VISITH PRIN MD A PROFESSIONAL CORP (NPI# 1972824118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972824118 |
| Entity Type | Organization |
| Organization Name | VISITH PRIN MD A PROFESSIONAL CORP |
| Practice Address |
11441 Heacock St Ste B1 Moreno Valley CA 92557-7907 |
| Practice Telephone | 9519241906 |
| Mailing Telephone | 9519241906 |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2012-01-17 |
| Authorized Official Name | VISITH PRIROMPRINTR (OWNER) |
| Authorized Official Telephone | 9519241906 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | A40164 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
11441 HEACOCK ST STE B1 |
| City | MORENO VALLEY |
| State | CA |
| Zip Code | 92557-7907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598314577 | Knight Rider Transport Inc | Private Vehicle | 21334 Ocasey Ct, Moreno Valley, CA 92557 | 2019-09-11 |
| 1679041495 | Shaping Pathways | Community/Behavioral Health | 11627 Mccully Court, Moreno Valley, CA 92557 | 2018-11-09 |
| 1710485644 | Torie Curiel | Behavior Technician | 12125 Day St E301, Moreno Valley, CA 92557 | 2018-01-25 |
| 1164949921 | Phyllis Yvonne Miller | Behavioral Analyst | 15450 Casa Grande St, Moreno Valley, CA 92557 | 2017-08-23 |
| 1255855912 | Natalie Maria-vega Cortinas | Specialist/Technologist | 12348 Kasota Ct., Moreno Valley, CA 92557 | 2017-08-03 |
| 1942720263 | Shenna Pontier Brown | Licensed Vocational Nurse | 12031 Poutous Ct, Moreno Valley, CA 92557 | 2017-06-27 |
| 1104209733 | Saira Medrano | Counselor | 11966 Villa Hermosa, Moreno Valley, CA 92557 | 2015-07-01 |
| 1295071405 | Maura Sauls | Counselor | 9963 Paseo Corralito, Moreno Valley, CA 92557 | 2012-12-14 |
| 1992919583 | Jody Willetts | Technician, Other | 11480 Tiffany Lane, Moreno Valley, CA 92557 | 2007-05-10 |
| 1457564841 | Derrick Trigenza Smith | Dental Hygienist | 23569 Sunnymead Ranch Parkway, Moreno Valley, CA 92557 | 2007-05-08 |
| Find all providers in zip 92557 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023402286 | Jay Kyung Lee Md Apc | Obstetrics & Gynecology | 12980 Frederick St Ste A, Moreno Valley, CA 92553-5263 | 2015-03-26 |
| 1013901552 | Visith Priromprintr | Obstetrics & Gynecology | 11441 Heacock St, Suite B1, Moreno Valley, CA 92557-7907 | 2005-09-09 |
| 1518950377 | Sudhakar Dixit | Obstetrics & Gynecology | 24060 Fir Ave, Moreno Valley, CA 92553-2841 | 2005-08-26 |
| 1821081647 | Friendly Ob Gyn Medical Group Inc | Obstetrics & Gynecology | 12810 Heacock St Ste B105, Moreno Valley, CA 92553-3171 | 2005-08-26 |
| 1669853644 | Chamika Monique Miles | Obstetrics & Gynecology | 27300 Iris Ave, Moreno Valley, CA 92555-4802 | 2015-06-15 |
| 1881072346 | Canty Wang | Obstetrics & Gynecology | 26520 Cactus Ave, Moreno Valley, CA 92555 | 2015-05-15 |
| 1578958047 | Aspen Medical Group, Inc. | Obstetrics & Gynecology | 11441 Heacock St, Suite B-1, Moreno Valley, CA 92557-7907 | 2015-04-01 |
| 1184916959 | Irena Cabrera | Obstetrics & Gynecology | 26520 Cactus Ave, Moreno Valley, CA 92555 | 2011-05-11 |
| 1881872851 | Diwata Hope Abeleda Bose | Obstetrics & Gynecology | 26520 Cactus Ave, Moreno Valley, CA 92555-3927 | 2008-02-01 |
| 1083745178 | Carlo Giannino Garibaldi | Obstetrics & Gynecology | 12980 Frederick St, Ste A, Moreno Valley, CA 92553-5623 | 2007-03-08 |
| Find all providers in MORENO VALLEY | ||||
| City | MORENO VALLEY |
| Zip Code | 92557 |
Please comment or provide details below to improve the information on VISITH PRIN MD A PROFESSIONAL CORP.
| 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.