DR. PAUL FLANAGAN (NPI# 1992013635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992013635 |
| Entity Type | Individual |
| Full Name | DR. PAUL FLANAGAN |
| Credential | M.D. |
| Practice Address |
3090 Bali Circle Costa Mesa CA 92626 |
| Practice Telephone | 7149570348 |
| Practice Fax Number | 7144443182 |
| Mailing Telephone | 7149570348 |
| Mailing Fax Number | 7144443182 |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2010-09-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZB0001X |
Pathology Specialization: Blood Banking & Transfusion Medicine |
C30639 | CA | Allopathic & Osteopathic Physicians |
| Y | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
C30639 | CA | Allopathic & Osteopathic Physicians |
| N | 207ZC0006X |
Pathology Specialization: Clinical Pathology |
C30639 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ZZZ58835Z | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447721329 | Paul Flanagan Jr. | Respiratory Therapist, Registered | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2018-12-17 |
| 1154570505 | Paul Michael Flanagan | Optometrist | 2300 Treasury Dr Se, Cleveland, TN 37323-7185 | 2008-09-10 |
| Street Address |
3090 BALI CIRCLE |
| City | COSTA MESA |
| State | CA |
| Zip Code | 92626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215536982 | Sergio Gutierrez | Behavior Technician | 3303 Harbor Blvd., Suite B8, Costa Mesa, CA 92626 | 2020-10-22 |
| 1780201848 | Kelly Chauvet | Behavior Technician | 1503 Nutmeg Place Suite 110, Costa Mesa, CA 92626 | 2020-07-06 |
| 1316564610 | Timo Rosa | Behavior Technician | 1503 Nutmeg Place, Suite 110, Costa Mesa, CA 92626 | 2020-07-02 |
| 1255966115 | Dalia A Sehweil | Behavior Technician | 1111 Baker, Costa Mesa, CA 92626 | 2020-03-11 |
| 1265071096 | Austin Stotelmyre | Behavior Technician | 1111 Baker St Costa Mesa 92626, Costa Mesa, CA 92626 | 2019-12-26 |
| 1396383022 | The Open Table | Community/Behavioral Health | 151 Kalmus Dr. Bldg C, Suite 100, Costa Mesa, CA 92626 | 2019-12-12 |
| 1851933550 | Jennifer Rivera | Behavior Technician | 1111 Baker St. Unit #a, Costa Mesa, CA 92626 | 2019-10-14 |
| 1962053595 | Peter Na | Behavior Technician | Behavior Functions 3303 Harbor Blvd, Ste B8, Costa Mesa, CA 92626 | 2019-09-25 |
| 1346897147 | Jennifer Lopez | Behavior Technician | 555 Alton Blvd Suite 150, Costa Mesa, CA 92626 | 2019-08-26 |
| 1679134084 | Danny Garcia Chiropractic, PC | Chiropractor | 1503 South Coast Drive, Suite 319, Costa Mesa, CA 92626 | 2019-06-26 |
| Find all providers in zip 92626 | ||||
| Taxonomy Code | 207ZP0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. [7/1/2007: definition added, source added, 7/1/2009: defintion reformatted; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology (note: this taxonomy code identifies the "anatomic pathology only" route). To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699385468 | Alfred Lui, M. D., Inc. | Pathology | 23441 Madison St Ste 301b, Torrance, CA 90505-4735 | 2020-08-05 |
| 1174176697 | Francisco Beca | Pathology | 300 Pasteur Dr Bldg 235, Stanford, CA 94305-2200 | 2019-07-23 |
| 1851852750 | Steffan Nicholas Ho | Pathology | 3014 Award Row, San Diego, CA 92122-2231 | 2019-03-26 |
| 1841776358 | Shuo Xu | Pathology | 8700 Beverly Blvd Rm 8725, West Hollywood, CA 90048-1804 | 2018-07-17 |
| 1619489242 | Ania Gheyara | Pathology | 16 Rich Acres Rd, Orinda, CA 94563-1618 | 2017-11-05 |
| 1407229305 | Melissa Conrad Stoppler | Pathology | 922 Aruba Ln, Foster City, CA 94404-3802 | 2015-11-02 |
| 1114303161 | Vincent Hess Stack | Pathology | 2732 Piedmont Ave. #1, Montrose, CA 91020 | 2015-07-31 |
| 1154716975 | Gregory William Charville | Pathology | 300 Pasteur Drive, Room L235, Stanford, CA 94022 | 2015-03-30 |
| 1861885295 | Kenneth Widder | Pathology | 16231 El Camino Real, Rancho Santa Fe, CA 92067 | 2015-03-10 |
| 1316342546 | Eugene Butcher | Pathology | 230 Corte Madera Rd, Portola Valley, CA 94028-7817 | 2014-10-30 |
| Find all providers with the same taxonomy | ||||
| City | COSTA MESA |
| Zip Code | 92626 |
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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.