KERRIE IMAGAWA


Address: 17400 Irvine Blvd, Ste C, Tustin, CA 92780
Phone: 7145441148

KERRIE IMAGAWA (NPI# 1174716591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174716591
Entity Type Individual
Full Name KERRIE IMAGAWA
Credential DDS
Practice Address 17400 Irvine Blvd
Ste C
Tustin
CA 92780
Practice Telephone 7145441148
Practice Fax Number 7147318171
Mailing Telephone 7145441148
Mailing Fax Number 7147318171
Enumeration Date 2007-08-20
Last Update Date 2007-08-20
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
31804 CA Dental Providers

Office Location

Street Address 17400 IRVINE BLVD
STE C
City TUSTIN
State CA
Zip Code 92780

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689633125 Tustin Irvine Internal Medicine Group Inc. Internal Medicine 17400 Irvine Blvd, Suite F, Tustin, CA 92780-3030 2006-03-22
1033592241 Nevein Elgalad D.d.s. Inc Dentist 17400 Irvine Blvd, Suite D, Tustin, CA 92780-3030 2015-07-07
1346499118 James Paul Boyd Dentist 17400 Irvine Blvd, Suite D, Tustin, CA 92780-3030 2008-09-16
1952557878 Dr Charles Baik Inc Podiatrist 17400 Irvine Blvd, Suite H, Tustin, CA 92780-3030 2008-08-12
1396929774 Orange County Foot & Ankle Group, Inc. Podiatrist 17400 Irvine Blvd, Suite J, Tustin, CA 92780-3030 2007-12-21
1962525063 Nancy Mostaan Dentist 17400 Irvine Blvd, Suite A, Tustin, CA 92780 2007-04-06
1336284314 Klemer Chiropractic Office A Professional Corporation Chiropractor 17400 Irvine Blvd, Suite L, Tustin, CA 92780-3030 2007-02-20
1659416741 Jack Oscar Piasecki Neuromusculoskeletal Medicine, Sports Medicine 17400 Irvine Blvd, Suite L, Tustin, CA 92780-3030 2007-02-20
1962544494 Julia Collins Motherway Internal Medicine 17400 Irvine Blvd, Suite F, Tustin, CA 92780-3030 2007-02-12
1285780338 Christine Switzer Burnell Speech-Language Pathologist 17400 Irvine Blvd, Suite K, Tustin, CA 92780-3030 2007-01-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437780947 John Michael Michael Pharmacist 14481 Wildeve Ln, Tustin, CA 92780 2020-02-03
1609426881 Abigail Joy Maqsood Behavior Technician 290a S Prospect Ave, Tustin, CA 92780 2019-09-19
1255814711 Hyun Dong Lee Chiropractor 14591 Newport Ave Ste 106, Tustin, CA 92780 2018-09-11
1346733573 Elizabeth Kim Nguyen Dds Inc Clinic/Center 14521 Red Hill Ave, Tustin, CA 92780 2018-06-12
1255829503 Hw Physical Therapy Physical Therapist 250 El Camino Real Ste 100, Tustin, CA 92780 2018-04-23
1912494352 Gary Wayne Mcbeath Marriage & Family Therapist 17821 E 17th Street, Suite # 260, Tustin, CA 92780 2018-04-20
1104334598 Catherine Bogues Speech-Language Pathologist 661 West 1st Street, Suite E, Tustin, CA 92780 2018-01-19
1972019941 Lighthouse Behavioral Solutions Behavioral Analyst 18002 Irvine Blvd., Suite 202c, Tustin, CA 92780 2017-12-28
1629597299 Lifecab, LLC Non-emergency Medical Transport (VAN) 13732 Newport Ave, Suite #1, Tustin, CA 92780 2017-09-14
1437606555 Tustin Speech Therapy, Inc. Speech-Language Pathologist 661 West First Street, Suite E, Tustin, CA 92780 2016-09-07
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467846139 Vinit Joshi Dds Inc Dentist 3053 Edinger Ave Ste M, Tustin, CA 92780-7204 2015-03-20
1912337387 Paul Richard Johnson Dentist 13132 Newport Blvd, Suite 200, Tustin, CA 92780 2013-11-20
1528409075 John Quoc Tran Dentist 14592 Emerywood Rd, Tustin, CA 92780-6205 2013-07-12
1023370426 M Roberta Dornan Dds Inc Dentist 13422 Newport Ave Ste B, Tustin, CA 92780-3746 2012-06-12
1255601688 Lynn Ann Hua Dentist 14781 Newport Ave Apt D, Tustin, CA 92780-6141 2012-01-02
1750659066 Long Steven Trieu Dentist 14521 Redhill Ave, Tustin, CA 92780 2011-12-01
1124300132 Marisa Kawata Watanabe Dentist 1405 Montgomery St, Tustin, CA 92782-1793 2011-09-15
1285932954 Thomas Boone Dentist 1076 E 1st St Ste D, Tustin, CA 92780-3852 2011-03-04
1154568111 Archana Sanjiv Pimple Dentist 14591 Newport Ave Ste 104, Tustin, CA 92780-6026 2009-01-13
1164670931 Nasrin Khajeh Dentist 2530 Bryan Ave Ste E, Tustin, CA 92782-8916 2008-09-04
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Competitor

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City TUSTIN
Zip Code 92780

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Dataset Information

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.

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