ANDREW CONCOFF (NPI# 1366442998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366442998 |
| Entity Type | Individual |
| Full Name | ANDREW CONCOFF |
| Credential | MD |
| Practice Address |
2141 N Harbor Blvd Ste 35000 Fullerton CA 92835-3831 |
| Practice Telephone | 7146268630 |
| Practice Fax Number | 7146268659 |
| Mailing Telephone | 7146268630 |
| Mailing Fax Number | 7146268659 |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2019-04-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
A55793 | CA | Allopathic & Osteopathic Physicians |
| Y | 207RS0010X |
Internal Medicine Specialization: Sports Medicine |
A55793 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
2141 N HARBOR BLVD STE 35000 |
| City | FULLERTON |
| State | CA |
| Zip Code | 92835-3831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013487883 | Austin James Perkins | Physician Assistant | 2141 N Harbor Blvd Ste 35000, Fullerton, CA 92835-3831 | 2018-12-04 |
| 1346716842 | Charles Alexandre Greener | Physician Assistant | 2141 N Harbor Blvd Ste 35000, Fullerton, CA 92835-3831 | 2018-10-23 |
| 1265946610 | Kate S. Boulder | Nurse Practitioner | 2141 N Harbor Blvd Ste 35000, Fullerton, CA 92835-3831 | 2017-11-21 |
| 1962787838 | Julie B Hastin | Physician Assistant | 2141 N Harbor Blvd Ste 35000, Fullerton, CA 92835-3831 | 2011-10-11 |
| 1316243769 | St Joseph Heritage Healthcare | Durable Medical Equipment & Medical Supplies | 2141 N Harbor Blvd Ste 35000, Fullerton, CA 92835 | 2011-02-02 |
| 1588872089 | Carrie M Carrillo | Physician Assistant | 2141 N Harbor Blvd Ste 35000, Fullerton, CA 92835-3831 | 2007-05-18 |
| 1972726784 | Kyla Ama Davis | Physician Assistant | 2141 N Harbor Blvd Ste 35000, Fullerton, CA 92835-3831 | 2007-04-10 |
| 1760554232 | Kevin Kinzinger | Specialist | 2141 N Harbor Blvd Ste 35000, Fullerton, CA 92835-3831 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538774302 | Natalie Baugh | Nutritionist | 333 W Bastanchury Rd 110, Fullerton, CA 92835 | 2020-09-09 |
| 1073127098 | Cecile Mae Sam | Physical Therapist | 2932 Clover Ct, Fullerton, CA 92835 | 2020-09-08 |
| 1861966087 | Kimson F Johnston | Marriage & Family Therapist | 1370 Brea Blvd Suite 210, Fullerton, CA 92835 | 2019-01-22 |
| 1134636327 | Michelle Harriman, Psychologist - A Professional Corporation | Psychologist | 1440 N Harbor Blvd Ste 808, Fullerton, CA 92835 | 2018-01-09 |
| 1659818631 | Jacqueline Rene Miller | Specialist/Technologist | 2610 Associated Rd, Apt A4, Fullerton, CA 92835 | 2017-01-27 |
| 1912361106 | John Nathaniel Alvarez | Psychiatry & Neurology | 401 E Imperial Highway, Fullerton, CA 92835 | 2016-04-13 |
| 1083075030 | Advance Recovery Solution, LLC | Substance Abuse Rehabilitation Facility | 3744 N Hermosa Pl, Fullerton, CA 92835 | 2016-03-17 |
| 1467817981 | Michele Ledesma | Physical Therapy Assistant | 2800 N. Harbor Blvd., Fullerton, CA 92835 | 2015-12-29 |
| 1467820571 | Jonghan Kang | Acupuncturist | 1321 N Harbor Blvd Ste 205, Fullerton, CA 92835 | 2015-09-04 |
| 1265840987 | Allison Leigh Kennedy | Physician Assistant | 100 Laguna Rd Ste 208, Fullerton, CA 92835 | 2014-07-25 |
| Find all providers in zip 92835 | ||||
| Taxonomy Code | 207RS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Sports Medicine |
| An internist 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 healthcare of the individual. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295366318 | Phillip S Bland Md Inc | Internal Medicine | 1127 Wilshire Blvd Ste 1010, Los Angeles, CA 90017-4001 | 2020-01-28 |
| 1679936090 | Benjamin Schanker | Internal Medicine | 817 Coffee Rd Ste B, Modesto, CA 95355-4241 | 2016-04-02 |
| 1245697440 | Pure Occupational and Sports Medicine Corporation | Internal Medicine | 1171 S Robertson Blvd Ste 242, Los Angeles, CA 90035-1403 | 2016-01-20 |
| 1942566872 | Edward Cheung | Internal Medicine | 100 Ucla Medical Plaza Suite 755, Los Angeles, CA 90095-8358 | 2012-04-04 |
| 1356671861 | Chin Se Kim, Md Inc | Internal Medicine | 1736 W Medical Center Dr Ste B, Anaheim, CA 92801-1854 | 2010-01-05 |
| 1083829360 | Clara Nguyen | Internal Medicine | 432 E Temple St, Los Angeles, CA 90012-4022 | 2007-05-11 |
| 1184701013 | William L. Cappiello | Internal Medicine | 710 Lawrence Expwy, Santa Clara, CA 95051-5173 | 2006-10-31 |
| 1366543290 | L.wiener C.ross Medical Corp | Internal Medicine | 11540 Santa Monica Bl., #203, Los Angeles, CA 90025-7905 | 2006-09-25 |
| 1831120849 | Cesar A Estela | Internal Medicine | 9960 Cape Verde Dr, Elk Grove, CA 95757 | 2006-07-06 |
| 1346723277 | Michael J Burns Md Inc | Internal Medicine | 1777 Botelho Dr Ste 110, Walnut Creek, CA 94596-5083 | 2018-09-06 |
| 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.