SUNRISE COMPLEMENTARY MEDICAL CENTER (NPI# 1811280290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811280290 |
| Entity Type | Organization |
| Organization Name | SUNRISE COMPLEMENTARY MEDICAL CENTER |
| Practice Address |
41661 Enterprise Cir N Ste 113 Temecula CA 92590-5629 |
| Practice Telephone | 9514614800 |
| Mailing Telephone | 9514614800 |
| Enumeration Date | 2011-05-18 |
| Last Update Date | 2011-05-18 |
| Authorized Official Name | DR. KURT WOELLER (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 9514614800 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | Y |
| Parent Organization Name | UNIVERSAL HEALTH ASSOCIATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | ND188 | CA | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 20A7003 | CA | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | SUNRISE COMPLEMENTARY MEDICAL CENTER, INC | 750 Nw Charbonneau St Ste 201, Bend, OR 97703 |
| Street Address |
41661 ENTERPRISE CIR N STE 113 |
| City | TEMECULA |
| State | CA |
| Zip Code | 92590-5629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497221881 | Thangputtevy Melanie Chhea | Behavior Technician | 41769 Enterprise Circle N. Suite 104 & 105, Temecula, CA 92590 | 2018-10-23 |
| 1447734793 | Valleyone Medical LLC | Durable Medical Equipment & Medical Supplies | 27630 Commerce Center Dr, Ste. F, Temecula, CA 92590 | 2018-09-22 |
| 1730672288 | Brittany Heflin | Assistant Behavior Analyst | 41769 Enterprise Cir N Ste 104-105, Temecula, CA 92590 | 2018-06-10 |
| 1679980239 | Brittney Ann Dewall | Psychologist | 28999 Old Town Front Street, Suite 203, Temecula, CA 92590 | 2014-07-16 |
| 1790102853 | Irma Cabral | Counselor | 42072 5th St Ste 201b, Temecula, CA 92590 | 2014-03-26 |
| 1326461799 | Dr Helen H Im Dds | Durable Medical Equipment & Medical Supplies | 28780 Single Oak Dr #150, Temecula, CA 92590 | 2014-01-21 |
| 1205260130 | Canyon Lake Hospice, Inc. | Hospice Care, Community Based | 41661 Enterprise Cir N Ste 217, Temecula, CA 92590 | 2013-08-28 |
| 1265749105 | Audrey Munoz | Rehabilitation Practitioner | 27268 Via Industria, Temecula, CA 92590 | 2010-09-13 |
| 1902134729 | Oprimum Dynamic Achievement | Community/Behavioral Health | 28364 Vincent Moraga, Suite C, Temecula, CA 92590 | 2009-12-07 |
| 1578792057 | Monica Padilla Helvie | Marriage & Family Therapist | 28581 Old Town Front St # 103, Temecula, CA 92590 | 2009-07-06 |
| Find all providers in zip 92590 | ||||
| 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 |
|---|---|---|---|---|
| 1306362629 | Vitality Medical Group PC | Family Medicine | 27699 Jefferson Ave Ste 206, Temecula, CA 92590-2696 | 2017-08-17 |
| 1053751941 | Temecula Medical Group Inc | Family Medicine | 44054 Margarita Rd Ste 1, Temecula, CA 92592-2737 | 2013-06-25 |
| 1316275084 | Mobile Swallow Evals, Inc. | Family Medicine | 29645 Rancho Calif. Rd, #101, Temecula, CA 92591 | 2009-11-18 |
| 1780917666 | Jay A. Ferns D.o. A Professional Medical Corp. | Family Medicine | 29738 Rancho California Road, Suite B, Temecula, CA 92591 | 2009-09-10 |
| 1487893483 | Dennis Keith Miller | Family Medicine | 27520 Ynez Rd, C5, Temecula, CA 92591-4650 | 2009-02-13 |
| 1568633246 | The Mcdonald Clinic Inc | Family Medicine | 31493 Rancho Pueblo Rd., Suite #107, Temecula, CA 92592-4832 | 2008-03-20 |
| 1033323746 | Temecula Valley Family Physicians Inc. | Family Medicine | 31720 Temecula Pkwy Ste 203, Temecula, CA 92592-5895 | 2007-05-10 |
| 1053530428 | Humberto S Aragon | Family Medicine | 41750 Winchester Rd., Ste. N, Temecula, CA 92590-4898 | 2007-04-24 |
| 1134249345 | Sylvia A Gisi, M.d. Inc. | Family Medicine | 31493 Rancho Pueblo Rd Ste 204, Temecula, CA 92592-4833 | 2007-03-30 |
| 1972660280 | David M. Mitzner D.o. Inc. | Family Medicine | 27625 Jefferson Ave Ste 101, Temecula, CA 92590-2619 | 2007-01-03 |
| Find all providers in TEMECULA | ||||
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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.