Diana Radakovic (NPI# 1891877387, PAC ID# 1658677703) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1891877387 |
PAC ID by PECOS | 1658677703 |
Professional Enrollment ID | I20160315002868 |
Full Name | Diana Radakovic |
Organization Legal Name | JASON KELLOGG MD INC |
Address |
17782 Cowan A Irvine CA 92614-6041 |
Phone Number | 9497227118 |
Gender | F |
Graduation Year | 2015 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 9032266127 |
Number of Group Practice Members | 18 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
275 Victoria St, 2l, Costa Mesa, CA 92627-1906 | 9497227118 | JASON KELLOGG MD INC |
275 Victoria St, Costa Mesa, CA 92627-1906 | 9497227118 | JASON KELLOGG MD INC |
17782 Cowan A, Irvine, CA 92614-6041 | 9497227118 | JASON KELLOGG MD INC |
Organization Legal Name | JASON KELLOGG MD INC |
Physicians | 9 |
Name | Specialty | Organization | Address |
---|---|---|---|
Randall G Turner | Psychiatry | Jason Kellogg Md Inc | 1715 S Cedar Ave, Asfc LLC, Fresno, CA 93702-4331 |
Michael Frazier | Psychiatry | Jason Kellogg Md Inc | 1715 S Cedar Ave, