DR. GAUTAMI POLEPALLY ASHOK (NPI# 1982203568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982203568 |
| Entity Type | Individual |
| Full Name | DR. GAUTAMI POLEPALLY ASHOK |
| Practice Address |
1234 W Chapman Ave Ste 203 Orange CA 92868-2863 |
| Practice Telephone | 7144884594 |
| Mailing Telephone | 7144884594 |
| Enumeration Date | 2020-10-23 |
| Last Update Date | 2020-10-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY31767 | CA | Behavioral Health & Social Service Providers |
| Street Address |
1234 W CHAPMAN AVE STE 203 |
| City | ORANGE |
| State | CA |
| Zip Code | 92868-2863 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346859386 | Sadaf Abrishami | Pharmacist | 101 The City Dr S., Orange, CA 92868 | 2020-07-27 |
| 1245869825 | Helena Yijia Hong | Student in an Organized Health Care Education/Training Program | Uci Medical Center, 101 The City Drive, Orange, CA 92868 | 2020-04-06 |
| 1932736527 | Joshua Kristopher Livingston | Student in an Organized Health Care Education/Training Program | 101 The City Dr S, Rte. 128-01, Orange, CA 92868 | 2020-03-24 |
| 1831725894 | Michelle Brown | Student in an Organized Health Care Education/Training Program | 101 The City Dr S. Rte 128-01, Orange, CA 92868 | 2020-03-20 |
| 1093363491 | Kristin Lee | Pharmacist | 132 S. Anita Dr., Orange, CA 92868 | 2019-08-28 |
| 1740834217 | Matthew Brian Mecheal | Dentist | 725 W. La Veta Suite 260, Orange, CA 92868 | 2019-08-01 |
| 1245897990 | Brent Tyler Louie | Student in an Organized Health Care Education/Training Program | 101 The City Drive South Building 3, Route 88, Neuropsychiatric Center Uc Irvine Medical Center, Orange, CA 92868 | 2019-05-28 |
| 1093277972 | Danielle Amato | Student in an Organized Health Care Education/Training Program | Uc Irvine Health 101 The City Drive, City Tower, Ste 40, Orange, CA 92868 | 2019-04-01 |
| 1851852206 | Julia Ting Bu | Student in an Organized Health Care Education/Training Program | Uc Irvine Health, 101 The City Drive, City Tower, Ste 400, Orange, CA 92868 | 2019-03-28 |
| 1326507344 | Harrison Beene Lowder | Student in an Organized Health Care Education/Training Program | 505 S. Main St, Suite 525, Orange, CA 92868 | 2019-03-19 |
| Find all providers in zip 92868 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740718766 | Nissa Chantana | Psychologist | 2230 W Chapman Ave Ste 232, Orange, CA 92868-2316 | 2017-06-03 |
| 1730462409 | Luke Meier | Psychologist | 148 N Mine Canyon Rd Unit E, Orange, CA 92869 | 2011-09-20 |
| 1811205222 | Robin Hong | Psychologist | 800 N Eckhoff St Bldg 124, Orange, CA 92868-1008 | 2010-09-20 |
| 1720395163 | Suangsmorn Stapatyanon | Psychologist | 301 N Rampart St, Suite E, Orange, CA 92868-1854 | 2010-09-07 |
| 1942516786 | Lindsay Deibler | Psychologist | 1110 East Chapman Ave. Suite 201, Orange, CA 92866-2139 | 2010-08-30 |
| 1982937892 | Rachael D Berg-martinez | Psychologist | 840 Town & Country Rd., Orange, CA 92868 | 2009-09-09 |
| 1700017340 | Katherine Ann Barnes | Psychologist | 1500 E Katella Ave Ste H, Orange, CA 92867 | 2009-07-30 |
| 1386889228 | Tryston Thuymai Nguyen | Psychologist | 2445 W Chapman Ave Ste 130, Orange, CA 92868-2320 | 2008-12-05 |
| 1417100744 | Judith Linnan | Psychologist | 1420 E Chapman Ave, Orange, CA 92866-2229 | 2008-10-30 |
| 1891995007 | Ty Colbert | Psychologist | 1335 N. Sarita Place, Orange, CA 92869-1327 | 2007-07-25 |
| Find all providers in ORANGE | ||||
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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.