ANNEMARIE E FANSELAU (NPI# 1962474619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962474619 |
| Entity Type | Individual |
| Full Name | ANNEMARIE E FANSELAU |
| Credential | MD |
| Practice Address |
301 W Huntington Dr Suite 320 Arcadia CA 91007-3462 |
| Mailing Address |
133 N Altadena Dr 2nd Floor Pasadena CA 91107-7325 |
| Practice Telephone | 6264473516 |
| Practice Fax Number | 6264478546 |
| Mailing Telephone | 6263978335 |
| Mailing Fax Number | 6263978350 |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2014-01-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | A064663 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
301 W HUNTINGTON DR SUITE 320 |
| City | ARCADIA |
| State | CA |
| Zip Code | 91007-3462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598767717 | Narendranath A Reddy | Specialist | 301 W Huntington Dr, Ste 327, Arcadia, CA 91007-1501 | 2005-06-01 |
| 1891335154 | Baraah Nureddin | Hearing Instrument Specialist | 301 W Huntington Dr, Arcadia, CA 91007-3462 | 2020-01-14 |
| 1558913533 | Mara Arnold | Dentist | 301 W Huntington Dr, Arcadia, CA 91007-3462 | 2019-07-10 |
| 1811442056 | Trilogy Eye Medical Group, Inc. | Optometrist | 301 W Huntington Dr, Suite 107, Arcadia, CA 91007-3462 | 2016-08-17 |
| 1023473709 | Gregory T. Heinen, M.d., Inc | Orthopaedic Surgery | 301 W Huntington Dr, Suite 617, Arcadia, CA 91007-3462 | 2015-12-22 |
| 1376913764 | Linda Duong | Pharmacist | 301 W Huntington Dr, Arcadia, CA 91007-3462 | 2015-09-29 |
| 1801289988 | Retina Institute of California Medical Group | Optometrist | 301 W Huntington Dr, Ste. 107, Arcadia, CA 91007-3462 | 2015-03-12 |
| 1265841415 | Gary B Jacobsen Dds, A Professional Dental Corporation | Clinic/Center | 301 W Huntington Dr, Suite 204, Arcadia, CA 91007-3462 | 2014-08-12 |
| 1417378159 | Monica Bang | Nurse Practitioner | 301 W Huntington Dr, Ste. 215, Arcadia, CA 91007-3462 | 2013-12-24 |
| 1487092417 | Benjamin Yuh | Urology | 301 W Huntington Dr, Arcadia, CA 91007-3462 | 2013-06-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982174504 | Ying Zhang | Nurse Practitioner | 301 Huntington Dr., Suite 607, Arcadia, CA 91007 | 2018-11-26 |
| 1891287819 | Sunflower Tcm Health Center | Acupuncturist | 650 Weat Duarte Road, # 168, Arcadia, CA 91007 | 2018-06-05 |
| 1326537911 | Natural Health Care Inc | Clinic/Center | 1434 S Baldwin Ave, Arcadia, CA 91007 | 2018-05-09 |
| 1720590458 | Shokoofeh Namiranian | Pharmacist | 745 E. Naomi Ave, Arcadia, CA 91007 | 2017-11-03 |
| 1164897351 | The One Dental Specialty Center Inc | Dentist | 1245 W. Huntington Drive, #207, Arcadia, CA 91007 | 2015-12-14 |
| 1366815771 | Jackie Liang Zhang Sr. | Acupuncturist | 650 West Duarte Road, # 168, Arcadia, CA 91007 | 2015-11-06 |
| 1811379365 | Michael Bastani | Podiatrist | 289 W Huntington Dr Ste 204, Arcadia, CA 91007 | 2015-06-22 |
| 1740661776 | Albert Tsuyuan Wang | Emergency Medicine | 531 Magellan Rd, Arcadia, CA 91007 | 2015-06-16 |
| 1740678176 | Karina Herrera | Behavioral Analyst | 444 W. Huntington Dr., #211, Arcadia, CA 91007 | 2015-01-08 |
| 1356751614 | H-light Global Inc | Acupuncturist | 1245 W Huntington Dr #212, Arcadia, CA 91007 | 2014-05-07 |
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| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790182988 | Arcadia Pediatrics Plc | Pediatrics | 1014 N Mills Ave, Arcadia, FL 34266-8811 | 2014-12-03 |
| 1487097218 | Jayalakshmamma Bangaru | Pediatrics | 15 South Carol Pine Lane, Arcadia, CA 91007 | 2013-04-11 |
| 1407102031 | Agnes Chiang Jee | Pediatrics | 301 W Huntington Dr Ste 320, Arcadia, CA 91007-1500 | 2012-08-01 |
| 1659646636 | Charles E. Imbus, Md, Inc | Pediatrics | 665 W Naomi Ave Ste 202, Arcadia, CA 91007-7563 | 2012-03-09 |
| 1306027834 | Geraldine Uy Chen | Pediatrics | 520 Workman Ave, Arcadia, CA 91007-8455 | 2007-11-27 |
| 1831388982 | Fawn G Harrison | Pediatrics | 900 N Robert Ave, Arcadia, FL 34266-8712 | 2007-10-15 |
| 1750401964 | Willis Medical LLC | Pediatrics | 600 Factory Outlet Dr, Suite 12, Arcadia, LA 71001-3057 | 2007-03-30 |
| 1588712673 | Letrinh Hoang | Pediatrics | 51 N. 5th Ave., Suite 201, Arcadia, CA 91006-3739 | 2007-01-08 |
| 1427113588 | Melinda Willis | Pediatrics | 600 Factory Outlet Drive, Ste 12, Arcadia, LA 71001-3057 | 2006-12-27 |
| 1043305634 | Ana L Hernandez | Pediatrics | 250 N Brevard Ave Ste 2, Arcadia, FL 34266 | 2006-10-03 |
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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.