DR. CHRISTINE M KWAK (NPI# 1588655898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588655898 |
| Entity Type | Individual |
| Full Name | DR. CHRISTINE M KWAK |
| Credential | MD |
| Practice Address |
9985 Sierra Ave Fontana CA 92335-6720 |
| Practice Telephone | 9096092008 |
| Mailing Telephone | 9096092008 |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2012-04-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | A88325 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
9985 SIERRA AVE |
| City | FONTANA |
| State | CA |
| Zip Code | 92335-6720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144212929 | Nathan David Carlson | Family Medicine | 9985 Sierra Ave, Fontana, CA 92335-6720 | 2005-08-18 |
| 1467060723 | Carly Turner Constance Kloack | Speech-Language Pathologist | 9985 Sierra Ave, Fontana, CA 92335-6720 | 2020-07-22 |
| 1518406669 | Eugene Corcoran | Pharmacist | 9985 Sierra Ave, Fontana, CA 92335-6720 | 2017-02-21 |
| 1689113029 | Tiffany Pattynama | Pharmacist | 9985 Sierra Ave, Link Pharmacy 2 Floor, Fontana, CA 92335-6720 | 2017-02-17 |
| 1134668692 | Li Ming Fong | Pharmacist | 9985 Sierra Ave, Mob1, 3rd Flr, Ob/gyn Pharmacy, Fontana, CA 92335-6720 | 2017-02-16 |
| 1275072738 | Jayshree Patel | Pharmacist | 9985 Sierra Ave, Fontana, CA 92335-6720 | 2017-02-16 |
| 1578002127 | Lianne Garcia-mao | Pharmacist | 9985 Sierra Ave, Fontana, CA 92335-6720 | 2017-02-15 |
| 1154860880 | Dean Pak | Pharmacist | 9985 Sierra Ave, Fontana, CA 92335-6720 | 2017-02-14 |
| 1659728368 | Victoria Lowe | Physician Assistant | 9985 Sierra Ave, Fontana, CA 92335-6720 | 2016-05-23 |
| 1518321157 | Brian Patterson | Student in an Organized Health Care Education/Training Program | 9985 Sierra Ave, Mob 3, Floor 3, Attn: Carol Farrell, Fontana, CA 92335-6720 | 2016-04-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104425131 | Hossein Malakooti A Dental Corporation | Clinic/Center | 16540 Merrill Ave, Fontana, CA 92335 | 2020-10-21 |
| 1790312791 | Trevor Nguyen | Student in an Organized Health Care Education/Training Program | 17234 Valley Blvd, Building A, Fontana, CA 92335 | 2020-03-27 |
| 1184251365 | Benjamin Chang | Student in an Organized Health Care Education/Training Program | 17234 Valley Blvd., Bldg. A, Fontana, CA 92335 | 2020-03-26 |
| 1407487309 | Perla Hernandez | Licensed Vocational Nurse | 14677 Merrill Aver, Fontana, CA 92335 | 2020-01-29 |
| 1013552660 | Valencia Malone | Licensed Vocational Nurse | 14677 Merrill, Fontana, CA 92335 | 2019-11-07 |
| 1831749779 | Daniel Eric Wright | Student in an Organized Health Care Education/Training Program | 14677 Merrell Ave., Fontana, CA 92335 | 2019-09-12 |
| 1962069815 | Melissa Rivera | Licensed Vocational Nurse | 15217 San Bernardino Ave., Fontana, CA 92335 | 2019-05-28 |
| 1275199770 | Jennifer Lynn Malone | Peer Specialist | 14677 Merrall Ave, Fontana, CA 92335 | 2019-05-10 |
| 1770147894 | Noelle Chong | Registered Nurse | 14677 Merill Ave, Fontana, CA 92335 | 2019-04-24 |
| 1992261929 | Destiny Alzate | Counselor | 1467 Merrill Ave, Fontana, CA 92335 | 2019-02-14 |
| Find all providers in zip 92335 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356573927 | Britt Allen Miller | Orthopaedic Surgery | 9985 Sierra Ave, Fontana, CA 92335-6720 | 2009-08-17 |
| 1477717932 | Brent Luke Berger | Orthopaedic Surgery | 9961 Sierra Avenue, Kaiser Permanente Fontana Medical Center, Fontana, CA 92335 | 2008-07-14 |
| 1073787883 | Adeel Husain | Orthopaedic Surgery | 9985 Sierra Ave, Fontana, CA 92335-6720 | 2008-04-14 |
| 1528238839 | Ho Hyung Lee | Orthopaedic Surgery | 9985 Sierra Ave, Dept of Orthopedics, Medical Office Building 3, Fontana, CA 92335-6720 | 2008-03-04 |
| 1053380634 | Richard K.t. Rose | Orthopaedic Surgery | 9961 Sierra Ave, Mob # 3, Fontana, CA 92335-6720 | 2006-03-16 |
| 1073581385 | Gregory Tennant | Orthopaedic Surgery | 9985 Sierra Ave, Scpmg, Dept Orthopedics, Fontana, CA 92335-6720 | 2006-03-10 |
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| 1699372326 | Adventist Health Physicians Network | Orthopaedic Surgery | 84 Madrone St Ste A, Willits, CA 95490-4249 | 2020-10-06 |
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| 1164033684 | First Care Multispecialty Medical Group, Inc. | Orthopaedic Surgery | 4401 Atlantic Ave Ste 480, Long Beach, CA 90807-2265 | 2020-08-10 |
| 1194343855 | Orthopaedic Group of Orange County | Orthopaedic Surgery | 1200 N Tustin Ave Ste 250, Santa Ana, CA 92705-3596 | 2020-07-09 |
| 1497372536 | Kaley Brown Surgical Pa | Orthopaedic Surgery | 360 Tom Mcguinness Jr Cir, Fallbrook, CA 92028-2623 | 2020-07-05 |
| 1982220612 | Advanced Orthopaedic Surgeons At Long Beach, Inc | Orthopaedic Surgery | 1760 Termino Ave Ste 208, Long Beach, CA 90804-2151 | 2020-06-18 |
| 1982227609 | Sun Medical Group Huntington, Inc | Orthopaedic Surgery | 7801 Center Ave Ste 203, Huntington Beach, CA 92647-9118 | 2020-05-28 |
| 1932722733 | Julian Hakim Baloyan | Orthopaedic Surgery | 333 H St Ste 5000503, Chula Vista, CA 91910-5555 | 2020-05-27 |
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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.