MARIO ALBERTO AVALOS REBOLLAR (NPI# 1134777972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134777972 |
| Entity Type | Individual |
| Full Name | MARIO ALBERTO AVALOS REBOLLAR |
| Practice Address |
2718 W Anahurst Pl Santa Ana CA 92704-4506 |
| Practice Telephone | 7142642974 |
| Mailing Telephone | 7142642974 |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2019-08-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | INT44618 | CA | Student, Health Care |
| Street Address |
2718 W ANAHURST PL |
| City | SANTA ANA |
| State | CA |
| Zip Code | 92704-4506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437771805 | Mohammad Abul-fielat Dds Inc | Dentist | 2341 S Bristol Street, Santa Ana, CA 92704 | 2020-05-08 |
| 1639728538 | Dorothy A Powell | Technician | 722 S. Arapaho Dr, Santa Ana, CA 92704 | 2019-09-04 |
| 1851945646 | Skinzone Medical Inc | Plastic Surgery | 3374 S. Bristol St, Santa Ana, CA 92704 | 2019-07-30 |
| 1215414024 | Sonia Molina | Dietitian, Registered | 2100 W Alton Ave Ste 2, Santa Ana, CA 92704 | 2018-07-24 |
| 1558854612 | Laura Fessler | Nurse Practitioner | 3501 S. Harbor Blvd, Santa Ana, CA 92704 | 2018-06-12 |
| 1104317940 | The Mend of California, LLC | Substance Abuse Rehabilitation Facility | 1909 W. Carlton Place, Santa Ana, CA 92704 | 2018-05-29 |
| 1154811784 | Phleetbo LLC | In Home Supportive Care | 3760 W Mcfadden Ave # B164, Santa Ana, CA 92704 | 2018-05-18 |
| 1588151393 | United Medical Imaging Healthcare, Inc. | Clinic/Center | 3501 S Harbor Blvd Ste 140-b, Santa Ana, CA 92704 | 2018-04-17 |
| 1952811978 | Rising Roads Recovery Services for Women, LLC | Substance Abuse Rehabilitation Facility | 2750 S Harbor Blvd Ste G, Santa Ana, CA 92704 | 2017-10-04 |
| 1427577907 | Advance Oc Surgical Inc. | Clinic/Center | 3500 S. Bristol St., Suite 200, Santa Ana, CA 92704 | 2017-09-15 |
| Find all providers in zip 92704 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275151805 | Alisa Pham | Student in an Organized Health Care Education/Training Program | 120 Kenton Dr, Santa Ana, CA 92704-1400 | 2020-07-09 |
| 1528685054 | Torrence Puck | Student in an Organized Health Care Education/Training Program | 2302 Strawberry Ln, Santa Ana, CA 92706-2241 | 2020-06-30 |
| 1932725231 | Tho Ho Nguyen | Student in an Organized Health Care Education/Training Program | 711 S Euclid St Apt 8, Santa Ana, CA 92704-1867 | 2020-06-23 |
| 1790300267 | Quang Minh Ngo | Student in an Organized Health Care Education/Training Program | 5515 Silver Dr, Santa Ana, CA 92703-2439 | 2020-06-10 |
| 1992320444 | Chuck Truc Nguyen | Student in an Organized Health Care Education/Training Program | 427 S Starboard St, Santa Ana, CA 92704-1064 | 2020-06-10 |
| 1427697911 | Ramiro Castelan | Student in an Organized Health Care Education/Training Program | 2005 Kilson Dr, Santa Ana, CA 92707-2915 | 2019-12-31 |
| 1205490521 | Thuy-vy Nguyen | Student in an Organized Health Care Education/Training Program | 2230 W Adams St, Santa Ana, CA 92704-5532 | 2019-04-23 |
| 1942798145 | Michael Clenshaw | Student in an Organized Health Care Education/Training Program | 11211 Vista Del Lago, Santa Ana, CA 92705-5903 | 2018-04-24 |
| 1992237895 | Katherine Huynh | Student in an Organized Health Care Education/Training Program | 3200 W 5th St Apt 205, Santa Ana, CA 92703-1833 | 2017-03-30 |
| 1700254398 | Geena Guerrido | Student in an Organized Health Care Education/Training Program | 2726 N Lyon St, Santa Ana, CA 92705-6836 | 2015-09-13 |
| Find all providers in SANTA ANA | ||||
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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.