ORANGE COUNTY MEDICAL MANAGEMENT INC (NPI# 1801152046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801152046 |
| Entity Type | Organization |
| Organization Name | ORANGE COUNTY MEDICAL MANAGEMENT INC |
| Other Organization Name | SUPERIOR PHYSICAL MEDICINE |
| Practice Address |
22222 La Palma Ave Yorba Linda CA 92887-3813 |
| Mailing Address |
2980 N Beverly Glen Cir Suite 301 Los Angeles CA 90077-1726 |
| Practice Telephone | 7146927138 |
| Mailing Telephone | 3104749809 |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2012-05-22 |
| Authorized Official Name | DR. NICOLE A. GARCIA (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7146927138 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | ORANGE COUNTY MEDICAL MANAGEMENT INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| Other Name | Type Code |
|---|---|
| Superior Physical Medicine | Doing Business As Name - Organization |
| Street Address |
22222 LA PALMA AVE |
| City | YORBA LINDA |
| State | CA |
| Zip Code | 92887-3813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013023712 | Kevin Lawrence Shaevitz | Chiropractor | 22222 La Palma Ave, Yorba Linda, CA 92887 | 2006-08-23 |
| 1063830537 | Dr. Kevin Shaevitz Chiropractic Inc | Chiropractor | 22222 La Palma Ave, Ste A, Yorba Linda, CA 92887-3813 | 2014-04-02 |
| 1457632887 | Orange County Medical Management | Family Medicine | 22222 La Palma Ave, Yorba Linda, CA 92887-3813 | 2011-08-30 |
| 1932315835 | Sports Wellness Center | Chiropractor | 22222 La Palma Ave, Yorba Linda, CA 92887-3813 | 2007-05-15 |
| 1568578268 | Eric Richard Bergstrom | Chiropractor | 22222 La Palma Ave, Yorba Linda, CA 92887 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336783828 | Lorraine Le Stephens | Nurse Practitioner | 23561 Salerno Way, Yorba Linda, CA 92887 | 2019-10-29 |
| 1578111381 | Jeremiah Nathan Casino | Physical Therapist | 23655 Via Del Rio Ste C, Yorba Linda, CA 92887 | 2019-08-27 |
| 1740736925 | Ta-kai Home Care, Inc. | In Home Supportive Care | 22343 La Palma Avenue, Suite 116, Yorba Linda, CA 92887 | 2016-08-29 |
| 1346624285 | Jason Kahlon | Internal Medicine | 5130 Avenida De Despacio, Yorba Linda, CA 92887 | 2015-07-09 |
| 1245641299 | Chienho Chen Dental Group, A Professional Corporation | Dentist | 21560 Yorba Linda Blvd., #c, Yorba Linda, CA 92887 | 2014-05-13 |
| 1952650053 | Tanida Tammy Vidhyarkorn | Pharmacist | 5570 Via Verano, Yorba Linda, CA 92887 | 2012-09-05 |
| 1225386576 | Anita Neela Rathod | Dentist | 4915 Yorba Ranch Road, Ste. A, Yorba Linda, CA 92887 | 2012-08-16 |
| 1649533241 | Marian Cabero Peyton | Licensed Vocational Nurse | 4950 Windy Circle, Yorba Linda, CA 92887 | 2012-06-19 |
| 1407099732 | Lakewood Pathology Associates, Inc. | Pathology | 5470 Blue Ridge Dr, Yorba Linda, CA 92887 | 2009-04-16 |
| 1467606517 | Yenling Vickie Lin | Dentist | 21560 Yorba Linda Blvd Stec&d, Yorba Linda, CA 92887 | 2008-11-14 |
| Find all providers in zip 92887 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982225496 | Artius Dermatology Associates PC | Non-Pharmacy Dispensing Site | 5757 Pacific Ave Ste 228, Stockton, CA 95207-5159 | 2020-05-06 |
| 1285268391 | Artius Dermatology Associates PC | Non-Pharmacy Dispensing Site | 1337 S Lovers Ln Ste D, Visalia, CA 93292-5249 | 2020-02-27 |
| 1790327732 | Triumph Specialties LLC | Non-Pharmacy Dispensing Site | 11100 Sepulveda Blvd # 8-519, Mission Hills, CA 91345-1131 | 2019-10-10 |
| 1487210365 | Artius Dermatology Associates P.C. | Non-Pharmacy Dispensing Site | 325 Mall Dr Ste 111, Hanford, CA 93230-5950 | 2019-05-15 |
| 1376030080 | Jane F Kardashian Md Inc | Non-Pharmacy Dispensing Site | 6769 N Fresno, Fresno, CA 93710 | 2018-04-18 |
| 1023511045 | Performance Health Medical Group | Non-Pharmacy Dispensing Site | 25431 Cabot Road Suite 118, Laguna Hills, CA 92653 | 2018-03-15 |
| 1043719206 | Southern California Orthopedic Institute L.p | Non-Pharmacy Dispensing Site | 4100 Empire Dr Ste 120, Bakersfield, CA 93309-0408 | 2018-02-02 |
| 1174032353 | Golden Gate Urology, Inc. | Non-Pharmacy Dispensing Site | 139 Townsend St Ste 100, San Francisco, CA 94107-1946 | 2017-09-20 |
| 1215462080 | Mas Management Group, Inc. | Non-Pharmacy Dispensing Site | 28446 Constellation Rd, Valencia, CA 91355-5081 | 2017-04-28 |
| 1730624719 | St. John's Well Child and Family Center Inc | Non-Pharmacy Dispensing Site | 326 W 23rd St, Los Angeles, CA 90007-2612 | 2016-12-29 |
| Find all providers with the same taxonomy | ||||
| City | YORBA LINDA |
| Zip Code | 92887 |
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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.