EDWIN SAMUEL KULUBYA (NPI# 1922027218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922027218 |
| Entity Type | Individual |
| Full Name | EDWIN SAMUEL KULUBYA |
| Credential | M. D. |
| Practice Address |
5475 E La Palma Ave Suite 202 Anaheim CA 92807-2075 |
| Practice Telephone | 7142347485 |
| Practice Fax Number | 7147011071 |
| Mailing Telephone | 7142347485 |
| Mailing Fax Number | 7147011071 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2015-07-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | L1100 | TX | Allopathic & Osteopathic Physicians |
| Y | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
G54189 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 159375801 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164970372 | Edwin Samuel Kulubya Jr. | Neurological Surgery | 4860 Y St, Sacramento, CA 95817 | 2016-09-16 |
| Street Address |
5475 E LA PALMA AVE SUITE 202 |
| City | ANAHEIM |
| State | CA |
| Zip Code | 92807-2075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467072132 | Adam Brasket | Registered Nurse | 5475 E La Palma Ave, Anaheim, CA 92807-2075 | 2020-04-22 |
| 1376926808 | James C. Lee, Dpm A Professional Corp | Podiatrist | 5475 E La Palma Ave, Suite 208, Anaheim, CA 92807-2075 | 2015-07-01 |
| 1962800318 | West Regional Cardiothoracic & Vascular Surgeons W R Vein Center | Surgery | 5475 E La Palma Ave, Suite 204, Anaheim, CA 92807-2075 | 2014-12-17 |
| 1063823391 | Silvia Song | Dermatology | 5475 E La Palma Ave, Anaheim, CA 92807-2075 | 2014-05-08 |
| 1245667013 | Robert J Marriott Medical Corp | Surgery | 5475 E La Palma Ave, Suite 204, Anaheim, CA 92807-2075 | 2013-10-10 |
| 1528327327 | Jaryd Freedman | Dermatology | 5475 E La Palma Ave, Suite 201, Anaheim, CA 92807-2075 | 2012-05-14 |
| 1205141074 | Edan M Devora | Physical Therapist | 5475 E La Palma Ave, 200, Anaheim, CA 92807-2075 | 2010-08-17 |
| 1538480959 | Artisan Foot and Ankle Specialist | Podiatrist | 5475 E La Palma Ave, Ste 208, Anaheim, CA 92807-2075 | 2010-06-21 |
| 1548490568 | Sherry Youssef | Dermatology | 5475 E La Palma Ave, Suite 201, Anaheim, CA 92807-2075 | 2009-07-24 |
| 1831327121 | Van Tl Hoang | Dermatology | 5475 E La Palma Ave, Suite 201, Anaheim, CA 92807-2075 | 2009-06-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801400759 | Katie Greasby | Marriage & Family Therapist | 509 S. Villa Real Dr. #117, Anaheim Hills, CA 92807 | 2020-09-08 |
| 1386201481 | Joseph Hasrouni | Counselor | Cvs 9753, 5735 E. La Palma Ave, Anaheim, CA 92807 | 2019-05-23 |
| 1144739277 | Luis Antonio Perez | Social Worker | 2112 E 4th St. #107, Santa Ana, CA 92807 | 2017-09-20 |
| 1548781883 | F.foroutan Dds Inc. | Dentist | 5031 E. Orangethorpe Ave., Suite # B-2, Anaheim Hills, CA 92807 | 2017-06-27 |
| 1487101515 | Eloy Ramirez | Counselor | 233 S. Quintana Drive, Anaheim, CA 92807 | 2016-09-07 |
| 1255786448 | K's Loving Care | Custodial Care Facility | 1211 N Amelia St, Anaheim, CA 92807 | 2016-04-26 |
| 1265806673 | Jessica Vickers | Marriage & Family Therapist | 5500 E Santa Ana Canyon Rd Ste 216, Anaheim, CA 92807 | 2015-11-23 |
| 1033596796 | Donovan Garcia Teves | Specialist | 1261 Lakeview Ave., Suite 'a', Anaheim Hills, CA 92807 | 2015-05-01 |
| 1235544354 | Nicole Reaves | Occupational Therapist | 5630 E Santa Ana Canyon Rd Ste 105, Anaheim, CA 92807 | 2014-06-26 |
| 1093143471 | Behrang E Toubak | Counselor | 6381 E Via Arboles, Anaheim, CA 92807 | 2013-10-23 |
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| Taxonomy Code | 208VP0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Pain Medicine |
| Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient’s pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies. |
| Notes: Source: American Academy of Pain Medicine, www.painmed.org - Additional Resources:The American Board of Pain Medicine provides Board Certification. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700387347 | Paul Kim Md Inc. | Pain Medicine | 1771 W Romneya Dr Ste H, Anaheim, CA 92801-1817 | 2018-02-27 |
| 1457422370 | Anh Quan Quoc Nguyen | Pain Medicine | 441 N Lakeview Ave, Anaheim, CA 92807-3028 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821752 | Pacific Advanced Surgical Services | Pain Medicine | 191 Lynch Creek Way Ste 101, Petaluma, CA 94954-2389 | 2020-11-02 |
| 1376140152 | Tania Faruque M.d. P.C. | Pain Medicine | 255 N Elm St Ste 101, Escondido, CA 92025-3431 | 2020-10-05 |
| 1578199147 | Pinnacle Pain & Regenerative Medicine Inc | Pain Medicine | 24452 Health Center Dr, Laguna Hills, CA 92653-3604 | 2020-03-16 |
| 1396376745 | Michael Truong, Md | Pain Medicine | 10900 Warner Ave Ste 101b, Fountain Valley, CA 92708-3846 | 2020-02-03 |
| 1013554930 | Algos Inc., A Medical Corporation | Pain Medicine | 1325 E Cooley Dr Ste 101, Colton, CA 92324-3966 | 2019-12-10 |
| 1649823964 | Bolt Surgery Center, LLC | Pain Medicine | 1124 S Main St Ste 102, Corona, CA 92882-4449 | 2019-07-17 |
| 1730649799 | Niamedic Bh PC | Pain Medicine | 24411 Health Center Dr Ste 330, Laguna Hills, CA 92653-3633 | 2019-03-24 |
| 1174097612 | Southern California Regenerative Medical Inc | Pain Medicine | 2111 S El Camino Real Ste 200, Oceanside, CA 92054-9000 | 2019-01-17 |
| 1215404132 | Haven Orthopedics & Spine Institute Inc | Pain Medicine | 10390 Commerce Center Dr Ste C100, Rancho Cucamonga, CA 91730-5858 | 2018-10-29 |
| 1578082038 | Out-line Medical, Inc., A Professional Medical Corporation | Pain Medicine | 14664 Victory Blvd, Van Nuys, CA 91411-1621 | 2017-09-15 |
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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.