MR. DAVID KEIKI MAI LANI LOUIS HALEY SR. (NPI# 1912966474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912966474 |
| Entity Type | Individual |
| Full Name | MR. DAVID KEIKI MAI LANI LOUIS HALEY SR. |
| Credential | IDC |
| Practice Address |
800 Seal Beach Blvd Bldg 77 Seal Beach CA 90740-5607 |
| Practice Telephone | 5626266296 |
| Practice Fax Number | 5626266290 |
| Mailing Telephone | 5626266296 |
| Mailing Fax Number | 5626266290 |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | INDEPENDENT DUTY CORPSMAN | 040819701988 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538510409 | David S Haley | Counselor | 3800 Paluxy Dr Ste 137, Tyler, TX 75703-1652 | 2016-06-22 |
| 1720522980 | David Wayne Haley | Pharmacist | 500 Old Pond Rd Ste 406, Bridgeville, PA 15017-1272 | 2016-12-07 |
| 1609220680 | David Haley | Registered Nurse | 2116 Craig Rd, Eau Claire, WI 54701-6149 | 2016-04-15 |
| 1518002328 | David Arthur Haley | Marriage & Family Therapist | 16275 Monterey Rd Ste C, Morgan Hill, CA 95037-5466 | 2007-02-20 |
| 1750371159 | David H. Haley | Podiatrist | 1601 Milltown Rd, Suite 24, Wilmington, DE 19808-4027 | 2005-10-26 |
| Street Address |
800 SEAL BEACH BLVD BLDG 77 |
| City | SEAL BEACH |
| State | CA |
| Zip Code | 90740-5607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831379130 | Richard Eduardo Mascioni | Military Health Care Provider | 800 Seal Beach Blvd, #22, Seal Beach, CA 90740-5607 | 2007-11-05 |
| 1437341864 | Naval Hospital Camp Pendleton | Clinic/Center | 800 Seal Beach Blvd, Nws Bmc, Seal Beach, CA 90740-5000 | 2007-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013564608 | Betty Lou Halloran | Technician | 1320 Kenwood Rd 158g, Seal Beach, CA 90740 | 2019-08-20 |
| 1235794975 | Elizabeth Irene Williams | Behavior Technician | 30002 Dow Ave #122, Tustin, CA 90740 | 2019-05-08 |
| 1679994834 | Alexis Worth | Nurse Practitioner | 1305 Catalina Ave., Seal Beach, CA 90740 | 2013-12-13 |
| 1386074128 | Santa Ana Hospice Inc | Hospice Care, Community Based | 610 Pacific Coast Hwy Ste 211, Seal Beach, CA 90740 | 2013-11-14 |
| 1902242019 | Bernard Georges Gantes | Dentist | 2999 Westminster, Suite 108, Seal Beach, CA 90740 | 2013-05-15 |
| 1144592064 | Brooke Ashley Pancer | Dentist | 2999 Westminster Blvd Seal Beach Dental Implants, Seal Beach, CA 90740 | 2012-02-08 |
| 1003187808 | Justin Cheongsiatmoy | Psychiatry & Neurology | 1301 Kenwood Road, Suite 159b, Seal Beach, CA 90740 | 2012-01-25 |
| 1386912830 | A Peace of Mind Home Care LLC | In Home Supportive Care | 1050 Electric Ave, Suite 308-1, Seal Beach, CA 90740 | 2011-12-12 |
| 1770888430 | Kathleen Cleary Adamovic | Marriage & Family Therapist | 500 Pacific Coast Highway, Suite 214, Seal Beach, CA 90740 | 2011-01-11 |
| 1710218177 | Misty Oppenheim-leaf | Behavioral Analyst | 200 Marina Drive, Suite C, Seal Beach, CA 90740 | 2010-01-26 |
| Find all providers in zip 90740 | ||||
| Taxonomy Code | 1710I1002X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Corpsman |
| A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals. |
| Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821468307 | Jeremy Velasquez | Military Health Care Provider | 323 15th St, Seal Beach, CA 90740-6512 | 2015-09-28 |
| 1831379130 | Richard Eduardo Mascioni | Military Health Care Provider | 800 Seal Beach Blvd, #22, Seal Beach, CA 90740-5607 | 2007-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316547227 | Landri Acosta | Military Health Care Provider | 5075 Tranquil Way # 102, Oceanside, CA 92057-7870 | 2020-10-29 |
| 1649879537 | David Michael Soliani | Military Health Care Provider | Bld 4101 Stuart Mesa Road, Camp Pendleton, CA 92055-5584 | 2020-10-21 |
| 1801494182 | Luis Alberto Necoechea | Military Health Care Provider | 1st Recon Bn Bas, Oceanside, CA 92055 | 2020-10-09 |
| 1770180648 | Darius Lee Sean Woods | Military Health Care Provider | 6033 Sandy Shore Ct, San Diego, CA 92139-1014 | 2020-10-05 |
| 1174130744 | Daniel Carrera | Military Health Care Provider | 2645 W Canyon Ave Apt 450, San Diego, CA 92123-4700 | 2020-09-28 |
| 1316551740 | Kyle Bode Francis | Military Health Care Provider | 3149 Murray Ridge Rd, San Diego, CA 92123-2917 | 2020-09-02 |
| 1356955918 | Daniel Carr | Military Health Care Provider | 5423 Lake Murray Blvd Apt 7, La Mesa, CA 91942-1551 | 2020-09-01 |
| 1255945069 | Jeremy Lee | Military Health Care Provider | 509 Dennery Rd Apt 145, San Diego, CA 92154-8542 | 2020-08-31 |
| 1639782899 | Tyler Collin Sparks | Military Health Care Provider | 1 Mrb, Camp Pendletion, CA 92055 | 2020-08-27 |
| 1013520667 | Rashaad Brown | Military Health Care Provider | 4454 Cherokee Ave Apt 2, San Diego, CA 92116-3611 | 2020-08-24 |
| Find all providers with the same taxonomy | ||||
| City | SEAL BEACH |
| Zip Code | 90740 |
Please comment or provide details below to improve the information on MR. DAVID KEIKI MAI LANI LOUIS HALEY SR..
| 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.