DR. JONATHAN MARK WADA (NPI# 1780995068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780995068 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN MARK WADA |
| Credential | M.D. |
| Practice Address |
455 E Columbia St Ste 201 Long Beach CA 90806-1620 |
| Practice Telephone | 8448224646 |
| Practice Fax Number | 5629330453 |
| Mailing Telephone | 8448224646 |
| Mailing Fax Number | 5629330453 |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2016-06-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A121522 | CA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 2010018037 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
455 E COLUMBIA ST STE 201 |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90806-1620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023203593 | Lynn Ruth Messenger | Specialist | 455 E Columbia St Ste 201, Long Beach, CA 90806-1620 | 2007-09-07 |
| 1679086979 | Cinthia Elizabeth Otero | Nurse Practitioner | 455 E Columbia St Ste 201, Long Beach, CA 90806-1620 | 2017-11-08 |
| 1528591385 | Lucy Kahn | Pediatrics | 455 E Columbia St Ste 201, Long Beach, CA 90806-1620 | 2017-04-09 |
| 1467622068 | Priya Mody | Pediatrics | 455 E Columbia St Ste 201, Long Beach, CA 90806-1620 | 2008-03-11 |
| 1174701999 | Megan Hurtado | Registered Nurse | 455 E Columbia St Ste 201, Long Beach, CA 90806-1620 | 2008-02-04 |
| 1710164702 | The Children's Clinic, Serving Children and Their Families | Clinic/Center | 455 E Columbia St Ste 201, Long Beach, CA 90806-1620 | 2008-01-22 |
| 1609053693 | The Children's Clinic, Serving Children and Their Families | Clinic/Center | 455 E Columbia St Ste 201, Long Beach, CA 90806-1620 | 2008-01-22 |
| 1376724815 | Michele Uglesich | Social Worker | 455 E Columbia St Ste 201, Long Beach, CA 90806-1620 | 2007-11-26 |
| 1154516599 | Maria Capetanakis | Specialist | 455 E Columbia St Ste 201, Long Beach, CA 90806-1620 | 2007-09-10 |
| 1184819534 | Marlene Suzanne Lopez | Specialist | 455 E Columbia St Ste 201, Long Beach, CA 90806-1620 | 2007-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437624913 | Blanca C Gonzalez | Community Health Worker | 2600 Redondo Ave 6th Floor, Long Beach, CA 90806 | 2018-10-10 |
| 1780192740 | New Healthcare Supplies Inc | Durable Medical Equipment & Medical Supplies | 1001 E Pacific Coast Hwy Ste 117, Long Beach, CA 90806 | 2018-01-11 |
| 1265946586 | California Sleep Neurology Organization for Wellness | Clinic/Center | 2651 Elm Avenue, Suite 205, Long Beach, CA 90806 | 2017-11-22 |
| 1053820613 | Magnolia Cedeno-moreno | Counselor | 2600 Redondo Ave. 3rd Fl, Long Beach, CA 90806 | 2017-09-27 |
| 1144747569 | Kimberly Savanannah Rodriguez | Social Worker | 2600 Redondo Ave., 6th Floor, Long Beach, CA 90806 | 2017-08-25 |
| 1194257170 | Sarah Mahmood | Pediatrics | The Children's Clinic, 2360 Pacific Ave, Long Beach, CA 90806 | 2017-03-29 |
| 1801334784 | Denise Harbor | Student in an Organized Health Care Education/Training Program | 721 East 28th Street, Suite 401, Long Beach, CA 90806 | 2017-02-10 |
| 1083152839 | Kim Vu | Student in an Organized Health Care Education/Training Program | 701 East 28th Street Ste. 416, Long Beach, CA 90806 | 2017-02-01 |
| 1568910719 | Andrea Corona | Community Health Worker | 850 W Wardlow Rd, Long Beach, CA 90806 | 2016-09-16 |
| 1235589110 | Sarah Keihany-yazdy | Nurse Practitioner | 2000 San Gabriel Ave, Long Beach, CA 90806 | 2016-06-21 |
| Find all providers in zip 90806 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144852435 | Clnica Uriel / Iradj Nazarian Md | Family Medicine | 1187 E Anaheim St, Long Beach, CA 90813-3662 | 2020-02-05 |
| 1104485887 | Pmd Wellness Center Inc. | Family Medicine | Pmd Wellness Center Inc, 1187 E. Anaheim St., Long Beach, CA 90813-3663 | 2019-06-06 |
| 1699248674 | Central Neighborhood Health Foundat | Family Medicine | 711 E Via Wanda, Long Beach, CA 90805-6526 | 2019-01-02 |
| 1629580337 | Kathleen Legaspi Hoops | Family Medicine | 865 Lees Ave, Long Beach, CA 90815-5024 | 2017-11-02 |
| 1609222942 | Prohealth Partners A Medical Group | Family Medicine | 3816 Woodruff Ave Ste 406, Long Beach, CA 90808-2146 | 2016-05-05 |
| 1083079289 | Majestic Medical Clinic, Inc. | Family Medicine | 817 Atlantic Ave # 14, Long Beach, CA 90813-4512 | 2015-12-15 |
| 1336522788 | Duc Nguyen | Family Medicine | 555 E Ocean Blvd Ste 110, Long Beach, CA 90802 | 2015-07-02 |
| 1356781132 | Philip Kim | Family Medicine | 1729 Termino Ave Ste B, Long Beach, CA 90804-2121 | 2013-06-26 |
| 1881932168 | Ronald Merton Sommer | Family Medicine | 1436 W. 23rd St., Westside Free Clinic, Long Beach, CA 90810 | 2013-01-22 |
| 1053693275 | Michael James Miech | Family Medicine | 6301 Marina Pacifica Dr S, Long Beach, CA 90803-3821 | 2011-09-13 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90806 |
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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.