DR. ANGELIA SIDARTA (NPI# 1790731776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790731776 |
| Entity Type | Individual |
| Full Name | DR. ANGELIA SIDARTA |
| Credential | D.O. |
| Practice Address |
500 W Central Ave Suite B Brea CA 92821-3027 |
| Mailing Address |
500 W Central Ave Ste B Brea CA 92821-3036 |
| Practice Telephone | 7146710766 |
| Practice Fax Number | 7142576132 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2020-10-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 20A7501 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
500 W CENTRAL AVE SUITE B |
| City | BREA |
| State | CA |
| Zip Code | 92821-3027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891297644 | Raquel Von Apitz | Speech-Language Pathologist | 500 W Central Ave, Brea, CA 92821-3027 | 2018-03-07 |
| 1386192672 | Danielle Lynn Sison | Speech-Language Pathologist | 500 W Central Ave, Brea, CA 92821-3027 | 2016-09-14 |
| 1114474400 | Angeleena Kephart | Occupational Therapist | 500 W Central Ave, Suite B, Brea, CA 92821-3027 | 2016-09-05 |
| 1437525755 | Julia Barnes | Occupational Therapist | 500 W Central Ave, Brea, CA 92821-3027 | 2015-08-20 |
| 1740573690 | Easter Seals Southern California, Inc | Behavioral Analyst | 500 W Central Ave, Ste A, Brea, CA 92821-3027 | 2011-05-25 |
| 1952607384 | St Jude Hospital Yorba Linda | Durable Medical Equipment & Medical Supplies | 500 W Central Ave, Suite B, Brea, CA 92821-3027 | 2011-02-02 |
| 1356427538 | Garvin Chu | Family Medicine | 500 W Central Ave, Suite B, Brea, CA 92821-3027 | 2006-10-31 |
| 1215923271 | Rodolfo Perez | Family Medicine | 500 W Central Ave, Suite B, Brea, CA 92821-3027 | 2005-09-26 |
| 1801896287 | Michael Edmunds | Family Medicine | 500 W Central Ave, Suite B, Brea, CA 92821-3027 | 2005-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043844921 | Christina Marie Iezza | Physical Medicine & Rehabilitation | 500 W. Central Ave, Suite B, Brea, CA 92821 | 2020-02-28 |
| 1962052068 | Joanne Chung | Behavioral Analyst | 3050 Saturn Street, #102, Brea, CA 92821 | 2019-09-19 |
| 1508336736 | Sonia Montez | Physical Therapy Assistant | Jump N Schout, 500 W Central Ave, Brea, CA 92821 | 2018-11-30 |
| 1215411921 | Eye View Optometry, Inc | Optometrist | 605 E. Imperial Hwy, Suite C, Brea, CA 92821 | 2018-09-18 |
| 1700395480 | Sheetal Patel | Registered Nurse | 955 W. Imperial Hwy., Suite 220, Brea, CA 92821 | 2017-09-25 |
| 1952827826 | Grace Cho | Occupational Therapist | 875 N Brea Blvd # 600, Brea, CA 92821 | 2017-08-22 |
| 1063959781 | Veronica Meza | Lactation Consultant, Non-RN | 551 Discovery Lane, #115, Brea, CA 92821 | 2017-01-20 |
| 1780045815 | Audrey Alva | Specialist/Technologist | 460 W. Lambert Road, Brea, CA 92821 | 2016-03-17 |
| 1558734921 | Eun Kim Chiropractic Inc | Chiropractor | 411 Atlas Street, Suite A, Brea, CA 92821 | 2015-11-07 |
| 1053784512 | Caremore Health Plan | Nurse Practitioner | 420 W. Central Avenue #a, Brea, CA 92821 | 2015-11-05 |
| Find all providers in zip 92821 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316342884 | Ashish Bhavsar, M.d., Inc. | Family Medicine | 410 W Central Ave Ste 105, Brea, CA 92821-3009 | 2014-10-27 |
| 1932488723 | Rita H Rubinstein Md Inc | Family Medicine | 340 W. Central Ave., Suite 138, Brea, CA 92821 | 2011-08-10 |
| 1225210016 | Janine Jo Chamberlin | Family Medicine | 380 W Central Ave Ste 400, Brea, CA 92821 | 2007-12-03 |
| 1184816688 | Jay Nino Sanvictores | Family Medicine | 2415 E Imperial Hwy, Brea, CA 92821 | 2007-08-17 |
| 1043370026 | Dennis Wayne Shults | Family Medicine | 710 N. Brea Blvd, Ste G, Brea, CA 92821 | 2006-12-11 |
| 1922179639 | Rita H Rubinstein | Family Medicine | 410 W Central Ave Ste 207, Brea, CA 92821-3010 | 2006-11-13 |
| 1205921756 | Lauren Stearns | Family Medicine | 539 S Brea Blvd, Brea, CA 92821-5377 | 2006-10-03 |
| 1972697605 | Kristine Sue Percy | Family Medicine | 539 South Brea Blvd, Brea, CA 92821 | 2006-10-03 |
| 1477652410 | A Thomas Parsa | Family Medicine | 2864 E Imperial Hwy, Brea, CA 92821-6714 | 2006-09-22 |
| 1003854274 | Stephen W. Thacker | Family Medicine | 340 W Central Ave Ste 110, Attention: Maggie Noles, Brea, CA 92821-3006 | 2006-06-02 |
| Find all providers in BREA | ||||
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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.