KEVIN M PRATT (NPI# 1700235413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700235413 |
| Entity Type | Individual |
| Full Name | KEVIN M PRATT |
| Practice Address |
23101 Lake Center Dr Lake Forest CA 92630-2801 |
| Practice Telephone | 9494632562 |
| Mailing Telephone | 9494632562 |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2016-06-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 372600000X | Adult Companion | Nursing Service Related Providers | ||
| N | 374U00000X | Home Health Aide | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386815843 | Kevin Pratt | Physical Therapist | 10 Higgins Hwy, Suite 12, Mansfield Center, CT 06250-1437 | 2008-03-12 |
| Street Address |
23101 LAKE CENTER DR |
| City | LAKE FOREST |
| State | CA |
| Zip Code | 92630-2801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093724874 | Denise A. Lorenz | Nurse Practitioner | 23101 Lake Center Dr, Lake Forest, CA 92630-2801 | 2006-08-07 |
| 1285133124 | Claudia Sandino | Chiropractor | 23101 Lake Center Dr, Lake Forest, CA 92630-2801 | 2018-02-06 |
| 1023559150 | Megan Strudwick | Specialist/Technologist | 23101 Lake Center Dr, 240, Lake Forest, CA 92630-2801 | 2017-03-08 |
| 1548706674 | Alana Joyce Wood | Speech-Language Pathologist | 23101 Lake Center Dr, Lake Forest, CA 92630-2801 | 2017-01-12 |
| 1114475761 | Tracie Fouret | Specialist/Technologist | 23101 Lake Center Dr, Suite 240, Lake Forest, CA 92630-2801 | 2016-09-12 |
| 1467753129 | Azita Ghaderifard | Nurse Practitioner | 23101 Lake Center Dr, 130, Lake Forest, CA 92630-2801 | 2010-11-11 |
| 1104929371 | Philip A Straw | Chiropractor | 23101 Lake Center Dr, 100, Lake Forest, CA 92630-2801 | 2006-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194370338 | Ashlee Nicole-morton Sourapas | Midwife | 22672 Lambert Street, Suite 611, Lake Forest, CA 92630 | 2019-08-05 |
| 1134784879 | Scott Mach Enterprises | Custodial Care Facility | 23235 Cavanaugh Road, Lake Forest, CA 92630 | 2019-05-08 |
| 1992368930 | James Daniel Ticorat | Pharmacist | 25051 Calle Arenal, Lake Forest, CA 92630 | 2019-04-16 |
| 1770058349 | Tara L Anderson | Physician Assistant | 22365 El Toro Rd Unit 310, Lake Forest, CA 92630 | 2018-10-10 |
| 1659846855 | Song W. Jung. Dds. Inc | Dentist | 23361 El Toro Rd, Ste 105, Lake Forest, CA 92630 | 2018-10-04 |
| 1326520867 | Katherine Marie Billings | Speech-Language Pathologist | 25454 Navajo, Lake Forest, CA 92630 | 2018-08-31 |
| 1205339611 | Orange County Physiotherapy Services, P.C. | Physical Therapist | 22821 Aspan St., #100, Lake Forest, CA 92630 | 2018-03-12 |
| 1295245587 | Tara Rasta | Chiropractor | 22672 Lambert St Suite 620, Olsen Chiropractic, Lake Forest, CA 92630 | 2017-10-02 |
| 1750800132 | Jessica Aguilar | Marriage & Family Therapist | 21153 Calle De Paseo, Lake Forest, CA 92630 | 2017-09-16 |
| 1275072589 | Anhtu Wu | Pharmacist | 23182 Vista Way, Lake Forest, CA 92630 | 2017-02-20 |
| Find all providers in zip 92630 | ||||
| Taxonomy Code | 372600000X |
| Grouping | Nursing Service Related Providers |
| Classification | Adult Companion |
| An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811286958 | Smith Home Care Inc. | Adult Companion | 23591 El Toro Rd Ste 208, Lake Forest, CA 92630-4787 | 2011-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144831371 | Raymond Smith II | Adult Companion | 17117 Saldee Dr, Carson, CA 90746-1156 | 2020-08-11 |
| 1407470826 | Darshana Bhakta | Adult Companion | 17510 Pioneer Blvd Ste 205, Artesia, CA 90701-4075 | 2020-06-01 |
| 1487282463 | Diane Yap | Adult Companion | 580 22nd Ave, San Francisco, CA 94121-3016 | 2020-03-27 |
| 1639702095 | Adrian Kelly Holmes | Adult Companion | 1540 S Fairfax Ave Apt 2, Los Angeles, CA 90019-4938 | 2020-02-13 |
| 1063059533 | Brenda Mendoza | Adult Companion | 2201 Pinon Springs Cir, Bakersfield, CA 93309-4491 | 2019-12-04 |
| 1619514023 | Families Choice Home Care Services, Inc. | Adult Companion | 545 N Mountain Ave Ste 209, Upland, CA 91786-5055 | 2019-12-04 |
| 1912542937 | Qualicare Family Homecare | Adult Companion | 1706 Descanso Ave Ste A, San Marcos, CA 92078-2514 | 2019-11-13 |
| 1619522497 | Barbara Starling | Adult Companion | 1000 S Dwight Ave, Compton, CA 90220-4447 | 2019-08-07 |
| 1528521390 | Sandra Lc Gonzalez | Adult Companion | 1855 Lashlee Ln, San Ysidro, CA 92173-2119 | 2019-04-09 |
| 1154884971 | Brenda Zulema Castillo | Adult Companion | 40819 Ginger Blossom Ct, Murrieta, CA 92562-2020 | 2019-04-09 |
| Find all providers with the same taxonomy | ||||
| City | LAKE FOREST |
| Zip Code | 92630 |
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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.