STEPHEN MICHAEL KUBASKA III (NPI# 1952481160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952481160 |
| Entity Type | Individual |
| Full Name | STEPHEN MICHAEL KUBASKA III |
| Credential | MD |
| Practice Address |
1211 W. La Palma Avenue Suite 505 Anaheim CA 92801-2812 |
| Practice Telephone | 7147781032 |
| Practice Fax Number | 7147800053 |
| Mailing Telephone | 7147781032 |
| Mailing Fax Number | 7147800053 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2011-08-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
000000G86545 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G865450 | 05 |
| Street Address |
1211 W. LA PALMA AVENUE SUITE 505 |
| City | ANAHEIM |
| State | CA |
| Zip Code | 92801-2812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013114313 | The Family Medicine Center | Clinic/Center | 1211 W. La Palma Avenue, Suite #404, Anaheim, CA 92801-2806 | 2007-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376178996 | Megalink Staffing Services Corp. | Non-emergency Medical Transport (VAN) | 780 N. Euclid St., Suite 207, Anaheim, CA 92801 | 2020-03-04 |
| 1669988630 | Munoz Urgent Care Inc. | Clinic/Center | 1741 W Romneya Dr., Suite A, Anaheim, CA 92801 | 2017-12-28 |
| 1922523257 | Enrique Esparza Jr. | Peer Specialist | 501 North Brookhurst Street, Anahiem, CA 92801 | 2017-08-08 |
| 1336689405 | Lan P. Tran | Pharmacist | 2308 W Huntington Ave, Anaheim, CA 92801 | 2017-03-08 |
| 1982065447 | Giselle Magdaleno | Marriage & Family Therapist | 505 N Euclid St #300, Anaheim, CA 92801 | 2016-03-11 |
| 1346605433 | Esther Chong | Nurse Practitioner | 710 N. Euclid St., 400, Anaheim, CA 92801 | 2015-12-16 |
| 1629441183 | Caremore Health Plan | Nurse Practitioner | 1182 N. Euclid Street, Anaheim, CA 92801 | 2015-11-05 |
| 1205208451 | Uyen Diem Ngo | Pharmacist | 1188 N. Euclid St., Anaheim, CA 92801 | 2015-10-28 |
| 1962873729 | Herb and Acu | Acupuncturist | 1737 W. Romneya Dr., Anaheim, CA 92801 | 2015-10-19 |
| 1437535721 | Yessenia Alvarado | Marriage & Family Therapist | 505 N. Euclid Street, Suite 300, Anaheim, CA 92801 | 2015-08-10 |
| Find all providers in zip 92801 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245667013 | Robert J Marriott Medical Corp | Surgery | 5475 E La Palma Ave, Suite 204, Anaheim, CA 92807-2075 | 2013-10-10 |
| 1346309937 | Kyu Oh | Surgery | 441 N Lakeview Ave, Anaheim, CA 92807-3028 | 2006-12-08 |
| 1063583037 | Sidney M. Glazer | Surgery | 441 N Lakeview Ave, Anaheim, CA 92807-3028 | 2006-11-13 |
| 1437220324 | Peter Sae Oh Paik | Surgery | 441 N Lakeview Ave, Anaheim, CA 92807-3028 | 2006-11-13 |
| 1316018203 | Michael M. Farooq | Surgery | 441 N Lakeview Ave, Anaheim, CA 92807-3028 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881213817 | Robert Morton Carroll X | Surgery | 2241 Century Hl, Los Angeles, CA 90067-3506 | 2020-04-09 |
| 1992341895 | Surgicalist of Ca PC | Surgery | 3300 E South St Ste 301a, Lakewood, CA 90805-4549 | 2019-11-26 |
| 1528600558 | Kevin M Casey Md Apmc | Surgery | 1919 State St # 204-206, Santa Barbara, CA 93101-2430 | 2019-10-10 |
| 1487117594 | John Nastasi | Surgery | 100 W Valencia Mesa Dr # 211, Fullerton, CA 92835-3768 | 2019-04-08 |
| 1225508385 | Jay Labourene | Surgery | 1550 G Tiburon Blvd, Tiburon, CA 94920-2531 | 2018-12-03 |
| 1467922120 | Paul Bressman Md Inc | Surgery | 1493 S Crest Dr, Los Angeles, CA 90035-3339 | 2018-11-26 |
| 1437638517 | Thousand Oaks Vein Clinic PC | Surgery | 225 N Moorpark Rd Ste C, Thousand Oaks, CA 91360-4320 | 2018-08-09 |
| 1881186377 | Lavs Access Center Inc. | Surgery | 620 W Beverly Blvd Ste B, Montebello, CA 90640-3624 | 2018-05-31 |
| 1841789328 | Sunil Rayan, M.d., Inc. | Surgery | 320 Santa Fe Dr Ste 212, Encinitas, CA 92024-5139 | 2018-05-09 |
| 1245739820 | Northridge Vascular Center A Professional Medical Corporation | Surgery | 19331 Business Center Dr Ste 102, Northridge, CA 91324-3533 | 2018-02-08 |
| Find all providers with the same taxonomy | ||||
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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.