P K A MEDICAL CORPORATION (NPI# 1851537708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851537708 |
| Entity Type | Organization |
| Organization Name | P K A MEDICAL CORPORATION |
| Practice Address |
1610 W Edinger Ave Ste B Santa Ana CA 92704-4339 |
| Practice Telephone | 7146411610 |
| Practice Fax Number | 7146411146 |
| Mailing Telephone | 7146411610 |
| Mailing Fax Number | 7146411146 |
| Enumeration Date | 2008-12-24 |
| Last Update Date | 2008-12-24 |
| Authorized Official Name | PAT KOUWABUNPAT (PRESIDENT / PHYSICIAN) |
| Authorized Official Telephone | 6264979609 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Street Address |
1610 W EDINGER AVE STE B |
| City | SANTA ANA |
| State | CA |
| Zip Code | 92704-4339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346319803 | Chul Young Byun | Dentist | 1610 W Edinger Ave, Suite# A, Santa Ana, CA 92704-4339 | 2006-11-07 |
| 1073980843 | Tammy Thu Nguyen | Physician Assistant | 1610 W Edinger Ave, Suite B, Santa Ana, CA 92704-4339 | 2015-08-28 |
| 1487906715 | Maidiana Anh English | Physician Assistant | 1610 W Edinger Ave, Suite B, Santa Ana, CA 92704-4339 | 2012-10-10 |
| 1063625069 | Pat T Kouwabunpat | Family Medicine | 1610 W Edinger Ave, Suite B, Santa Ana, CA 92704-4339 | 2007-05-07 |
| 1750505202 | Children's Dental Surgery Center, A Dental Practice of Drs. Lee and Mu | Dentist | 1610 W Edinger Ave, Suite C, Santa Ana, CA 92704-4339 | 2007-04-13 |
| 1528197175 | Lee and Hong Professional Dental Corporation | Dentist | 1610 W Edinger Ave, Suite C, Santa Ana, CA 92704-4339 | 2007-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437771805 | Mohammad Abul-fielat Dds Inc | Dentist | 2341 S Bristol Street, Santa Ana, CA 92704 | 2020-05-08 |
| 1639728538 | Dorothy A Powell | Technician | 722 S. Arapaho Dr, Santa Ana, CA 92704 | 2019-09-04 |
| 1851945646 | Skinzone Medical Inc | Plastic Surgery | 3374 S. Bristol St, Santa Ana, CA 92704 | 2019-07-30 |
| 1215414024 | Sonia Molina | Dietitian, Registered | 2100 W Alton Ave Ste 2, Santa Ana, CA 92704 | 2018-07-24 |
| 1558854612 | Laura Fessler | Nurse Practitioner | 3501 S. Harbor Blvd, Santa Ana, CA 92704 | 2018-06-12 |
| 1104317940 | The Mend of California, LLC | Substance Abuse Rehabilitation Facility | 1909 W. Carlton Place, Santa Ana, CA 92704 | 2018-05-29 |
| 1154811784 | Phleetbo LLC | In Home Supportive Care | 3760 W Mcfadden Ave # B164, Santa Ana, CA 92704 | 2018-05-18 |
| 1588151393 | United Medical Imaging Healthcare, Inc. | Clinic/Center | 3501 S Harbor Blvd Ste 140-b, Santa Ana, CA 92704 | 2018-04-17 |
| 1952811978 | Rising Roads Recovery Services for Women, LLC | Substance Abuse Rehabilitation Facility | 2750 S Harbor Blvd Ste G, Santa Ana, CA 92704 | 2017-10-04 |
| 1427577907 | Advance Oc Surgical Inc. | Clinic/Center | 3500 S. Bristol St., Suite 200, Santa Ana, CA 92704 | 2017-09-15 |
| Find all providers in zip 92704 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295297570 | Sentinel Medical Group Inc | Clinic/Center | 505 N Tustin Ave Ste 195, Santa Ana, CA 92705-3775 | 2019-04-04 |
| 1811248669 | Clinica Medica Mi Pueblo, Medical Clinic, Inc | Clinic/Center | 720 S Harbor Blvd, Santa Ana, CA 92704-2337 | 2012-09-19 |
| 1679600852 | Childrens Hospital of Orange County | Clinic/Center | 1000 Highland St, Santa Ana, CA 92703-4822 | 2007-02-27 |
| 1629141056 | Careways Children's Foundation | Clinic/Center | 1902 W Chestnut Ave, Santa Ana, CA 92703-4304 | 2006-11-15 |
| 1851705818 | North Bristol Family and Injury Medical Center | Clinic/Center | 1415 N Broadway, Santa Ana, CA 92706-3904 | 2014-06-18 |
| 1033522560 | Gutierrez Espinoza Physician Assistant Corp | Clinic/Center | 2222 S Main St, Santa Ana, CA 92707-3220 | 2014-06-02 |
| 1467725846 | Antonio Carbayo Md A Medical Corporation | Clinic/Center | 1911 N Broadway, Santa Ana, CA 92706-2609 | 2012-02-16 |
| 1487947842 | Community Outreach Medical Services | Clinic/Center | 1200 N Tustin Ave, Suite 130, Santa Ana, CA 92705-3508 | 2011-05-18 |
| 1942503933 | Vision Center Lp | Clinic/Center | 3301 S Harbor Blvd, Ste 104, Santa Ana, CA 92704-6857 | 2010-12-13 |
| 1437485513 | Kelvin Mai, D.o., Inc | Clinic/Center | 2337 W 1st St, Santa Ana, CA 92703-3503 | 2009-10-26 |
| Find all providers in SANTA ANA | ||||
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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.