MRS. LYDIA ANNA BRAY (NPI# 1881129229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881129229 |
| Entity Type | Individual |
| Full Name | MRS. LYDIA ANNA BRAY |
| Practice Address |
2102 Seminole Tustin CA 92782 |
| Mailing Address |
23361 Antonio Parkway #e Rancho Santa Margarita CA 92688 |
| Practice Telephone | 9498883050 |
| Practice Fax Number | 9498883075 |
| Mailing Telephone | 9498883050 |
| Mailing Fax Number | 9498883075 |
| Enumeration Date | 2017-04-24 |
| Last Update Date | 2017-04-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 031054 | CA | Pharmacy Service Providers |
| Street Address |
2102 SEMINOLE |
| City | TUSTIN |
| State | CA |
| Zip Code | 92782 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548890528 | Christina Maria Clayton | Registered Nurse | 3100 Park Ave Apt 7-201, Tustin, CA 92782 | 2020-01-18 |
| 1447769963 | National Vision, Inc. | Technician/Technologist | 15020 Kensington Park Drive, J300, Tustin, CA 92782 | 2017-09-27 |
| 1487175410 | Vanson Dental Corporation | Dentist | 15160 Kensington Park Drive, Ste 610, Tustin, CA 92782 | 2017-06-29 |
| 1982133526 | Hee Eun Lee | Occupational Therapist | 2741 Dunstan Drive, Tustin, CA 92782 | 2017-06-07 |
| 1427591577 | Charlie Huang | Internal Medicine | 15000 Kensington Park Dr Ste 250, Tustin, CA 92782 | 2016-11-21 |
| 1144672270 | Leiza Yamila Walia | Dentist | 15160 Kensington Park Dr Ste 610, Tustin, CA 92782 | 2016-07-13 |
| 1467831131 | Steven Yi Sun | Pediatrics | 15000 Kensington Park Dr, Tustin, CA 92782 | 2015-05-27 |
| 1639506405 | Medivan | Non-emergency Medical Transport (VAN) | 13800 Parkcenter Lane, Tustin, CA 92782 | 2013-10-10 |
| 1124266085 | Stacie Lynn Aragon | Counselor | 1 Hope Dr., Tustin, CA 92782 | 2009-01-30 |
| 1104037456 | Barbara Jean Villa | Optometrist | 2700 Park Avenue, Tustin, CA 92782 | 2007-05-25 |
| Find all providers in zip 92782 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437780947 | John Michael Michael | Pharmacist | 14481 Wildeve Ln, Tustin, CA 92780 | 2020-02-03 |
| 1104465038 | Ryan Nguyen | Pharmacist | 17277 Mcfadden Ave Apt E, Tustin, CA 92780-5576 | 2019-12-23 |
| 1528606647 | Michael Kevin Chow | Pharmacist | 10625 Bruns Dr, Tustin, CA 92782-1406 | 2019-12-19 |
| 1437652534 | Erica Truong | Pharmacist | 13841 Tustin East Dr Apt 179, Tustin, CA 92780-5380 | 2018-03-14 |
| 1093229676 | Peter Do | Pharmacist | 14536 Newport Ave Unit 2, Tustin, CA 92780-6080 | 2017-11-19 |
| 1770028029 | Katie Pham | Pharmacist | 13422 Falmouth Pl, Tustin, CA 92780-4711 | 2016-12-22 |
| 1417300625 | Maisie My Nguyen | Pharmacist | 2960 Champion Way, Apt 712, Tustin, CA 92782-1234 | 2016-07-22 |
| 1518330448 | Noor Alhankawi | Pharmacist | 16011 Legacy Rd Unit 204, Tustin, CA 92782-2811 | 2015-10-30 |
| 1063891737 | Kofi Abrampah | Pharmacist | 2882 Walnut Ave, Suite A, Tustin, CA 92780-7004 | 2015-05-27 |
| 1346663036 | Ruba Azar | Pharmacist | 1911 Brookshire Ave, Tustin, CA 92780-6646 | 2014-01-30 |
| Find all providers in TUSTIN | ||||
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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.