ANISSA ELLEN SPADA (NPI# 1114469111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114469111 |
| Entity Type | Individual |
| Full Name | ANISSA ELLEN SPADA |
| Credential | NURSE PRACTITIONER |
| Practice Address |
2010 E 1st St Ste 100 Santa Ana CA 92705-4086 |
| Practice Telephone | 7145567246 |
| Practice Fax Number | 7145567247 |
| Mailing Telephone | 7145567246 |
| Mailing Fax Number | 7145567247 |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2018-10-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 95005139 | CA | Allopathic & Osteopathic Physicians |
| N | 363L00000X | Nurse Practitioner | 9500139 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
95005139 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11180 Warner Ave, Suite 455, Fountain Valley, CA 927087501 | 7148936008 |
| Street Address |
2010 E 1ST ST STE 100 |
| City | SANTA ANA |
| State | CA |
| Zip Code | 92705-4086 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346449394 | Elite Pain Management Inc. | Pain Medicine | 2010 E 1st St Ste 100, Santa Ana, CA 92705-4086 | 2007-07-11 |
| 1104275718 | Janneth Bautista | Nurse Practitioner | 2010 E 1st St Ste 100, Santa Ana, CA 92705-4086 | 2016-06-06 |
| 1427393297 | Valerie Ann Hillis | Nurse Practitioner | 2010 E 1st St Ste 100, Santa Ana, CA 92705-4086 | 2012-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952919763 | John G. Alevizos, D.o., A Professional Medical Corporation | Preventive Medicine | 1530 East Edinger Avenue, Suite 1, Santa Ana, CA 92705 | 2020-07-17 |
| 1477186625 | Joyce Altman Interpreters, Inc. | Interpreter | 1971 East 4th Street, Ste 206, Santa Ana, CA 92705 | 2020-02-17 |
| 1588214688 | Cindy Mejia | Behavior Technician | 505 N. Tustin Ave., #152, Santa Ana, CA 92705 | 2019-09-19 |
| 1588210504 | Jennifer Ang Lim-quevedo | Nurse Practitioner | 18362 Whitney Dr, Santa Ana, CA 92705 | 2019-08-15 |
| 1962056820 | Melinda Acosta Black | Social Worker | 1526 Brookhollow Drive, Santa Ana, CA 92705 | 2019-07-30 |
| 1972069631 | Amy Marie Elit | Nurse Practitioner | 1751 E Harry Ave, Santa Ana, CA 92705 | 2019-02-18 |
| 1386118180 | Unified Behavioral Health, LLC | Substance Abuse Rehabilitation Facility | 1218 W Santa Ana Blvd, Santa Ana, CA 92705 | 2019-01-15 |
| 1952884736 | Javier Perales | Social Worker | 1652 Windsor Ln, Santa Ana, CA 92705 | 2018-09-08 |
| 1073009700 | Eva E Kuncewicki | Marriage & Family Therapist | 1001 S Grand Ave # B, Santa Ana, CA 92705 | 2018-07-05 |
| 1487149886 | Nimbus Medtransport Inc. | Non-emergency Medical Transport (VAN) | 2112 E 4th St Ste 235, Santa Ana, CA 92705 | 2018-06-27 |
| Find all providers in zip 92705 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972069631 | Amy Marie Elit | Nurse Practitioner | 1751 E Harry Ave, Santa Ana, CA 92705 | 2019-02-18 |
| 1023587516 | Elizabeth Branson | Nurse Practitioner | 2010 E 1st St # 100, Santa Ana, CA 92705-4079 | 2018-11-14 |
| 1396263604 | Alexander Lynn Tang | Nurse Practitioner | 2306 San Lorenzo, Santa Ana, CA 92704 | 2017-09-07 |
| 1427225515 | Doreen Lea Myers | Nurse Practitioner | 1818 Camino Ave, Santa Ana, CA 92705-7606 | 2008-05-08 |
| 1669845186 | Magdiel De La Rosa | Nurse Practitioner | 3401 W Sunflower Ave Ste 250, Santa Ana, CA 92704-6945 | 2015-11-05 |
| 1972836484 | Liza Novenario Ros | Nurse Practitioner | 1001 N Tustin Ave, Santa Ana, CA 92705-3502 | 2009-09-15 |
| 1770629768 | Renee Cortez | Nurse Practitioner | 1241 E Dyer Rd Ste 145, Santa Ana, CA 92705-5694 | 2007-01-29 |
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| 1023619442 | Dolores Josephine Meehan | Nurse Practitioner | South Bay Vascular Center, 2255 South Bascom Avenue Suite 200, Campbell, CA 95008-7800 | 2020-11-03 |
| 1013517960 | Kristina Pulliam Markey | Nurse Practitioner | 11234 Anderson Strreet, Loma Linda, CA 92354 | 2020-10-29 |
| 1851990550 | Fernanda Monteon Ibarra | Nurse Practitioner | 30222 Belmont Ct, Agoura Hills, CA 91301-4611 | 2020-10-22 |
| 1780283168 | Brenda Rienru Rhima | Nurse Practitioner | 24657 Rockston Dr, Corona, CA 92883-1614 | 2020-10-18 |
| 1215535034 | Shiji John | Nurse Practitioner | 3765 Gunnison Cir, Corona, CA 92881-8486 | 2020-10-14 |
| 1053919258 | Lacey Etienne Neufeld | Nurse Practitioner | Marshall Transitional Care Unit, 1100 Marshall Way, Placerville, CA 95667 | 2020-10-12 |
| 1063028298 | Kanokwan Kultan | Nurse Practitioner | 15850 Babcock St, San Diego, CA 92127-3680 | 2020-09-22 |
| 1538775093 | David Lee | Nurse Practitioner | 5710 S Glennie Ln Apt A, Los Angeles, CA 90016-1063 | 2020-09-21 |
| 1124634886 | Catherine Kestenian | Nurse Practitioner | 351 E Foothill Blvd Ste 250, Arcadia, CA 91006-7426 | 2020-09-18 |
| 1285249565 | Anu Tharoor | Nurse Practitioner | 505 Parnassus Ave Fl 9, San Francisco, CA 94143-2204 | 2020-09-13 |
| Find all providers with the same taxonomy | ||||
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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.