FULLERTON GYN ASSOC. (NPI# 1780752659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780752659 |
| Entity Type | Organization |
| Organization Name | FULLERTON GYN ASSOC. |
| Practice Address |
301 W Bastanchury Rd #170 Fullerton CA 92835-3419 |
| Practice Telephone | 7148796571 |
| Practice Fax Number | 7144469140 |
| Mailing Telephone | 7148796571 |
| Mailing Fax Number | 7144469140 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2011-04-12 |
| Authorized Official Name | DR. NATHAN E SCOTT (OWNER- CEO) |
| Authorized Official Telephone | 7148796571 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
G5122 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICAL LISENCE | G5122 | 01 |
| Street Address |
301 W BASTANCHURY RD #170 |
| City | FULLERTON |
| State | CA |
| Zip Code | 92835-3419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851398382 | Alan C Weinberg | Urology | 301 W Bastanchury Rd, #180, Fullerton, CA 92835-3427 | 2005-06-30 |
| 1861870735 | Jayshree Shah Dds Inc | Dentist | 301 W Bastanchury Rd, Ste 5, Fullerton, CA 92835-3419 | 2015-05-12 |
| 1578950663 | Jason Sabet-peyman, M.d., Inc. | Clinic/Center | 301 W Bastanchury Rd, #190, Fullerton, CA 92835-3419 | 2015-04-16 |
| 1013283910 | Helia Eragi | Dermatology | 301 W Bastanchury Rd, Suite 210, Fullerton, CA 92835-3419 | 2012-03-26 |
| 1457621260 | Gordon E Haag, Jr, Dds, Inc | Clinic/Center | 301 W Bastanchury Rd, Suite 260, Fullerton, CA 92835-3419 | 2012-01-10 |
| 1437451820 | Eric Brendan Tygenhof | Urology | 301 W Bastanchury Rd, Suite 180, Fullerton, CA 92835-3419 | 2010-11-17 |
| 1811158744 | Lingua Vision Surgical Group | Ophthalmology | 301 W Bastanchury Rd, Suite 115, Fullerton, CA 92835-3419 | 2008-06-23 |
| 1962662916 | Michael Hugh Crial | Dentist | 301 W Bastanchury Rd, Ste 270, Fullerton, CA 92835-3419 | 2008-06-12 |
| 1487812400 | Advanced Fullerton Imaging, Inc. | Radiology | 301 W Bastanchury Rd, # 130, Fullerton, CA 92835-3419 | 2008-05-27 |
| 1801065578 | John D. Zdral, M.d., Inc. | Eyewear Supplier (Equipment, not the service) | 301 W Bastanchury Rd, Suite 10, Fullerton, CA 92835-3419 | 2008-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538774302 | Natalie Baugh | Nutritionist | 333 W Bastanchury Rd 110, Fullerton, CA 92835 | 2020-09-09 |
| 1073127098 | Cecile Mae Sam | Physical Therapist | 2932 Clover Ct, Fullerton, CA 92835 | 2020-09-08 |
| 1861966087 | Kimson F Johnston | Marriage & Family Therapist | 1370 Brea Blvd Suite 210, Fullerton, CA 92835 | 2019-01-22 |
| 1134636327 | Michelle Harriman, Psychologist - A Professional Corporation | Psychologist | 1440 N Harbor Blvd Ste 808, Fullerton, CA 92835 | 2018-01-09 |
| 1659818631 | Jacqueline Rene Miller | Specialist/Technologist | 2610 Associated Rd, Apt A4, Fullerton, CA 92835 | 2017-01-27 |
| 1912361106 | John Nathaniel Alvarez | Psychiatry & Neurology | 401 E Imperial Highway, Fullerton, CA 92835 | 2016-04-13 |
