HEIDI VIVIAN CIPOLLONE HERRERA (NPI# 1629207378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629207378 |
| Entity Type | Individual |
| Full Name | HEIDI VIVIAN CIPOLLONE HERRERA |
| Credential | MD |
| Practice Address |
25500 Rancho Niguel Rd L Laguna Niguel CA 92677-7302 |
| Practice Telephone | 9494488821 |
| Mailing Telephone | 9494488821 |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2014-03-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080T0002X |
Pediatrics Specialization: Medical Toxicology |
A122576 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE PTAN | CH859Z | 01 |
| FL | 001370800 | 05 |
| Street Address |
25500 RANCHO NIGUEL RD L |
| City | LAGUNA NIGUEL |
| State | CA |
| Zip Code | 92677-7302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598767170 | Sonja Stumme Krafcik | Internal Medicine | 25500 Rancho Niguel Rd, Suite 150, Laguna Niguel, CA 92677-7302 | 2005-08-12 |
| 1093258188 | Todd Snyder | Dentist | 25500 Rancho Niguel Rd, Suite 230, Laguna Niguel, CA 92677-7302 | 2016-11-22 |
| 1093149197 | Wave Imaging, LLC | Clinic/Center | 25500 Rancho Niguel Rd, Suite 120, Laguna Niguel, CA 92677-7302 | 2013-08-26 |
| 1255764122 | Wave Imaging, LLC | Clinic/Center | 25500 Rancho Niguel Rd, Suite 140, Laguna Niguel, CA 92677-7302 | 2013-08-15 |
| 1447694260 | Sahar Doostzadeh | Dentist | 25500 Rancho Niguel Rd, Suite 160, Laguna Niguel, CA 92677-7302 | 2013-04-23 |
| 1831487958 | Fiona G Anderson | Nurse Practitioner | 25500 Rancho Niguel Rd, Suite 240, Laguna Niguel, CA 92677-7302 | 2011-07-11 |
| 1356637813 | Christopher Michael Davis | Family Medicine | 25500 Rancho Niguel Rd, Suite 100, Laguna Niguel, CA 92677-7302 | 2011-06-23 |
| 1649575770 | Brian Thomas Edwards | Dentist | 25500 Rancho Niguel Rd, Suite #210, Laguna Niguel, CA 92677-7302 | 2011-01-21 |
| 1720213457 | Cheryl Stahl | Dentist | 25500 Rancho Niguel Rd, Laguna Niguel, CA 92677-7302 | 2009-05-26 |
| 1073767828 | Sarah Kathryn Belderes | Dentist | 25500 Rancho Niguel Rd, Ste 210, Laguna Niguel, CA 92677-7302 | 2008-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114566049 | Amber Kramer | Physical Therapist | 30100 Town Center Drive #yz, Laguna Niguel, CA 92677 | 2019-12-23 |
| 1811548340 | Morgan Peikar | Rehabilitation Hospital | 28441 Springfield Dr, Laguna Niguel, CA 92677 | 2019-09-25 |
| 1871056382 | Jacqueline Evamarie Serrano | Chiropractor | 28062 Forbes Road, Laguna Niguel, CA 92677 | 2019-04-11 |
| 1316408859 | Azadeh Ghafari | Social Worker | 30100 Town Center Dr # 179, Laguna Niguel, CA 92677 | 2019-03-27 |
| 1346741857 | Diana Wang | Physical Medicine & Rehabilitation | 30100 Town Center Drive Suite, Suite Yz, Laguna Niguel, CA 92677 | 2018-02-21 |
| 1750833554 | James H. Tran Dds, Dental Corp. | Dentist | 23876 Aliso Creek Road, Laguna Niguel, CA 92677 | 2016-10-27 |
| 1215486139 | Kevin Sun | Dentist | 49 Blue Horizon, Laguna Niguel, CA 92677 | 2016-10-04 |
| 1740637842 | Michael Dacosta | Dentist | 28862 Calle Vista, Laguna Niguel, CA 92677 | 2016-05-18 |
| 1235590373 | Adrian Gomez | Counselor | 24361 Nugget Falls Ln, Laguna Niguel, CA 92677 | 2016-03-17 |
| 1427455906 | Gracie Heart Home Health LLC | Home Health | 24318 El Pilar, Laguna Niguel, CA 92677 | 2014-11-26 |
| Find all providers in zip 92677 | ||||
| Taxonomy Code | 2080T0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Medical Toxicology |
| Medical toxicologists are physicians that specialize in the prevention, evaluation, treatment and monitoring of injury and illness from exposures to drugs and chemicals, as well as biological and radiological agents. Medical toxicologists care for people in clinical, academic, governmental and public health settings, and provide poison control center leadership. Important areas of medical toxicology include acute drug poisoning, adverse drug events, drug abuse, addiction and withdrawal, chemicals and hazardous materials, terrorism preparedness, venomous bites and stings, and environmental and workplace exposures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: Medical Toxicology (EM) 2 years with 3-4 years Emergency Medicine for a total of 5-6 years; for Medical Toxicology (Preventive Medicine) 2 years with 3 years Preventive Medicine for a total of 5 years. Medical Toxicology (Pediatrics): None. ABMS Approved Subspecialty Certificates (Emergency Medicine) (Pediatrics) (Preventive Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770858250 | Rama Paliwal | Pediatrics | 1025 Daly St, Jchs, Los Angeles, CA 90031 | 2012-03-15 |
| City | LAGUNA NIGUEL |
| Zip Code | 92677 |
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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.