DAVID BOYD LIGHT (NPI# 1245669134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245669134 |
Entity Type | Individual |
Full Name | DAVID BOYD LIGHT |
Credential | N.P. |
Practice Address |
12800 Garden Grove Blvd Ste F Garden Grove CA 92843-2008 |
Practice Telephone | 7146208131 |
Mailing Telephone | 7146208131 |
Enumeration Date | 2013-11-01 |
Last Update Date | 2014-06-05 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
23594 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
23594 | CA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811065444 | David Alan Light | Orthotist | 20 Howard St, Suite 7, San Angelo, TX 76901-3179 | 2006-12-01 |
1912957333 | David Martin Light | Physical Therapist | 1501 Corporate Dr Ste 110, Boynton Beach, FL 33426-6654 | 2006-05-10 |
1346243144 | David Walker Light Iv | Radiology | 12951 South Fwy, Houston, TX 77047-1923 | 2005-05-24 |
1154763548 | David Light | Chiropractor | 10470 W Cheyenne Ave, Suite 115, Las Vegas, NV 89129-8732 | 2013-07-25 |
1164861555 | David Light | Dentist | 14713 Sugura Dr, Winter Garden, FL 34787-9336 | 2013-06-18 |
1962771642 | David John Light | Pharmacist | 17 Division St, Waite Park, MN 56387-1349 | 2011-12-24 |
1366647828 | David Matthew Light | Surgery | 833 Northern Blvd, Suite 160, Great Neck, NY 11021-5315 | 2007-06-15 |
1275742975 | David James Light | Chiropractor | 111 E Main St, Uniontown, PA 15401-3607 | 2007-05-21 |
Street Address |
12800 GARDEN GROVE BLVD STE F |
City | GARDEN GROVE |
State | CA |
Zip Code | 92843-2008 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013923556 | Linda Sue Cooley | Counselor | 12800 Garden Grove Blvd Ste F, Garden Grove, CA 92843-2008 | 2006-08-01 |
1528586468 | Infinity Physical Therapy Inc | Physical Therapist | 12800 Garden Grove Blvd Ste F, Garden Grove, CA 92843-2008 | 2017-08-30 |
1407242001 | Andrew Lazo | Counselor | 12800 Garden Grove Blvd Ste F, Garden Grove, CA 92843-2008 | 2015-04-09 |
1679964027 | Ta Nguyen | Counselor | 12800 Garden Grove Blvd Ste F, Garden Grove, CA 92843-2008 | 2015-02-06 |
1033464839 | Julie Chin | Counselor | 12800 Garden Grove Blvd Ste F, Garden Grove, CA 92843-2008 | 2012-07-17 |
1326338856 | Shalini Jetley | Licensed Vocational Nurse | 12800 Garden Grove Blvd Ste F, Garden Grove, CA 92843-2008 | 2011-04-18 |
1942508874 | Yenny Zenteno Cacique | Counselor | 12800 Garden Grove Blvd Ste F, Garden Grove, CA 92843-2008 | 2011-03-01 |
1619201647 | Iny De Croos | Counselor | 12800 Garden Grove Blvd Ste F, Garden Grove, CA 92843-2008 | 2009-09-23 |
1518199595 | Richard Glen Grant | Counselor | 12800 Garden Grove Blvd Ste F, Garden Grove, CA 92843-2008 | 2009-08-10 |
1700012895 | Jane Lois Porphir | Marriage & Family Therapist | 12800 Garden Grove Blvd Ste F, Garden Grove, CA 92843-2008 | 2009-06-03 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346759024 | Elite Wellness Chiropractic Center | Clinic/Center | 13125 Brookhurst St, Garden Grove, CA 92843 | 2017-09-25 |
1407375520 | Leontina Balos | Assisted Living Facility | 10452 Mildred Avenue, Garden Grove, CA 92843 | 2017-09-11 |
1548788235 | Lanson Tt Corp | Pharmacy | 14211 Euclid St Ste A, Garden Grove, CA 92843 | 2017-09-01 |
1598285512 | Ernest Youngchan Rhee | Acupuncturist | 12555 Garden Grove Blvd., Ste 505, Garden Grove, CA 92843 | 2017-06-21 |
1336681253 | Shane Hiromu Koga | Chiropractor | 13311 Garden Grove Blvd Suite B, Garden Grove, CA 92843 | 2016-11-09 |
1023461456 | Kelly Chau Quach | Counselor | 14411 Brookhurst St Ste D & E, Garden Grove, CA 92843 | 2016-07-21 |
1922484385 | Terry Chang | Counselor | 12800 Garden Grove Blvd. Ste. F, Garden Grove, CA 92843 | 2015-08-07 |
1942687132 | Sara Smith | Counselor | 11277 Garden Grove Blvd., Suite 100, Garden Grove, CA 92843 | 2015-04-27 |
1063848232 | Nexgen Chiropractic Inc | Chiropractor | 12832 Garden Grove Blvd A, Garden Grove, CA 92843 | 2013-09-19 |
1023369824 | American Medical Diagnostic Lab Inc. | Clinical Medical Laboratory | 12665 Garden Grove Blvd #111, Garden Grove, CA 92843 | 2012-09-20 |
Find all providers in zip 92843 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205373149 | Sarah Jones | Nurse Practitioner | 11277 Garden Grove Blvd, Garden Grove, CA 92843-1340 | 2017-01-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477154573 | Marcus Jang | Nurse Practitioner | 1130 E Colorado St Apt 214, Glendale, CA 91205-2092 | 2020-11-04 |
1033718580 | John Sylvanus Allieu Sr. | Nurse Practitioner | 2672 Merganser Ct, Los Banos, CA 93635-9473 | 2020-10-25 |
1316546930 | Chika U Oguagha | Nurse Practitioner | 16240 Carmine St, Fontana, CA 92336-1481 | 2020-10-23 |
1215534888 | Rosa Maria Aguero | Nurse Practitioner | 9841 Alburtis Ave Unit 29, Santa Fe Springs, CA 90670-3264 | 2020-10-06 |
1134726995 | Margarita Maghtesyan | Nurse Practitioner | 20251 Ventura Blvd Ste A, Woodland Hills, CA 91364-2564 | 2020-10-05 |
1043827140 | April Lopez Ortiz | Nurse Practitioner | 500 W Ashland Ct, Visalia, CA 93277-6609 | 2020-09-23 |
1477167666 | David Joseph Russell | Nurse Practitioner | 17846 Glenwood Rd, Manteca, CA 95336-9521 | 2020-09-03 |
1194339382 | Albert Liu | Nurse Practitioner | 43559 Southerland Way, Fremont, CA 94539-5931 | 2020-09-03 |
1407469554 | Andre Alexandrian | Nurse Practitioner | 1606 Winona Ave, Burbank, CA 91504-2823 | 2020-08-28 |
1790398238 | Heather Richardson | Nurse Practitioner | 112 S Park St Ste 1, San Francisco, CA 94107-1809 | 2020-08-25 |
Find all providers with the same taxonomy |
City | GARDEN GROVE |
Zip Code | 92843 |
Please comment or provide details below to improve the information on DAVID BOYD LIGHT.
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.