LACEE OLIVER (NPI# 1891331385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891331385 |
| Entity Type | Individual |
| Full Name | LACEE OLIVER |
| Credential | PA |
| Practice Address |
2592 N Santiago Blvd Orange CA 92867-1862 |
| Mailing Address |
7290 Edinger Ave Unit 4138 Huntington Beach CA 92647-0957 |
| Practice Telephone | 7143307921 |
| Enumeration Date | 2019-11-20 |
| Last Update Date | 2019-11-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA57170 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2592 N SANTIAGO BLVD |
| City | ORANGE |
| State | CA |
| Zip Code | 92867-1862 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891048385 | Lauren Beaumarchais | Physician Assistant | 2592 N Santiago Blvd, Orange, CA 92867-1862 | 2012-10-21 |
| 1811347198 | Phuc-bao Tran | Family Medicine | 2592 N Santiago Blvd, Orange, CA 92867-1862 | 2016-06-16 |
| 1851755904 | Scott Benjamin Roberts | Family Medicine | 2592 N Santiago Blvd, Orange, CA 92867-1862 | 2016-04-05 |
| 1063825289 | J.m. Geiss, D.o. Apc | Family Medicine | 2592 N Santiago Blvd, Orange, CA 92867-1862 | 2014-06-05 |
| 1588076673 | John Mark Geiss D.o. Medical Corporation | Family Medicine | 2592 N Santiago Blvd, Orange, CA 92867-1862 | 2014-05-23 |
| 1053651497 | John Mark Geiss | Family Medicine | 2592 N Santiago Blvd, Orange, CA 92867-1862 | 2013-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770197618 | Family First Healthcare | Home Health | 2712 E Blueridge Ave, Orange, CA 92867 | 2020-09-08 |
| 1568924793 | Denise Giovanazzi Weinberg | Nurse Practitioner | 3215 East Abbey Lane, Orange, CA 92867 | 2019-04-05 |
| 1629536701 | Cindy Diaz | Behavioral Analyst | 410 E. Katella, Orange, CA 92867 | 2019-03-07 |
| 1992206940 | Oc Healthy Heart LLC | Internal Medicine | 438 E Katella Ave Suite B, Orange, CA 92867 | 2018-02-26 |
| 1083139059 | Randy Hope | Counselor | 1855 W Katella Ave #150, Orange, CA 92867 | 2017-08-10 |
| 1801319595 | Danielle Collett | Registered Nurse | 1855 N. Katella, 150, Orange, CA 92867 | 2017-07-25 |
| 1023538931 | Mala Leao | Social Worker | 2440 E. Vanowen Ave., Orange, CA 92867 | 2017-06-21 |
| 1184096257 | Renew Acupuncture Clinic | Health Maintenance Organization | 1132 E Katella Avenue Ste. A14, Orange, CA 92867 | 2015-10-28 |
| 1942604913 | Seon Song | Acupuncturist | 1327 E Katella Ave, Orange, CA 92867 | 2014-10-20 |
| 1700298965 | Nazanin Minouei | Physical Therapy Assistant | 1045 N. Tustin Ave, Orange, CA 92867 | 2014-05-22 |
| Find all providers in zip 92867 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609301506 | Tina Khosravi | Physician Assistant | 705 W La Veta Ave Ste 109, Orange, CA 92868-4447 | 2017-04-27 |
| 1831560721 | Kimberly Gin Hankamolkit | Physician Assistant | 200 S Manchester Ave Ste 210, Orange, CA 92868-3211 | 2015-10-17 |
| 1194846691 | Namneet K Dhaliwal | Physician Assistant | 1100 E Stewart Dr, Orange, CA 92868 | 2007-04-02 |
| 1740309608 | M. Barbara Klyde | Physician Assistant | 2391 N River Trail Rd, Orange, CA 92865-2036 | 2007-03-29 |
| 1750467346 | Joan Stoykovich | Physician Assistant | 1215 E Chapman Ave, Suite 4, Orange, CA 92866-2237 | 2006-10-27 |
| 1841222916 | Marcel M Motz | Physician Assistant | 1100 West Stewart Dr, Orange, CA 92868-3849 | 2006-07-07 |
| 1548263015 | Amir M Seifi | Physician Assistant | 280 S Main St Ste 200, Orange, CA 92868-3852 | 2005-05-27 |
| 1588297600 | Serena Marilyn Mclean | Physician Assistant | 1100 W Stewart Dr, Orange, CA 92868-3849 | 2020-02-17 |
| 1518454396 | Yuchao Jin | Physician Assistant | 1140 W La Veta Ave Ste 610, Orange, CA 92868 | 2018-04-17 |
| 1528566122 | Kyle Daniels | Physician Assistant | 1100 W Stewart Dr, Orange, CA 92868-3849 | 2018-01-29 |
| Find all providers in ORANGE | ||||
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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.