SAND CANYON MEDICAL GROUP (NPI# 1962688390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962688390 |
| Entity Type | Organization |
| Organization Name | SAND CANYON MEDICAL GROUP |
| Practice Address |
16100 Sand Canyon Ave Suite 150 Irvine CA 92618-3716 |
| Mailing Address |
Po Box 96365 Oklahoma City OK 73143-6365 |
| Practice Telephone | 9494170272 |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2008-08-13 |
| Authorized Official Name | MATTHEW MULLARKY (PRESIDENT) |
| Authorized Official Telephone | 9494170272 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| Street Address |
16100 SAND CANYON AVE SUITE 150 |
| City | IRVINE |
| State | CA |
| Zip Code | 92618-3716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306845946 | Judith A Harrison-monge-reiner | Radiology | 16100 Sand Canyon Ave, Suite 130, Irvine, CA 92867 | 2005-07-15 |
| 1912567983 | Hoag Neurobehavioral Health LLC | Clinic/Center | 16100 Sand Canyon Ave, Irvine, CA 92618-3716 | 2019-06-20 |
| 1225575087 | Heather Marie Wertz | Nurse Practitioner | 16100 Sand Canyon Ave, St 130, Irvine, CA 92618-3716 | 2017-01-31 |
| 1710398193 | Orange Coast Head and Neck Surgery | Otolaryngology | 16100 Sand Canyon Ave, Ste 310, Irvine, CA 92618-3716 | 2014-05-19 |
| 1467698829 | Mary Grace Bartolome Samonte-mora | Dentist | 16100 Sand Canyon Ave, Suite 270, Irvine, CA 92618-3716 | 2009-01-06 |
| 1447432653 | Kenneth M. Tokita | Radiology | 16100 Sand Canyon Ave, Ste 130, Irvine, CA 92618-3722 | 2007-11-29 |
| 1407036288 | Vascular and Endovascular Institute of Orange County, A Medical Corpor | Surgery | 16100 Sand Canyon Ave, Suite 350, Irvine, CA 92618-3716 | 2007-11-08 |
| 1841342003 | Charles David Brown | Dentist | 16100 Sand Canyon Ave, Suite 380, Irvine, CA 92618-3716 | 2007-01-17 |
| 1336297290 | Garabed P. Nishanian | Surgery | 16100 Sand Canyon Ave, Suite #350, Irvine, CA 92618-3716 | 2007-01-08 |
| 1790858488 | Sepideh Najaran | Dentist | 16100 Sand Canyon Ave, Suite 270, Irvine, CA 92618-3716 | 2006-11-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558982306 | Zermina Akbary | Registered Nurse | 131 Theme, Irvine, Irvine, CA 92618 | 2020-05-04 |
| 1760028575 | Leibow Psychology Group, PC | Counselor | 7725 Gateway #4203, Irvine, CA 92618 | 2019-11-27 |
| 1790263713 | Jw Professional Dental Corporation | Dentist | 14785 Jeffrey Rd. Ste 200, Irvine, CA 92618 | 2018-08-01 |
| 1093200610 | Kevin Dinh Trinh, Md Inc. | Anesthesiology | 100 Fieldwood, Irvine, CA 92618 | 2018-06-26 |
| 1952899221 | Oneness Health Group Inc | Chiropractor | 25 Deergrass, Irvine, CA 92618 | 2018-04-23 |
| 1144738899 | Morvarid Emamy | Dentist | 23448 Spectrum, Irvine, CA 92618 | 2018-01-16 |
| 1083123194 | Ning Wang | Behavioral Analyst | 9844 Research Dr Ste 100, Irvine, CA 92618 | 2017-09-21 |
| 1043679715 | Dent All By Dr. Z | Dentist | 15362 Alton Parkway, Irvine, CA 92618 | 2016-02-23 |
| 1265897862 | Whitney Elyse Davies | Physical Therapist | 26650 Alton Parkway, Irvine, CA 92618 | 2015-12-23 |
| 1245619295 | Nora Witt | Registered Nurse | 16205 Sand Canyon Avenue, Suite 100, Irvine, CA 92618 | 2015-05-22 |
| Find all providers in zip 92618 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053622209 | Bishop Karas Community Clinic | Clinic/Center | 18021 Sky Park Cir Bldg 68, Ste. H, Irvine, CA 92614-6523 | 2010-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417556440 | Cottage Clinical Network LLC | Clinic/Center | 7070 Hollister Ave Ste 103, Goleta, CA 93117-2895 | 2020-10-21 |
| 1780291047 | Ultra Urgent Care | Clinic/Center | 2875 W 7th St, Los Angeles, CA 90005-3907 | 2020-09-30 |
| 1780291351 | Care Now Urgentcare | Clinic/Center | 5236 Palm Ave, Whittier, CA 90601-2210 | 2020-09-28 |
| 1811503519 | We Care Urgent Care LLC | Clinic/Center | 11177 Tampa Ave Unit A, Northridge, CA 91326-2254 | 2020-09-17 |
| 1114531035 | Q & M Physician Assistant Corporation | Clinic/Center | 941 Kendall Dr Ste C, San Bernardino, CA 92407-4156 | 2020-09-08 |
| 1568070662 | Atlas Urgent Care Corporation | Clinic/Center | 5531 Business Park S, Bakersfield, CA 93309-1668 | 2020-07-15 |
| 1952927378 | Anaheim Urgent Care, Inc. | Clinic/Center | 28900 S. Western Ave, Ranchos Palos Verdes, CA 90275 | 2020-06-22 |
| 1932724507 | Cottage Clinical Network, LLC | Clinic/Center | 1606 E Clark Ave, Building C, Suite 2, Orcutt, CA 93455 | 2020-06-10 |
| 1124643911 | Cottage Clinical Network, LLC | Clinic/Center | 3970 Broad St, San Luis Obispo, CA 93401-7097 | 2020-06-08 |
| 1861017659 | Cottage Clinical Network, LLC | Clinic/Center | 777 E Foothill Blvd # 777a775b, San Luis Obispo, CA 93405-1617 | 2020-06-08 |
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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.