RYAN FILLMORE (NPI# 1184043283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184043283 |
| Entity Type | Individual |
| Full Name | RYAN FILLMORE |
| Credential | M.D. |
| Practice Address |
101 The City Dr S Orange CA 92868 |
| Mailing Address |
1250 E. Marshall St. Box 980509 Richmond VA 23298 |
| Practice Telephone | 7144567890 |
| Mailing Telephone | 8048288786 |
| Mailing Fax Number | 8048285466 |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2018-06-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084A2900X |
Psychiatry & Neurology Specialization: Neurocritical Care |
155465 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1250 E. Marshall St., Box 980509, Richmond, VA 23298 | 8048288786 | 8048285466 |
| Street Address |
101 THE CITY DR S |
| City | ORANGE |
| State | CA |
| Zip Code | 92868 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538163126 | Melvin Leon Seard | Urology | 101 The City Dr S, Orange, CA 92868-3201 | 2005-06-10 |
| 1164022448 | Kwang Yeon Carol Lee | Nurse Practitioner | 101 The City Dr S, Orange, CA 92868-3298 | 2020-10-27 |
| 1679172092 | Ghazal Noory | Nurse Practitioner | 101 The City Dr S, Orange, CA 92868-3201 | 2020-10-19 |
| 1629676721 | Wendee H Montes-rodriguez | Nurse Practitioner | 101 The City Dr S, Orange, CA 92868-3298 | 2020-10-12 |
| 1295342152 | Norma Gabriela Orellana | Nurse Practitioner | 101 The City Dr S, Orange, CA 92868-3201 | 2020-09-24 |
| 1225642903 | Michelle Nguyen | Registered Nurse | 101 The City Dr S, Orange, CA 92868-3298 | 2020-09-01 |
| 1861017873 | Valerie Isaree Pooudomsak | Student in an Organized Health Care Education/Training Program | 101 The City Dr S, Orange, CA 92868-3201 | 2020-06-15 |
| 1629692330 | Denise Gabriella Tafoya | Nurse Anesthetist, Certified Registered | 101 The City Dr S, Orange, CA 92868-3201 | 2020-05-29 |
| 1063034650 | Dai Phuong Nguyen | Student in an Organized Health Care Education/Training Program | 101 The City Dr S, Orange, CA 92868-3201 | 2020-05-18 |
| 1063034692 | Kaitlin Dempsey | Nurse Anesthetist, Certified Registered | 101 The City Dr S, Orange, CA 92868-3201 | 2020-05-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346859386 | Sadaf Abrishami | Pharmacist | 101 The City Dr S., Orange, CA 92868 | 2020-07-27 |
| 1245869825 | Helena Yijia Hong | Student in an Organized Health Care Education/Training Program | Uci Medical Center, 101 The City Drive, Orange, CA 92868 | 2020-04-06 |
| 1932736527 | Joshua Kristopher Livingston | Student in an Organized Health Care Education/Training Program | 101 The City Dr S, Rte. 128-01, Orange, CA 92868 | 2020-03-24 |
| 1831725894 | Michelle Brown | Student in an Organized Health Care Education/Training Program | 101 The City Dr S. Rte 128-01, Orange, CA 92868 | 2020-03-20 |
| 1093363491 | Kristin Lee | Pharmacist | 132 S. Anita Dr., Orange, CA 92868 | 2019-08-28 |
| 1740834217 | Matthew Brian Mecheal | Dentist | 725 W. La Veta Suite 260, Orange, CA 92868 | 2019-08-01 |
| 1245897990 | Brent Tyler Louie | Student in an Organized Health Care Education/Training Program | 101 The City Drive South Building 3, Route 88, Neuropsychiatric Center Uc Irvine Medical Center, Orange, CA 92868 | 2019-05-28 |
| 1093277972 | Danielle Amato | Student in an Organized Health Care Education/Training Program | Uc Irvine Health 101 The City Drive, City Tower, Ste 40, Orange, CA 92868 | 2019-04-01 |
| 1851852206 | Julia Ting Bu | Student in an Organized Health Care Education/Training Program | Uc Irvine Health, 101 The City Drive, City Tower, Ste 400, Orange, CA 92868 | 2019-03-28 |
| 1326507344 | Harrison Beene Lowder | Student in an Organized Health Care Education/Training Program | 505 S. Main St, Suite 525, Orange, CA 92868 | 2019-03-19 |
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| Taxonomy Code | 2084A2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurocritical Care |
| The medical subspecialty of Neurocritical Care is devoted to the comprehensive, multisystem care of the critically-ill neurological patient. Like other intensivists, the neurointensivist generally assumes the primary role for coordinating the care of his or her patients in the ICU, both the neurological and medical management of the patient. They may also provide consultative services for these patients as requested within the health system. |
| Notes: Source: Adapted from the United Council for Neurologic Subspecialties website definition at: http://www.ucns.org/go/subspecialty/neurocritical [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053516641 | Karen G Hirsch | Psychiatry & Neurology | 1215 Welch Rd, Modular D, Stanford, CA 94305-5102 | 2007-06-15 |
| 1689205049 | California Neuroendovascular Specialists Medical Corporation | Psychiatry & Neurology | 155 N Lake Ave Ste 800, Pasadena, CA 91101-1857 | 2020-02-03 |
| 1891254140 | Natalie C Renda Md Inc | Psychiatry & Neurology | 1601 Ygnacio Valley Rd, Walnut Creek, CA 94598-3122 | 2019-03-17 |
| 1972015717 | Cep America - Intensivists PC | Psychiatry & Neurology | 400 W Pueblo St, Santa Barbara, CA 93105-4353 | 2017-11-02 |
| 1932553096 | Anish Ramanlal Patel | Psychiatry & Neurology | 1520 San Pablo St Ste 3000, Los Angeles, CA 90033-5315 | 2016-04-14 |
| 1346604493 | Charlotte Angie Zhong | Psychiatry & Neurology | 1520 San Pablo St Ste 3000, Los Angeles, CA 90033-5315 | 2016-04-05 |
| 1427439801 | Zachary I Norman | Psychiatry & Neurology | 300 Medical Plaza Suite B200, Los Angeles, CA 90095-6975 | 2015-06-11 |
| 1881071868 | Grace Yuan-chieh Kuo | Psychiatry & Neurology | 1520 San Pablo St Ste 3000, Los Angeles, CA 90033-5315 | 2015-04-29 |
| 1558772368 | Johannes Benjamin Pulst-korenberg | Psychiatry & Neurology | 1520 San Pablo St Ste 3000, Los Angeles, CA 90033-5315 | 2014-05-14 |
| 1851719223 | Jeffrey Vitt | Psychiatry & Neurology | 500 Parnassus Ave, San Francisco, CA 94143-2203 | 2014-04-02 |
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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.