FAREED ENTEZAR (NPI# 1619443835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619443835 |
| Entity Type | Individual |
| Full Name | FAREED ENTEZAR |
| Practice Address |
14642 Newport Ave Tustin CA 92780-6057 |
| Practice Telephone | 7146694000 |
| Practice Fax Number | 7146694484 |
| Mailing Telephone | 7146694000 |
| Enumeration Date | 2018-10-15 |
| Last Update Date | 2018-10-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 46833 | CA | Pharmacy Service Providers |
| Street Address |
14642 NEWPORT AVE |
| City | TUSTIN |
| State | CA |
| Zip Code | 92780-6057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174594386 | Los Angeles Radiation Oncology Medical Associates | Radiology | 14642 Newport Ave, #470, Tustin, CA 92780-6057 | 2006-01-27 |
| 1629500665 | Integrity Healthcare Providers, PC | Family Medicine | 14642 Newport Ave, Suite 270, Tustin, CA 92780-6057 | 2017-03-29 |
| 1033662101 | Tariq Ali Khan Md | Internal Medicine | 14642 Newport Ave, Suite 408, Tustin, CA 92780-6057 | 2016-07-25 |
| 1558740753 | Medical Exam Assoicates | Chiropractor | 14642 Newport Ave, #407, Tustin, CA 92780-6057 | 2015-05-21 |
| 1205229382 | Trilogy Eye Medical Group, Inc. | Optometrist | 14642 Newport Ave, Suite 210, Tustin, CA 92780-6057 | 2015-03-12 |
| 1003174368 | Charles Minh | Anesthesiology | 14642 Newport Ave, Suite #100, Tustin, CA 92780-6057 | 2012-04-24 |
| 1851684237 | Sharron Krueger | Nurse Practitioner | 14642 Newport Ave, Suite 200, Tustin, CA 92780-6057 | 2011-05-18 |
| 1588981120 | Smith-burke Podiatry | Podiatrist | 14642 Newport Ave, Suite 105, Tustin, CA 92780-6057 | 2010-04-21 |
| 1427281666 | Stephen William Doggett, M.d. Pa | Radiology | 14642 Newport Ave, Tustin, CA 92780-6057 | 2009-09-03 |
| 1114153582 | Vir, Inc. | Specialist | 14642 Newport Ave, Suite 410, Tustin, CA 92780-6057 | 2009-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437780947 | John Michael Michael | Pharmacist | 14481 Wildeve Ln, Tustin, CA 92780 | 2020-02-03 |
| 1609426881 | Abigail Joy Maqsood | Behavior Technician | 290a S Prospect Ave, Tustin, CA 92780 | 2019-09-19 |
| 1255814711 | Hyun Dong Lee | Chiropractor | 14591 Newport Ave Ste 106, Tustin, CA 92780 | 2018-09-11 |
| 1346733573 | Elizabeth Kim Nguyen Dds Inc | Clinic/Center | 14521 Red Hill Ave, Tustin, CA 92780 | 2018-06-12 |
| 1255829503 | Hw Physical Therapy | Physical Therapist | 250 El Camino Real Ste 100, Tustin, CA 92780 | 2018-04-23 |
| 1912494352 | Gary Wayne Mcbeath | Marriage & Family Therapist | 17821 E 17th Street, Suite # 260, Tustin, CA 92780 | 2018-04-20 |
| 1104334598 | Catherine Bogues | Speech-Language Pathologist | 661 West 1st Street, Suite E, Tustin, CA 92780 | 2018-01-19 |
| 1972019941 | Lighthouse Behavioral Solutions | Behavioral Analyst | 18002 Irvine Blvd., Suite 202c, Tustin, CA 92780 | 2017-12-28 |
| 1629597299 | Lifecab, LLC | Non-emergency Medical Transport (VAN) | 13732 Newport Ave, Suite #1, Tustin, CA 92780 | 2017-09-14 |
| 1437606555 | Tustin Speech Therapy, Inc. | Speech-Language Pathologist | 661 West First Street, Suite E, Tustin, CA 92780 | 2016-09-07 |
| Find all providers in zip 92780 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437780947 | John Michael Michael | Pharmacist | 14481 Wildeve Ln, Tustin, CA 92780 | 2020-02-03 |
| 1104465038 | Ryan Nguyen | Pharmacist | 17277 Mcfadden Ave Apt E, Tustin, CA 92780-5576 | 2019-12-23 |
| 1528606647 | Michael Kevin Chow | Pharmacist | 10625 Bruns Dr, Tustin, CA 92782-1406 | 2019-12-19 |
| 1437652534 | Erica Truong | Pharmacist | 13841 Tustin East Dr Apt 179, Tustin, CA 92780-5380 | 2018-03-14 |
| 1093229676 | Peter Do | Pharmacist | 14536 Newport Ave Unit 2, Tustin, CA 92780-6080 | 2017-11-19 |
| 1881129229 | Lydia Anna Bray | Pharmacist | 2102 Seminole, Tustin, CA 92782 | 2017-04-24 |
| 1770028029 | Katie Pham | Pharmacist | 13422 Falmouth Pl, Tustin, CA 92780-4711 | 2016-12-22 |
| 1417300625 | Maisie My Nguyen | Pharmacist | 2960 Champion Way, Apt 712, Tustin, CA 92782-1234 | 2016-07-22 |
| 1518330448 | Noor Alhankawi | Pharmacist | 16011 Legacy Rd Unit 204, Tustin, CA 92782-2811 | 2015-10-30 |
| 1063891737 | Kofi Abrampah | Pharmacist | 2882 Walnut Ave, Suite A, Tustin, CA 92780-7004 | 2015-05-27 |
| Find all providers in TUSTIN | ||||
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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.