MADINETH MUY (NPI# 1992807721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992807721 |
| Entity Type | Individual |
| Full Name | MADINETH MUY |
| Credential | M.D. |
| Practice Address |
22621 Lake Forest Dr Ste D1 Lake Forest CA 92630-1792 |
| Practice Telephone | 9492426902 |
| Practice Fax Number | 9493723544 |
| Mailing Telephone | 9492426902 |
| Mailing Fax Number | 9493723544 |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2020-10-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | A73972 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A739720 | 05 |
| Street Address |
22621 LAKE FOREST DR STE D1 |
| City | LAKE FOREST |
| State | CA |
| Zip Code | 92630-1792 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194370338 | Ashlee Nicole-morton Sourapas | Midwife | 22672 Lambert Street, Suite 611, Lake Forest, CA 92630 | 2019-08-05 |
| 1134784879 | Scott Mach Enterprises | Custodial Care Facility | 23235 Cavanaugh Road, Lake Forest, CA 92630 | 2019-05-08 |
| 1992368930 | James Daniel Ticorat | Pharmacist | 25051 Calle Arenal, Lake Forest, CA 92630 | 2019-04-16 |
| 1770058349 | Tara L Anderson | Physician Assistant | 22365 El Toro Rd Unit 310, Lake Forest, CA 92630 | 2018-10-10 |
| 1659846855 | Song W. Jung. Dds. Inc | Dentist | 23361 El Toro Rd, Ste 105, Lake Forest, CA 92630 | 2018-10-04 |
| 1326520867 | Katherine Marie Billings | Speech-Language Pathologist | 25454 Navajo, Lake Forest, CA 92630 | 2018-08-31 |
| 1205339611 | Orange County Physiotherapy Services, P.C. | Physical Therapist | 22821 Aspan St., #100, Lake Forest, CA 92630 | 2018-03-12 |
| 1295245587 | Tara Rasta | Chiropractor | 22672 Lambert St Suite 620, Olsen Chiropractic, Lake Forest, CA 92630 | 2017-10-02 |
| 1750800132 | Jessica Aguilar | Marriage & Family Therapist | 21153 Calle De Paseo, Lake Forest, CA 92630 | 2017-09-16 |
| 1275072589 | Anhtu Wu | Pharmacist | 23182 Vista Way, Lake Forest, CA 92630 | 2017-02-20 |
| Find all providers in zip 92630 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1225424575 | Sean Robert Wessel | Internal Medicine | 1000 N Westmoreland Rd Ste 3556, Lake Forest, IL 60045 | 2015-04-14 |
| 1346534674 | Kelly Danielle Foster | Internal Medicine | 660 N Westmoreland Rd Ste 100, Lake Forest, IL 60045-1659 | 2011-06-03 |
| 1235431628 | Home Doctors Management | Internal Medicine | 611 Hunter, Lake Forest, IL 60045-4905 | 2010-11-17 |
| 1659683951 | Mohammed Siddique | Internal Medicine | 490 Turicum Rd, Lake Forest, IL 60045-3364 | 2010-07-02 |
| 1215266291 | Roopal B Thakkar | Internal Medicine | 1050 W Keswick Ln, Lake Forest, IL 60045-1138 | 2009-12-21 |
| 1598991218 | Diana Ilinskiy | Internal Medicine | 800 N Westmoreland Rd Ste 102, Lake Forest, IL 60045-1687 | 2009-06-09 |
| 1003022088 | Richard J Siebert, M.d.,s,c. | Internal Medicine | 700 N Westmoreland Rd Ste B, Lake Forest, IL 60045-1672 | 2007-05-15 |
| 1811032469 | Seema Widhani Bhatia | Internal Medicine | 10 W Westleigh Rd, Lake Forest, IL 60045-2802 | 2007-02-21 |
| 1184726499 | Amar Jyothi Peruri | Internal Medicine | 920 Country Place, Lake Forest, IL 60045 | 2006-09-05 |
| 1558476622 | Han Chung Ng | Internal Medicine | 1755 W Everett Rd, Lake Forest, IL 60045-2503 | 2006-08-20 |
| Find all providers in LAKE FOREST | ||||
| City | LAKE FOREST |
| Zip Code | 92630 |
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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.