DR. MARTIN JOSEPH BREEN JR. (NPI# 1043603491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043603491 |
Entity Type | Individual |
Full Name | DR. MARTIN JOSEPH BREEN JR. |
Credential | PHARM.D. |
Practice Address |
101 E Valencia Mesa Dr Fullerton CA 92835-3809 |
Practice Telephone | 7149923143 |
Practice Fax Number | 7144465402 |
Mailing Telephone | 7149923143 |
Mailing Fax Number | 7144465402 |
Enumeration Date | 2015-03-10 |
Last Update Date | 2015-03-10 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
RPH036461 | CA | Pharmacy Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427026103 | Martin J Breen | Pediatrics | 154 Warren St, Glens Falls, NY 12801 | 2006-03-09 |
Street Address |
101 E VALENCIA MESA DR |
City | FULLERTON |
State | CA |
Zip Code | 92835-3809 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912989591 | Pei-jing Ma | Physician Assistant | 101 E Valencia Mesa Dr, Em Dept, Fullerton, CA 92835-3809 | 2005-11-18 |
1508493461 | Key Medical Rehab Inc. | Physical Medicine & Rehabilitation | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3809 | 2020-03-23 |
1902439938 | Collin Michael Fuhrman | Physician Assistant | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3809 | 2020-02-18 |
1427697762 | Ashley Jungkman | Dietitian, Registered | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3809 | 2020-01-03 |
1720632136 | Ken Yu Ki Chan | Nurse Practitioner | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3809 | 2019-07-25 |
1548812332 | Don R Miller | Pharmacist | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3809 | 2019-07-11 |
1700445640 | Hanna Ro | Physician Assistant | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3809 | 2019-06-12 |
1023674298 | Gwendolyn Nguyen | Physician Assistant | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3809 | 2019-05-14 |
1073072963 | Daniel Benjamin Graviloni | Respiratory Therapist, Registered | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3809 | 2019-03-19 |
1639655947 | Noli Veneracion | Physical Therapist | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3809 | 2018-07-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538774302 | Natalie Baugh | Nutritionist | 333 W Bastanchury Rd 110, Fullerton, CA 92835 | 2020-09-09 |
1073127098 | Cecile Mae Sam | Physical Therapist | 2932 Clover Ct, Fullerton, CA 92835 | 2020-09-08 |
1861966087 | Kimson F Johnston | Marriage & Family Therapist | 1370 Brea Blvd Suite 210, Fullerton, CA 92835 | 2019-01-22 |
1134636327 | Michelle Harriman, Psychologist - A Professional Corporation | Psychologist | 1440 N Harbor Blvd Ste 808, Fullerton, CA 92835 | 2018-01-09 |
1659818631 | Jacqueline Rene Miller | Specialist/Technologist | 2610 Associated Rd, Apt A4, Fullerton, CA 92835 | 2017-01-27 |
1912361106 | John Nathaniel Alvarez | Psychiatry & Neurology | 401 E Imperial Highway, Fullerton, CA 92835 | 2016-04-13 |
1083075030 | Advance Recovery Solution, LLC | Substance Abuse Rehabilitation Facility | 3744 N Hermosa Pl, Fullerton, CA 92835 | 2016-03-17 |
1467817981 | Michele Ledesma | Physical Therapy Assistant | 2800 N. Harbor Blvd., Fullerton, CA 92835 | 2015-12-29 |
1467820571 | Jonghan Kang | Acupuncturist | 1321 N Harbor Blvd Ste 205, Fullerton, CA 92835 | 2015-09-04 |
1265840987 | Allison Leigh Kennedy | Physician Assistant | 100 Laguna Rd Ste 208, Fullerton, CA 92835 | 2014-07-25 |
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Taxonomy Code | 1835P1200X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Pharmacotherapy |
A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891795118 | John C Pak | Pharmacist | 1269 Summersworth Pl, Fullerton, CA 92833-2054 | 2005-07-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619594587 | Tsunnum Uzma Malik | Pharmacist | 2527 Royalridge Way, Santa Clara, CA 95051-1243 | 2020-06-26 |
1710515580 | Danny Situ | Pharmacist | 261 Capistrano Ave, San Francisco, CA 94112-2501 | 2020-03-29 |
1215492277 | En Chiang | Pharmacist | 300 Stein Plaza (wasserman Building) Room 123, Los Angeles, CA 90095-0001 | 2019-02-04 |
1366910325 | Queenie Hip Ying Wan | Pharmacist | 13059 Hedda Ln, Cerritos, CA 90703-6145 | 2018-11-07 |
1487120861 | Amanda Ju Chuan Chao | Pharmacist | 10964 Wellworth Ave Apt 303, Los Angeles, CA 90024-6230 | 2018-10-23 |
1104333772 | Patricia Lee Mcnamee | Pharmacist | 18325 Coastline Dr, Malibu, CA 90265-5729 | 2018-01-04 |
1235655457 | Joseph P Gee | Pharmacist | Cosumnes River College Pharmacy Technology Program, 8401 Center Parkway, Sacramento, CA 95823 | 2017-08-18 |
1275075087 | Erzsebet Gyorfi-miglecz | Pharmacist | 24236 Bella Ct, Newhall, CA 91321-3923 | 2016-11-10 |
1245787035 | Nina Michelle Bemben | Pharmacist | 555 Mission Rock St, #507, San Francisco, CA 94158-2119 | 2016-09-08 |
1861845273 | Vahid Bordbar | Pharmacist | 2325 Palos Verdes Dr W Ste 220, Palos Verdes Estates, CA 90274-2777 | 2016-07-20 |
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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.