NORTH BRISTOL FAMILY AND INJURY MEDICAL CENTER (NPI# 1851705818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851705818 |
| Entity Type | Organization |
| Organization Name | NORTH BRISTOL FAMILY AND INJURY MEDICAL CENTER |
| Practice Address |
1415 N Broadway Santa Ana CA 92706-3904 |
| Practice Telephone | 7145410175 |
| Mailing Telephone | 7145410175 |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2014-06-18 |
| Authorized Official Name | MR. MARIO PEREZ (ADMINISTRATOR) |
| Authorized Official Telephone | 7145410175 |
| Authorized Official Credential | PA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
AA1429251 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1558378463 | 05 |
| Street Address |
1415 N BROADWAY |
| City | SANTA ANA |
| State | CA |
| Zip Code | 92706-3904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215967567 | Yury N Skarlat | Physician Assistant | 1415 N Broadway, Santa Ana, CA 92706-3904 | 2006-07-03 |
| 1891174652 | Jose E Aguilar M D A Medical Corporation | Family Medicine | 1415 N Broadway, Santa Ana, CA 92706-3904 | 2015-05-27 |
| 1477796043 | Jose E Aguilar Md A Medical Corporation | General Practice | 1415 N Broadway, Santa Ana, CA 92706-3904 | 2009-04-13 |
| 1598772279 | Mario G. Perez | Physician Assistant | 1415 N Broadway, Santa Ana, CA 92706-3904 | 2006-08-02 |
| 1558378463 | Jose Eduardo Aguilar | Internal Medicine | 1415 N Broadway, Santa Ana, CA 92706-3904 | 2006-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962972448 | Naijwa Lewis | Counselor | 2100 N. Broadway Suite 101, Santa Ana, CA 92706 | 2018-11-28 |
| 1215428230 | Chances Counseling Centers LLC | Psychologist | 2727 N Bristol St, Santa Ana, CA 92706 | 2018-05-24 |
| 1366962854 | Jankee Pandya | Counselor | 2215 N. Broadway, Ste 200, Santa Ana, CA 92706 | 2017-06-26 |
| 1740719178 | Miriam Alejandro Moreno-ortiz | Counselor | 1910 N. Bush St, Santa Ana, CA 92706 | 2017-06-08 |
| 1942617790 | Janice Botzbach | Behavioral Analyst | 1912 N. Broadway Suite 108, Santa Ana, CA 92706 | 2014-07-14 |
| 1841620689 | Orange County Health Care Agency | Clinic/Center | 550 N. Flower Street, Santa Ana, CA 92706 | 2013-11-14 |
| 1740527274 | Jeremy Nishimoto | Counselor | 2100 N. Broadway Ste 101, Santa Ana, CA 92706 | 2013-01-03 |
| 1326392390 | Rosemary Sara Chesters | Marriage & Family Therapist | 921 West Seventeenth Street, Santa Ana, CA 92706 | 2012-10-30 |
| 1790032019 | Jee Hoon Ha | Dentist | 1313 W 17th St Ste B, Santa Ana, CA 92706 | 2012-08-06 |
| 1437404225 | Lisa Steele | Counselor | 1910 N. Bush, Santa Ana, CA 92706 | 2012-07-17 |
| Find all providers in zip 92706 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295297570 | Sentinel Medical Group Inc | Clinic/Center | 505 N Tustin Ave Ste 195, Santa Ana, CA 92705-3775 | 2019-04-04 |
| 1811248669 | Clinica Medica Mi Pueblo, Medical Clinic, Inc | Clinic/Center | 720 S Harbor Blvd, Santa Ana, CA 92704-2337 | 2012-09-19 |
| 1679600852 | Childrens Hospital of Orange County | Clinic/Center | 1000 Highland St, Santa Ana, CA 92703-4822 | 2007-02-27 |
| 1629141056 | Careways Children's Foundation | Clinic/Center | 1902 W Chestnut Ave, Santa Ana, CA 92703-4304 | 2006-11-15 |
| 1033522560 | Gutierrez Espinoza Physician Assistant Corp | Clinic/Center | 2222 S Main St, Santa Ana, CA 92707-3220 | 2014-06-02 |
| 1467725846 | Antonio Carbayo Md A Medical Corporation | Clinic/Center | 1911 N Broadway, Santa Ana, CA 92706-2609 | 2012-02-16 |
| 1487947842 | Community Outreach Medical Services | Clinic/Center | 1200 N Tustin Ave, Suite 130, Santa Ana, CA 92705-3508 | 2011-05-18 |
| 1942503933 | Vision Center Lp | Clinic/Center | 3301 S Harbor Blvd, Ste 104, Santa Ana, CA 92704-6857 | 2010-12-13 |
| 1437485513 | Kelvin Mai, D.o., Inc | Clinic/Center | 2337 W 1st St, Santa Ana, CA 92703-3503 | 2009-10-26 |
| 1851537708 | P K A Medical Corporation | Clinic/Center | 1610 W Edinger Ave, Ste B, Santa Ana, CA 92704-4339 | 2008-12-24 |
| Find all providers in SANTA ANA | ||||
Please comment or provide details below to improve the information on NORTH BRISTOL FAMILY AND INJURY MEDICAL CENTER.
| 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.