NEIL BRIAN MANSDORF (NPI# 1295766475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295766475 |
Entity Type | Individual |
Full Name | NEIL BRIAN MANSDORF |
Credential | D.P.M. |
Practice Address |
555 N Tustin St Orange CA 92867-7611 |
Practice Telephone | 7146330040 |
Practice Fax Number | 7146330045 |
Mailing Telephone | 7146330040 |
Mailing Fax Number | 7146330045 |
Enumeration Date | 2006-07-05 |
Last Update Date | 2009-11-23 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0000X |
Podiatrist Specialization: Sports Medicine |
E4222 | CA | Podiatric Medicine & Surgery Service Providers |
N | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
E4222 | CA | Podiatric Medicine & Surgery Service Providers |
Street Address |
555 N TUSTIN ST |
City | ORANGE |
State | CA |
Zip Code | 92867-7611 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770197618 | Family First Healthcare | Home Health | 2712 E Blueridge Ave, Orange, CA 92867 | 2020-09-08 |
1568924793 | Denise Giovanazzi Weinberg | Nurse Practitioner | 3215 East Abbey Lane, Orange, CA 92867 | 2019-04-05 |
1629536701 | Cindy Diaz | Behavioral Analyst | 410 E. Katella, Orange, CA 92867 | 2019-03-07 |
1992206940 | Oc Healthy Heart LLC | Internal Medicine | 438 E Katella Ave Suite B, Orange, CA 92867 | 2018-02-26 |
1083139059 | Randy Hope | Counselor | 1855 W Katella Ave #150, Orange, CA 92867 | 2017-08-10 |
1801319595 | Danielle Collett | Registered Nurse | 1855 N. Katella, 150, Orange, CA 92867 | 2017-07-25 |
1023538931 | Mala Leao | Social Worker | 2440 E. Vanowen Ave., Orange, CA 92867 | 2017-06-21 |
1184096257 | Renew Acupuncture Clinic | Health Maintenance Organization | 1132 E Katella Avenue Ste. A14, Orange, CA 92867 | 2015-10-28 |
1942604913 | Seon Song | Acupuncturist | 1327 E Katella Ave, Orange, CA 92867 | 2014-10-20 |
1700298965 | Nazanin Minouei | Physical Therapy Assistant | 1045 N. Tustin Ave, Orange, CA 92867 | 2014-05-22 |
Find all providers in zip 92867 |
Taxonomy Code | 213ES0000X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Sports Medicine |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992164628 | Marin Foot and Ankle | Podiatrist | 7 N Knoll Rd Ste 3, Mill Valley, CA 94941-1665 | 2016-02-23 |
1528363249 | Tres Peros Inc | Podiatrist | 222 Front St Fl 6, San Francisco, CA 94111-4422 | 2011-01-12 |
1518003243 | Dale Sovak | Podiatrist | 4576 E 2nd St, H, Benicia, CA 94510-1046 | 2007-01-29 |
1033271705 | Arnold Serkin | Podiatrist | 3400 Lomita Blvd Ste 403, Torrance, CA 90505-4930 | 2006-12-15 |
1104998434 | Alona Kashanian | Podiatrist | 3984 South Figueroa Street, Los Angeles, CA 90037 | 2006-11-14 |
1790866887 | Remy Ardizzone | Podiatrist | 900 Hyde Street, Suite 1100, Center for Sports Medicine, San Francisco, CA 94109 | 2006-10-17 |
1164515623 | Irwin D Cohen | Podiatrist | 585 Kelly St, Half Moon Bay, CA 94019 | 2006-10-02 |
1477664662 | David Ray Hannaford | Podiatrist | 750 Las Gallinas Ave Ste 102, San Rafael, CA 94903-3431 | 2006-08-31 |
1003920851 | Colleen Schwartz | Podiatrist | 273 Spring St, Pleasanton, CA 94566-6625 | 2006-08-18 |
1770525065 | Ashkan Soleymani | Podiatrist | 18370 Burbank Blvd Ste 714, Tarzana, CA 91356-2827 | 2006-06-12 |
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.