DR. ELAINE T SHIM (NPI# 1679504310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679504310 |
| Entity Type | Individual |
| Full Name | DR. ELAINE T SHIM |
| Credential | DDS |
| Practice Address |
26741 Portola Pkwy Ste 1d Foothill Ranch CA 92610-1762 |
| Mailing Address |
19011 Antioch Dr Irvine CA 92603-3306 |
| Practice Telephone | 9495814908 |
| Mailing Telephone | 7023730221 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2019-03-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
44541 | CA | Dental Providers |
| Street Address |
26741 PORTOLA PKWY STE 1D |
| City | FOOTHILL RANCH |
| State | CA |
| Zip Code | 92610-1762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548728181 | Elaine T Shim Dds PC | Clinic/Center | 26741 Portola Pkwy Ste 1d, Foothill Ranch, CA 92610-1762 | 2019-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407406945 | Jane Swartz | Technician | 26322 Towne Centre Dr #617, #617, Foothill Ranch, CA 92610 | 2019-09-17 |
| 1982128807 | Arlyn P Sabado | Dietitian, Registered | 26371 Paloma Apt 35, Foothill Ranch, CA 92610 | 2017-08-02 |
| 1710408729 | Alberto Huerta | Specialist/Technologist | 11 Enfilade Ave, Foothill Ranch, CA 92610 | 2017-06-29 |
| 1932411022 | Aimee Katharine Belier Trujillo | Dentist | 45 Auto Center Dr Ste 110, Foothill Ranch, CA 92610 | 2010-07-06 |
| 1346453321 | Leonard Stephen Vaughan | Dentist | 26730 Towne Centre Drive, Suite 105, Foothill Ranch, CA 92610 | 2007-05-07 |
| 1619189586 | Dana M Roberts Dds Inc | Dentist | 26700 Towne Centre Drive, Suite 240, Lake Forest, CA 92610 | 2007-05-04 |
| 1336205376 | Global Wellness Medical Corporation | Family Medicine | 26740 Towne Centre Drive, Foothill Ranch, CA 92610 | 2006-12-27 |
| 1235229253 | Reagan and Pandhoh Dental Corporation | Dentist | 45 Auto Center Dr, Ste. 110, Foothill Ranch, CA 92610 | 2006-10-13 |
| 1306953229 | Sumeet S Pandhoh | Dentist | 45 Auto Center Drive, Ste. 110, Foothill Ranch, CA 92610 | 2006-08-24 |
| 1619987617 | Hootan M Daneshmand | Plastic Surgery | 27462 Portola Parkway, Suite 100, Foothill Ranch, CA 92610 | 2006-08-09 |
| Find all providers in zip 92610 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760829469 | A. Alex Rajabi, Dds, Inc. | Dentist | 26730 Towne Centre Dr Ste 101, Foothill Ranch, CA 92610-2857 | 2013-06-04 |
| 1437417391 | Roy H Kim | Dentist | 26720 Towne Centre Dr Ste B, Foothill Ranch, CA 92610-2840 | 2012-04-30 |
| 1932411022 | Aimee Katharine Belier Trujillo | Dentist | 45 Auto Center Dr Ste 110, Foothill Ranch, CA 92610 | 2010-07-06 |
| 1366568610 | Ali Sadri | Dentist | 26730 Towne Centre Dr Ste 205, Foothill Ranch, CA 92610-2842 | 2007-03-21 |
| 1639212392 | Parisa Zarbafian | Dentist | 26720 Towne Centre Dr, Suite A, Foothill Ranch, CA 92610-2840 | 2007-02-14 |
| 1841356292 | Vu Le, Dds, Inc. | Dentist | 26700 Towne Centre Dr Ste 130, Foothill Ranch, CA 92610-2843 | 2006-12-29 |
| 1235229253 | Reagan and Pandhoh Dental Corporation | Dentist | 45 Auto Center Dr, Ste. 110, Foothill Ranch, CA 92610 | 2006-10-13 |
| 1306953229 | Sumeet S Pandhoh | Dentist | 45 Auto Center Drive, Ste. 110, Foothill Ranch, CA 92610 | 2006-08-24 |
| 1598785446 | Katherine Law | Dentist | 26741 Portola Pkwy, Suite 1-d, Foothill Ranch, CA 92610-1743 | 2006-07-20 |
| 1255310603 | Lombardi Bros Dental Practice | Dentist | 26700 Towne Centre Dr, #200, Foothill Ranch, CA 92610-2844 | 2006-01-13 |
| Find all providers in FOOTHILL RANCH | ||||
| City | FOOTHILL RANCH |
| Zip Code | 92610 |
Please comment or provide details below to improve the information on DR. ELAINE T SHIM.
| 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.