MISSRA REZVANI (NPI# 1043523707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043523707 |
| Entity Type | Individual |
| Full Name | MISSRA REZVANI |
| Credential | NP |
| Practice Address |
1010 W La Veta Ave Ste 750 Orange CA 92868-4300 |
| Mailing Address |
1310 W Stewart Dr Ste 410 Orange CA 92868-3854 |
| Practice Telephone | 7143616600 |
| Mailing Telephone | 7146399401 |
| Enumeration Date | 2010-07-22 |
| Last Update Date | 2010-09-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
19140 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICAL LICENSE (NP) | 19140 | 01 |
| CA | MEDICAL LICENSE (RN) | 670627 | 01 |
| Street Address |
1010 W LA VETA AVE STE 750 |
| City | ORANGE |
| State | CA |
| Zip Code | 92868-4300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659371581 | Troy Michael Reyna | Surgery | 1010 W La Veta Ave, Suite 640, Orange, CA 92868-4300 | 2005-07-21 |
| 1053849406 | Amy Nicole Woody | Emergency Medicine | 1010 W La Veta Ave, Orange, CA 92868-4300 | 2017-05-30 |
| 1730636226 | Jennifer Choe | Nurse Practitioner | 1010 W La Veta Ave, #570, Orange, CA 92868-4300 | 2016-09-01 |
| 1427419530 | Daniel Chiu | Registered Nurse | 1010 W La Veta Ave, Suite 570, Orange, CA 92868-4300 | 2016-03-16 |
| 1104218494 | My Phuong Pham Nguyen | Nurse Practitioner | 1010 W La Veta Ave, Ste 750, Orange, CA 92868-4300 | 2015-02-24 |
| 1548509102 | Elizabeth Anne Kovacs | Registered Nurse | 1010 W La Veta Ave, Ste 610, Orange, CA 92868-4300 | 2013-02-01 |
| 1003182130 | Kathryn L Thompson | Physician Assistant | 1010 W La Veta Ave, 200, Orange, CA 92868-4300 | 2012-03-22 |
| 1326327933 | Lawrence David Wagman Md Professional Corporation | Surgery | 1010 W La Veta Ave, Ste 470, Orange, CA 92868-4300 | 2011-08-12 |
| 1679875942 | Center for Comprehensive Care & Diagnosis of Inherited Blood Disorders | Clinic/Center | 1010 W La Veta Ave, Suite 670, Orange, CA 92868-4300 | 2010-11-18 |
| 1881995199 | Keller Eye Associates, Inc. A Medical Group | Specialist | 1010 W La Veta Ave, Suite 175, Orange, CA 92868-4300 | 2010-11-03 |
| Find all providers in the same location | ||||
| 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 | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952816399 | Tonya Mechele Holman | Nurse Practitioner | 2324 Maxwell Cir, Orange, TX 77630-2219 | 2017-12-07 |
| 1114476546 | Christopher Defrancesco | Nurse Practitioner | 325 Boston Post Rd Ste 2f, Orange, CT 06477-3504 | 2016-09-27 |
| 1871948133 | Maria Anasis | Nurse Practitioner | 3432 E White Chapel Ct, Unit A, Orange, CA 92869-7518 | 2016-04-24 |
| 1831366087 | Tara Breaux | Nurse Practitioner | 610 Strickland Dr Ste 270, Orange, TX 77630-4788 | 2008-05-15 |
| 1053440826 | Kristin Marie Theetge | Nurse Practitioner | 1010 W La Veta Ave Ste 610, Orange, CA 92868-4306 | 2007-03-05 |
| 1679503916 | Brandy Nicole Rizzato | Nurse Practitioner | 610 Strickland Dr Ste 320, Orange, TX 77630-4788 | 2006-07-03 |
| 1679070387 | Murielle Exantus | Nurse Practitioner | 240 Indian River Rd, Orange, CT 06477-3649 | 2018-04-09 |
| 1831605641 | Segismundo Senense Millan Iv | Nurse Practitioner | 2041 W Orangewood Ave, Orange, CA 92868-1944 | 2017-12-17 |
| 1073971701 | Lsmrbt, Pllc | Nurse Practitioner | 610 Strickland Dr, Suite 380, Orange, TX 77630-4786 | 2016-02-09 |
| 1225496086 | Jane Brugman | Nurse Practitioner | 1100 W Stewart Dr, Orange, CA 92868-3849 | 2016-02-08 |
| 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.