JAMES KATRIVESIS (NPI# 1851687008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851687008 |
| Entity Type | Individual |
| Full Name | JAMES KATRIVESIS |
| Credential | MD |
| Practice Address |
101 The City Drive South Route 140 Orange CA 92868 |
| Practice Telephone | 7144567243 |
| Mailing Telephone | 7144567243 |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2018-02-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
A122890 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
101 THE CITY DRIVE SOUTH ROUTE 140 |
| City | ORANGE |
| State | CA |
| Zip Code | 92868 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851378392 | Scott Alan Engwall | Anesthesiology | 101 The City Drive South, Uci Medical Center, Orange, CA 92868 | 2005-12-27 |
| 1407413412 | Brandon Evan Lung | Student in an Organized Health Care Education/Training Program | 101 The City Drive South, Dept of Ortho Surgery, Pav IIi, 2nd Fl, Rte 81, Orange, CA 92868 | 2019-05-24 |
| 1750844189 | Isaac Obermeyer | Student in an Organized Health Care Education/Training Program | 101 The City Drive South, Building 56, Suite 500, Orange, CA 92868 | 2019-04-11 |
| 1497252555 | Nu Ree Na | Student in an Organized Health Care Education/Training Program | 101 The City Drive South, Department of Radiological Sciences, Orange, CA 92868 | 2018-04-06 |
| 1295230910 | Ekta Patel | Student in an Organized Health Care Education/Training Program | 101 The City Drive South, Building 200, Suite 835, Orange, CA 92868 | 2018-03-26 |
| 1477936524 | Behdokht Nowroozizadeh | Pathology | 101 The City Drive South, Bldg 1, 3rd Floor, Room 3003, Orange, CA 92868-3201 | 2015-07-08 |
| 1922491596 | Todd Ramsey Wojtanowicz | Psychiatry & Neurology | 101 The City Drive South, Bldg. 3 Suite 1-200, Orange, CA 92868-3201 | 2015-03-06 |
| 1497160972 | Elham Amiri | Student in an Organized Health Care Education/Training Program | 101 The City Drive South, Orange, CA 92868 | 2014-06-24 |
| 1720359334 | Ridgely Marie Meyers | Radiology | 101 The City Drive South, Bldg 1, Room 0115, Orange, CA 92868 | 2012-01-13 |
| 1033418801 | Shannon Louise Toohey | Emergency Medicine | 101 The City Drive South, Bldg 200, Suite 710, Rt 128-01, Orange, CA 92868 | 2011-03-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346859386 | Sadaf Abrishami | Pharmacist | 101 The City Dr S., Orange, CA 92868 | 2020-07-27 |
| 1245869825 | Helena Yijia Hong | Student in an Organized Health Care Education/Training Program | Uci Medical Center, 101 The City Drive, Orange, CA 92868 | 2020-04-06 |
| 1932736527 | Joshua Kristopher Livingston | Student in an Organized Health Care Education/Training Program | 101 The City Dr S, Rte. 128-01, Orange, CA 92868 | 2020-03-24 |
| 1831725894 | Michelle Brown | Student in an Organized Health Care Education/Training Program | 101 The City Dr S. Rte 128-01, Orange, CA 92868 | 2020-03-20 |
| 1093363491 | Kristin Lee | Pharmacist | 132 S. Anita Dr., Orange, CA 92868 | 2019-08-28 |
| 1740834217 | Matthew Brian Mecheal | Dentist | 725 W. La Veta Suite 260, Orange, CA 92868 | 2019-08-01 |
| 1245897990 | Brent Tyler Louie | Student in an Organized Health Care Education/Training Program | 101 The City Drive South Building 3, Route 88, Neuropsychiatric Center Uc Irvine Medical Center, Orange, CA 92868 | 2019-05-28 |
| 1093277972 | Danielle Amato | Student in an Organized Health Care Education/Training Program | Uc Irvine Health 101 The City Drive, City Tower, Ste 40, Orange, CA 92868 | 2019-04-01 |
| 1851852206 | Julia Ting Bu | Student in an Organized Health Care Education/Training Program | Uc Irvine Health, 101 The City Drive, City Tower, Ste 400, Orange, CA 92868 | 2019-03-28 |
| 1326507344 | Harrison Beene Lowder | Student in an Organized Health Care Education/Training Program | 505 S. Main St, Suite 525, Orange, CA 92868 | 2019-03-19 |
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| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588928378 | Bhavraj Khalsa | Radiology | 101 The City Dr S, Orange, CA 92868 | 2012-06-27 |
| 1124349980 | Reza Shahbaz | Radiology | 101 The City Dr S, Orange, CA 92868-3201 | 2010-06-16 |
| 1831429513 | Dayantha Manilal Fernando II | Radiology | 101 The City Dr S, Department of Radiology, Orange, CA 92868-3201 | 2010-01-03 |
| 1952578262 | Nii-kabu Kabutey | Radiology | 333 City Blvd W, Suite 1600, Orange, CA 92868-2903 | 2008-05-15 |
| 1235337627 | Nadine Abi-jaoudeh | Radiology | 101 The City Dr S, Orange, CA 92868-3201 | 2007-07-06 |
| 1629070610 | Vascular and Interventional Specialists of Orange County, Inc. | Radiology | 1140 W La Veta Ave, Ste. 850, Orange, CA 92868-4218 | 2005-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134739949 | Ava Vascular | Radiology | 1281 W. C. Street, Suite 200, Colton, CA 92324 | 2020-08-06 |
| 1306467204 | Saleh Radiology of Inland Empire | Radiology | 15276 Ledgestone St, Fontana, CA 92336-4048 | 2020-05-01 |
| 1366084535 | Luo Xu | Radiology | 757 Westwood Plz # 2146, Los Angeles, CA 90095-8358 | 2019-10-09 |
| 1346717824 | Cvs Medical Group, Inc | Radiology | 201 W Garvey Ave Ste 102-502, Monterey Park, CA 91754-7418 | 2018-11-01 |
| 1407353675 | Art Vascular & Interventional Associates Inc | Radiology | 324 S Beverly Dr Ste 345, Beverly Hills, CA 90212-4801 | 2018-04-12 |
| 1568971869 | Broad Reach Specialty Surgery Inc | Radiology | 8117 West Manchester Ave, Ste 368, Playa Del Rey, CA 90293 | 2017-09-29 |
| 1407393754 | Valley Vascular Partners Inc | Radiology | 19231 Victory Blvd Ste 155, Reseda, CA 91335-6329 | 2017-01-25 |
| 1124497342 | Neurointerventional Surgery Consultants, PC | Radiology | 534 S Brea Blvd, Brea, CA 92821-5304 | 2015-09-17 |
| 1578946026 | Clarity Radiology, LLC | Radiology | 39 Via Navarro, Greenbrae, CA 94904-1215 | 2015-07-01 |
| 1669863981 | Pedes Vascular San Fernando Valley | Radiology | 16260 Ventura Boulevard, Suite 210, Encino, CA 91436-2203 | 2015-02-09 |
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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.