ADAM BRASKET (NPI# 1467072132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467072132 |
| Entity Type | Individual |
| Full Name | ADAM BRASKET |
| Credential | NURSE PRACTITIONER |
| Practice Address |
5475 E La Palma Ave Anaheim CA 92807-2075 |
| Mailing Address |
11704 Eton Dr Grand Terrace CA 92313-5125 |
| Practice Telephone | 9493335226 |
| Practice Fax Number | 9495799102 |
| Mailing Telephone | 6184016468 |
| Enumeration Date | 2020-04-22 |
| Last Update Date | 2020-09-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 743355 | CA | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
95015268 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11704 Eton Dr, Grand Terrace, CA 923135125 | 6184016468 |
| Street Address |
5475 E LA PALMA AVE |
| City | ANAHEIM |
| State | CA |
| Zip Code | 92807-2075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922027218 | Edwin Samuel Kulubya | Anesthesiology | 5475 E La Palma Ave, Suite 202, Anaheim, CA 92807-2075 | 2006-07-18 |
| 1376926808 | James C. Lee, Dpm A Professional Corp | Podiatrist | 5475 E La Palma Ave, Suite 208, Anaheim, CA 92807-2075 | 2015-07-01 |
| 1962800318 | West Regional Cardiothoracic & Vascular Surgeons W R Vein Center | Surgery | 5475 E La Palma Ave, Suite 204, Anaheim, CA 92807-2075 | 2014-12-17 |
| 1063823391 | Silvia Song | Dermatology | 5475 E La Palma Ave, Anaheim, CA 92807-2075 | 2014-05-08 |
| 1245667013 | Robert J Marriott Medical Corp | Surgery | 5475 E La Palma Ave, Suite 204, Anaheim, CA 92807-2075 | 2013-10-10 |
| 1528327327 | Jaryd Freedman | Dermatology | 5475 E La Palma Ave, Suite 201, Anaheim, CA 92807-2075 | 2012-05-14 |
| 1205141074 | Edan M Devora | Physical Therapist | 5475 E La Palma Ave, 200, Anaheim, CA 92807-2075 | 2010-08-17 |
| 1538480959 | Artisan Foot and Ankle Specialist | Podiatrist | 5475 E La Palma Ave, Ste 208, Anaheim, CA 92807-2075 | 2010-06-21 |
| 1548490568 | Sherry Youssef | Dermatology | 5475 E La Palma Ave, Suite 201, Anaheim, CA 92807-2075 | 2009-07-24 |
| 1831327121 | Van Tl Hoang | Dermatology | 5475 E La Palma Ave, Suite 201, Anaheim, CA 92807-2075 | 2009-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801400759 | Katie Greasby | Marriage & Family Therapist | 509 S. Villa Real Dr. #117, Anaheim Hills, CA 92807 | 2020-09-08 |
| 1386201481 | Joseph Hasrouni | Counselor | Cvs 9753, 5735 E. La Palma Ave, Anaheim, CA 92807 | 2019-05-23 |
| 1144739277 | Luis Antonio Perez | Social Worker | 2112 E 4th St. #107, Santa Ana, CA 92807 | 2017-09-20 |
| 1548781883 | F.foroutan Dds Inc. | Dentist | 5031 E. Orangethorpe Ave., Suite # B-2, Anaheim Hills, CA 92807 | 2017-06-27 |
| 1487101515 | Eloy Ramirez | Counselor | 233 S. Quintana Drive, Anaheim, CA 92807 | 2016-09-07 |
| 1255786448 | K's Loving Care | Custodial Care Facility | 1211 N Amelia St, Anaheim, CA 92807 | 2016-04-26 |
| 1265806673 | Jessica Vickers | Marriage & Family Therapist | 5500 E Santa Ana Canyon Rd Ste 216, Anaheim, CA 92807 | 2015-11-23 |
| 1033596796 | Donovan Garcia Teves | Specialist | 1261 Lakeview Ave., Suite 'a', Anaheim Hills, CA 92807 | 2015-05-01 |
| 1235544354 | Nicole Reaves | Occupational Therapist | 5630 E Santa Ana Canyon Rd Ste 105, Anaheim, CA 92807 | 2014-06-26 |
| 1093143471 | Behrang E Toubak | Counselor | 6381 E Via Arboles, Anaheim, CA 92807 | 2013-10-23 |
| Find all providers in zip 92807 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093179780 | Laura Conley-prince | Nurse Practitioner | 1926 N Sunwood Ln, Anaheim, CA 92807-1240 | 2016-04-08 |
| 1689298317 | Careplus Medical Clinic A Medical Corporation | Nurse Practitioner | 5783 E La Palma Ave, Anaheim, CA 92807-2229 | 2020-05-28 |
| 1770138539 | Erin Leianne Sneed | Nurse Practitioner | 2531 W Woodland Dr, Anaheim, CA 92801-2637 | 2019-08-07 |
| 1780867515 | Lydia Kropidlowski | Nurse Practitioner | 303 W Lincoln Ave, Suite 130, Anaheim, CA 92805-2936 | 2007-12-15 |
| 1427265123 | Georgeta Laura Drancea | Nurse Practitioner | 3400 W Ball Rd, Suite 100 B, Anaheim, CA 92804-3738 | 2007-05-16 |
| 1669499588 | Jill Ann Cavish | Nurse Practitioner | 1901 E Center St, Anaheim, CA 92805-3457 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154573 | Marcus Jang | Nurse Practitioner | 1130 E Colorado St Apt 214, Glendale, CA 91205-2092 | 2020-11-04 |
| 1033718580 | John Sylvanus Allieu Sr. | Nurse Practitioner | 2672 Merganser Ct, Los Banos, CA 93635-9473 | 2020-10-25 |
| 1316546930 | Chika U Oguagha | Nurse Practitioner | 16240 Carmine St, Fontana, CA 92336-1481 | 2020-10-23 |
| 1215534888 | Rosa Maria Aguero | Nurse Practitioner | 9841 Alburtis Ave Unit 29, Santa Fe Springs, CA 90670-3264 | 2020-10-06 |
| 1134726995 | Margarita Maghtesyan | Nurse Practitioner | 20251 Ventura Blvd Ste A, Woodland Hills, CA 91364-2564 | 2020-10-05 |
| 1043827140 | April Lopez Ortiz | Nurse Practitioner | 500 W Ashland Ct, Visalia, CA 93277-6609 | 2020-09-23 |
| 1477167666 | David Joseph Russell | Nurse Practitioner | 17846 Glenwood Rd, Manteca, CA 95336-9521 | 2020-09-03 |
| 1194339382 | Albert Liu | Nurse Practitioner | 43559 Southerland Way, Fremont, CA 94539-5931 | 2020-09-03 |
| 1407469554 | Andre Alexandrian | Nurse Practitioner | 1606 Winona Ave, Burbank, CA 91504-2823 | 2020-08-28 |
| 1790398238 | Heather Richardson | Nurse Practitioner | 112 S Park St Ste 1, San Francisco, CA 94107-1809 | 2020-08-25 |
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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.