SARA GHANNADI (NPI# 1619343654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619343654 |
| Entity Type | Individual |
| Full Name | SARA GHANNADI |
| Credential | PA-C |
| Practice Address |
3195 Harbor Blvd Costa Mesa CA 92626-2514 |
| Practice Telephone | 7142630227 |
| Practice Fax Number | 7142630231 |
| Mailing Telephone | 7142630227 |
| Enumeration Date | 2015-08-13 |
| Last Update Date | 2019-05-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 52662 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10028 Adams Ave # B-1, Huntington Beach, CA 926464905 | 7149634398 | 7149634613 |
| Street Address |
3195 HARBOR BLVD |
| City | COSTA MESA |
| State | CA |
| Zip Code | 92626-2514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922184076 | Stella D Pollack | Family Medicine | 3195 Harbor Blvd, Suite 3, Costa Mesa, CA 92626-2514 | 2006-10-31 |
| 1578965455 | Hernina Figueroa | Physician Assistant | 3195 Harbor Blvd, Costa Mesa, CA 92626-2514 | 2014-09-22 |
| 1780926220 | Orange County Urgent Care #3, Inc. | Clinic/Center | 3195 Harbor Blvd, Suite #3, Costa Mesa, CA 92626-2514 | 2013-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215536982 | Sergio Gutierrez | Behavior Technician | 3303 Harbor Blvd., Suite B8, Costa Mesa, CA 92626 | 2020-10-22 |
| 1780201848 | Kelly Chauvet | Behavior Technician | 1503 Nutmeg Place Suite 110, Costa Mesa, CA 92626 | 2020-07-06 |
| 1316564610 | Timo Rosa | Behavior Technician | 1503 Nutmeg Place, Suite 110, Costa Mesa, CA 92626 | 2020-07-02 |
| 1255966115 | Dalia A Sehweil | Behavior Technician | 1111 Baker, Costa Mesa, CA 92626 | 2020-03-11 |
| 1265071096 | Austin Stotelmyre | Behavior Technician | 1111 Baker St Costa Mesa 92626, Costa Mesa, CA 92626 | 2019-12-26 |
| 1396383022 | The Open Table | Community/Behavioral Health | 151 Kalmus Dr. Bldg C, Suite 100, Costa Mesa, CA 92626 | 2019-12-12 |
| 1851933550 | Jennifer Rivera | Behavior Technician | 1111 Baker St. Unit #a, Costa Mesa, CA 92626 | 2019-10-14 |
| 1962053595 | Peter Na | Behavior Technician | Behavior Functions 3303 Harbor Blvd, Ste B8, Costa Mesa, CA 92626 | 2019-09-25 |
| 1346897147 | Jennifer Lopez | Behavior Technician | 555 Alton Blvd Suite 150, Costa Mesa, CA 92626 | 2019-08-26 |
| 1679134084 | Danny Garcia Chiropractic, PC | Chiropractor | 1503 South Coast Drive, Suite 319, Costa Mesa, CA 92626 | 2019-06-26 |
| Find all providers in zip 92626 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376180505 | Amy Elizabeth Hartwell | Physician Assistant | 1869 Elba Cir, Costa Mesa, CA 92626-4708 | 2019-12-06 |
| 1124679808 | Roxanna Moridzadeh | Physician Assistant | 1190 W. Baker Street Ste 100, Costa Mesa, CA 92626-4105 | 2019-09-24 |
| 1053884916 | Meagan Alexandra Allard | Physician Assistant | 655 Baker St Apt D206, Costa Mesa, CA 92626-4476 | 2019-01-03 |
| 1194216648 | Claire Josephson | Physician Assistant | 1637 Irvine Ave Apt F, Costa Mesa, CA 92627-3274 | 2018-05-21 |
| 1255432639 | Christina Miranda | Physician Assistant | 700 W 19th St, Costa Mesa, CA 92627-3517 | 2006-09-26 |
| 1932732617 | Kristelle Crane | Physician Assistant | 3151 Airway Ave Ste G1, Costa Mesa, CA 92626-4624 | 2020-02-20 |
| 1649744665 | Alexander Mule | Physician Assistant | 3151 Airway Ave Ste G1, Costa Mesa, CA 92626-4624 | 2019-01-12 |
| 1720590003 | Stephanie Tran | Physician Assistant | 1550 Superior Ave, Costa Mesa, CA 92627-3653 | 2017-10-26 |
| 1881105179 | Dennis Michael Cramer | Physician Assistant | 3150 Bristol St Ste 400, Costa Mesa, CA 92626-3054 | 2017-10-13 |
| 1881139228 | Nicholas Huey | Physician Assistant | 2216 Newport Blvd, Costa Mesa, CA 92627-1711 | 2016-12-20 |
| Find all providers in COSTA MESA | ||||
| City | COSTA MESA |
| Zip Code | 92626 |
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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.