PATWIN E. PECKHAM (NPI# 1679621635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679621635 |
| Entity Type | Individual |
| Full Name | PATWIN E. PECKHAM |
| Credential | MD |
| Practice Address |
441 N Lakeview Ave Anaheim CA 92807-3028 |
| Practice Telephone | 8889882800 |
| Mailing Telephone | 8889882800 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2008-09-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | G50469 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
441 N LAKEVIEW AVE |
| City | ANAHEIM |
| State | CA |
| Zip Code | 92807-3028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013911551 | Jennifer Linzmeyer | Pediatrics | 441 N Lakeview Ave, Anaheim, CA 92807-3028 | 2005-06-13 |
| 1255609418 | Sheila Elizabeth Ford | Pediatrics | 441 N Lakeview Ave, Anaheim, CA 92807-3028 | 2011-12-02 |
| 1982909222 | Sarah Elisabeth Gomez | Nurse Practitioner | 441 N Lakeview Ave, Anaheim, CA 92807-3028 | 2011-01-18 |
| 1265664635 | Beatrix M Schieffer | Psychologist | 441 N Lakeview Ave, Anaheim, CA 92807-3028 | 2009-08-18 |
| 1598992307 | Minhee Song | Physical Therapist | 441 N Lakeview Ave, Anaheim, CA 92807-3028 | 2009-06-18 |
| 1992949333 | Carol King | Nurse Practitioner | 441 N Lakeview Ave, Anaheim, CA 92807-3028 | 2009-04-29 |
| 1144463951 | Maria Eugenia Campi | Speech-Language Pathologist | 441 N Lakeview Ave, Anaheim, CA 92807-3028 | 2009-04-08 |
| 1356587547 | Jose Pena | Physical Therapy Assistant | 441 N Lakeview Ave, Anaheim, CA 92807-3028 | 2008-12-18 |
| 1467607929 | Grant Masaru Yasui | Anesthesiology | 441 N Lakeview Ave, Anaheim, CA 92807-3028 | 2008-11-25 |
| 1255583696 | Claudio Cassinelli | Social Worker | 441 N Lakeview Ave, Anaheim, CA 92807-3028 | 2008-10-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801400759 | Katie Greasby | Marriage & Family Therapist | 509 S. Villa Real Dr. #117, Anaheim Hills, CA 92807 | 2020-09-08 |
| 1386201481 | Joseph Hasrouni | Counselor | Cvs 9753, 5735 E. La Palma Ave, Anaheim, CA 92807 | 2019-05-23 |
| 1144739277 | Luis Antonio Perez | Social Worker | 2112 E 4th St. #107, Santa Ana, CA 92807 | 2017-09-20 |
| 1548781883 | F.foroutan Dds Inc. | Dentist | 5031 E. Orangethorpe Ave., Suite # B-2, Anaheim Hills, CA 92807 | 2017-06-27 |
| 1487101515 | Eloy Ramirez | Counselor | 233 S. Quintana Drive, Anaheim, CA 92807 | 2016-09-07 |
| 1255786448 | K's Loving Care | Custodial Care Facility | 1211 N Amelia St, Anaheim, CA 92807 | 2016-04-26 |
| 1265806673 | Jessica Vickers | Marriage & Family Therapist | 5500 E Santa Ana Canyon Rd Ste 216, Anaheim, CA 92807 | 2015-11-23 |
| 1033596796 | Donovan Garcia Teves | Specialist | 1261 Lakeview Ave., Suite 'a', Anaheim Hills, CA 92807 | 2015-05-01 |
| 1235544354 | Nicole Reaves | Occupational Therapist | 5630 E Santa Ana Canyon Rd Ste 105, Anaheim, CA 92807 | 2014-06-26 |
| 1093143471 | Behrang E Toubak | Counselor | 6381 E Via Arboles, Anaheim, CA 92807 | 2013-10-23 |
| Find all providers in zip 92807 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740791946 | Renu Dermatology and Wellness | Dermatology | 1741 W Romneya Dr Ste E, Anaheim, CA 92801-1805 | 2017-10-16 |
| 1063823391 | Silvia Song | Dermatology | 5475 E La Palma Ave, Anaheim, CA 92807-2075 | 2014-05-08 |
| 1407275217 | Sabrina Uddin | Dermatology | 1165 N Euclid St, Anaheim, CA 92801-1938 | 2014-04-09 |
| 1528327327 | Jaryd Freedman | Dermatology | 5475 E La Palma Ave, Suite 201, Anaheim, CA 92807-2075 | 2012-05-14 |
| 1548490568 | Sherry Youssef | Dermatology | 5475 E La Palma Ave, Suite 201, Anaheim, CA 92807-2075 | 2009-07-24 |
| 1831327121 | Van Tl Hoang | Dermatology | 5475 E La Palma Ave, Suite 201, Anaheim, CA 92807-2075 | 2009-06-25 |
| 1811175599 | Mary Kate Rohan M.d., Inc | Dermatology | 1211 W La Palma Ave Ste 407, Anaheim, CA 92801-2806 | 2008-02-05 |
| 1164620795 | David B. Friedman, Md, Inc | Dermatology | 1165 N Euclid St, Anaheim, CA 92801-1938 | 2007-07-05 |
| 1548302243 | Edward Mark Kramer | Dermatology | 3055 W Orange Ave, #207, Anaheim, CA 92804-3159 | 2007-02-12 |
| 1104974054 | Hundi Mohan Kamath | Dermatology | 441 N Lakeview Ave, Anaheim, CA 92807-3028 | 2007-01-08 |
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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.