DESMOND ADRIAN SJAUWFOEKLOY (NPI# 1639246580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639246580 |
| Entity Type | Individual |
| Full Name | DESMOND ADRIAN SJAUWFOEKLOY |
| Credential | MD |
| Practice Address |
1010 W La Veta Ave Ste 750 Orange CA 92868-4312 |
| Mailing Address |
24422 Avenida De La Carlota Ste 275 Laguna Hills CA 92653-3669 |
| Practice Telephone | (714) 639-9401 |
| Practice Fax Number | 7149198804 |
| Mailing Telephone | (714) 639-9401 |
| Mailing Fax Number | 7149198804 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2020-01-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | A74658 | CA | Allopathic & Osteopathic Physicians |
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
A74658 | CA | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
A74658 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NPI - TYPE 2 | 1912919804 | 01 | |
| CA | 1912919804 | 05 | |
| CA | MEDICAID - GROUP PROVIDER | GR0003350 | 01 |
| CA | RAILROAD MEDICARE - GROUP PIN | CG5665 | 01 |
| CA | RAILROAD MEDICARE INDIVIDUAL PIN | P00986419 | 01 |
| CA | STATE MEDICAL LICENSE | A74658 | 01 |
| CA | MEDICARE PTAN - TYPE 2 | W1514 | 01 |
| Street Address |
1010 W LA VETA AVE STE 750 |
| City | ORANGE |
| State | CA |
| Zip Code | 92868-4312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457329674 | Joseph C Preston | Internal Medicine | 1010 W La Veta Ave Ste 750, Orange, CA 92868-4312 | 2006-03-14 |
| 1891202529 | Jack Stewart Md Inc | Internal Medicine | 1010 W La Veta Ave Ste 750, Orange, CA 92868-4312 | 2018-01-03 |
| 1326552969 | Comprehensive Pulmonary and Primary Care of Orange County | Family Medicine | 1010 W La Veta Ave Ste 750, Orange, CA 92868-4312 | 2017-11-17 |
| 1609247477 | Benjamin Ray Davis | Physician Assistant | 1010 W La Veta Ave Ste 750, Orange, CA 92868-4312 | 2015-10-19 |
| 1871927962 | Seogeun Hong | Internal Medicine | 1010 W La Veta Ave Ste 750, Orange, CA 92868 | 2013-08-26 |
| 1972888279 | Lupe Marie Ramos | Nurse Practitioner | 1010 W La Veta Ave Ste 750, Orange, CA 92868-4312 | 2011-10-18 |
| 1346561057 | Lisa Marie Evans | Nurse Practitioner | 1010 W La Veta Ave Ste 750, Orange, CA 92868-4312 | 2010-06-16 |
| 1124144407 | Casey Meister Vanlare | Nurse Practitioner | 1010 W La Veta Ave Ste 750, Orange, CA 92868-4312 | 2007-03-21 |
| 1154485985 | Peter Roy Smethurst | Internal Medicine | 1010 W La Veta Ave Ste 750, Orange, CA 92868-4312 | 2006-12-19 |
| 1477633626 | James Henry Roum | Internal Medicine | 1010 W La Veta Ave Ste 750, Orange, CA 92868-4312 | 2006-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346859386 | Sadaf Abrishami | Pharmacist | 101 The City Dr S., Orange, CA 92868 | 2020-07-27 |
| 1245869825 | Helena Yijia Hong | Student in an Organized Health Care Education/Training Program | Uci Medical Center, 101 The City Drive, Orange, CA 92868 | 2020-04-06 |
| 1932736527 | Joshua Kristopher Livingston | Student in an Organized Health Care Education/Training Program | 101 The City Dr S, Rte. 128-01, Orange, CA 92868 | 2020-03-24 |
| 1831725894 | Michelle Brown | Student in an Organized Health Care Education/Training Program | 101 The City Dr S. Rte 128-01, Orange, CA 92868 | 2020-03-20 |
| 1093363491 | Kristin Lee | Pharmacist | 132 S. Anita Dr., Orange, CA 92868 | 2019-08-28 |
| 1740834217 | Matthew Brian Mecheal | Dentist | 725 W. La Veta Suite 260, Orange, CA 92868 | 2019-08-01 |
| 1245897990 | Brent Tyler Louie | Student in an Organized Health Care Education/Training Program | 101 The City Drive South Building 3, Route 88, Neuropsychiatric Center Uc Irvine Medical Center, Orange, CA 92868 | 2019-05-28 |
| 1093277972 | Danielle Amato | Student in an Organized Health Care Education/Training Program | Uc Irvine Health 101 The City Drive, City Tower, Ste 40, Orange, CA 92868 | 2019-04-01 |
| 1851852206 | Julia Ting Bu | Student in an Organized Health Care Education/Training Program | Uc Irvine Health, 101 The City Drive, City Tower, Ste 400, Orange, CA 92868 | 2019-03-28 |
| 1326507344 | Harrison Beene Lowder | Student in an Organized Health Care Education/Training Program | 505 S. Main St, Suite 525, Orange, CA 92868 | 2019-03-19 |
| Find all providers in zip 92868 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457665564 | Andy D. Tran, M.d., Inc | Internal Medicine | 6434 E Hightree Ln, Orange, CA 92867-2448 | 2010-07-30 |
| 1558482075 | Jasdeep Sidana | Internal Medicine | 521 Boston Post Road, Orange, CT 06477 | 2007-04-02 |
| 1164469532 | Stephen Michael Seink | Internal Medicine | 2860 N Santiago Blvd, Ste 110, Orange, CA 92867-1722 | 2006-06-02 |
| 1457329674 | Joseph C Preston | Internal Medicine | 1010 W La Veta Ave Ste 750, Orange, CA 92868-4312 | 2006-03-14 |
| 1538166780 | Steven B. Leven | Internal Medicine | 333 City Blvd W, Suite 400, Orange, CA 92868-2903 | 2005-07-01 |
| 1164624839 | Cristobal Barrios | Internal Medicine | 101 The City Dr S, Orange, CA 92868-3201 | 2007-06-04 |
| 1427108851 | Mark Allen Rosen | Internal Medicine | 101 The City Dr S, Bldg. 53 Room 119, Rt. 81, Orange, CA 92868-3201 | 2007-01-10 |
| 1477633626 | James Henry Roum | Internal Medicine | 1010 W La Veta Ave Ste 750, Orange, CA 92868-4312 | 2006-10-16 |
| 1518983899 | Amir K. Ghiassi | Internal Medicine | 1100 W Stewart Dr, Orange, CA 92868-3849 | 2006-07-13 |
| 1881623460 | Septimiu Murgu | Internal Medicine | 101 The City Dr S, Orange, CA 92868-3201 | 2006-07-03 |
| Find all providers in ORANGE | ||||
Please comment or provide details below to improve the information on DESMOND ADRIAN SJAUWFOEKLOY.
| 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.