MR. RAFIK M SIDRAK (NPI# 1821188251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821188251 |
| Entity Type | Individual |
| Full Name | MR. RAFIK M SIDRAK |
| Credential | M.D. |
| Practice Address |
4010 Watson Plaza Dr Suite 285 Lakewood CA 90712-4037 |
| Practice Telephone | 5624971505 |
| Practice Fax Number | 5624971881 |
| Mailing Telephone | 5624971505 |
| Mailing Fax Number | 5624971881 |
| Enumeration Date | 2006-10-14 |
| Last Update Date | 2013-06-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
A40996 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
4010 WATSON PLAZA DR SUITE 285 |
| City | LAKEWOOD |
| State | CA |
| Zip Code | 90712-4037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811995665 | Jubilee Health Care Management, Inc. | Home Health | 4010 Watson Plaza Dr, Suite 210, Lakewood, CA 90712-4037 | 2005-07-13 |
| 1750827291 | Constance Shin | Marriage & Family Therapist | 4010 Watson Plaza Dr, Suite 285, Lakewood, CA 90712-4037 | 2017-01-09 |
| 1700140282 | Sandra Lee Flores | Social Worker | 4010 Watson Plaza Dr, Suite 285, Lakewood, CA 90712-4037 | 2012-06-28 |
| 1730323866 | China Keyonnie Gassoway Stevenson | Case Manager/Care Coordinator | 4010 Watson Plaza Dr, Suite 135, Lakewood, CA 90712-4037 | 2009-04-20 |
| 1538302773 | Richard Carl Romero | Counselor | 4010 Watson Plaza Dr, Lakewood, CA 90712-4037 | 2009-04-17 |
| 1346483583 | Jacqueline N Gomez | Counselor | 4010 Watson Plaza Dr, Lakewood, CA 90712-4037 | 2009-04-17 |
| 1861638256 | Adriana Michelle Meza | Counselor | 4010 Watson Plaza Dr, Lakewood, CA 90712-4037 | 2009-01-06 |
| 1538339627 | Maribel Contreras | Counselor | 4010 Watson Plaza Dr, Lakewood, CA 90712-4037 | 2008-03-05 |
| 1649476425 | Crittenton Services for Children and Families | Community/Behavioral Health | 4010 Watson Plaza Dr, Lakewood, CA 90712-4037 | 2007-06-27 |
| 1538380951 | Kendra Venetta Tankersley | Rehabilitation Practitioner | 4010 Watson Plaza Dr, 135, Lakewood, CA 90712-4037 | 2007-05-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689289944 | Createwellness LLC | Social Worker | 5250 Hayter Avenue, Lakewood, CA 90712 | 2020-09-14 |
| 1801451398 | Marilou Toquero Dental Corp | Durable Medical Equipment & Medical Supplies | 3203 Carson St Suite 2, Lakewood, CA 90712 | 2019-05-09 |
| 1225510126 | N Ozder Dental Practice Inc | Clinic/Center | 5037 Lakewood Blvd, Lakewood, CA 90712 | 2018-09-06 |
| 1003394446 | Robert Michael Schlesinger | Counselor | 5150 Candlewood St Ste 13a, Lakewood, CA 90712 | 2018-07-28 |
| 1316439847 | P.r.i.s.m. Institute Inc. | Chiropractor | 5233 Premiere Ave, Lakewood, CA 90712 | 2018-05-31 |
| 1316477938 | Broadleaf Healthcare | Orthotist | 4345 Levelside Ave, Lakewood, CA 90712 | 2017-06-15 |
| 1679008049 | Adrienne Yoshiko Doi | Podiatrist | 3700 East South Street, Lakewood, CA 90712 | 2017-04-24 |
| 1841747334 | Garrison R Weaver-gourdeau | Chiropractor | 4115 E. South St, Lakewood, CA 90712 | 2016-09-01 |
| 1073967394 | Mirna S Rizkalla | Family Medicine | 3650 South St Ste 404, Lakewood, CA 90712 | 2016-04-22 |
| 1841657251 | Roxanna Jimenez | Rehabilitation Practitioner | 5818 Clark Ave, Lakewood, CA 90712 | 2016-01-15 |
| Find all providers in zip 90712 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396390845 | Penny Leah Tanner, P.s. | Psychiatry & Neurology | 7424 Bridgeport Way W Ste 302, Lakewood, WA 98499-8135 | 2019-08-01 |
| 1295206092 | Pinnacle Interventional Psychiatry | Psychiatry & Neurology | 1450 Hoyt St, Lakewood, CO 80215-4763 | 2018-12-06 |
| 1043625999 | Derek Christopher Johnson | Psychiatry & Neurology | 255 S Routt St Ste 215, Lakewood, CO 80228-2271 | 2014-06-29 |
| 1003110495 | Dwight A Bergquist Md Inc | Psychiatry & Neurology | 5230 N. Clark Avenue, Suite 10, Lakewood, CA 90712-2649 | 2010-12-29 |
| 1194056234 | Tracie D Harvey Md A Medical Corporation | Psychiatry & Neurology | 4067 Hardwick St, Suite 313, Lakewood, CA 90712-2350 | 2010-01-28 |
| 1982849659 | Syed Ali Raza Shamsi | Psychiatry & Neurology | 305 E. Fairmont Avenue, Unit 7, Lakewood, NY 14750 | 2008-12-10 |
| 1649444829 | Hy Gia Young Park | Psychiatry & Neurology | 7525 W 10th Ave, Lakewood, CO 80214-4493 | 2008-04-17 |
| 1770614216 | David S. Wahl | Psychiatry & Neurology | 12600 W. Colfax Ave, Suite #c430, Lakewood, CO 80215-3760 | 2007-03-08 |
| 1225175193 | Joselita Chua | Psychiatry & Neurology | 12500 Edgewater Dr, #1402, Lakewood, OH 44107-1677 | 2007-01-31 |
| 1861557506 | Regina Yvonne Leverrier | Psychiatry & Neurology | 12157 W Cedar Dr Fl 2, Lakewood, CO 80228 | 2006-12-22 |
| Find all providers in LAKEWOOD | ||||
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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.