WESTERN MEDICAL CENTER TRAUMA GRP INC. (NPI# 1265525935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265525935 |
| Entity Type | Organization |
| Organization Name | WESTERN MEDICAL CENTER TRAUMA GRP INC. |
| Practice Address |
1001 Tustin Ave Santa Ana CA 92705 |
| Mailing Address |
Po Box 3428 Tustin CA 92781-3428 |
| Practice Telephone | 7145303270 |
| Mailing Telephone | 7142891559 |
| Mailing Fax Number | 7142890280 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2017-02-08 |
| Authorized Official Name | MS. DIANA M RICK (MANAGER) |
| Authorized Official Telephone | 7142891559 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0089430 | 05 |
| Street Address |
1001 TUSTIN AVE |
| City | SANTA ANA |
| State | CA |
| Zip Code | 92705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952919763 | John G. Alevizos, D.o., A Professional Medical Corporation | Preventive Medicine | 1530 East Edinger Avenue, Suite 1, Santa Ana, CA 92705 | 2020-07-17 |
| 1477186625 | Joyce Altman Interpreters, Inc. | Interpreter | 1971 East 4th Street, Ste 206, Santa Ana, CA 92705 | 2020-02-17 |
| 1588214688 | Cindy Mejia | Behavior Technician | 505 N. Tustin Ave., #152, Santa Ana, CA 92705 | 2019-09-19 |
| 1588210504 | Jennifer Ang Lim-quevedo | Nurse Practitioner | 18362 Whitney Dr, Santa Ana, CA 92705 | 2019-08-15 |
| 1962056820 | Melinda Acosta Black | Social Worker | 1526 Brookhollow Drive, Santa Ana, CA 92705 | 2019-07-30 |
| 1972069631 | Amy Marie Elit | Nurse Practitioner | 1751 E Harry Ave, Santa Ana, CA 92705 | 2019-02-18 |
| 1386118180 | Unified Behavioral Health, LLC | Substance Abuse Rehabilitation Facility | 1218 W Santa Ana Blvd, Santa Ana, CA 92705 | 2019-01-15 |
| 1952884736 | Javier Perales | Social Worker | 1652 Windsor Ln, Santa Ana, CA 92705 | 2018-09-08 |
| 1073009700 | Eva E Kuncewicki | Marriage & Family Therapist | 1001 S Grand Ave # B, Santa Ana, CA 92705 | 2018-07-05 |
| 1487149886 | Nimbus Medtransport Inc. | Non-emergency Medical Transport (VAN) | 2112 E 4th St Ste 235, Santa Ana, CA 92705 | 2018-06-27 |
| Find all providers in zip 92705 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972003325 | Joanie S Gonella | Specialist | 1780 E Mcfadden Ave Ste 115, Santa Ana, CA 92705-4648 | 2018-02-12 |
| 1588906390 | Consuelo Merce' Edwards | Specialist | 1391 Faren Dr, Santa Ana, CA 92705-2451 | 2013-03-19 |
| 1225370133 | Andrea Dunkelman, Md Inc. A Medical Corporation | Specialist | 1710 La Loma Dr, Santa Ana, CA 92705-3027 | 2013-03-19 |
| 1689916595 | Alfredo Zarate | Specialist | 13671 Yellowstone Dr, Santa Ana, CA 92705-2657 | 2013-03-19 |
| 1407194624 | Hamid U. Rahman, M.d., F.r.c.s., Inc. | Specialist | 1220 Hemlock Way Ste 203, Santa Ana, CA 92707-3655 | 2013-01-23 |
| 1053678920 | Ebrahim Duel M.d. Inc | Specialist | 301 N. Main Sreet, Santa Ana, CA 92701-4852 | 2012-04-17 |
| 1326313560 | Enriqueta Silva | Specialist | 1110 W 21st St, Santa Ana, CA 92706-3530 | 2012-03-21 |
| 1205146156 | N Charle Morcos Md Phd Inc | Specialist | 999 N Tustin Ste 15, Santa Ana, CA 92705-3530 | 2010-10-13 |
| 1518277516 | Hector J. Fernandez, M.d. Inc | Specialist | 1970 Old Tustin Ave, Santa Ana, CA 92705-7865 | 2010-10-09 |
| 1639485543 | Marilyn G. Myers, M.d., Apc | Specialist | 2220 E Fruit St Ste 217, Santa Ana, CA 92701-4459 | 2010-08-30 |
| Find all providers in SANTA ANA | ||||
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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.