DR CHRISTIE INC (NPI# 1912472135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912472135 |
Entity Type | Organization |
Organization Name | DR CHRISTIE INC |
Practice Address |
1441 Avocado Ave Ste 301 Newport Beach CA 92660-7704 |
Practice Telephone | 9492722085 |
Enumeration Date | 2018-10-04 |
Last Update Date | 2018-10-04 |
Authorized Official Name | CHRISTINA PRENDERGAST (PRESIDENT) |
Authorized Official Telephone | 8052790402 |
Authorized Official Credential | DO |
Is Organization Subpart | Y |
Parent Organization Name | DR CHRISTIE INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
Allopathic & Osteopathic Physicians |
Street Address |
1441 AVOCADO AVE STE 301 |
City | NEWPORT BEACH |
State | CA |
Zip Code | 92660-7704 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851505135 | Donna Marie Flynn | Nurse Practitioner | 1441 Avocado Ave Ste 301, Newport Beach, CA 92660-7704 | 2007-05-09 |
1992328801 | Curated Beauty Rx | Clinic/Center | 1441 Avocado Ave Ste 301, Newport Beach, CA 92660-7704 | 2020-05-27 |
1164650669 | Christina Prendergast | Surgery | 1441 Avocado Ave Ste 301, Newport Beach, CA 92660-7704 | 2009-06-23 |
1831355015 | Manuela Vazquez | Obstetrics & Gynecology | 1441 Avocado Ave Ste 301, Newport Beach, CA 92660-7704 | 2008-08-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275144024 | Lumins Aesthetic and Wellness, Inc | Dermatology | 20281 Sw Birch St, Suite 201, Newport Beach, CA 92660 | 2020-08-14 |
1205445798 | Felecia A Pedrogo | Marriage & Family Therapist | 5020 Campus Street, Newport Beach, CA 92660 | 2020-07-30 |
1649898388 | Polyviou Dental Corportation, Inc. | Clinic/Center | 120 Newport Beach Drive, Suite 27, Newport Beach, CA 92660 | 2020-07-09 |
1154974525 | Jan M. Eckermann, Md Inc. | Neurological Surgery | 1617 W Cliff Dr, Ste 203, Newport Beach, CA 92660 | 2019-07-24 |
1235792219 | Horizon Dermatology and Laser Institute | Dermatology | 369 San Miguel Dr. Suite 200, Newport Beach, CA 92660 | 2019-04-16 |
1902366925 | Yasmine Central Gohar | Marriage & Family Therapist | 20271 Sw Birch St Ste 200, Newport Beach, CA 92660 | 2019-03-25 |
1245703255 | Charison Counseling | Counselor | 4000 Macarthur Bvd Suite 600 East Tower, Newport Beach, CA 92660 | 2019-01-03 |
1134698996 | Amber Werner | Chiropractor | 4029 Westerly Place, Suite #115, Newport Beach, CA 92660 | 2018-11-21 |
1861969008 | Healthy Me Oc | Dietitian, Registered | 4569 Macarthur Court, Suite 1100, Newport Beach, CA 92660 | 2018-10-25 |
1174015192 | Edwin Enwia | Clinic/Center | 1000 Bristol St N Ste 1b, Newport Beach, CA 92660 | 2018-06-05 |
Find all providers in zip 92660 |
Taxonomy Code | 2086S0122X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Plastic and Reconstructive Surgery |
A surgeon who specializes in plastic and reconstructive surgery. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578853750 | Christopher Lee Ellstrom | Surgery | 1441 Avocado Ave Ste 702, Newport Beach, CA 92660-7708 | 2011-04-09 |
1275770471 | Mark Daniel Gaon | Surgery | 1501 Superior Ave Ste 300, Newport Beach, CA 92663-3641 | 2009-01-10 |
1629163365 | Hisham Mohamed Seify | Surgery | 20301 Sw Birch St, 100, Newport Beach, CA 92660-1754 | 2006-10-04 |
1447743182 | Mark D Gaon Md Inc | Surgery | 1501 Superior Ave Ste 300, Newport Beach, CA 92663-3641 | 2018-06-07 |
1578004743 | Terry Dubrow, M.d., A Medical Corporation | Surgery | 1617 Westcliff Dr, Suite 207, Newport Beach, CA 92660-5524 | 2017-03-20 |
1902206154 | Cosmetic Hair Replacement Surgery Institute | Surgery | 2121 San Joaquin Hills Rd, Newport Beach, CA 92660-6507 | 2014-08-25 |
1215284385 | Daines Plastic Surgery Inc | Surgery | 180 Newport Center Dr, 158, Newport Beach, CA 92660-7652 | 2012-08-08 |
1134491749 | Scultura Plastic Surgery | Surgery | 1401 Avocado Ave, Suite 501, Newport Beach, CA 92660-7720 | 2012-01-30 |
1386971372 | Henry I Baylis Md A Prof Corp | Surgery | 1401 Avocado Ave, # 605, Newport Beach, CA 92660-7720 | 2009-11-11 |
1164650669 | Christina Prendergast | Surgery | 1441 Avocado Ave Ste 301, Newport Beach, CA 92660-7704 | 2009-06-23 |
Find all providers in NEWPORT BEACH |
City | NEWPORT BEACH |
Zip Code | 92660 |
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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.