JILL KRISTIE BANDALAN SIM (NPI# 1053842401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053842401 |
| Entity Type | Individual |
| Full Name | JILL KRISTIE BANDALAN SIM |
| Practice Address |
3430 E La Palma Ave Bldg 2 Flr 1 Anaheim CA 92806-2020 |
| Practice Telephone | 7146447180 |
| Practice Fax Number | 7146447183 |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2017-03-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 59725 | CA | Pharmacy Service Providers |
| Street Address |
3430 E LA PALMA AVE BLDG 2 FLR 1 |
| City | ANAHEIM |
| State | CA |
| Zip Code | 92806-2020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174571491 | Jennifer Kim Lee | Specialist | 3430 E La Palma Ave, Mob 2 Obgyn, Anaheim, CA 92806-2020 | 2006-05-05 |
| 1194361584 | Denise L Rollins | Marriage & Family Therapist | 3430 E La Palma Ave, Anaheim, CA 92806-2020 | 2019-11-21 |
| 1891270518 | Kimberly Way Lim | Pharmacist | 3430 E La Palma Ave, Anaheim, CA 92806-2020 | 2018-09-27 |
| 1942784277 | Kamal Gill | Pharmacist | 3430 E La Palma Ave, Anaheim, CA 92806-2020 | 2018-09-22 |
| 1184104101 | Elena Tan | Respiratory Therapist, Registered | 3430 E La Palma Ave, Anaheim, CA 92806-2020 | 2018-08-20 |
| 1609354281 | Davis Nguyen | Respiratory Therapist, Registered | 3430 E La Palma Ave, Anaheim, CA 92806-2020 | 2018-08-06 |
| 1043758956 | Patrick Sato | Pharmacist | 3430 E La Palma Ave, Anaheim, CA 92806-2020 | 2017-02-10 |
| 1649718651 | Darryl Kunihiro | Pharmacist | 3430 E La Palma Ave, Anaheim, CA 92806-2020 | 2017-02-09 |
| 1205374212 | James Jamal Delk | Pharmacist | 3430 E La Palma Ave, Anaheim, CA 92806-2020 | 2017-02-09 |
| 1366984544 | Cassandra Rivera | Advanced Practice Midwife | 3430 E La Palma Ave, Anaheim, CA 92806-2020 | 2016-11-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619513611 | Krista Mckinney | Family Medicine | 344o E. La Palma Avenue, Anaheim, CA 92806 | 2019-11-25 |
| 1780175968 | Brooke Lindsay Owen | Specialist/Technologist | 1300 N. Kraemer Blvd, Anaheim, CA 92806 | 2018-05-23 |
| 1033631973 | Biocorrx Inc. | Rehabilitation, Substance Use Disorder Unit | 2390 E Orangewood Avenue, Suite 575, Anaheim, CA 92806 | 2017-07-12 |
| 1437679784 | Margaret Elena Popp | Counselor | Adult and Older Adult Behavioral Health Services, 2035 E. Ball Rd, Anaheim, CA 92806 | 2017-06-27 |
| 1982134581 | Jessica Nguyen | Pharmacist | 2833 E Randy Ave, Anaheim, CA 92806 | 2017-06-15 |
| 1518493733 | Oksana Pradun | Nurse Practitioner | 2111 East Ball Rd., Anaheim, CA 92806 | 2017-05-08 |
| 1568828754 | Sanah Qureshi | Nurse Anesthetist, Certified Registered | 2546 E Strong Pl, Anaheim, CA 92806 | 2016-01-05 |
| 1689050379 | Wu Chiropractic Care, Inc. | Acupuncturist | 215 N State College Blvd., #b, Anaheim, CA 92806 | 2015-08-04 |
| 1659757375 | Jonathan Song | Dentist | 1134 N State College Blvd Ste C, Anaheim, CA 92806 | 2015-08-04 |
| 1558764761 | Mariko Horie | Acupuncturist | 504 N State College Blvd, Anaheim, CA 92806 | 2014-10-01 |
| Find all providers in zip 92806 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811502446 | Riana Jessica Abadilla Ramos | Pharmacist | 1850 S. West Street, Anaheim, CA 92802 | 2020-09-10 |
| 1265043988 | Alexander Delgado | Pharmacist | 2114 E North Redwood Dr, Anaheim, CA 92806-2901 | 2020-08-14 |
| 1396376000 | Son Thien Pham | Pharmacist | 2575 E Riles Cir, Anaheim, CA 92806-5610 | 2020-01-31 |
| 1760022503 | Sangyune Gabrielle Lee | Pharmacist | 2570 W Lincoln Ave Apt 5, Anaheim, CA 92801-6403 | 2020-01-09 |
| 1699312421 | Dana Proum | Pharmacist | 1105 E Katella Ave Unit 367, Anaheim, CA 92805-8706 | 2019-11-27 |
| 1699231316 | Vince Vu | Pharmacist | 9841 Cerritos Ave, Anaheim, CA 92804-5907 | 2019-02-18 |
| 1427526359 | Ensi Bolouhari | Pharmacist | 743 S Thrasher Way, Anaheim, CA 92807-4432 | 2018-11-08 |
| 1669940789 | Leonel Garcia Jr. | Pharmacist | 400 S Beechtree Ct, Anaheim, CA 92808-1642 | 2018-11-06 |
| 1417430539 | Michelle H.t Nguyen | Pharmacist | 421 N Brookhurst St Ste 123, Anaheim, CA 92801-5618 | 2018-09-13 |
| 1073093811 | Mallory Torres Dichoso | Pharmacist | 1913 W Embassy Ave, Anaheim, CA 92804-2521 | 2018-08-21 |
| Find all providers in ANAHEIM | ||||
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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.