DR. GORDON ELWOOD HAAG JR. (NPI# 1215059837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215059837 |
| Entity Type | Individual |
| Full Name | DR. GORDON ELWOOD HAAG JR. |
| Credential | D.D.S. |
| Practice Address |
301 W Bastanchury Rd Ste.#260 Fullerton CA 92835-3419 |
| Practice Telephone | 7148794910 |
| Practice Fax Number | 7148795563 |
| Mailing Telephone | 7148794910 |
| Mailing Fax Number | 7148795563 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2012-01-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
27292 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679609218 | Gordon W Haag | Pharmacist | 100 Washington St, Elmira, NY 14901-2849 | 2007-02-26 |
| Street Address |
301 W BASTANCHURY RD STE.#260 |
| City | FULLERTON |
| State | CA |
| Zip Code | 92835-3419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851398382 | Alan C Weinberg | Urology | 301 W Bastanchury Rd, #180, Fullerton, CA 92835-3427 | 2005-06-30 |
| 1861870735 | Jayshree Shah Dds Inc | Dentist | 301 W Bastanchury Rd, Ste 5, Fullerton, CA 92835-3419 | 2015-05-12 |
| 1578950663 | Jason Sabet-peyman, M.d., Inc. | Clinic/Center | 301 W Bastanchury Rd, #190, Fullerton, CA 92835-3419 | 2015-04-16 |
| 1013283910 | Helia Eragi | Dermatology | 301 W Bastanchury Rd, Suite 210, Fullerton, CA 92835-3419 | 2012-03-26 |
| 1457621260 | Gordon E Haag, Jr, Dds, Inc | Clinic/Center | 301 W Bastanchury Rd, Suite 260, Fullerton, CA 92835-3419 | 2012-01-10 |
| 1437451820 | Eric Brendan Tygenhof | Urology | 301 W Bastanchury Rd, Suite 180, Fullerton, CA 92835-3419 | 2010-11-17 |
| 1811158744 | Lingua Vision Surgical Group | Ophthalmology | 301 W Bastanchury Rd, Suite 115, Fullerton, CA 92835-3419 | 2008-06-23 |
| 1962662916 | Michael Hugh Crial | Dentist | 301 W Bastanchury Rd, Ste 270, Fullerton, CA 92835-3419 | 2008-06-12 |
| 1487812400 | Advanced Fullerton Imaging, Inc. | Radiology | 301 W Bastanchury Rd, # 130, Fullerton, CA 92835-3419 | 2008-05-27 |
| 1801065578 | John D. Zdral, M.d., Inc. | Eyewear Supplier (Equipment, not the service) | 301 W Bastanchury Rd, Suite 10, Fullerton, CA 92835-3419 | 2008-02-26 |
| Find all providers in the same location | ||||
| 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 | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689215998 | Younjin Lee | Dentist | 2513 Tiffany Pl, Fullerton, CA 92833-1527 | 2019-10-08 |
| 1407400047 | Baher Bassili | Dentist | 137 W Chapman Ave, Fullerton, CA 92832-1473 | 2019-08-01 |
| 1144791377 | Romi Rajul Patel | Dentist | 2613 Geneva Pl, Fullerton, CA 92833-2023 | 2018-12-16 |
| 1225539687 | Michael Han Dental Corp. | Dentist | 1460 N Harbor Blvd Ste 120, Fullerton, CA 92835-4158 | 2018-02-21 |
| 1063864114 | Aaron Au | Dentist | 301 W Bastanchury Rd Ste 20, Fullerton, CA 92835-3422 | 2016-07-12 |
| 1669866687 | Byun and Patel, A Dental Corporation | Dentist | 1105 S Euclid St, Suite E, Fullerton, CA 92832-2850 | 2015-03-27 |
| 1366858391 | Ryoo Dental, Inc | Dentist | 2240 N Harbor Blvd Ste 110, Fullerton, CA 92835-2636 | 2014-07-10 |
| 1053753350 | Brian Tadang | Dentist | 385 E Commonwealth Ave, Fullerton, CA 92832-2016 | 2013-07-27 |
| 1720427511 | John Marius Bodnar | Dentist | 2607 Taft Court, Fullerton, CA 92835 | 2013-06-14 |
| 1114364395 | Pham and Sambangi Dental Corporation | Dentist | 1573 S Harbor Blvd, Fullerton, CA 92832-3402 | 2013-05-29 |
| 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.