MITRA M FATOURECHI-ALSHARIF (NPI# 1962616607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962616607 |
| Entity Type | Individual |
| Full Name | MITRA M FATOURECHI-ALSHARIF |
| Credential | M.D. |
| Practice Address |
1110 W La Palma Ave Suite #2 Anaheim CA 92801-2821 |
| Mailing Address |
Po Box 2879 Mission Viejo CA 92690-0879 |
| Practice Telephone | 7146357246 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2015-11-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | A108327 | CA | Allopathic & Osteopathic Physicians |
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
A108327 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 332437200 | 05 |
| Street Address |
1110 W LA PALMA AVE SUITE #2 |
| City | ANAHEIM |
| State | CA |
| Zip Code | 92801-2821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386625887 | Ann Louise Shah | Registered Nurse | 1110 W La Palma Ave, #7, Anaheim, CA 92801-2821 | 2005-11-10 |
| 1326100199 | Asher Family Care, A Medical Corp | Family Medicine | 1110 W La Palma Ave, Suite 1, Anaheim, CA 92801-2821 | 2006-12-15 |
| 1447342308 | Francisco Castillo Gonda Jr. | Internal Medicine | 1110 W La Palma Ave, # 10, Anaheim, CA 92801 | 2006-09-29 |
| 1245263953 | Blanca Hampton | Pediatrics | 1110 W La Palma Ave, Suite 1, Anaheim, CA 92801-2821 | 2006-07-08 |
| 1588608285 | Patrick Joseph Walsh | Pediatrics | 1110 W La Palma Ave, Anaheim, CA 92801-2821 | 2006-06-15 |
| 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 | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275927485 | Jessica M Chan | Internal Medicine | 500 S Anaheim Hills Rd Ste 206, Anaheim, CA 92807-4759 | 2015-03-25 |
| 1093032708 | Wai Ping Angel Li | Internal Medicine | 1188 N Euclid St, Anaheim, CA 92801-1900 | 2010-04-21 |
| 1568787851 | Rbde, Professional Medical Corporation | Internal Medicine | 1314 S Euclid St Ste 103, Anaheim, CA 92802-2000 | 2010-03-30 |
| 1447425871 | Sodhi Enterprise | Internal Medicine | 500 S Anaheim Hills Rd, Suite#200, Anaheim, CA 92807-4780 | 2008-04-27 |
| 1013084961 | Michael A. Olerich | Internal Medicine | 441 N Lakeview Ave, Anaheim, CA 92807-3028 | 2006-11-29 |
| 1215008131 | David L. Reiss | Internal Medicine | 441 N Lakeview Ave, Anaheim, CA 92807-3028 | 2006-11-13 |
| 1104997170 | Mona Roy | Internal Medicine | 441 N Lakeview Ave, Anaheim, CA 92807-3028 | 2006-11-13 |
| 1003828641 | Aleem A Syed | Internal Medicine | 1211 W La Palma Ave, Suite 702, Anaheim, CA 92801 | 2006-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
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| 1821612565 | Almoutaz Bellah Shakally Md, Inc | Internal Medicine | 7462 Schuyler Ct, Rancho Cucamonga, CA 91730-8305 | 2020-05-28 |
| 1366061863 | Karen L. Herbst, Md, PC | Internal Medicine | 12381 Wilshire Blvd Ste 202, Los Angeles, CA 90025-1063 | 2020-04-14 |
| 1619502572 | Pacific Endocrinology | Internal Medicine | 1855 1st Ave Ste 200b, San Diego, CA 92101-2685 | 2020-03-11 |
| 1659910743 | Robert Alan Rubin | Internal Medicine | 403 Paseo Miramar, Redondo Beach, CA 90277-6288 | 2020-01-06 |
| 1336790914 | Northeast Community Clinic | Internal Medicine | 4455 W 117th St Ste 502, Hawthorne, CA 90250-2261 | 2019-09-24 |
| 1124585393 | Steady Health Inc | Internal Medicine | 100 Bush St Ste 1600, San Francisco, CA 94104-3918 | 2019-02-25 |
| 1780140673 | Jennifer Anne Nuovo | Internal Medicine | 8880 Cal Center Dr Ste 300, Sacramento, CA 95826-3228 | 2019-02-15 |
| 1407324379 | Chrysalis Health of California | Internal Medicine | 4592 Camino Del Mirasol, Santa Barbara, CA 93110-1003 | 2018-11-08 |
| 1881172864 | Todd Lorenz | Internal Medicine | 5 Robert Rd, Orinda, CA 94563-3215 | 2018-08-01 |
| 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.