| 1083075030 | Advance Recovery Solution, LLC | Substance Abuse Rehabilitation Facility | 3744 N Hermosa Pl, Fullerton, CA 92835 | 2016-03-17 |
| 1467817981 | Michele Ledesma | Physical Therapy Assistant | 2800 N. Harbor Blvd., Fullerton, CA 92835 | 2015-12-29 |
| 1467820571 | Jonghan Kang | Acupuncturist | 1321 N Harbor Blvd Ste 205, Fullerton, CA 92835 | 2015-09-04 |
| 1265840987 | Allison Leigh Kennedy | Physician Assistant | 100 Laguna Rd Ste 208, Fullerton, CA 92835 | 2014-07-25 |
| Find all providers in zip 92835 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427472778 | Jerry Andes Sr. | Obstetrics & Gynecology | 1243 Miramar Dr, Fullerton, CA 92831-2038 | 2014-02-06 |
| 1588001267 | Ricarda Benz Md, Inc | Obstetrics & Gynecology | 100 E Valencia Mesa Dr, Suite 215, Fullerton, CA 92835-3813 | 2013-06-04 |
| 1003068065 | A. Ngo M.d. Prof. Corp. | Obstetrics & Gynecology | 508 W Commonwealth Ave, Fullerton, CA 92832-1723 | 2008-10-21 |
| 1194829184 | Gordon Colin Gunn | Obstetrics & Gynecology | 100 E Valencia Mesa Dr, Suite # 215, Fullerton, CA 92835-3813 | 2006-09-11 |
| 1578520722 | Thomas C Hughes | Obstetrics & Gynecology | 1950 Sunnycrest Dr, Suite 2800, Fullerton, CA 92835-3638 | 2006-04-28 |
| 1881672665 | Donald Armstrong | Obstetrics & Gynecology | 100 E Valencia Mesa Dr, Suite #215, Fullerton, CA 92835-3813 | 2006-01-03 |
| 1669453254 | Ricarda D Benz | Obstetrics & Gynecology | 100 E Valencia Mesa Dr, #215, Fullerton, CA 92835-3813 | 2005-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013526862 | My Optimal Life | Obstetrics & Gynecology | 72301 Country Club Dr Ste 105, Rancho Mirage, CA 92270-8007 | 2020-07-28 |
| 1740833078 | Lillian Shumate Md | Obstetrics & Gynecology | 1401 Spanos Ct Ste 124, Modesto, CA 95355-2814 | 2019-07-16 |
| 1568927754 | J Kingsley Fife | Obstetrics & Gynecology | 1165 Las Pulgas Pl, Pacific Palisades, CA 90272-2440 | 2019-02-01 |
| 1518457704 | Leon Baginski Md Inc | Obstetrics & Gynecology | 26800 Crown Valley Pkwy Ste 560, Mission Viejo, CA 92691 | 2018-05-14 |
| 1396253340 | Yasharpour Medical Doctor, Inc A Professional Medical Corporation | Obstetrics & Gynecology | 21013 Sherman Way Ste 4, Canoga Park, CA 91303-3675 | 2018-01-11 |
| 1851828222 | Desert Valley Obgyn Inc | Obstetrics & Gynecology | 39000 Bob Hope Dr Ste 303, Rancho Mirage, CA 92270-3221 | 2017-05-17 |
| 1295274660 | Koe Medical Consulting, Inc. | Obstetrics & Gynecology | 5680 Trinidad Way, San Diego, CA 92114-5310 | 2017-02-18 |
| 1518404441 | Women's Health Care Research Corporation | Obstetrics & Gynecology | 3750 Convoy St Ste 311, San Diego, CA 92111-3741 | 2017-01-30 |
| 1730626722 | Aela Paiz Do Inc | Obstetrics & Gynecology | 9620 Clybourn Ave, Sun Valley, CA 91352-1623 | 2017-01-27 |
| 1538521125 | Randal Sloop Md Inc | Obstetrics & Gynecology | 2068 Talbert Dr Ste 150, Chico, CA 95928-7723 | 2016-03-23 |
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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.