KELLY A HANKS (NPI# 1750808804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750808804 |
| Entity Type | Individual |
| Full Name | KELLY A HANKS |
| Credential | OTC |
| Practice Address |
24331 El Toro Rd Ste 200 Laguna Woods CA 92637-3116 |
| Practice Telephone | 9495863200 |
| Mailing Telephone | 9495863200 |
| Mailing Fax Number | 9495407154 |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2017-08-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156F00000X | Technician/Technologist | CA | Eye and Vision Services Providers |
| Street Address |
24331 EL TORO RD STE 200 |
| City | LAGUNA WOODS |
| State | CA |
| Zip Code | 92637-3116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952304594 | Robert Lance Montgomery | Orthopaedic Surgery | 24331 El Toro Rd Ste 200, Laguna Woods, CA 92637-3116 | 2005-05-27 |
| 1750982757 | Orthowest | Durable Medical Equipment & Medical Supplies | 24331 El Toro Rd Ste 200, Laguna Woods, CA 92637-3116 | 2020-11-05 |
| 1760007330 | Orthowest | Orthopaedic Surgery | 24331 El Toro Rd Ste 200, Laguna Woods, CA 92637-3116 | 2020-06-10 |
| 1821646142 | Alicia M Moshier | Physician Assistant | 24331 El Toro Rd Ste 200, Laguna Woods, CA 92637-3116 | 2019-08-29 |
| 1346898863 | South County Orthopedic Specialists | Physician Assistant | 24331 El Toro Rd Ste 200, Laguna Woods, CA 92637-3116 | 2019-08-28 |
| 1679131114 | Bci Orthopaedics | Orthopaedic Surgery | 24331 El Toro Rd Ste 200, Laguna Woods, CA 92637-3116 | 2019-05-30 |
| 1699233569 | Elizabeth Ann Vargas | Technician/Technologist | 24331 El Toro Rd Ste 200, Laguna Woods, CA 92637-3116 | 2019-03-08 |
| 1578021697 | Sabrina Park | Technician/Technologist | 24331 El Toro Rd Ste 200, Laguna Woods, CA 92637-3116 | 2019-03-07 |
| 1699243550 | Sherrinn Mullen | Specialist/Technologist, Other | 24331 El Toro Rd Ste 200, Laguna Woods, CA 92637-3116 | 2018-11-08 |
| 1669949020 | Rodrigo Rodriguez | Specialist/Technologist, Other | 24331 El Toro Rd Ste 200, Laguna Woods, CA 92637-3116 | 2018-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902452725 | Kathleen Reeder | Technician | 600 Avenida Sevilla Unit B, Laguna Woods, CA 92637 | 2019-08-16 |
| 1720589997 | Your Home Care | Clinic/Center | 24191 Paseo Da Valencia, Suite B, Laguna Woods, CA 92637 | 2018-02-23 |
| 1518407352 | Trans Elegant Services LLC | Non-emergency Medical Transport (VAN) | 2069 Via Mariposa E, Unit B, Laguna Woods, CA 92637 | 2017-02-27 |
| 1811277122 | Sarah Suna Rhee | Audiologist-Hearing Aid Fitter | 24310 Moulton Pkwy Ste D, Laguna Woods, CA 92637 | 2011-08-18 |
| 1740421908 | Rose Seligson | Social Worker | 256 Calle Aragon, Unit 'o', Laguna Woods, CA 92637 | 2009-03-18 |
| 1417130980 | Rosemarie Hill | Nurse Practitioner | 810 Ronda Mendoza, Unit D, Laguna Woods, CA 92637 | 2007-12-07 |
| 1881719193 | Michael Goldman O.d.incorporated | Optometrist | 24100 El Toro Rd, Suite C, Laguna Woods, CA 92637 | 2007-03-20 |
| 1013989870 | Susan K Grenz | Internal Medicine | 779 C Via Los Altos, Laguna Woods, CA 92637 | 2006-02-06 |
| 1255325411 | Don Karabelnik | Family Medicine | 5370 Punta Alta, Unit 2e, Laguna Woods, CA 92637 | 2005-09-02 |
| 1508395948 | Nguyen Phu Truong | Pharmacist | 24167 Paseo De Valencia, Laguna Hills, CA 92637 | 2017-06-08 |
| Find all providers in zip 92637 | ||||
| Taxonomy Code | 156F00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| A broad category grouping different kinds of technologists and technicians. See individual definitions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437765393 | Jessica Jewel Morrow | Technician/Technologist | 466 Cory Ct, Santa Maria, CA 93455-5525 | 2020-09-16 |
| 1811515505 | Steven Pier Hoekstra | Technician/Technologist | 800 W 16th St, Long Beach, CA 90813-1413 | 2020-07-08 |
| 1023632775 | Hifinite Inc | Technician/Technologist | 11413 W Bernardo Ct, San Diego, CA 92127-1639 | 2020-05-28 |
| 1073136982 | Daniel Pere | Technician/Technologist | 9037 Pecor Way, Orangevale, CA 95662-4791 | 2020-05-26 |
| 1821621814 | Amber Moreno-perez | Technician/Technologist | 3200 San Diego Way, Sacramento, CA 95820-1447 | 2020-02-18 |
| 1013548015 | Nancy Afholderbach | Technician/Technologist | 265 Heron Dr, Pittsburg, CA 94565-1916 | 2020-01-28 |
| 1265070452 | Brain Cloud Diagnostics | Technician/Technologist | 9727 Elk Grove Florin Rd Ste 160, Elk Grove, CA 95624-2291 | 2019-12-18 |
| 1902444714 | John Bridenbeck | Technician/Technologist | 3478 Buskirk Ave Ste 218, Pleasant Hill, CA 94523-4346 | 2019-12-12 |
| 1215574629 | Blythe Lucy Ann Lehmann | Technician/Technologist | 420 Folsom Rd Ste B, Roseville, CA 95678-2767 | 2019-12-04 |
| 1164070298 | Urban Eyewear Inc | Technician/Technologist | 3345 Rosecrans St Ste 3b, San Diego, CA 92110-4225 | 2019-09-02 |
| Find all providers with the same taxonomy | ||||
| City | LAGUNA WOODS |
| Zip Code | 92637 |
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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.