EDGAR CARMEN STAMBUK (NPI# 1194808295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194808295 |
| Entity Type | Individual |
| Full Name | EDGAR CARMEN STAMBUK |
| Credential | MD |
| Practice Address |
101 East Valencia Mesa Drive Fullerton CA 92835 |
| Mailing Address |
Po Box 4505 Woodland Hills CA 91365-4505 |
| Practice Telephone | 7149923978 |
| Mailing Telephone | 8185973800 |
| Mailing Fax Number | 8188798272 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
G43422 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEPT OF JUSTICE DEA | AS9359197 | 01 | |
| CA | DEPT OF HEALTH SERVICES | RHL121404 | 01 |
| CA | 00G434220 | 05 |
| Street Address |
101 EAST VALENCIA MESA DRIVE |
| City | FULLERTON |
| State | CA |
| Zip Code | 92835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851496475 | Jayshree Hemant Sampat | Radiology | 101 East Valencia Mesa Drive, Fullerton, CA 92835 | 2006-09-14 |
| 1649434390 | Chau Quang Huynh | Radiology | 101 East Valencia Mesa Drive, St Jude Radiology Medical Group, Fullerton, CA 92835 | 2008-07-11 |
| 1649349705 | St Jude Radiology Medical Group Inc | Radiology | 101 East Valencia Mesa Drive, Fullerton, CA 92835 | 2006-11-06 |
| 1013090117 | Hao Quy Ngo | Radiology | 101 East Valencia Mesa Drive, Fullerton, CA 92835 | 2006-10-23 |
| 1740386366 | Leslie Michio Doi | Radiology | 101 East Valencia Mesa Drive, Fullerton, CA 92835 | 2006-09-15 |
| 1386740900 | Samuel Lowry Maxwell Jr. | Radiology | 101 East Valencia Mesa Drive, Fullerton, CA 92835 | 2006-09-15 |
| 1821194440 | Robert Clive Morten | Radiology | 101 East Valencia Mesa Drive, Fullerton, CA 92835 | 2006-09-15 |
| 1013013630 | Maren Radcliffe Ross Sowerby | Radiology | 101 East Valencia Mesa Drive, Fullerton, CA 92835 | 2006-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538774302 | Natalie Baugh | Nutritionist | 333 W Bastanchury Rd 110, Fullerton, CA 92835 | 2020-09-09 |
| 1073127098 | Cecile Mae Sam | Physical Therapist | 2932 Clover Ct, Fullerton, CA 92835 | 2020-09-08 |
| 1861966087 | Kimson F Johnston | Marriage & Family Therapist | 1370 Brea Blvd Suite 210, Fullerton, CA 92835 | 2019-01-22 |
| 1134636327 | Michelle Harriman, Psychologist - A Professional Corporation | Psychologist | 1440 N Harbor Blvd Ste 808, Fullerton, CA 92835 | 2018-01-09 |
| 1659818631 | Jacqueline Rene Miller | Specialist/Technologist | 2610 Associated Rd, Apt A4, Fullerton, CA 92835 | 2017-01-27 |
| 1912361106 | John Nathaniel Alvarez | Psychiatry & Neurology | 401 E Imperial Highway, Fullerton, CA 92835 | 2016-04-13 |
| 1083075030 | Advance Recovery Solution, LLC | Substance Abuse Rehabilitation Facility | 3744 N Hermosa Pl, Fullerton, CA 92835 | 2016-03-17 |
| 1467817981 | Michele Ledesma | Physical Therapy Assistant | 2800 N. Harbor Blvd., Fullerton, CA 92835 | 2015-12-29 |
| 1467820571 | Jonghan Kang | Acupuncturist | 1321 N Harbor Blvd Ste 205, Fullerton, CA 92835 | 2015-09-04 |
| 1265840987 | Allison Leigh Kennedy | Physician Assistant | 100 Laguna Rd Ste 208, Fullerton, CA 92835 | 2014-07-25 |
| Find all providers in zip 92835 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689992380 | Bluebeam Radiology PC | Radiology | 3113 Coronado Dr, Fullerton, CA 92835-1725 | 2010-05-06 |
| 1528165727 | Bradford James Silveira | Radiology | 101 East Valencia Mesa Dr, Fullerton, CA 92835 | 2006-09-20 |
| 1851496475 | Jayshree Hemant Sampat | Radiology | 101 East Valencia Mesa Drive, Fullerton, CA 92835 | 2006-09-14 |
| 1760418149 | Hosam Moustafa | Radiology | 301 W Bastanchury Rd Ste 130, Fullerton, CA 92835-3423 | 2006-06-25 |
| 1851693758 | Michael M Hovsepian Md A Professional Medical Corporation | Radiology | 1239 Coach House Ct, Fullerton, CA 92831-1052 | 2010-11-27 |
| 1649434390 | Chau Quang Huynh | Radiology | 101 East Valencia Mesa Drive, St Jude Radiology Medical Group, Fullerton, CA 92835 | 2008-07-11 |
| 1487812400 | Advanced Fullerton Imaging, Inc. | Radiology | 301 W Bastanchury Rd, # 130, Fullerton, CA 92835-3419 | 2008-05-27 |
| 1902926629 | Marvin Arnold Rawitch | Radiology | 101 E Valencia Mesa Dr, St Jude Medical Center, Fullerton, CA 92835 | 2007-03-29 |
| 1588788152 | St Jude Radiology Medical Grp, Inc | Radiology | 2151 N Harbor Blvd, Fullerton, CA 92835-3801 | 2007-03-19 |
| 1649349705 | St Jude Radiology Medical Group Inc | Radiology | 101 East Valencia Mesa Drive, Fullerton, CA 92835 | 2006-11-06 |
| Find all providers in FULLERTON | ||||
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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.