DHP OF MISSION MEDICAL GROUP INC (NPI# 1033474325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033474325 |
| Entity Type | Organization |
| Organization Name | DHP OF MISSION MEDICAL GROUP INC |
| Practice Address |
27700 Medical Center Rd Mission Viejo CA 92691-6426 |
| Mailing Address |
265 Brookview Centre Way Suite 400 Knoxville TN 37919-4052 |
| Practice Telephone | 9493641400 |
| Mailing Telephone | 8656931000 |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2012-07-20 |
| Authorized Official Name | DR. SUJAL MANDAVIA (PRESIDENT) |
| Authorized Official Telephone | 8656931000 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
27700 MEDICAL CENTER RD |
| City | MISSION VIEJO |
| State | CA |
| Zip Code | 92691-6426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346240637 | Elliot M Sacks | Radiology | 27700 Medical Center Rd, Mission Viejo, CA 92691-6426 | 2005-07-28 |
| 1619584356 | Cory Sessum | Specialist/Technologist, Other | 27700 Medical Center Rd, Mission Viejo, CA 92691-6426 | 2020-09-27 |
| 1740804095 | Madeline R Dapper | Registered Nurse | 27700 Medical Center Rd, Mission Viejo, CA 92691-6426 | 2020-06-02 |
| 1518507987 | Kaveh Mashkouri | Physician Assistant | 27700 Medical Center Rd, Mission Viejo, CA 92691-6426 | 2020-01-13 |
| 1336601715 | Dennis Ulep | Nurse Practitioner | 27700 Medical Center Rd, Mission Viejo, CA 92691-6426 | 2019-04-03 |
| 1194289868 | Farhad Nikoo Inc | Clinical Nurse Specialist | 27700 Medical Center Rd, Mission Viejo, CA 92691-6426 | 2019-01-28 |
| 1932601473 | Diana Beatrix Dauz Tai | Nurse Practitioner | 27700 Medical Center Rd, Mission Viejo, CA 92691-6426 | 2018-02-28 |
| 1568963411 | Vanessa Joy Stowasser | Nurse Practitioner | 27700 Medical Center Rd, Mission Viejo, CA 92691-6426 | 2018-02-26 |
| 1003315854 | Chelsea Zimmerman | Nurse Practitioner | 27700 Medical Center Rd, Mission Viejo, CA 92691 | 2018-02-07 |
| 1528586799 | Mehdi Amiri | Pharmacist | 27700 Medical Center Rd, Mission Viejo, CA 92691-6426 | 2017-09-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134748247 | Sonja Wood | Registered Nurse | 92691 Avenida Deseo, Mission Viejo, CA 92691 | 2020-04-09 |
| 1912488487 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 27551 Puerta Real, Mission Viejo, CA 92691 | 2018-08-23 |
| 1518457704 | Leon Baginski Md Inc | Obstetrics & Gynecology | 26800 Crown Valley Pkwy Ste 560, Mission Viejo, CA 92691 | 2018-05-14 |
| 1215426762 | Gail G Warner | Marriage & Family Therapist | 26050 Acero, Suite 301, Mission Viejo, CA 92691 | 2018-05-09 |
| 1508354176 | Tania Choudhary | Student in an Organized Health Care Education/Training Program | 23595 Rangoon St, Mission Viejo, CA 92691 | 2018-04-28 |
| 1710486519 | Aubriana Denise Gray | Counselor | 25802 Pacifica Ave, Mission Viejo, CA 92691 | 2018-02-07 |
| 1487162707 | Alberto Israel Galicia | Case Manager/Care Coordinator | 27261 Las Ramblas, Suite 220, Mission Viejo, CA 92691 | 2018-01-22 |
| 1629595244 | Elisabeth A Lischer | Counselor | 26137 La Paz Road, Suite 230, Mission Viejo, CA 92691 | 2017-08-24 |
| 1639694227 | Dr. Horiyat, A Dental Corporation | Dentist | 27652 Crown Valley Parkway, Mission Viejo, CA 92691 | 2017-08-04 |
| 1255851689 | Jackelin Liseth Martinez | Counselor | 25402 Pacifica Avenue, Mission Viejo, CA 92691 | 2017-06-27 |
| Find all providers in zip 92691 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487707717 | Richard J. Claveria, Md A Professional Medical Corporation | Orthopaedic Surgery | 26921 Crown Valley Pkwy Ste 201, Mission Viejo, CA 92691-6501 | 2007-01-19 |
| 1063505964 | Mark Julien Legome | Orthopaedic Surgery | 26732 Crown Valley, Suite 501, Mission Viejo, CA 92691 | 2006-10-02 |
| 1588771745 | Stephen Leonard Tocci | Orthopaedic Surgery | 26401 Crown Valley Pkwy Ste 101, Mission Viejo, CA 92691-6302 | 2006-08-24 |
| 1821041161 | Mark Shigeru Ishimaru | Orthopaedic Surgery | 26730 Crown Valley Parkway, Suite 200, Mission Viejo, CA 92691-8001 | 2006-05-18 |
| 1093797367 | Herbert Eidt | Orthopaedic Surgery | 26730 Crown Valley Pkwy, Suite 200, Mission Viejo, CA 92691-6364 | 2005-11-14 |
| 1801177753 | Samuel W Park Md Inc | Orthopaedic Surgery | 26730 Crown Valley Pkwy, Suite 200, Mission Viejo, CA 92691-6364 | 2011-09-06 |
| 1255648143 | Michael D. Burdi, M.d. Inc | Orthopaedic Surgery | 26401 Crown Valley Pkwy Ste 101, Mission Viejo, CA 92691-6302 | 2010-09-13 |
| 1356655427 | Herbert Eidt Md, A Medical Corporation | Orthopaedic Surgery | 26730 Crown Valley Pkwy, Suite 200, Mission Viejo, CA 92691-6364 | 2010-08-01 |
| 1013231893 | California Physician Consultants, PC | Orthopaedic Surgery | 26730 Crown Valley Pkwy, Suite 200, Mission Viejo, CA 92691-6364 | 2010-03-23 |
| 1730317603 | William Wang | Orthopaedic Surgery | 26730 Crown Valley Pkwy Ste 200, Mission Viejo, CA 92691-8001 | 2009-06-30 |
| Find all providers in MISSION VIEJO | ||||
| City | MISSION VIEJO |
| Zip Code | 92691 |
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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.