RESTORATION HEALTHCARE INC (NPI# 1275931800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275931800 |
| Entity Type | Organization |
| Organization Name | RESTORATION HEALTHCARE INC |
| Practice Address |
18818 Teller Ave Suite 170 Irvine CA 92612-1678 |
| Practice Telephone | 9495352322 |
| Mailing Telephone | 9495352322 |
| Enumeration Date | 2014-12-14 |
| Last Update Date | 2019-08-08 |
| Authorized Official Name | MARY S RALEIGH (PRESIDENT) |
| Authorized Official Telephone | 9495352322 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1057 Gayley Ave, Los Angeles, CA 900243401 | 9495352322 | 9495352330 |
| Street Address |
18818 TELLER AVE SUITE 170 |
| City | IRVINE |
| State | CA |
| Zip Code | 92612-1678 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063431203 | Suma Oommen | Internal Medicine | 18818 Teller Ave, Suite #170, Irvine, CA 92612-1678 | 2006-07-19 |
| 1144460536 | Dynamic Health Center | Homeopath | 18818 Teller Ave, Ste 170, Irvine, CA 92612-1678 | 2009-02-25 |
| 1841453891 | Hahnemannian Research Center Inc | Homeopath | 18818 Teller Ave, Suite #170, Irvine, CA 92612-1678 | 2008-07-09 |
| 1578733465 | Suma Oommen Md Inc | Internal Medicine | 18818 Teller Ave, Suite 170, Irvine, CA 92612-1678 | 2008-03-06 |
| 1457542094 | Mary S Raleigh | Neuromusculoskeletal Medicine & OMM | 18818 Teller Ave, Suite 170, Irvine, CA 92612-1678 | 2007-08-08 |
| 1891852067 | Thomas Stanley Bakman | Chiropractor | 18818 Teller Ave, Suite 170, Irvine, CA 92612-1678 | 2007-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629615984 | Sara Afsharpour | Marriage & Family Therapist | 2001 Business Center Dr, # 150, Irvine, CA 92612 | 2019-12-05 |
| 1952959207 | Dorothy Dawn Malsack | Dietitian, Registered | 20 Pergola, Irvine, CA 92612 | 2019-08-29 |
| 1992350508 | Masi Hashemian Dds Inc | Dentist | Park Place Dentistry, 2981 Michelson Dr., Suite #b, Irvine, CA 92612 | 2019-08-09 |
| 1518426907 | Linklan Logistics Inc | Transportation Broker | 19200 Von Karman Ave Ste 612, Irvine, CA 92612 | 2019-03-15 |
| 1598220535 | Dorise Hebenstreit | Marriage & Family Therapist | 2151 Michelson Dr Ste 286, Irvine, CA 92612 | 2019-02-04 |
| 1871033365 | Livhome, Inc. | In Home Supportive Care | 19762 Macarhtur Blvd, Suite 120, Irvine, CA 92612 | 2017-03-02 |
| 1073061511 | Susan Nguyen | Marriage & Family Therapist | 2081 Business Center Dr Ste 109, Irvine, CA 92612 | 2016-09-13 |
| 1043617574 | Jason Polhamus | Community Health Worker | 4885 Royce Rd, Irivne, CA 92612 | 2014-11-26 |
| 1013313386 | Marisa Lepore | Marriage & Family Therapist | 19742 Centerpointe Plaza, Suite #125, Irvine, CA 92612 | 2014-11-13 |
| 1558798462 | Fatima Manesh | Acupuncturist | 8 Palmento Way, Irvine, CA 92612 | 2013-10-09 |
| Find all providers in zip 92612 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861786873 | Behrang Hosseini Dehkordi | Family Medicine | 12 Mauchly Ste P, Irvine, CA 92618-6309 | 2011-06-07 |
| 1144421199 | American Multispecialty Medical Clinic,inc. | Family Medicine | 4050 Barranca Pkwy Ste 170, Irvine, CA 92604-4785 | 2007-05-29 |
| 1285733949 | Marc A. Lazzara D.o., A Medical Corporation | Family Medicine | 4521 Charleville Cir, Irvine, CA 92604-2329 | 2006-09-21 |
| 1033404645 | Brian Young Kim | Family Medicine | 1 Medical Plaza Drive, Irvine, CA 92697-3414 | 2011-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447875570 | Nader Sobh Inc | Family Medicine | 11740 San Vicente Blvd Ste 205, Los Angeles, CA 90049-6610 | 2020-06-15 |
| 1124596010 | Cam Md | Family Medicine | 1968 S Coast Hwy # 401, Laguna Beach, CA 92651-3681 | 2018-11-08 |
| 1902289226 | Daesoon Leem | Family Medicine | 15095 Amargosa Rd, Bldg.1, #102, Victorville, CA 92394 | 2015-07-06 |
| 1114313616 | Michelle Sriwongtong | Family Medicine | 834 Castro St, 3, San Francisco, CA 94114-2858 | 2015-04-10 |
| 1225433006 | Harut Madatovian | Family Medicine | 2595 E Washington Blvd Ste 106, Pasadena, CA 91107-1409 | 2014-10-23 |
| 1760801880 | Kyle William Meyer | Family Medicine | 24910 Las Brisas Rd Ste 105, Murrieta, CA 92562 | 2014-04-16 |
| 1720403553 | Dianne Longo | Family Medicine | 1319 Evergreen Ave, Apt N2, Fullerton, CA 92835-2063 | 2014-03-03 |
| 1255760633 | Steven William Marles | Family Medicine | 4265 Tapestry Way, Turlock, CA 95382-7448 | 2013-11-05 |
| 1497098909 | Joshua David Sampson | Family Medicine | 2299 Post St Ste 107, San Francisco, CA 94115-3460 | 2013-04-03 |
| 1699015529 | Andrew Saleh | Family Medicine | 1370 Rosecrans St Ste A, San Diego, CA 92106-2676 | 2013-03-01 |
| Find all providers with the same taxonomy | ||||
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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.