AVAOCADO MEDICAL GROUP (NPI# 1932434438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932434438 |
| Entity Type | Organization |
| Organization Name | AVAOCADO MEDICAL GROUP |
| Practice Address |
1441 Avocado Ave 702 Newport Beach CA 92660-7721 |
| Mailing Address |
8941 Atlanta Ave # 522 Huntington Beach CA 92646-7121 |
| Practice Telephone | 9497209266 |
| Mailing Telephone | 7142992666 |
| Mailing Fax Number | 9494383868 |
| Enumeration Date | 2009-10-16 |
| Last Update Date | 2020-09-01 |
| Authorized Official Name | KENNY HEINE (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 8586252990 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDVANTX, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | G50213 | CA | Suppliers |
| Street Address |
1441 AVOCADO AVE 702 |
| City | NEWPORT BEACH |
| State | CA |
| Zip Code | 92660-7721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891785465 | David Charles Herzlinger | Specialist | 1441 Avocado Ave, Suite 409, Newport Beach, CA 92660-7721 | 2005-10-25 |
| 1528503588 | Dean Azzeh D.d.s. Inc | Dentist | 1441 Avocado Ave, Newport Beach, CA 92660-7721 | 2016-12-30 |
| 1962824250 | Deedreea Rich | Dentist | 1441 Avocado Ave, 508, Newport Beach, CA 92660-7721 | 2014-01-06 |
| 1134557655 | Coastal Family Medicine Inc | Physician Assistant | 1441 Avocado Ave, Suite 503, Newport Beach, CA 92660-7721 | 2013-10-18 |
| 1487081097 | Jennifer Moller | Physician Assistant | 1441 Avocado Ave, Suite 702, Newport Beach, CA 92660-7721 | 2013-09-28 |
| 1578905162 | Denise Rebecca Stevens | Nurse Practitioner | 1441 Avocado Ave, Suite 301, Newport Beach, CA 92660-7721 | 2013-07-23 |
| 1467891846 | Michael Gahagan | Dentist | 1441 Avocado Ave, Newport Beach, CA 92660-7721 | 2013-06-19 |
| 1558603381 | Edward J. Domanskis,md Inc. | Plastic Surgery | 1441 Avocado Ave, Suite 307, Newport Beach, CA 92660-7721 | 2013-03-19 |
| 1285988410 | Mitchell C Austin Md Inc | Internal Medicine | 1441 Avocado Ave, #701, Newport Beach, CA 92660-7708 | 2012-11-09 |
| 1982978805 | Urology Care Center | Urology | 1441 Avocado Ave, Suite 408, Newport Beach, CA 92660-7721 | 2012-02-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275144024 | Lumins Aesthetic and Wellness, Inc | Dermatology | 20281 Sw Birch St, Suite 201, Newport Beach, CA 92660 | 2020-08-14 |
| 1205445798 | Felecia A Pedrogo | Marriage & Family Therapist | 5020 Campus Street, Newport Beach, CA 92660 | 2020-07-30 |
| 1649898388 | Polyviou Dental Corportation, Inc. | Clinic/Center | 120 Newport Beach Drive, Suite 27, Newport Beach, CA 92660 | 2020-07-09 |
| 1154974525 | Jan M. Eckermann, Md Inc. | Neurological Surgery | 1617 W Cliff Dr, Ste 203, Newport Beach, CA 92660 | 2019-07-24 |
| 1235792219 | Horizon Dermatology and Laser Institute | Dermatology | 369 San Miguel Dr. Suite 200, Newport Beach, CA 92660 | 2019-04-16 |
| 1902366925 | Yasmine Central Gohar | Marriage & Family Therapist | 20271 Sw Birch St Ste 200, Newport Beach, CA 92660 | 2019-03-25 |
| 1245703255 | Charison Counseling | Counselor | 4000 Macarthur Bvd Suite 600 East Tower, Newport Beach, CA 92660 | 2019-01-03 |
| 1134698996 | Amber Werner | Chiropractor | 4029 Westerly Place, Suite #115, Newport Beach, CA 92660 | 2018-11-21 |
| 1861969008 | Healthy Me Oc | Dietitian, Registered | 4569 Macarthur Court, Suite 1100, Newport Beach, CA 92660 | 2018-10-25 |
| 1174015192 | Edwin Enwia | Clinic/Center | 1000 Bristol St N Ste 1b, Newport Beach, CA 92660 | 2018-06-05 |
| Find all providers in zip 92660 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932647716 | St. Jude Hospital Yorba Linda | Non-Pharmacy Dispensing Site | 600 Newport Center Dr, Suite 150, Newport Beach, CA 92660-6417 | 2017-02-01 |
| 1427331255 | Outpatient Health Care, Inc. | Non-Pharmacy Dispensing Site | 2507 Eastbluff Dr, Newport Beach, CA 92660-3504 | 2011-09-28 |
| 1326334202 | Riviera Medical Corporation | Non-Pharmacy Dispensing Site | 360 San Miguel Dr, Suite 107, Newport Beach, CA 92660-7853 | 2011-06-20 |
| 1043520885 | Optimum Medical Clinics, Inc | Non-Pharmacy Dispensing Site | 20072 Sw Birch St, Suite 100, Newport Beach, CA 92660-0794 | 2010-10-14 |
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|---|---|---|---|---|
| 1982225496 | Artius Dermatology Associates PC | Non-Pharmacy Dispensing Site | 5757 Pacific Ave Ste 228, Stockton, CA 95207-5159 | 2020-05-06 |
| 1285268391 | Artius Dermatology Associates PC | Non-Pharmacy Dispensing Site | 1337 S Lovers Ln Ste D, Visalia, CA 93292-5249 | 2020-02-27 |
| 1790327732 | Triumph Specialties LLC | Non-Pharmacy Dispensing Site | 11100 Sepulveda Blvd # 8-519, Mission Hills, CA 91345-1131 | 2019-10-10 |
| 1487210365 | Artius Dermatology Associates P.C. | Non-Pharmacy Dispensing Site | 325 Mall Dr Ste 111, Hanford, CA 93230-5950 | 2019-05-15 |
| 1376030080 | Jane F Kardashian Md Inc | Non-Pharmacy Dispensing Site | 6769 N Fresno, Fresno, CA 93710 | 2018-04-18 |
| 1023511045 | Performance Health Medical Group | Non-Pharmacy Dispensing Site | 25431 Cabot Road Suite 118, Laguna Hills, CA 92653 | 2018-03-15 |
| 1043719206 | Southern California Orthopedic Institute L.p | Non-Pharmacy Dispensing Site | 4100 Empire Dr Ste 120, Bakersfield, CA 93309-0408 | 2018-02-02 |
| 1174032353 | Golden Gate Urology, Inc. | Non-Pharmacy Dispensing Site | 139 Townsend St Ste 100, San Francisco, CA 94107-1946 | 2017-09-20 |
| 1215462080 | Mas Management Group, Inc. | Non-Pharmacy Dispensing Site | 28446 Constellation Rd, Valencia, CA 91355-5081 | 2017-04-28 |
| 1730624719 | St. John's Well Child and Family Center Inc | Non-Pharmacy Dispensing Site | 326 W 23rd St, Los Angeles, CA 90007-2612 | 2016-12-29 |
| Find all providers with the same taxonomy | ||||
| City | NEWPORT BEACH |
| Zip Code | 92660 |
Please comment or provide details below to improve the information on AVAOCADO MEDICAL GROUP.
| 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.