PREDRAG P MITREVSKI (NPI# 1952412157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952412157 |
| Entity Type | Individual |
| Full Name | PREDRAG P MITREVSKI |
| Credential | MD |
| Practice Address |
675 Camino De Los Mares Ste 200 San Clemente CA 92673-2836 |
| Practice Telephone | 9495428865 |
| Practice Fax Number | 9492762367 |
| Mailing Telephone | 9495428865 |
| Mailing Fax Number | 9492762367 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2015-01-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | A90453 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
675 CAMINO DE LOS MARES STE 200 |
| City | SAN CLEMENTE |
| State | CA |
| Zip Code | 92673-2836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710997838 | Pedro Jose Postigo | Psychiatry & Neurology | 675 Camino De Los Mares Ste 200, San Clemente, CA 92673-2836 | 2006-08-09 |
| 1033369368 | Inchel Yeam | Internal Medicine | 675 Camino De Los Mares Ste 200, San Clemente, CA 92673-2836 | 2008-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497246474 | Cynthia Hull Warren | Nutritionist | 2027 Via Concha, San Clemente, CA 92673 | 2018-05-24 |
| 1063942688 | Trinh T Tran | Pharmacist | 638 Camino De Los Mares #d5, San Clemente, CA 92673 | 2017-06-15 |
| 1427421791 | Jessica A Currens | Nurse Practitioner | 1001 Avenida Pico Ste C517, San Clemente, CA 92673 | 2015-11-08 |
| 1184010647 | Garrett Bryon Rubio | Student in an Organized Health Care Education/Training Program | 905 Calle Amanecer Ste. 265, San Clemente, CA 92673 | 2015-04-11 |
| 1255733853 | Body Mind Spirit Iop Inc | Psychologist | 665 Camino De Los Mares Ste 104, San Clemente, CA 92673 | 2014-09-25 |
| 1548677438 | Jessica Ann Riley | Dermatology | 1300 Avenida Vista Hermosa Ste 150, San Clemente, CA 92673 | 2014-07-13 |
| 1427398718 | Veena Menda | Specialist | 2232 Calle Opalo, San Clemente, CA 92673 | 2013-02-22 |
| 1124383781 | Alexandra Rose Corporation | Substance Abuse Rehabilitation Facility | 4009 Calle Abril, San Clemente, CA 92673 | 2012-07-10 |
| 1457612574 | Noelle J Deckman | Psychologist | 629 Camino De Los Mares Ste 207a, San Clemente, CA 92673 | 2012-06-05 |
| 1851686471 | Meighan Bartholomew Merono | Pharmacist | 990 Avenida Vista Hermosa, San Clemente, CA 92673 | 2011-06-10 |
| Find all providers in zip 92673 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942555818 | Audrey Xi Tai | Internal Medicine | 653 Camino De Los Mares Ste 103, San Clemente, CA 92673-2808 | 2012-07-17 |
| 1326276528 | Nisha A Patel | Internal Medicine | 665 Camino De Los Mares Ste 210, San Clemente, CA 92673-2841 | 2009-06-25 |
| 1770639189 | Karen Garner | Internal Medicine | 831 Via Suerte Ste 102, San Clemente, CA 92673 | 2007-01-26 |
| 1083772867 | Joomo Yang, Md., Inc. | Internal Medicine | 2403 Camino Corso Rio, San Clemente, CA 92673-3613 | 2006-12-05 |
| 1255442505 | Nick J Karahalios | Internal Medicine | 665 Camino De Los Mares Ste 309, San Clemente, CA 92673-2841 | 2006-08-31 |
| 1851402002 | Simon G Outhwaite | Internal Medicine | 647 Camino De Los Mares #108-167, San Clemente, CA 92673-2841 | 2006-08-31 |
| 1871529297 | Farrokh Alemzadeh, Md., Inc. | Internal Medicine | 655 Camino De Los Mares Ste 207, San Clemente, CA 92673-2809 | 2006-06-25 |
| 1184690901 | Cary C Stewart | Internal Medicine | 1001 Avenida Pico, Suite C, San Clemente, CA 92673-6957 | 2006-02-23 |
| 1427058395 | Ronald Stanley Saltzman | Internal Medicine | 657 Camino De Los Mares, #135, San Clemente, CA 92673-2826 | 2005-07-21 |
| 1821091174 | Yelena Wood | Internal Medicine | 724 S El Camino Real, San Clemente, CA 92672-4250 | 2005-05-31 |
| Find all providers in SAN CLEMENTE | ||||
| City | SAN CLEMENTE |
| Zip Code | 92673 |
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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.