LEEZA CAMACHO WILLS (NPI# 1326470683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326470683 |
| Entity Type | Individual |
| Full Name | LEEZA CAMACHO WILLS |
| Credential | NP |
| Practice Address |
1215 E Chapman Ave Ste 10 Orange CA 92866-2237 |
| Practice Telephone | 7145169045 |
| Mailing Telephone | 7145169045 |
| Enumeration Date | 2013-08-08 |
| Last Update Date | 2019-01-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 462152 | CA | Nursing Service Providers |
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
NP95008565 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDI-CAL | 33-0150193 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1100 N Tustin Ave Ste D1, Santa Ana, CA 927053531 | 7145710588 |
| Street Address |
1215 E CHAPMAN AVE STE 10 |
| City | ORANGE |
| State | CA |
| Zip Code | 92866-2237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184193427 | Megan M Weaver | Registered Nurse | 1215 E Chapman Ave Ste 10, Orange, CA 92866-2237 | 2018-11-15 |
| 1730688169 | Sydney Christine Daebritz | Registered Nurse | 1215 E Chapman Ave Ste 10, Orange, CA 92866-2237 | 2018-02-12 |
| 1700319720 | Judy Parker | Registered Nurse | 1215 E Chapman Ave Ste 10, Orange, CA 92866-2237 | 2017-04-06 |
| 1437695533 | Obria Medical Clinic | Clinic/Center | 1215 E Chapman Ave Ste 10, Orange, CA 92866-2237 | 2017-01-12 |
| 1841734654 | Obria Medical Clinics | Nursing Care | 1215 E Chapman Ave Ste 10, Orange, CA 92866-2237 | 2016-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386277499 | Jessica Hsu, M.d.,inc | Dermatology | 1506 Chapman Avenue, Address Line 2, Orange, CA 92866 | 2020-02-17 |
| 1477114122 | Beverley P Brownell | Nurse Practitioner | 1215 E. Chapman Avenue, Orange, CA 92866 | 2019-06-24 |
| 1528539442 | Brian Chau | Pharmacist | 1538 E. Chapman Ave, Orange, CA 92866 | 2018-12-17 |
| 1891214599 | Nancy Lee Mcdonald | Registered Nurse | 700 Sout Tustin, Orange, CA 92866 | 2017-09-13 |
| 1962932541 | Hao Phu Nguyen | Counselor | 401 S. Tustin Street, Building D, Orange, CA 92866 | 2017-06-15 |
| 1932567377 | Lori Lynn Hughes | Psychologist | 734 E. Chapman Ave., Suite 734, Orange, CA 92866 | 2016-01-30 |
| 1417291360 | Lori Ann Bartczak | Speech-Language Pathologist | 393 S. Tustin St., Orange, CA 92866 | 2012-11-15 |
| 1497046064 | Pacific Shore Surgery Center | Clinic/Center | 302 W. Laveta Ave, Suite 100, Orange, CA 92866 | 2011-04-29 |
| 1871805127 | Spring Medley Peavy | Nurse Practitioner | 1040 E. Chapman Ave, Orange, CA 92866 | 2010-07-01 |
| 1790956084 | Kevin Robert Franks | Dentist | 532 E Chapman Ave, Orange, CA 92866 | 2008-03-14 |
| Find all providers in zip 92866 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043382666 | Tina Abolhassani Bloomer | Nurse Practitioner | 4010 E Chapman Ave, Suite C, Orange, CA 92869-3990 | 2006-11-15 |
| 1922008556 | Wendi Rosenblatt | Nurse Practitioner | 700 South Tustin Street, Orange, CA 92866 | 2005-07-26 |
| 1235642281 | Mary Katherine Harmon | Nurse Practitioner | 1100 W Stewart Dr, Orange, CA 92868 | 2017-11-13 |
| 1073025714 | Elham Saddady | Nurse Practitioner | 1100 W Stewart Dr, Orange, CA 92868 | 2017-11-03 |
| 1396269403 | Allison J Alix | Nurse Practitioner | 1100 W Stewart Dr, Orange, CA 92868-3849 | 2017-07-31 |
| 1679022750 | Ellis Ninonuevo | Nurse Practitioner | 1215 E Chapman Ave, Orange, CA 92866-2237 | 2016-09-29 |
| 1871942219 | Onna Whiteman | Nurse Practitioner | 805 W La Veta Ave, 101, Orange, CA 92868-3901 | 2016-06-07 |
| 1871972539 | Sarah Rand | Nurse Practitioner | 805 W La Veta Ave Ste 101, Orange, CA 92868-3928 | 2015-05-27 |
| 1467856518 | Dellia Montgomery | Nurse Practitioner | 805 W La Veta Ave Ste 107, Orange, CA 92868-3928 | 2014-10-17 |
| 1467686972 | Amy Tu | Nurse Practitioner | 700 S Tustin St, Orange, CA 92866-3425 | 2009-05-12 |
| Find all providers in ORANGE | ||||
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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.