DR. ANDREW C. BREITERMAN (NPI# 1770766479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770766479 |
| Entity Type | Individual |
| Full Name | DR. ANDREW C. BREITERMAN |
| Credential | M.D. |
| Practice Address |
27281 Las Ramblas Coast Radiology Imaging & Intervention, Inc, Ste200 Mission Viejo CA 92691 |
| Mailing Address |
Dept La 21789 Pasadena CA 91185-1789 |
| Practice Telephone | 9492126526 |
| Practice Fax Number | 9494203149 |
| Mailing Telephone | 9492638620 |
| Mailing Fax Number | 8004097005 |
| Enumeration Date | 2007-12-17 |
| Last Update Date | 2010-10-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
M001433 | GU | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
ME94664 | FL | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
G54442 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1770766479 | 05 | |
| CA | BLUE SHIELD | 00G544420 | 01 |
| Street Address |
27281 LAS RAMBLAS COAST RADIOLOGY IMAGING & INTERVENTION, INC, STE200 |
| City | MISSION VIEJO |
| State | CA |
| Zip Code | 92691 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588694954 | Cathearine Jenkins Hall | Clinical Neuropsychologist | 27281 Las Ramblas, Ste. 130, Mission Viejo, CA 92691-6324 | 2006-07-03 |
| 1104452093 | Vision Viejo Hospice Services | Hospice Care, Community Based | 27281 Las Ramblas, Suite 200, Mission Viejo, CA 92691-8303 | 2020-03-23 |
| 1962066944 | Larry Alan Jablin | Counselor | 27281 Las Ramblas, Mission Viejo, CA 92691-6324 | 2019-04-25 |
| 1912478850 | Jon Christopher Clements | Counselor | 27281 Las Ramblas, Mission Viejo, CA 92691-6324 | 2018-12-17 |
| 1235621566 | James Kelton Hudzik | Counselor | 27281 Las Ramblas, Mission Viejo, CA 92691 | 2018-06-01 |
| 1174029250 | David Edward Skonezny | Counselor | 27281 Las Ramblas, Mission Viejo, CA 92691-6324 | 2018-04-05 |
| 1851816367 | Stephanie Jean Hill | Counselor | 27281 Las Ramblas, Mission Viejo, CA 92691-6324 | 2017-08-04 |
| 1518407162 | Nathaniel Lewis Moore | Marriage & Family Therapist | 27281 Las Ramblas, Suite 200, Mission Viejo, CA 92691-6324 | 2017-03-01 |
| 1659731891 | John Moreno | Counselor | 27281 Las Ramblas, Ste 140, Mission Viejo, CA 92691-6324 | 2016-03-01 |
| 1922478791 | Vision Viejo Hospice Services | Hospice Care, Community Based | 27281 Las Ramblas, Ste 215, Mission Viejo, CA 92691-6324 | 2015-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134748247 | Sonja Wood | Registered Nurse | 92691 Avenida Deseo, Mission Viejo, CA 92691 | 2020-04-09 |
| 1912488487 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 27551 Puerta Real, Mission Viejo, CA 92691 | 2018-08-23 |
| 1518457704 | Leon Baginski Md Inc | Obstetrics & Gynecology | 26800 Crown Valley Pkwy Ste 560, Mission Viejo, CA 92691 | 2018-05-14 |
| 1215426762 | Gail G Warner | Marriage & Family Therapist | 26050 Acero, Suite 301, Mission Viejo, CA 92691 | 2018-05-09 |
| 1508354176 | Tania Choudhary | Student in an Organized Health Care Education/Training Program | 23595 Rangoon St, Mission Viejo, CA 92691 | 2018-04-28 |
| 1710486519 | Aubriana Denise Gray | Counselor | 25802 Pacifica Ave, Mission Viejo, CA 92691 | 2018-02-07 |
| 1487162707 | Alberto Israel Galicia | Case Manager/Care Coordinator | 27261 Las Ramblas, Suite 220, Mission Viejo, CA 92691 | 2018-01-22 |
| 1629595244 | Elisabeth A Lischer | Counselor | 26137 La Paz Road, Suite 230, Mission Viejo, CA 92691 | 2017-08-24 |
| 1639694227 | Dr. Horiyat, A Dental Corporation | Dentist | 27652 Crown Valley Parkway, Mission Viejo, CA 92691 | 2017-08-04 |
| 1255851689 | Jackelin Liseth Martinez | Counselor | 25402 Pacifica Avenue, Mission Viejo, CA 92691 | 2017-06-27 |
| Find all providers in zip 92691 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285976431 | Khwaja Arsalaan Ahmed | Radiology | 17 Goldbriar Way, Mission Viejo, CA 92692-5986 | 2013-03-25 |
| 1346568227 | Michael Kevin Novick | Radiology | 23011 Tiagua, Mission Viejo, CA 92692-1434 | 2010-05-17 |
| 1003055401 | Jackson W Penry | Radiology | 27700 Medical Center Road-radiology Department, Mission Viejo, CA 92691-6426 | 2009-02-10 |
| 1376690636 | Coast Radiology Imaging and Intervention Inc | Radiology | 27700 Medical Center Road, Radiology Department, Mission Viejo, CA 92691 | 2007-01-05 |
| 1346240637 | Elliot M Sacks | Radiology | 27700 Medical Center Rd, Mission Viejo, CA 92691-6426 | 2005-07-28 |
| 1992134191 | Sahar Shiraj | Radiology | 27700 Medical Center Rd, Mission Viejo, CA 92691-6426 | 2013-11-07 |
| 1043577570 | Gary Garlup Tse | Radiology | 27700 Medical Center Rd, Mission Viejo, CA 92691-6426 | 2012-04-22 |
| 1811135627 | Y Vien Tran Nguyen | Radiology | 27700 Medical Center Rd, Mission Viejo, CA 92691-6426 | 2009-02-02 |
| 1437313582 | Brian Tzung | Radiology | 27700 Medical Center Rd, Mission Viejo, CA 92691-6426 | 2008-07-17 |
| 1578739843 | Charlyne Wu | Radiology | 26732 Crown Valley Pkwy, Suite 171, Mission Viejo, CA 92691-6306 | 2008-05-06 |
| Find all providers in MISSION VIEJO | ||||
| City | MISSION VIEJO |
| Zip Code | 92691 |
Please comment or provide details below to improve the information on DR. ANDREW C. BREITERMAN.
| 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.