207YX0007X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Plastic Surgery within the Head & Neck |
| An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy is currently provided in the subspecialty of Otolaryngology/Facial Plastic Surgery (see Taxonomy Code 207YX0905X) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073662359 | Shelley C. Hill | Otolaryngology | 13652 Cantara St, Panorama City, CA 91402-5423 | 2007-01-09 |
| 1962550947 | Barry C. Levin | Otolaryngology | 13652 Cantara St, Panorama City, CA 91402-5423 | 2007-01-08 |
| 1548329154 | Denise Dru | Otolaryngology | 13652 Cantara St, Panorama City, CA 91402-5423 | 2006-12-08 |
| 1710046396 | Juan Francisco Moscoso | Otolaryngology | 13652 Cantara St, Panorama City, CA 91402-5423 | 2006-12-08 |
| 1104993922 | Christopher Trent | Otolaryngology | 13652 Cantara St, Panorama City, CA 91402-5423 | 2006-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770041881 | Robotic Brain and Spine Institute Inc | Otolaryngology | 9201 W Sunset Blvd Ste 405, Los Angeles, CA 90069-3705 | 2019-03-07 |
| 1447500269 | Esrafil Abedi Md A Professional Corporation | Otolaryngology | 23961 Calle Magdalena St, 430, Laguna Hills, CA 92653-3685 | 2012-09-19 |
| 1184971194 | Gabriel Gabarain | Otolaryngology | 4646 Brockton Ave Ste 201, Riverside, CA 92506 | 2012-08-08 |
| 1154636769 | Louis G. Brennan | Otolaryngology | 4 Leicester Ct, Laguna Niguel, CA 92677-9380 | 2010-08-09 |
| 1568783470 | Dana Kristopher Petersen | Otolaryngology | 1001 Potrero St, San Francisco General Hospital, San Francisco, CA 94110 | 2010-06-15 |
| 1275784233 | Stephen Wayne Hargett | Otolaryngology | 1200 North State St., Los Angeles, CA 90033 | 2008-10-08 |
| 1568664548 | Geoffrey Arthur Smith | Otolaryngology | 7910 Frost St # 420, San Diego, CA 92123-2771 | 2007-06-03 |
| 1831319326 | Shamit Chopra | Otolaryngology | 2521 Stockton Blvd Ste 7200, Sacramento, CA 95817-2207 | 2007-04-26 |
| 1194941641 | Ronaldo A Ballecer | Otolaryngology | 540 E Herndon Ave Ste 105, Suite 105, Fresno, CA 93720-2993 | 2007-04-17 |
| 1669515862 | Kaniff Cosmetic Medical Center, Inc | Otolaryngology | 631 Fulton Ave, Sacramento, CA 95825-4813 | 2007-02-15 |
| Find all providers with the same taxonomy | ||||
| City | PANORAMA CITY |
| Zip Code | 91402 |
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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.