DR. IRISH CRISANTO (NPI# 1952667339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952667339 |
| Entity Type | Individual |
| Full Name | DR. IRISH CRISANTO |
| Credential | M.D. |
| Practice Address |
18685 Main St A-113 Huntington Beach CA 92648 |
| Practice Telephone | 7142354994 |
| Mailing Telephone | 7142354994 |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2012-04-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084B0040X |
Psychiatry & Neurology Specialization: Behavioral Neurology & Neuropsychiatry |
A35012 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
18685 MAIN ST A-113 |
| City | HUNTINGTON BEACH |
| State | CA |
| Zip Code | 92648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417927047 | Jon H Yamane | Optometrist | 18685 Main St, Ste E, Huntington Beach, CA 92648 | 2006-01-25 |
| 1730432865 | Jon H. Yamane, O.d., Inc. | Optometrist | 18685 Main St, Suite 105, Huntington Beach, CA 92648-1723 | 2012-10-26 |
| 1962754515 | Deborah Siry Ardolino | Counselor | 18685 Main St, Suite 101-348, Huntington Beach, CA 92648-1723 | 2012-10-05 |
| 1447578190 | Sheila Jan Callan | Social Worker | 18685 Main St, #101-147, Huntington Beach, CA 92648-1723 | 2010-05-05 |
| 1770725210 | Margaret Janine Rozbicka | Dentist | 18685 Main St, Suite A382, Huntington Beach, CA 92648-1723 | 2009-03-30 |
| 1164583910 | J. Harvey Marklinger | Optometrist | 18685 Main St, Suite E, Huntington Beach, CA 92648-1723 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861009870 | Nutrition By Gwen Consulting | Dietitian, Registered | 11821 Delaware St. Ste. 236, Huntington Beach, CA 92648 | 2020-09-24 |
| 1679131668 | Honey Dixit | Marriage & Family Therapist | 18992 Florida Street, Apt No. G6, Huntington Beach, CA 92648 | 2019-06-04 |
| 1326525361 | Gold Standard Recovery Services, LLC | Substance Abuse Rehabilitation Facility | 2319 Whitesands Dr Unit 3 & 4, Huntington Beach, CA 92648 | 2018-07-23 |
| 1336690338 | Douglas Chee | Physician Assistant | 1400 Pacific Coast Hwy Apt 201, Huntington Beach, CA 92648 | 2016-10-14 |
| 1801343124 | Serena Trang Ta | Dentist | 18700 Main St Ste 203, Huntington Beach, CA 92648 | 2016-09-02 |
| 1659826485 | Griffo Chiropractic Center Inc | Chiropractor | 18811 Huntington St Ste 100b, Huntington Beach, CA 92648 | 2016-08-22 |
| 1184076143 | Kaely Mcdevitt | Dietitian, Registered | 19400 Beach Blvd Ste 1, Huntington Beach, CA 92648 | 2016-07-01 |
| 1699123885 | Jack Petti | Clinical Medical Laboratory | 226 6th Street, Huntington Beach, CA 92648 | 2016-05-27 |
| 1275980880 | David Whitehouse | Pharmacist | 7989 Aldea Circle, Huntington Beach, CA 92648 | 2016-05-24 |
| 1265886345 | Kimberly Lank | Pediatrics | 19582 Beach Blvd Ste 360, Huntington Beach, CA 92648 | 2016-04-14 |
| Find all providers in zip 92648 | ||||
| Taxonomy Code | 2084B0040X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Behavioral Neurology & Neuropsychiatry |
| Behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues. |
| Notes: Source: National Uniform Claim Committee. [1/1/2012: new] Additional Resources: American Academy of Neurology, www.aan.com. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821624156 | Maria Elena Smith | Psychiatry & Neurology | 1068 Roy Frerichs Ln, Tracy, CA 95377-6605 | 2020-03-18 |
| 1639724057 | Nidal A Khalili Md,inc | Psychiatry & Neurology | 7551 Timberlake Way Ste 240, Sacramento, CA 95823-5422 | 2019-08-02 |
| 1871057687 | Justin Galvis | Psychiatry & Neurology | 3530 56th St, Sacramento, CA 95820-2341 | 2019-01-25 |
| 1861904401 | Monte S Buschsbaum | Psychiatry & Neurology | 1455 Coral Dr, Laguna Beach, CA 92651-1910 | 2017-11-03 |
| 1154864874 | Center for Neurohealth Inc | Psychiatry & Neurology | 4180 La Jolla Village Dr Ste 240, La Jolla, CA 92037 | 2016-11-29 |
| 1922481019 | Robert Rafal | Psychiatry & Neurology | 3 Captain Dr, Apt D404, Emeryville, CA 94608-1740 | 2015-07-07 |
| 1386993897 | Ernest William Klatte | Psychiatry & Neurology | 317 Ramona Place, Costa Mesa, CA 92627 | 2012-08-30 |
| 1265788426 | Sam A Castro, M.d., Inc. | Psychiatry & Neurology | 333 W Shaw Ave, #7, Fresno, CA 93704-2657 | 2012-07-25 |
| 1871858084 | Joseph H. Rodd M.d. Inc | Psychiatry & Neurology | 20710 S. Leapwood Ave., Suite B, Carson, CA 90746 | 2012-07-13 |
| 1821283318 | Laurence Stuart Rivkin | Psychiatry & Neurology | 6265 Cypress Point Rd, San Diego, CA 92120-3814 | 2007-09-08 |
| Find all providers with the same taxonomy | ||||
| City | HUNTINGTON BEACH |
| Zip Code | 92648 |
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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.