DR. PILAR J CONDRY (NPI# 1669563748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669563748 |
| Entity Type | Individual |
| Full Name | DR. PILAR J CONDRY |
| Credential | M.D. |
| Practice Address |
14114 Business Center Dr Suite B Moreno Valley CA 92553-9113 |
| Practice Telephone | 9516975777 |
| Practice Fax Number | 9516975780 |
| Mailing Telephone | 9516975777 |
| Mailing Fax Number | 9516975780 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
A044231 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
14114 BUSINESS CENTER DR SUITE B |
| City | MORENO VALLEY |
| State | CA |
| Zip Code | 92553-9113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366438574 | Johnny A Liquete | Internal Medicine | 14114 Business Center Dr, Suite D, Moreno Valley, CA 92553-9113 | 2005-09-22 |
| 1053660662 | John Liquete Md Inc | Internal Medicine | 14114 Business Center Dr, Suite D, Moreno Valley, CA 92553-9113 | 2012-08-29 |
| 1659603157 | Gamal F Ghaly Md Inc A Professional Corporation | Internal Medicine | 14114 Business Center Dr, Suite G, Moreno Valley, CA 92553-9113 | 2010-02-08 |
| 1215195276 | Inland Empire Wound Care & Infusion Center | Clinic/Center | 14114 Business Center Dr, Suite D, Moreno Valley, CA 92553-9113 | 2008-05-27 |
| 1336348838 | Lentejas Dental Corporation | Dentist | 14114 Business Center Dr, Suite C, Moreno Valley, CA 92553-9113 | 2007-07-13 |
| 1629199286 | Madelene Brooks | Physician Assistant | 14114 Business Center Dr, Suite E, Moreno Valley, CA 92553-9113 | 2007-04-02 |
| 1962534768 | Dylia Odette Pereira Narvaez | Family Medicine | 14114 Business Center Dr, Suite E, Moreno Valley, CA 92553-9113 | 2007-03-09 |
| 1114085065 | Eduardo Antonio Garcia | Family Medicine | 14114 Business Center Dr, Suite E, Moreno Valley, CA 92553-9113 | 2006-12-04 |
| 1972680601 | Juliet Lentejas | Dentist | 14114 Business Center Dr, Suite C, Moreno Valley, CA 92553-9113 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104441559 | Tanya Gentle | Marriage & Family Therapist | 2319 Cottonwood Avenue, Building A Suite 110, Moreno Valley, CA 92553 | 2020-06-11 |
| 1275194227 | Antonio Pearce | Psychologist | 12968 Frederick Street, Suite D, Moreno Valley, CA 92553 | 2019-06-20 |
| 1346726486 | Elias Y. Rached | Chiropractor | 23846 Sunnymead Blvd Ste 4, Moreno Valley, CA 92553 | 2018-07-12 |
| 1952813420 | Shanaya Frederick | Driver | 14929 Spinnaker Lane, Moreno Valley, CA 92553 | 2017-10-24 |
| 1457879413 | R & C Logistic Services, LLC | Private Vehicle | 14768 Briana St, Moreno Valley, CA 92553 | 2017-08-30 |
| 1720505084 | Elda Pricila Hernandez | Behavioral Analyst | 24596 Atwood Ave.apt1, Moreno Valley, CA 92553 | 2017-08-28 |
| 1174044101 | Ps Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 24594 Sunnymead Blvd, Suite M, Moreno Valley, CA 92553 | 2017-06-29 |
| 1942736327 | Richard Pantoja Reyna | Licensed Vocational Nurse | 23119 Cottonwood Ave Bld A Suite 110, Moreno Valley, CA 92553 | 2017-05-04 |
| 1255872719 | Sibonisiwe Moyo Johnson | Nurse Practitioner | 22555 Alessandro Blvd Ste B, Moreno Valley, CA 92553 | 2017-03-16 |
| 1518311190 | Ryan Macavinta | Nurse Practitioner | 22765 Alessandro Blvd., Moreno Valley, CA 92553 | 2016-04-20 |
| Find all providers in zip 92553 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154986107 | School Health Clinics of Santa Clara County | Pediatrics | 855 Lenzen Ave Rm 105, San Jose, CA 95126-2736 | 2019-05-06 |
| 1669927125 | Irvine Doctors of Kids and Teens | Pediatrics | 4950 Barranca Pkwy Ste 306, Irvine, CA 92604-4631 | 2016-08-24 |
| 1043673270 | Alexander S Golec | Pediatrics | 3333 California St Ste 245, San Francisco, CA 94118-6210 | 2016-04-04 |
| 1710360094 | Jennifer Johnson, M.d., A Professional Corporation | Pediatrics | 366 San Miguel Dr Ste 209, Newport Beach, CA 92660-7810 | 2015-07-03 |
| 1902290448 | Brittany Kathleen Badal | Pediatrics | 2330 Post St Ste 219, San Francisco, CA 94115-3465 | 2015-03-23 |
| 1750770608 | Ighia Aintablian Md A Professional Corporation | Pediatrics | 1510 S Central Ave Ste 450, Glendale, CA 91204-2510 | 2015-01-15 |
| 1184035032 | Carlos Beharie M.d. Medical Group, Inc. | Pediatrics | 4160 N. Maine Ave, Suite B1, B2, B3, Baldwin Park, CA 91706-3304 | 2014-05-14 |
| 1164859385 | Pediatric Adolescent Clinic | Pediatrics | 1214 Adriana Way, Upland, CA 91784-1742 | 2013-10-02 |
| 1578804084 | Eleanor S. Blatt | Pediatrics | 212 20th St, Huntington Beach, CA 92648-3914 | 2013-03-07 |
| 1053676619 | Gladys Hope Dadivas Yerro | Pediatrics | 14555 Hamlin St Ste 108, Van Nuys, CA 91411-1617 | 2012-07-10 |
| Find all providers with the same taxonomy | ||||
| City | MORENO VALLEY |
| Zip Code | 92553 |
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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.