JAMES EZRA SHEPPARD (NPI# 1255686044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255686044 |
| Entity Type | Individual |
| Full Name | JAMES EZRA SHEPPARD |
| Credential | DO |
| Practice Address |
3801 Katella Ave Ste 206 Los Alamitos CA 90720 |
| Mailing Address |
3801 Katella Ave Ste 206 Los Alamitos CA 90720-3358 |
| Practice Telephone | 5624933764 |
| Practice Fax Number | 5624935094 |
| Mailing Telephone | 5624933764 |
| Mailing Fax Number | 5624935094 |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2018-10-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 20A 12325 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3801 Katella Ave Ste 206, Los Alamitos, CA 90720 | 5624933764 | 5624935094 |
| 9089 Baseline Rd, Suite 100, Rancho Cucamonga, CA 917301295 | 9099419927 | 9099419027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699969758 | James Clyde Sheppard | Internal Medicine | 691 Institution Road, Defuniak Springs, FL 32433-5606 | 2007-08-31 |
| 1528075835 | James Christopher Sheppard | Internal Medicine | 315 Fluker St, Thomson, GA 30824-2108 | 2006-08-01 |
| 1700871324 | James Meek Sheppard | Family Medicine | 600 S Timberlane Dr, El Dorado, AR 71730-6990 | 2005-09-20 |
| Street Address |
3801 KATELLA AVE STE 206 |
| City | LOS ALAMITOS |
| State | CA |
| Zip Code | 90720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871152132 | Connie Lee Wax | Social Worker | 5182 Katella, Suite 206, Los Alamitos, CA 90720 | 2019-06-11 |
| 1750891446 | Angela Lynn Hudson | Nurse Practitioner | 4281 Katella Ave Ste 215, Los Alamitos, CA 90720 | 2017-10-06 |
| 1922524149 | Tigom LLC | Pharmacy | 4434 Cerritos Ave, Los Alamitos, CA 90720 | 2017-08-18 |
| 1821531401 | Added Access Cardiology Inc | Internal Medicine | 3801 Katella Ave Suite 401, Los Alamitos, CA 90720 | 2016-11-30 |
| 1619348091 | Debbie Chen | Marriage & Family Therapist | 5182 Katella Ave Ste 202, Los Alamitos, CA 90720 | 2015-10-12 |
| 1801292974 | Michelle R. Ancharoff | Psychologist | 4281 Katella Ave #122, Los Alamitos, CA 90720 | 2014-11-17 |
| 1497179253 | Jeffrey J Mccullough | Dentist | 4281 Katella Ave Ste 112, Los Alamitos, CA 90720 | 2014-02-13 |
| 1043634124 | Alamitos Oral Surgery | Dentist | 4582 Katella Avenue, Los Alamitos, CA 90720 | 2014-02-11 |
| 1972939718 | Twin Town Corporation | Clinic/Center | 4376 Katella Ave., Los Alamitos, CA 90720 | 2013-09-25 |
| 1952644197 | Lindsay Enebak Mossinger | Internal Medicine | 3851 Katella Ave Ste 220, Los Alamitos, CA 90720 | 2013-04-05 |
| Find all providers in zip 90720 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407711 | Prohealth Partners A Medical Group | Family Medicine | 3700 Katella Ave Ste D, Los Alamitos, CA 90720-6410 | 2020-11-06 |
| 1316217375 | Jk Loomis Corp A Medical Corp | Family Medicine | 3851 Katella Ave Ste 275, Los Alamitos, CA 90720-3377 | 2012-01-09 |
| 1437358249 | Franklin Lowe Md, A Professional Medical Corporation | Family Medicine | 3791 Katella Ave Ste 210, Los Alamitos, CA 90720-2027 | 2007-07-12 |
| 1790756054 | Sandra Lynn Goines | Family Medicine | 5242 Katella Ave, Suite 106, Los Alamitos, CA 90720-2863 | 2006-01-26 |
| 1245213438 | Judith Kay Lee Vogt | Family Medicine | 3460 Katella Ave, Los Alamitos, CA 90720 | 2005-11-22 |
| 1568892115 | Pei Lily Mulroy | Family Medicine | 3851 Katella Ave, Suite155, Los Alamitos, CA 90720-2600 | 2013-11-19 |
| 1790041184 | Hugo L Ramirez | Family Medicine | 3801 Katella Ave, Suite 301, Los Alamitos, CA 90720-3338 | 2012-04-10 |
| 1538454392 | Richard Lee | Family Medicine | 3460 Katella Ave, Los Alamitos, CA 90720-2334 | 2011-06-09 |
| 1215229406 | Sandra L. Goines, D.o., A Medical Corporation | Family Medicine | 5242 Katella Ave, Suite 106, Los Alamitos, CA 90720-2820 | 2011-05-06 |
| 1396062279 | Gloria C Hu | Family Medicine | 3460 Katella Ave, Los Alamitos, CA 90720-2334 | 2010-04-30 |
| Find all providers in LOS ALAMITOS | ||||
| City | LOS ALAMITOS |
| Zip Code | 90720 |
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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.