Qiu Hua Wan (NPI# 1861794968, PAC ID# 1355511866) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1861794968 |
| PAC ID by PECOS | 1355511866 |
| Professional Enrollment ID | I20110818000737 |
| Full Name | Qiu Hua Wan |
| Organization Legal Name | ST JOSEPH HERITAGE HEALTHCARE |
| Address |
360 San Miguel Dr Suite 105 Newport Beach CA 92660-7815 |
| Phone Number | 9497913222 |
| Gender | M |
| Medical School | KANSAS CITY UNIVERSITY OF PHYSICIANS AND SURGEONS |
| Graduation Year | 2005 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 8921993205 |
| Number of Group Practice Members | 1049 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050069 | ST JOSEPH HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 360 San Miguel Dr, Suite 105, Newport Beach, CA 92660-7815 | 9497913222 | ST JOSEPH HERITAGE HEALTHCARE |
| 1100 W Stewart Dr, St Joseph Heritage Healthcare, Orange, CA 92868-3849 | 7146339111 | ST JOSEPH HERITAGE HEALTHCARE |
| Organization Legal Name | ST JOSEPH HERITAGE HEALTHCARE |
| Physicians | 1022 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tarah N Nelson | Nurse Practitioner | St Joseph Heritage Healthcare | 2460 Buhne St, Eureka, CA 95501-3207 |
| Kristen Shay Rasnick | Nurse Practitioner | St Joseph Heritage Healthcare | 6580 Hembree Ln, Suite 270, Windsor, CA 95492-6885 |
| Basit Rahim | Neurology | St Joseph Heritage Healthcare | 26800 Crown Valley Pkwy, Suite 385, Mission Viejo, CA 92691-7320 |
| Elizabeth Wachtel O'brien | Certified Nurse Midwife (cnm) | St Joseph Heritage Healthcare | 3307 Renner Dr, Fortuna, CA 95540-3119 |
| Michael James Glamore | Urology | St Joseph Heritage Healthcare | 1701 4th St, Suite 200, Santa Rosa, CA 95404-3661 |
| Teresa E Shields-szabo | Family Medicine | St Joseph Heritage Healthcare | 26795 Portola Pkwy, Foothill Ranch, CA 92610-1713 |
| Austin James Perkins | Physician Assistant | St Joseph Heritage Healthcare | 100 E Valencia Mesa Dr, Suite 105, Fullerton, CA 92835-3816 |
| Sherin Ann Chakkalakel | Nurse Practitioner | St Joseph Heritage Healthcare | 905 E Washington St, St Joseph Heritage Healthcare, Petaluma, CA 94952-3389 |
| Jamie Lea Meyer | Nurse Practitioner | St Joseph Heritage Healthcare | 2332 23rd St, Eureka, CA 95501-3231 |
| Laura Elizabeth Hall | Nurse Practitioner | St Joseph Heritage Healthcare | 2280 Harrison Ave, Suite K, Eureka, CA 95501-3200 |
| Street Address |
360 SAN MIGUEL DR SUITE 105 |
| City | NEWPORT BEACH |
| State | CA |
| Zip | 92660-7815 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen B Prepas | Ophthalmology | 360 San Miguel Dr, Suite 407, Newport Beach, CA 92660-7822 | |
| Wenjing Liu | Ophthalmology | 360 San Miguel Dr, Suite 410, Newport Beach, CA 92660-7822 | |
| Lori J Izabal | Family Medicine | Lori J Izabal Md A Professional Corporation | 360 San Miguel Dr, Suite 206, Newport Beach, CA 92660-7820 |
| Ali R Rafatjoo | Family Medicine | Lori J Izabal Md A Professional Corporation | 360 San Miguel Dr, Suite 206, Newport Beach, CA 92660-7820 |
| Nicholas E Rose | Hand Surgery | 360 San Miguel Dr, Suite 701, Newport Beach, CA 92660-5927 | |
| Richard C Harano | Internal Medicine | Hoag Clinic | 360 San Miguel Dr, Suite 105, Newport Beach, CA 92660-7815 |
| Scott K Forman | Orthopedic Surgery | 360 San Miguel Dr, Suite 701, Newport Beach, CA 92660-5927 | |
| Kimiko M Snider | Family Medicine | 360 San Miguel Dr, Suite 206, Newport Beach, CA 92660-7820 | |
| Eduard Balasanian | Oral Surgery | Moody Cummings Balasanian and Caputo Dds Inc | 360 San Miguel Dr, Suite 402, Newport Beach, CA 92660-7830 |
| Ali Sepehr | Otolaryngology | 360 San Miguel Dr, Suite 409, Newport Beach, CA 92660-7822 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nirav B Savalia | Plastic and Reconstructive Surgery | 180 Newport Ctr Dr, Suite 170, Newport Beach, CA 92660 | |
| Joannie D Sun | Dermatology | Dermatology Associates of Orange County, Inc | 230 Newport Ctr Dr, 200 Advanced Dermatology of Orange, Newport Beach, CA 92660 |
| Rumana Mansur | Psychologist, Clinical | 180 Newport Ctr Dr, Suite 270d, Newport Beach, CA 92660 | |
| B B Rahavi | Rheumatology | 400 Newport Ctr Dr, 602a, Newport Beach, CA 92660 | |
| Thomas A Hendrickx | Physical Therapy | 2290 Se Bristol St, Suite 104, Newport Beach, CA 92660-0746 | |
| Lawson Victor Sealey | Chiropractic | 20151 Sw Birch St, Suite 200, Newport Beach, CA 92660-0776 | |
| Estera Han | Nurse Practitioner | Array Skin Therapy, A Medical Corporation | 20162 Sw Birch St, Suite 260, Newport Beach, CA 92660-0787 |
| Parth P Patel | Physical Therapy | Optimum Medical Clinics Inc | 20072 Sw Birch St, Suite 100, Newport Beach, CA 92660-0794 |
| Alejandro Gonzalez | Internal Medicine | Optimum Medical Clinics Inc | 20072 Sw Birch St, Suite 100, Newport Beach, CA 92660-0794 |
| Bettina T Limjoco | Physical Medicine and Rehabilitation | 20072 Sw Birch St, Suite 170, Newport Beach, CA 92660-0795 | |
| Find all physicians in zip 92660 | |||
| City | NEWPORT BEACH |
| Zip Code | 92660 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | NEWPORT BEACH + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Qiu Hua Wan.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.