JEFFREY DOBERNECK (NPI# 1679945372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679945372 |
| Entity Type | Individual |
| Full Name | JEFFREY DOBERNECK |
| Practice Address |
3111 N Tustin St Suite 100 Orange CA 92865-1750 |
| Mailing Address |
505 N Brand Blvd Ste 1000 Glendale CA 91203-3924 |
| Practice Telephone | 8182416780 |
| Practice Fax Number | 8182416853 |
| Mailing Telephone | 8182416780 |
| Mailing Fax Number | 8182416853 |
| Enumeration Date | 2015-10-21 |
| Last Update Date | 2015-10-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
Speech, Language and Hearing Service Providers |
| Street Address |
3111 N TUSTIN ST SUITE 100 |
| City | ORANGE |
| State | CA |
| Zip Code | 92865-1750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891781175 | Janis D Fee | Specialist | 3111 N Tustin St, Suite 250, Orange, CA 92865-1750 | 2005-09-22 |
| 1578171120 | Marissa Yandrichpedraza | Behavior Technician | 3111 N Tustin St, Orange, CA 92865-1750 | 2020-07-20 |
| 1801414305 | Madonna Pornobi | Behavior Technician | 3111 N Tustin St, Orange, CA 92865-1750 | 2020-07-10 |
| 1407476740 | Golnaz Lotfalipour | Behavior Technician | 3111 N Tustin St, Orange, CA 92865-1750 | 2020-04-16 |
| 1609400340 | Hardika S Patel | Behavior Technician | 3111 N Tustin St, Orange, CA 92865-1750 | 2020-03-02 |
| 1881226553 | Julie A Hedlund | Behavior Technician | 3111 N Tustin St, Orange, CA 92865-1750 | 2020-02-10 |
| 1487284345 | Heather Ann Jones | Behavior Technician | 3111 N Tustin St, Orange, CA 92865-1750 | 2020-01-20 |
| 1346887965 | Jaren M Philleo | Behavior Technician | 3111 N Tustin St, Orange, CA 92865-1750 | 2019-12-02 |
| 1619443223 | Sharjina Zahur | Behavior Technician | 3111 N Tustin St, Orange, CA 92865-1750 | 2018-10-22 |
| 1962905190 | Danielle Smith | Behavior Technician | 3111 N Tustin St, Orange, CA 92865-1750 | 2018-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801366489 | Kathryn Enslow | Behavior Technician | 3111 N. Tustin St. #100, Orange, CA 92865 | 2018-11-27 |
| 1992285167 | Victoria Barrientes | Behavior Technician | 3111 N. Tustiv Ave #100, Tustin, CA 92865 | 2018-08-17 |
| 1003263310 | Zhihong Acupuncture Clinic Co | Clinic/Center | 2950 N Glassell St, Suite B, Orange, CA 92865 | 2016-05-17 |
| 1962879387 | Charles C. Park D.d.s. A Professional Corporation | Dentist | 1518 E. Lincoln Ave., Orange, CA 92865 | 2015-09-02 |
| 1275913535 | David M. Datu | Dentist | 1107 E. Lincoln Ave, #201, Orange, CA 92865 | 2015-06-02 |
| 1114107505 | Life Hearing Inc. | Hearing Instrument Specialist | 1635 E. Lincoln Ave., Orange, CA 92865 | 2007-11-14 |
| 1013118488 | David M Datu Dds | Dentist | 1107 E Lincoln Ave, Suite #201, Orange, CA 92865 | 2007-05-31 |
| 1831222611 | Amini Dental Corporation | Dentist | 1916 N Tustin St, Orange, CA 92865 | 2007-03-13 |
| 1598811341 | Linda Rose Cook | Counselor | 202 W Lincoln Ave, Suite F, Orange, CA 92865 | 2007-01-26 |
| 1467525543 | Hee S Kwon | Acupuncturist | 1516 E Lincoln Ave, Orange, CA 92865 | 2006-11-16 |
| Find all providers in zip 92865 | ||||
| Taxonomy Code | 2355S0801X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Speech-Language Assistant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346773967 | Sara Morgan Tellez | Specialist/Technologist | 140 S Flower St, Suite #100, Orange, CA 92868-3467 | 2017-04-10 |
| 1851710933 | Terri Colburn-hoyland | Specialist/Technologist | 10106 Fm 1442, Orange, TX 77630-0707 | 2014-04-16 |
| 1346583036 | Eva Palmer | Specialist/Technologist | 11301 S Church St, Orange, CA 92869-2618 | 2013-04-01 |
| 1750913307 | Elyse Ballard | Specialist/Technologist | 3111 N Tustin St Ste 100, Orange, CA 92865-1751 | 2020-02-11 |
| 1942853692 | Naomi Bribiesca | Specialist/Technologist | 3111 N Tustin St Ste 100, Orange, CA 92865-1751 | 2019-07-22 |
| 1467911941 | Ryhaneh Sadri | Specialist/Technologist | 140 S Flower St Ste 100, Orange, CA 92868-3467 | 2019-03-14 |
| 1730643156 | Blair Stewart | Specialist/Technologist | 1301 W Providence Ave, Orange, CA 92868-3892 | 2019-01-30 |
| 1427523497 | Isis Perez | Specialist/Technologist | 1301 W Providence Ave, Orange, CA 92868-3892 | 2018-10-05 |
| 1912482803 | Kristine Valledor Molina | Specialist/Technologist | 1301 W Providence Ave, Orange, CA 92868-3808 | 2018-09-26 |
| 1003390170 | Janelle Briana Cubas | Specialist/Technologist | 1301 W Providence Ave, Orange, CA 92868-3808 | 2018-09-24 |
| 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.