KEZIAH LEI MORTIZ (NPI# 1619526316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619526316 |
| Entity Type | Individual |
| Full Name | KEZIAH LEI MORTIZ |
| Practice Address |
9862 Chapman Ave Ste B Garden Grove CA 92841-2726 |
| Practice Telephone | 7146207001 |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2019-09-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WG0000X |
Registered Nurse Specialization: General Practice |
95187860 | CA | Nursing Service Providers |
| Street Address |
9862 CHAPMAN AVE STE B |
| City | GARDEN GROVE |
| State | CA |
| Zip Code | 92841-2726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740336270 | Deukjae Andrew Oh | Dentist | 9862 Chapman Ave Ste B, Garden Grove, CA 92841-2726 | 2007-01-26 |
| 1780220442 | Mayra Puentes Jaimes | Counselor | 9862 Chapman Ave Ste B, Garden Grove, CA 92841-2726 | 2019-11-18 |
| 1396399887 | Michelle Quach | Specialist/Technologist | 9862 Chapman Ave Ste B, Garden Grove, CA 92841-2726 | 2019-08-01 |
| 1114571601 | Mai Xuan Vo | Specialist/Technologist | 9862 Chapman Ave Ste B, Garden Grove, CA 92841-2726 | 2019-08-01 |
| 1548828791 | Cathy Dao | Case Manager/Care Coordinator | 9862 Chapman Ave Ste B, Garden Grove, CA 92841-2726 | 2019-06-03 |
| 1568939833 | Theresa Nguyen Tran | Nurse Practitioner | 9862 Chapman Ave Ste B, Garden Grove, CA 92841-2726 | 2018-10-25 |
| 1558843672 | Kerra Elysa Naranjo | Counselor | 9862 Chapman Ave Ste B, Garden Grove, CA 92841-2726 | 2018-09-05 |
| 1528540895 | Jason Andrew Allison | Case Manager/Care Coordinator | 9862 Chapman Ave Ste B, Garden Grove, CA 92841-2726 | 2018-09-04 |
| 1184110017 | Justin Nhat Thien Le | Counselor | 9862 Chapman Ave Ste B, Garden Grove, CA 92841-2726 | 2018-07-03 |
| 1679083414 | Doan Ngoc Dao | Case Manager/Care Coordinator | 9862 Chapman Ave Ste B, Garden Grove, CA 92841-2726 | 2017-10-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174179980 | Erica R Jackson | Technician | 11355 Desmond St, Garden Grove, CA 92841 | 2019-08-16 |
| 1184107500 | Tat Pharmacy, Inc | Pharmacy | 9153 Garden Grove Blvd., Garden Grove, CA 92841 | 2018-09-11 |
| 1083119002 | Hoang Dmd Dental Inc. | Dentist | 9639 Chapman Ave, Garden Grove, CA 92841 | 2018-03-30 |
| 1699282434 | Rubi Esmeralda Tapia | Social Worker | 7441 Lincoln Way Ste 250, Garden Grove, CA 92841 | 2018-01-02 |
| 1144739830 | Bryan Nguyen | Spec/Tech, Health Info | 9862 Chapman Ave., Ste. B, Garden Grove, CA 92841 | 2017-09-25 |
| 1649796111 | Jesus Torres | Case Manager/Care Coordinator | 9862 Chapman Ave Suite B, Garden Grove, CA 92841 | 2017-08-16 |
| 1477005312 | Naincee Tolani | Occupational Therapist | 12881 Knott Street, Suite 103, Garden Grove, CA 92841 | 2016-10-26 |
| 1114385838 | Quyen Do | Case Manager/Care Coordinator | 9862 Chapman Ave, Ste. B, Garden Grove, CA 92841 | 2016-02-09 |
| 1629331657 | Superior Medical Management, LLC | Clinic/Center | 9862 Lemore Drive, Garden Grove, CA 92841 | 2012-06-25 |
| 1376818344 | Meghan Lyyn-deibert Pickens | Behavioral Analyst | 7291 Garden Grove Blvd. Suite F, Garden Grove, CA 92841 | 2012-03-09 |
| Find all providers in zip 92841 | ||||
| Taxonomy Code | 163WG0000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558807024 | Allain Julian Camanag Victoriano | Registered Nurse | 9862 Chapman Ave Ste B, Garden Grove, CA 92841-2726 | 2017-01-09 |
| 1538278288 | Trini Trang Nguyen | Registered Nurse | 9191 Westminster Ave, Garden Grove, CA 92844-2751 | 2006-08-29 |
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| 1275130759 | Johanna Solorzano | Registered Nurse | 233 Bennington St, San Francisco, CA 94110-5513 | 2020-10-07 |
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| 1124632138 | Sarah Anne Boyce | Registered Nurse | 82 N Greenwood Ave, Pasadena, CA 91107-3514 | 2020-09-08 |
| 1750994372 | Rosalyn Lee | Registered Nurse | 410 Crother Rd, Meadow Vista, CA 95722-9431 | 2020-08-24 |
| 1154939163 | Gabriela Carrico | Registered Nurse | 2340 Blue Ridge Ave, Brentwood, CA 94513-4159 | 2020-07-15 |
| 1801412812 | Sylvia Dee Weingarden | Registered Nurse | 22178 Bauhinia Ct, Woodland Hills, CA 91367-7202 | 2020-06-25 |
| 1457976938 | Jerrick Ky Xang Padilla-phu | Registered Nurse | 1510 S Central Ave Ste 240, Glendale, CA 91204-2570 | 2020-06-10 |
| 1952924144 | Teresa Zuzalek | Registered Nurse | 5163 Via Valverde, Santa Barbara, CA 93111-2917 | 2020-05-21 |
| Find all providers with the same taxonomy | ||||
| City | GARDEN GROVE |
| Zip Code | 92841 |
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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.