ANNIE KANG (NPI# 1558728220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558728220 |
| Entity Type | Individual |
| Full Name | ANNIE KANG |
| Practice Address |
1725 W 17th St Santa Ana CA 92706 |
| Mailing Address |
1725 W 17th St Santa Ana CA 92706-2316 |
| Practice Telephone | 7148348787 |
| Mailing Telephone | 7148348787 |
| Enumeration Date | 2016-01-26 |
| Last Update Date | 2019-08-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 785258 | CA | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95003893 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 400 W 30th St, Los Angeles, CA 900073320 | 2132843200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164776910 | Annie Kang | Occupational Therapist | 23 Robert Pitt Dr, Suite 110, Monsey, NY 10952-3373 | 2012-11-01 |
| Street Address |
1725 W 17TH ST |
| City | SANTA ANA |
| State | CA |
| Zip Code | 92706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780697342 | Julie A Johnson | Family Medicine | 1725 W 17th St, Santa Ana, CA 92706-2316 | 2006-08-14 |
| 1417569682 | Anna Oanh Hoang | Registered Nurse | 1725 W 17th St, Santa Ana, CA 92706-2316 | 2020-08-19 |
| 1528670015 | Nora Reem Ali | Registered Nurse | 1725 W 17th St, Santa Ana, CA 92706-2316 | 2020-08-18 |
| 1710597117 | Jennifer E Ruiz | Registered Nurse | 1725 W 17th St, Santa Ana, CA 92706 | 2020-07-31 |
| 1770122012 | Juana Josefina Corsaut | Counselor | 1725 W 17th St, Santa Ana, CA 92706-2316 | 2020-01-03 |
| 1922657626 | Rosa Vallieu | Case Manager/Care Coordinator | 1725 W 17th St, Santa Ana, CA 92706-2316 | 2019-09-05 |
| 1942766472 | Marco Priego | Nurse's Aide | 1725 W 17th St, Santa Ana, CA 92706-2316 | 2019-02-20 |
| 1932664661 | Consuelo Carcel | Registered Nurse | 1725 W 17th St, Santa Ana, CA 92706-2316 | 2019-02-06 |
| 1245711878 | Jayson Alexander Carr | Counselor | 1725 W 17th St, Santa Ana, CA 92706-2316 | 2018-08-22 |
| 1306325766 | Cherry Anne Fontela | Registered Nurse | 1725 W 17th St, Santa Ana, CA 92706-2316 | 2018-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962972448 | Naijwa Lewis | Counselor | 2100 N. Broadway Suite 101, Santa Ana, CA 92706 | 2018-11-28 |
| 1215428230 | Chances Counseling Centers LLC | Psychologist | 2727 N Bristol St, Santa Ana, CA 92706 | 2018-05-24 |
| 1366962854 | Jankee Pandya | Counselor | 2215 N. Broadway, Ste 200, Santa Ana, CA 92706 | 2017-06-26 |
| 1740719178 | Miriam Alejandro Moreno-ortiz | Counselor | 1910 N. Bush St, Santa Ana, CA 92706 | 2017-06-08 |
| 1942617790 | Janice Botzbach | Behavioral Analyst | 1912 N. Broadway Suite 108, Santa Ana, CA 92706 | 2014-07-14 |
| 1841620689 | Orange County Health Care Agency | Clinic/Center | 550 N. Flower Street, Santa Ana, CA 92706 | 2013-11-14 |
| 1740527274 | Jeremy Nishimoto | Counselor | 2100 N. Broadway Ste 101, Santa Ana, CA 92706 | 2013-01-03 |
| 1326392390 | Rosemary Sara Chesters | Marriage & Family Therapist | 921 West Seventeenth Street, Santa Ana, CA 92706 | 2012-10-30 |
| 1790032019 | Jee Hoon Ha | Dentist | 1313 W 17th St Ste B, Santa Ana, CA 92706 | 2012-08-06 |
| 1437404225 | Lisa Steele | Counselor | 1910 N. Bush, Santa Ana, CA 92706 | 2012-07-17 |
| Find all providers in zip 92706 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356951834 | Kim Merchain | Nurse Practitioner | 130 N Fairview St, Santa Ana, CA 92703-3472 | 2020-08-09 |
| 1831664085 | Clemrose Go | Nurse Practitioner | 809 S Main St, Santa Ana, CA 92701-5719 | 2018-10-03 |
| 1083199194 | Federico Augusto Torres | Nurse Practitioner | 1331 W Central Ave Apt 37, Santa Ana, CA 92704-5774 | 2018-09-25 |
| 1386121697 | Samantha Sanh Chan | Nurse Practitioner | 1525 W San Lorenzo Ave, Santa Ana, CA 92704-6225 | 2018-07-20 |
| 1558854612 | Laura Fessler | Nurse Practitioner | 3501 S. Harbor Blvd, Santa Ana, CA 92704 | 2018-06-12 |
| 1891216370 | Ngoc Kim Nguyen | Nurse Practitioner | 18912 Fowler Ave, Santa Ana, CA 92705-1217 | 2017-07-05 |
| 1427413947 | Rhodora Neu | Nurse Practitioner | 3401 W. Sunflower Avenue, Suite 250, Santa Ana, CA 92704 | 2015-12-28 |
| 1275906711 | Caremore Health Plan | Nurse Practitioner | 1945 E. 17th St., Suite 101, Santa Ana, CA 92705 | 2015-11-05 |
| 1962895334 | Samantha Zimmerman | Nurse Practitioner | 3401 S Main St, Unit K, Santa Ana, CA 92707-4306 | 2015-03-10 |
| 1306265798 | Alma Isabel Velasco | Nurse Practitioner | 617 S Ross St, Santa Ana, CA 92701-5564 | 2014-04-14 |
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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.