GORDON E HAAG, JR, DDS, INC (NPI# 1457621260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457621260 |
| Entity Type | Organization |
| Organization Name | GORDON E HAAG, JR, DDS, INC |
| Practice Address |
301 W Bastanchury Rd Suite 260 Fullerton CA 92835-3419 |
| Practice Telephone | 7148794910 |
| Practice Fax Number | 7148795563 |
| Mailing Telephone | 7148794910 |
| Mailing Fax Number | 7148795563 |
| Enumeration Date | 2012-01-10 |
| Last Update Date | 2012-01-10 |
| Authorized Official Name | GORDON E HAAG JR. (OWNER) |
| Authorized Official Telephone | 7148794910 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
272952 | CA | Ambulatory Health Care Facilities |
| Street Address |
301 W BASTANCHURY RD SUITE 260 |
| City | FULLERTON |
| State | CA |
| Zip Code | 92835-3419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851398382 | Alan C Weinberg | Urology | 301 W Bastanchury Rd, #180, Fullerton, CA 92835-3427 | 2005-06-30 |
| 1861870735 | Jayshree Shah Dds Inc | Dentist | 301 W Bastanchury Rd, Ste 5, Fullerton, CA 92835-3419 | 2015-05-12 |
| 1578950663 | Jason Sabet-peyman, M.d., Inc. | Clinic/Center | 301 W Bastanchury Rd, #190, Fullerton, CA 92835-3419 | 2015-04-16 |
| 1013283910 | Helia Eragi | Dermatology | 301 W Bastanchury Rd, Suite 210, Fullerton, CA 92835-3419 | 2012-03-26 |
| 1437451820 | Eric Brendan Tygenhof | Urology | 301 W Bastanchury Rd, Suite 180, Fullerton, CA 92835-3419 | 2010-11-17 |
| 1811158744 | Lingua Vision Surgical Group | Ophthalmology | 301 W Bastanchury Rd, Suite 115, Fullerton, CA 92835-3419 | 2008-06-23 |
| 1962662916 | Michael Hugh Crial | Dentist | 301 W Bastanchury Rd, Ste 270, Fullerton, CA 92835-3419 | 2008-06-12 |
| 1487812400 | Advanced Fullerton Imaging, Inc. | Radiology | 301 W Bastanchury Rd, # 130, Fullerton, CA 92835-3419 | 2008-05-27 |
| 1801065578 | John D. Zdral, M.d., Inc. | Eyewear Supplier (Equipment, not the service) | 301 W Bastanchury Rd, Suite 10, Fullerton, CA 92835-3419 | 2008-02-26 |
| 1013186352 | John D. Zdral, M.d., Inc. | Ophthalmology | 301 W Bastanchury Rd, Suite 10, Fullerton, CA 92835-3419 | 2008-02-20 |
| Find all providers in the same location | ||||
| 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 | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164987673 | Gundong Lee Dds, Inc | Clinic/Center | 1235 N Harbor Blvd Ste 100, Fullerton, CA 92832-1323 | 2019-02-08 |
| 1780192005 | Gh Park Dds A Dental Corporation | Clinic/Center | 1031 Rosecrans Ave Ste 104, Fullerton, CA 92833-1946 | 2018-01-22 |
| 1376903195 | George Xenakis, Dds, PC | Clinic/Center | 1961 W Malvern Ave, Suite G, Fullerton, CA 92833-2177 | 2016-03-07 |
| 1104121219 | Karagyozyan Dds Inc. | Clinic/Center | 310 N Pomona Ave, Fullerton, CA 92832-1928 | 2011-01-20 |
| 1437338704 | Cheryl Oshida Dds, Inc. | Clinic/Center | 1321 N Harbor Blvd Ste 106, Fullerton, CA 92835-4129 | 2007-11-02 |
| 1518584176 | Rashid Kamdar Dds Inc. | Clinic/Center | 1332 E Chapman Ave, Fullerton, CA 92831-3954 | 2020-06-30 |
| 1811518988 | Dorothy S Woo Dds Inc | Clinic/Center | 255 Laguna Rd, Fullerton, CA 92835-2515 | 2020-04-30 |
| 1033753892 | Alvand Dental Corporation | Clinic/Center | 1332 E Chapman Ave, Fullerton, CA 92831-3954 | 2019-11-04 |
| 1578022323 | Dr. Frederick A. Johnson Jr Dds, Inc | Clinic/Center | 508 S Harbor Blvd, Fullerton, CA 92832-2411 | 2019-03-19 |
| 1134611015 | Badii Dental Coporation | Clinic/Center | 1950 Sunny Crest Dr Ste 1100, Fullerton, CA 92835-3639 | 2018-06-05 |
| Find all providers in FULLERTON | ||||
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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.