MY WAY MANAGEMENT SERVICES, LLC (NPI# 1447283437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447283437 |
| Entity Type | Organization |
| Organization Name | MY WAY MANAGEMENT SERVICES, LLC |
| Practice Address |
2913 El Camino Real # 344 Tustin CA 92782-8909 |
| Practice Telephone | 7142966377 |
| Mailing Telephone | 7142966377 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. PHYLLIS KAYE BRUNDIDGE (PRESIDENT) |
| Authorized Official Telephone | 7142966377 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | G78673 | CA | Other Service Providers |
| Street Address |
2913 EL CAMINO REAL # 344 |
| City | TUSTIN |
| State | CA |
| Zip Code | 92782-8909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548890528 | Christina Maria Clayton | Registered Nurse | 3100 Park Ave Apt 7-201, Tustin, CA 92782 | 2020-01-18 |
| 1447769963 | National Vision, Inc. | Technician/Technologist | 15020 Kensington Park Drive, J300, Tustin, CA 92782 | 2017-09-27 |
| 1487175410 | Vanson Dental Corporation | Dentist | 15160 Kensington Park Drive, Ste 610, Tustin, CA 92782 | 2017-06-29 |
| 1982133526 | Hee Eun Lee | Occupational Therapist | 2741 Dunstan Drive, Tustin, CA 92782 | 2017-06-07 |
| 1881129229 | Lydia Anna Bray | Pharmacist | 2102 Seminole, Tustin, CA 92782 | 2017-04-24 |
| 1427591577 | Charlie Huang | Internal Medicine | 15000 Kensington Park Dr Ste 250, Tustin, CA 92782 | 2016-11-21 |
| 1144672270 | Leiza Yamila Walia | Dentist | 15160 Kensington Park Dr Ste 610, Tustin, CA 92782 | 2016-07-13 |
| 1467831131 | Steven Yi Sun | Pediatrics | 15000 Kensington Park Dr, Tustin, CA 92782 | 2015-05-27 |
| 1639506405 | Medivan | Non-emergency Medical Transport (VAN) | 13800 Parkcenter Lane, Tustin, CA 92782 | 2013-10-10 |
| 1124266085 | Stacie Lynn Aragon | Counselor | 1 Hope Dr., Tustin, CA 92782 | 2009-01-30 |
| Find all providers in zip 92782 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093173221 | Jolina Lyn Manchester | Specialist | 2800 Keller Dr, Apt. 234, Tustin, CA 92782-1065 | 2016-02-02 |
| 1689093312 | Pia Rotman | Specialist | 155 El Camino Real, Tustin, CA 92780-3601 | 2014-04-09 |
| 1053745497 | Southern California Psychological | Specialist | 17821 17th St Ste 250, Tustin, CA 92780-2173 | 2013-08-21 |
| 1184825028 | Samireh Z. Said, M.d., Inc. | Specialist | 13422 Newport Ave Ste J, Tustin, CA 92780-3746 | 2007-05-29 |
| 1841386349 | Roger Kornu | Specialist | 12791 Newport Ave Ste 208, Tustin, CA 92780 | 2006-10-04 |
| 1841397700 | Rose Marie Angella Pitt | Specialist | 14181 Yorba St Ste 110, Tustin, CA 92780-2054 | 2006-09-20 |
| 1336129998 | Samireh Z Said | Specialist | 13422 Newport Avenue, Suite J, Tustin, CA 92780 | 2006-01-19 |
| 1780689042 | Charles Kyumin Oh | Specialist | 2552 Walnut Ave, Suite 130, Tustin, CA 92780-6935 | 2005-06-14 |
| 1518960418 | Ramon E Perez | Specialist | 17602 17th St, # 102-154, Tustin, CA 92780-1961 | 2005-05-24 |
| 1205380532 | Exam Specialist Medical Group | Specialist | 17821 17th St Ste 250, Tustin, CA 92780-2173 | 2016-08-03 |
| Find all providers in TUSTIN | ||||
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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.