CENTER FOR COMPREHENSIVE CARE & DIAGNOSIS OF INHERITED BLOOD DISORDERS (NPI# 1679875942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679875942 |
| Entity Type | Organization |
| Organization Name | CENTER FOR COMPREHENSIVE CARE & DIAGNOSIS OF INHERITED BLOOD DISORDERS |
| Other Organization Name | CENTER FOR INHERITED BLOOD DISORDERS (CIBD) |
| Practice Address |
1010 W La Veta Ave Suite 670 Orange CA 92868-4300 |
| Mailing Address |
2670 N Main St Suite 150 Santa Ana CA 92705-6639 |
| Practice Telephone | 7142211200 |
| Practice Fax Number | 7142211299 |
| Mailing Telephone | 7145865336 |
| Mailing Fax Number | 7146004791 |
| Enumeration Date | 2010-11-18 |
| Last Update Date | 2015-01-26 |
| Authorized Official Name | DR. DIANE J NUGENT (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7142211200 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
550001889 | CA | Ambulatory Health Care Facilities |
| Y | 261Q00000X | Clinic/Center | 550001889 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1679875942 | 05 |
| Other Name | Type Code |
|---|---|
| Center for Inherited Blood Disorders (CIBD) | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598067613 | Center for Comprehensive Care & Diagnosis of Inherited Blood Disorders | Pharmacy | 2670 N Main St, Ste 150, Santa Ana, CA 92705-6639 | 2010-11-22 |
| 1134432529 | Center for Comprehensive Care & Diagnosis of Inherited Blood Disorders | Clinic/Center | 1010 W La Veta Ave Ste 670, Orange, CA 92868-4306 | 2010-07-14 |
| Street Address |
1010 W LA VETA AVE SUITE 670 |
| City | ORANGE |
| State | CA |
| Zip Code | 92868-4300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659371581 | Troy Michael Reyna | Surgery | 1010 W La Veta Ave, Suite 640, Orange, CA 92868-4300 | 2005-07-21 |
| 1053849406 | Amy Nicole Woody | Emergency Medicine | 1010 W La Veta Ave, Orange, CA 92868-4300 | 2017-05-30 |
| 1730636226 | Jennifer Choe | Nurse Practitioner | 1010 W La Veta Ave, #570, Orange, CA 92868-4300 | 2016-09-01 |
| 1427419530 | Daniel Chiu | Registered Nurse | 1010 W La Veta Ave, Suite 570, Orange, CA 92868-4300 | 2016-03-16 |
| 1104218494 | My Phuong Pham Nguyen | Nurse Practitioner | 1010 W La Veta Ave, Ste 750, Orange, CA 92868-4300 | 2015-02-24 |
| 1548509102 | Elizabeth Anne Kovacs | Registered Nurse | 1010 W La Veta Ave, Ste 610, Orange, CA 92868-4300 | 2013-02-01 |
| 1003182130 | Kathryn L Thompson | Physician Assistant | 1010 W La Veta Ave, 200, Orange, CA 92868-4300 | 2012-03-22 |
| 1326327933 | Lawrence David Wagman Md Professional Corporation | Surgery | 1010 W La Veta Ave, Ste 470, Orange, CA 92868-4300 | 2011-08-12 |
| 1881995199 | Keller Eye Associates, Inc. A Medical Group | Specialist | 1010 W La Veta Ave, Suite 175, Orange, CA 92868-4300 | 2010-11-03 |
| 1043523707 | Missra Rezvani | Nurse Practitioner | 1010 W La Veta Ave, Ste 750, Orange, CA 92868-4300 | 2010-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346859386 | Sadaf Abrishami | Pharmacist | 101 The City Dr S., Orange, CA 92868 | 2020-07-27 |
| 1245869825 | Helena Yijia Hong | Student in an Organized Health Care Education/Training Program | Uci Medical Center, 101 The City Drive, Orange, CA 92868 | 2020-04-06 |
| 1932736527 | Joshua Kristopher Livingston | Student in an Organized Health Care Education/Training Program | 101 The City Dr S, Rte. 128-01, Orange, CA 92868 | 2020-03-24 |
| 1831725894 | Michelle Brown | Student in an Organized Health Care Education/Training Program | 101 The City Dr S. Rte 128-01, Orange, CA 92868 | 2020-03-20 |
| 1093363491 | Kristin Lee | Pharmacist | 132 S. Anita Dr., Orange, CA 92868 | 2019-08-28 |
| 1740834217 | Matthew Brian Mecheal | Dentist | 725 W. La Veta Suite 260, Orange, CA 92868 | 2019-08-01 |
| 1245897990 | Brent Tyler Louie | Student in an Organized Health Care Education/Training Program | 101 The City Drive South Building 3, Route 88, Neuropsychiatric Center Uc Irvine Medical Center, Orange, CA 92868 | 2019-05-28 |
| 1093277972 | Danielle Amato | Student in an Organized Health Care Education/Training Program | Uc Irvine Health 101 The City Drive, City Tower, Ste 40, Orange, CA 92868 | 2019-04-01 |
| 1851852206 | Julia Ting Bu | Student in an Organized Health Care Education/Training Program | Uc Irvine Health, 101 The City Drive, City Tower, Ste 400, Orange, CA 92868 | 2019-03-28 |
| 1326507344 | Harrison Beene Lowder | Student in an Organized Health Care Education/Training Program | 505 S. Main St, Suite 525, Orange, CA 92868 | 2019-03-19 |
| Find all providers in zip 92868 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982179784 | Wellness Primary Care Pllc | Clinic/Center | 291 S Lambert Rd Ste 5, Orange, CT 06477-3559 | 2018-10-08 |
| 1720539711 | Uc Irvine Medical Center | Clinic/Center | 101 The City Drive South, Senior Center, Pavilion Iv, Uc Irvine Medical Center - Geriatrics, Primary Care, Orange, CA 92868-3201 | 2016-10-14 |
| 1003263310 | Zhihong Acupuncture Clinic Co | Clinic/Center | 2950 N Glassell St, Suite B, Orange, CA 92865 | 2016-05-17 |
| 1346503430 | Siena Management Group | Clinic/Center | 1439 W Chapman Ave # 347, Orange, CA 92868-2738 | 2012-06-22 |
| 1124356043 | Chj Diagnostic, Inc. | Clinic/Center | 550 E Chapman Ave, Suite E, Orange, CA 92866-1641 | 2009-12-04 |
| 1265604078 | Juan M Velez, Md, Inc | Clinic/Center | 805 W La Veta Ave Ste 101, Orange, CA 92868-3928 | 2008-04-01 |
| 1487831665 | Bedros H Kojian Md Inc | Clinic/Center | 1310 W Stewart Dr Ste 308, Orange, CA 92868-3838 | 2008-01-30 |
| 1679635569 | Rehabilitation Institute of Southern Ca | Clinic/Center | 1800 East La Veta Avenue, Orange, CA 92866 | 2006-12-15 |
| 1104846708 | Gulf Gate Diagnostic Imaging | Clinic/Center | 1 Putnam Ave, Orange, TX 77630-2353 | 2006-07-20 |
| 1316572183 | Michael B. Mortazie, D.o. Inc. | Clinic/Center | 1506 E Chapman Ave, Orange, CA 92866-2231 | 2020-03-11 |
| Find all providers in ORANGE | ||||
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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.