PACIFIC WAVECREST MEDICAL CORPORATION (NPI# 1871833715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871833715 |
Entity Type | Organization |
Organization Name | PACIFIC WAVECREST MEDICAL CORPORATION |
Practice Address |
2500 E Ball Rd Ste 200 Anaheim CA 92806-5054 |
Practice Telephone | 7142840111 |
Enumeration Date | 2013-02-28 |
Last Update Date | 2013-02-28 |
Authorized Official Name | MS. GHAZALA AHMED (SECRETARY) |
Authorized Official Telephone | 7142840111 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | 43843 | CA | Other Service Providers |
Street Address |
2500 E BALL RD STE 200 |
City | ANAHEIM |
State | CA |
Zip Code | 92806-5054 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245383280 | Grishma Rajen Shah | Dentist | 2500 E Ball Rd, Ste. 150, Anaheim, CA 92806-5054 | 2007-01-22 |
1982032413 | Sunrise Diagnostic, Inc. | Physical Medicine & Rehabilitation | 2500 E Ball Rd, Suite 220, Anaheim, CA 92806-5054 | 2013-10-18 |
1982950499 | West Care Family Medical Center A Professional Corporation | Internal Medicine | 2500 E Ball Rd, Suite 100, Anaheim, CA 92806-5054 | 2012-08-02 |
1497015192 | Maryam Gul | Internal Medicine | 2500 E Ball Rd, Ste 100, Anaheim, CA 92806-5062 | 2012-05-29 |
1053431908 | Grishma Shah, D.d.s., Inc. | Dentist | 2500 E Ball Rd, Suite 150, Anaheim, CA 92806-5054 | 2007-04-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619513611 | Krista Mckinney | Family Medicine | 344o E. La Palma Avenue, Anaheim, CA 92806 | 2019-11-25 |
1780175968 | Brooke Lindsay Owen | Specialist/Technologist | 1300 N. Kraemer Blvd, Anaheim, CA 92806 | 2018-05-23 |
1033631973 | Biocorrx Inc. | Rehabilitation, Substance Use Disorder Unit | 2390 E Orangewood Avenue, Suite 575, Anaheim, CA 92806 | 2017-07-12 |
1437679784 | Margaret Elena Popp | Counselor | Adult and Older Adult Behavioral Health Services, 2035 E. Ball Rd, Anaheim, CA 92806 | 2017-06-27 |
1982134581 | Jessica Nguyen | Pharmacist | 2833 E Randy Ave, Anaheim, CA 92806 | 2017-06-15 |
1518493733 | Oksana Pradun | Nurse Practitioner | 2111 East Ball Rd., Anaheim, CA 92806 | 2017-05-08 |
1568828754 | Sanah Qureshi | Nurse Anesthetist, Certified Registered | 2546 E Strong Pl, Anaheim, CA 92806 | 2016-01-05 |
1689050379 | Wu Chiropractic Care, Inc. | Acupuncturist | 215 N State College Blvd., #b, Anaheim, CA 92806 | 2015-08-04 |
1659757375 | Jonathan Song | Dentist | 1134 N State College Blvd Ste C, Anaheim, CA 92806 | 2015-08-04 |
1558764761 | Mariko Horie | Acupuncturist | 504 N State College Blvd, Anaheim, CA 92806 | 2014-10-01 |
Find all providers in zip 92806 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841798048 | Brenda Vasquez | Specialist | 3460 E Orangethorpe Ave Ste A, Anaheim, CA 92806-1147 | 2018-01-23 |
1700245131 | Bartholomew Decoro | Specialist | 321 S Hillview Rd, Anaheim, CA 92804-2335 | 2016-02-13 |
1669844247 | Prime Practice Management LLC | Specialist | 379 S Avenida Margarita, Anaheim, CA 92807-3708 | 2015-10-22 |
1316355274 | Don Garcia Md Inc | Specialist | 898 S Harbor Blvd, Anaheim, CA 92805-5158 | 2014-07-23 |
1346680642 | Advance Mobile Medical Inc. | Specialist | 2500 E Ball Rd Ste 110, Anaheim, CA 92806-5054 | 2013-07-01 |
1407197718 | Anatomical Impairment Medical Group, Inc | Specialist | 2500 E. Ball Road Ste 200, Anaheim, CA 92806 | 2013-03-12 |
1124369715 | Orange Park Medical Group, A Professional Corp. | Specialist | 2500 E Ball Rd Ste 200, Anaheim, CA 92806 | 2013-03-07 |
1235404799 | Hassan D Juma Ramadhan | Specialist | 9621 Colony St, Anaheim, CA 92804-3475 | 2012-03-16 |
1770893182 | Prakash N Shenoy Md Inc | Specialist | 1736 W Medical Center Dr Ste A, Anaheim, CA 92801-1854 | 2010-10-19 |
1467782110 | Victor R Alanis | Specialist | 2569 W. Woodland Dr, Anaheim, CA 92801 | 2009-12-31 |
Find all providers in ANAHEIM |
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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.