J BRENNAN CASSIDY


Address: 3929 S Bristol St, Suite 202, Santa Ana, CA 92704-7427
Phone: 7146620322

J BRENNAN CASSIDY (NPI# 1528132487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528132487
Entity Type Individual
Full Name J BRENNAN CASSIDY
Credential M.D.
Practice Address 3929 S Bristol St
Suite 202
Santa Ana
CA 92704-7427
Practice Telephone 7146620322
Practice Fax Number 7146620329
Mailing Telephone 7146620322
Mailing Fax Number 7146620329
Enumeration Date 2006-11-20
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QA0505X Family Medicine
Specialization: Adult Medicine
C30247 CA Allopathic & Osteopathic Physicians

Office Location

Street Address 3929 S BRISTOL ST
SUITE 202
City SANTA ANA
State CA
Zip Code 92704-7427

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Taxonomy Information

Taxonomy Code 207QA0505X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Adult Medicine

Taxonomy Definition

Definition to come.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831456854 Alan Brent Barton Family Medicine 1832 Park Skyline Rd, Santa Ana, CA 92705-3120 2012-04-15
1871751206 Randolph Perry Jones Family Medicine 1530 E Edinger, Santa Ana, CA 92705 2008-06-02
1750491221 Gary A. Linnemann, Md, Inc. Family Medicine 1534 E Warner Ave, Suite A, Santa Ana, CA 92705-5475 2006-08-30
1982602579 Roger Hsio-hsion Wang Family Medicine 1125 E 17th St, Suite W239, Santa Ana, CA 92701-2201 2005-07-08
1649805250 Karee Akemi Chrysovergis Family Medicine 2010 E 1st St, Santa Ana, CA 92705-4079 2020-03-04
1164926390 Natalie Ann Padgett Family Medicine 1241 E Dyer Rd Ste 145, Santa Ana, CA 92705-5694 2018-03-21
1811332075 Sarah Jewel Page Family Medicine 1900 E 4th St, Family Medicine Residency Program, Santa Ana, CA 92705-3962 2013-05-01
1134352727 Lucio Loza Jr. Family Medicine 3401 S Harbor Blvd, Santa Ana, CA 92704-7933 2009-08-28
1114167228 Mobile Medical Examination Services Family Medicine 1241 E Dyer Rd Ste 145, Santa Ana, CA 92705-5694 2009-03-02
1376749101 Ming Ying Chen Family Medicine 3401 S Harbor Blvd, Santa Ana, CA 92704-7933 2007-06-27
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Competitor

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City SANTA ANA
Zip Code 92704

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Dataset Information

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.

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