ROGER KEN NAKATA (NPI# 1710392931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710392931 |
| Entity Type | Individual |
| Full Name | ROGER KEN NAKATA |
| Credential | DO |
| Practice Address |
2055 Kellogg Ave Corona CA 92879-3111 |
| Mailing Address |
2055 Kellogg Ave Corona CA 92879 |
| Practice Telephone | 9518987189 |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2017-07-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 15214 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
2055 KELLOGG AVE |
| City | CORONA |
| State | CA |
| Zip Code | 92879-3111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013999218 | Pushan Chowdhury | Pediatrics | 2055 Kellogg Ave, Corona, CA 92879-3111 | 2005-11-15 |
| 1316429384 | Juan Carlos Palacios | Respiratory Therapist, Registered | 2055 Kellogg Ave, Corona, CA 92879-3111 | 2018-09-05 |
| 1124500103 | Michael Paul Gordon | Respiratory Therapist, Registered | 2055 Kellogg Ave, Corona, CA 92879-3111 | 2018-09-05 |
| 1437631405 | Clorinda Gloria Benavidez | Respiratory Therapist, Registered | 2055 Kellogg Ave, Corona, CA 92879-3111 | 2018-09-05 |
| 1699214197 | Mark Sabillo | Pharmacist | 2055 Kellogg Ave, Corona, CA 92879-3111 | 2017-02-16 |
| 1255879326 | Kathleen Varisco | Pharmacist | 2055 Kellogg Ave, Corona, CA 92879-3111 | 2017-02-08 |
| 1750829297 | Rina Williams | Pharmacist | 2055 Kellogg Ave, Corona, CA 92879-3111 | 2017-02-04 |
| 1447647326 | Andrew Dornan | Psychiatry & Neurology | 2055 Kellogg Ave, Corona, CA 92879-3111 | 2015-04-18 |
| 1093108334 | Stephanie Winters | Social Worker | 2055 Kellogg Ave, Corona, CA 92879-3111 | 2015-03-11 |
| 1982007969 | Michelle Wendel | Marriage & Family Therapist | 2055 Kellogg Ave, Corona, CA 92879-3111 | 2014-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475722 | Tahmea Henderson | Behavior Technician | 225 Rincon St. #219, Corona, CA 92879 | 2020-10-20 |
| 1669084828 | Kimberly O Harris | Behavioral Analyst | 225 E. Rincon St., Suite 219, Corona, CA 92879 | 2020-08-19 |
| 1962014381 | Mario Javier Herrera | Nurse Practitioner | 2130 High Pointe Dr, Apt 108, Corona, CA 92879 | 2020-08-18 |
| 1841659117 | Sleep & Cpap Center Inc | Clinical Medical Laboratory | 800 Magnolia Avenue, Suite 101, Corona, CA 92879 | 2016-02-16 |
| 1497151203 | Rafik Riad | Dentist | 817 Villa Montes Cir., Corona, CA 92879 | 2014-11-06 |
| 1326441551 | Ying Zhang Howe | Acupuncturist | 720 Magnolia Ave. #b3, Corona, CA 92879 | 2014-10-02 |
| 1164823233 | Piyush Sakhareliya | Pharmacist | 2230 Treemont Pl, Apt#207, Corona, CA 92879 | 2014-09-09 |
| 1053711739 | Brandice Medical Associates Inc | Clinical Medical Laboratory | 13575 Jasper Loop, Corona, CA 92879 | 2014-08-29 |
| 1982956058 | Nja Therapy Services, Inc. | Day Training, Developmentally Disabled Services | 1655 E 6th St Suite 204, Corona, CA 92879 | 2012-10-12 |
| 1356616064 | Corona Surgical LLC | Clinic/Center | 2370 Anselmo Drive, Corona, CA 92879 | 2012-03-13 |
| Find all providers in zip 92879 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770863953 | Hispaniola Pediatrics PC | Pediatrics | 4048 Junction Blvd, First Floor, Corona, NY 11368-2206 | 2011-08-19 |
| 1396912887 | Ingrid Williams | Pediatrics | 3758 108th St, Corona, NY 11368-2023 | 2008-05-13 |
| 1427233667 | Abc Medical Group, Inc,, Apc | Pediatrics | 650 E Parkridge Ave, Suitte 114 & 115, Corona, CA 92879-1091 | 2008-01-07 |
| 1770799215 | Maria Quezada | Pediatrics | 102 11 Roosevelt Ave., Corona, NY 11368-2331 | 2007-05-14 |
| 1285850974 | Elena B Jackson | Pediatrics | 770 Magnolia Ave Suite 2a, Corona, CA 92879-3122 | 2007-04-18 |
| 1275657793 | Mario Saint Laurent | Pediatrics | 3765 104th St, Corona, NY 11368-1947 | 2007-03-19 |
| 1649337858 | Hector Bienvenido Florimon De La Rosa | Pediatrics | 102-11 Roosevelt Ave, Corona, NY 11368 | 2007-01-03 |
| 1821160821 | Tannaz Ghassemi Hild | Pediatrics | 3971 Ashwood Cir, Corona, CA 92881-8820 | 2006-11-14 |
| 1114011780 | Ganesh Karim Md | Pediatrics | 97-30 57th Ave., Suite 1k, Corona, NY 11368 | 2006-10-03 |
| 1417040361 | Yvonne Ramona D'sylva | Pediatrics | 770 Magnolia Ave Ste 2a, Corona, CA 92879-3122 | 2006-10-02 |
| Find all providers in CORONA | ||||
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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.