DR. MOHAMED AMR HAFEZ (NPI# 1780636167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780636167 |
| Entity Type | Individual |
| Full Name | DR. MOHAMED AMR HAFEZ |
| Credential | M.D. |
| Practice Address |
3102 E. Highland Avenue Medical Staff Office Patton CA 92369 |
| Practice Telephone | 9094257679 |
| Practice Fax Number | 9094256635 |
| Mailing Telephone | 9094257679 |
| Mailing Fax Number | 9094256635 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2013-08-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | A48947 | CA | Allopathic & Osteopathic Physicians |
| Y | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
A48947 | CA | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | A48947 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
3102 E. HIGHLAND AVENUE MEDICAL STAFF OFFICE |
| City | PATTON |
| State | CA |
| Zip Code | 92369 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295735298 | Bruce L Karp | Psychologist | 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2005-08-01 |
| 1689185753 | Lorenzo Valdez | Social Worker | 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2017-10-17 |
| 1356868210 | Cheri-lyn Kaye Fahlgren Romero | Social Worker | 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2017-08-23 |
| 1427574300 | Theresa C Wright | Social Worker | 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2017-08-22 |
| 1487179842 | Deanna Nicole Reyes | Social Worker | 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2017-08-07 |
| 1831611896 | Yadira Mcneal | Social Worker | 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2017-07-12 |
| 1538681507 | Darrell W Steinmetz | Social Worker | 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2017-07-12 |
| 1447771381 | Ninha M Simms | Social Worker | 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2017-06-30 |
| 1073034922 | Jose J Quiroz | Social Worker | 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2017-06-30 |
| 1316467681 | Adrienne M Cardinale | Social Worker | 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2017-06-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598095606 | Carolyn Boosalis Foley | Psychologist | 3102 E Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2010-01-12 |
| 1023255478 | Crystal Mueller | Psychologist | 3102 E. Highland Ave., Patton State Hospital, Patton, CA 92369 | 2009-01-07 |
| 1487698304 | Nitin Kulkarni | Psychiatry & Neurology | 3102. E. Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2006-06-15 |
| 1174562680 | Flavia Jorge | Psychologist | 3102 E.highland Avenue, Patton, CA 92369 | 2006-06-06 |
| 1326090127 | Mendel Jonathan Feldsher | Psychiatry & Neurology | 3102 East Highland Avenue, Patton, CA 92369 | 2006-05-17 |
| 1124070560 | Liana Niculina Tanase | Psychiatry & Neurology | 3102 E. Highland Ave, Medical Staff Office, Patton, CA 92369 | 2006-05-16 |
| 1518919802 | Manuel B Desagun | Psychiatry & Neurology | 3102 East Highway Ave, Patton, CA 92369 | 2006-05-16 |
| 1225080633 | John I Benson | Psychiatry & Neurology | 3102 East Highland Ave, Patton, CA 92369 | 2006-05-16 |
| 1245739655 | Miriam Irvin | Social Worker | 3102 E Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2018-02-12 |
| 1306383393 | Kasmira J Sobkow | Psychologist | 3102 E Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2017-01-27 |
| Find all providers in zip 92369 | ||||
| Taxonomy Code | 2083P0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Public Health & General Preventive Medicine |
| Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. |
| 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 Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
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| 1154959138 | Jaime Renee Reise | Preventive Medicine | 8358 Santa Monica Blvd, West Hollywood, CA 90069-4313 | 2020-03-27 |
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| 1275186793 | Thinknetic Medical Corporation | Preventive Medicine | 1950 S Sunwest Ln Ste 108, San Bernardino, CA 92408-3263 | 2019-07-23 |
| 1396306650 | Ankush Raj Gaur | Preventive Medicine | 21303 Oakriver Ln, Newhall, CA 91321-4679 | 2019-06-26 |
| 1982167565 | Kristina Deguzman | Preventive Medicine | 9616 Micron Ave Ste 970, Sacramento, CA 95827-2627 | 2019-04-10 |
| 1760940902 | Taby Corp. | Preventive Medicine | 73710 Alessandro Dr Ste A1, Palm Desert, CA 92260-3638 | 2019-03-06 |
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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.