NASER M ELBALALESY (NPI# 1720178817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720178817 |
| Entity Type | Individual |
| Full Name | NASER M ELBALALESY |
| Credential | MD |
| Practice Address |
455 S Main St Orange CA 92868-3835 |
| Practice Telephone | 7145327601 |
| Practice Fax Number | 7145327650 |
| Mailing Telephone | 7142894511 |
| Mailing Fax Number | 7142894788 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0008X |
Pediatrics Specialization: Neurodevelopmental Disabilities |
A73709 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A737090 | 05 |
| Street Address |
455 S MAIN ST |
| City | ORANGE |
| State | CA |
| Zip Code | 92868-3835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033191473 | Nancy Ann Varni | Nurse Practitioner | 455 S Main St, Orange, CA 92868-3835 | 2005-11-18 |
| 1265776587 | Victor Wang | Pediatrics | 455 S Main St, Orange, CA 92868-3835 | 2012-11-27 |
| 1487906152 | Nancy Kuntz | Nurse Practitioner | 455 S Main St, Orange, CA 92868-3835 | 2012-10-05 |
| 1023360914 | Youngeun Park | Pediatrics | 455 S Main St, Orange, CA 92868-3835 | 2012-10-03 |
| 1295085918 | Stacey Jannette Bass | Nurse Practitioner | 455 S Main St, Orange, CA 92868-3835 | 2012-09-11 |
| 1003165267 | Jennifer Michelle Shively | Nurse Practitioner | 455 S Main St, Orange, CA 92868-3835 | 2012-09-04 |
| 1437406014 | Heidi Rens | Pharmacist | 455 S Main St, Orange, CA 92868-3835 | 2012-08-13 |
| 1992065361 | Jina Lim | Pediatrics | 455 S Main St, Orange, CA 92868-3835 | 2012-05-20 |
| 1386901700 | Elizabeth Marie Torok | Nurse Practitioner | 455 S Main St, Orange, CA 92868-3835 | 2012-04-23 |
| 1942578117 | Cassandra Lynn Stewart | Pediatrics | 455 S Main St, Orange, CA 92868-3835 | 2011-12-02 |
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| 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 | 2080P0008X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neurodevelopmental Disabilities |
| A pediatrician who treats children having developmental delays or learning disorders including those associated with visual and hearing impairment, mental retardation, cerebral palsy, spina bifida, autism and other chronic neurologic conditions. This specialist provides medical consultation and education and assumes leadership in the interdisciplinary management of children with neurodevelopmental disorders. They may also focus on the early identification and diagnosis of neurodevelopmental disabilities in infants and young children as well as on changes that occur as the child with developmental disabilities grows. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033299110 | Tallie Z Baram | Pediatrics | Uci Medical Center, 101 The City Drive South, Orange, CA 92868 | 2006-10-16 |
| 1528156429 | Ying Peng | Pediatrics | 455 S Main St, Orange, CA 92868-3835 | 2006-10-10 |
| 1194819458 | Anne E Tournay | Pediatrics | Uci Medical Center, 101 The City Drive South, Orange, CA 92868 | 2006-10-03 |
| 1720030760 | Ira T Lott | Pediatrics | 101 The City Dr S, Orange, CA 92868-3201 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306406467 | Debra Nipp | Pediatrics | 1661 Tice Valley Blvd Ste 100, Walnut Creek, CA 94595-1691 | 2019-06-19 |
| 1275979973 | Kartzinel Wellness Center Inc. | Pediatrics | 16263 Laguna Canyon Rd, Suite 150, Irvine, CA 92618-3609 | 2013-05-21 |
| 1528332905 | Pantea Sharifi Hannauer, M.d. Inc. | Pediatrics | 3524 Torrance Blvd., Suite 104, Torrance, CA 90503 | 2012-03-01 |
| 1891098422 | Bayard Allmond Jr. | Pediatrics | 36 Hillcrest Rd, Berkeley, CA 94705-2807 | 2010-12-21 |
| 1366654774 | Arleen Leann House Downing | Pediatrics | 2313 Old Grand St, Santa Ana, CA 92705-6967 | 2007-05-06 |
| 1427176700 | Suzanne Goh-hattangadi | Pediatrics | 7090 Miratech Dr, San Diego, CA 92121-3109 | 2007-03-26 |
| 1861552713 | Georgia Rae Prentice | Pediatrics | 26451 Crown Valley Pky, Mission Viejo, CA 92691 | 2006-12-11 |
| 1972615227 | Paul Michael Chretien | Pediatrics | 1111 Exposition Blvd., Bldg 700, Ste 102, Sacramento, CA 95815-4335 | 2006-08-31 |
| 1386753093 | Howard L Wolfinger Jr. | Pediatrics | 4355 Ruffin Rd, San Diego, CA 92123-4306 | 2006-08-29 |
| 1790292605 | Sana Khan | Pediatrics | 5820 Stoneridge Mall Rd Ste 205, Pleasanton, CA 94588-3347 | 2018-01-02 |
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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.