HARRIMAN JONES MEDICAL GROUP, A PROFESSIONAL CORPORATION (NPI# 1316089550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316089550 |
| Entity Type | Organization |
| Organization Name | HARRIMAN JONES MEDICAL GROUP, A PROFESSIONAL CORPORATION |
| Practice Address |
4281 Katella Ave Suite 220 Los Alamitos CA 90720-3500 |
| Mailing Address |
5626 Oberlin Dr Suite 110 San Diego CA 92121-1705 |
| Practice Telephone | 7142260684 |
| Mailing Telephone | 8586252990 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2014-12-05 |
| Authorized Official Name | KENNY HEINE (VP OF OPERATIONS) |
| Authorized Official Telephone | 8586252990 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDVANTX, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | A71791 | CA | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912049214 | Harriman Jones Medical Group, A Professional Corporation | Non-Pharmacy Dispensing Site | 2600 Redondo Ave, 3rd Floor, Long Beach, CA 90806-2325 | 2007-02-13 |
| Street Address |
4281 KATELLA AVE SUITE 220 |
| City | LOS ALAMITOS |
| State | CA |
| Zip Code | 90720-3500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477529758 | Craig Olsen | Internal Medicine | 4281 Katella Ave, Suite 220, Los Alamitos, CA 90720-3500 | 2006-02-27 |
| 1780135251 | Fawn Gabrielle Miller | Counselor | 4281 Katella Ave, Los Alamitos, CA 90720-3500 | 2016-10-20 |
| 1184076572 | Amy Robedeaux | Counselor | 4281 Katella Ave, Suite 201, Los Alamitos, CA 90720-3500 | 2016-07-08 |
| 1710337688 | Pathways Community Services | Community/Behavioral Health | 4281 Katella Ave, 201, Los Alamitos, CA 90720-3500 | 2016-06-21 |
| 1245689579 | Robin Strickland | Counselor | 4281 Katella Ave, Suite 201, Los Alamitos, CA 90720-3500 | 2016-06-07 |
| 1841644663 | Kimberly Marie Gibson | Counselor | 4281 Katella Ave, Suite 201, Los Alamitos, CA 90720-3500 | 2016-04-18 |
| 1376904219 | Stephanie Espinoza | Counselor | 4281 Katella Ave, 201, Los Alamitos, CA 90720-3500 | 2016-03-18 |
| 1184089237 | Aide Arredondo | Counselor | 4281 Katella Ave, 201, Los Alamitos, CA 90720-3500 | 2015-12-16 |
| 1831562313 | Judith Villamar | Counselor | 4281 Katella Ave, 201, Los Alamitos, CA 90720-3500 | 2015-11-05 |
| 1760854566 | Sheila Oertwich Brown | Counselor | 4281 Katella Ave, Suite 122, Los Alamitos, CA 90720-3500 | 2015-10-20 |
| Find all providers in the same location | ||||
| 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 | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821389818 | Pacific Comprehensive Pain Management, Inc | Non-Pharmacy Dispensing Site | 10861 Cherry St, Suite 308, Los Alamitos, CA 90720-5402 | 2011-04-25 |
| 1427114032 | Parham Tabibian Md Inc | Non-Pharmacy Dispensing Site | 3851 Katella Ave, Suite 105, Los Alamitos, CA 90720-3309 | 2006-12-28 |
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| 1285268391 | Artius Dermatology Associates PC | Non-Pharmacy Dispensing Site | 1337 S Lovers Ln Ste D, Visalia, CA 93292-5249 | 2020-02-27 |
| 1790327732 | Triumph Specialties LLC | Non-Pharmacy Dispensing Site | 11100 Sepulveda Blvd # 8-519, Mission Hills, CA 91345-1131 | 2019-10-10 |
| 1487210365 | Artius Dermatology Associates P.C. | Non-Pharmacy Dispensing Site | 325 Mall Dr Ste 111, Hanford, CA 93230-5950 | 2019-05-15 |
| 1376030080 | Jane F Kardashian Md Inc | Non-Pharmacy Dispensing Site | 6769 N Fresno, Fresno, CA 93710 | 2018-04-18 |
| 1023511045 | Performance Health Medical Group | Non-Pharmacy Dispensing Site | 25431 Cabot Road Suite 118, Laguna Hills, CA 92653 | 2018-03-15 |
| 1043719206 | Southern California Orthopedic Institute L.p | Non-Pharmacy Dispensing Site | 4100 Empire Dr Ste 120, Bakersfield, CA 93309-0408 | 2018-02-02 |
| 1174032353 | Golden Gate Urology, Inc. | Non-Pharmacy Dispensing Site | 139 Townsend St Ste 100, San Francisco, CA 94107-1946 | 2017-09-20 |
| 1215462080 | Mas Management Group, Inc. | Non-Pharmacy Dispensing Site | 28446 Constellation Rd, Valencia, CA 91355-5081 | 2017-04-28 |
| 1730624719 | St. John's Well Child and Family Center Inc | Non-Pharmacy Dispensing Site | 326 W 23rd St, Los Angeles, CA 90007-2612 | 2016-12-29 |
| Find all providers with the same taxonomy | ||||
| City | LOS ALAMITOS |
| Zip Code | 90720 |
Please comment or provide details below to improve the information on HARRIMAN JONES MEDICAL GROUP, A PROFESSIONAL CORPORATION.
| 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.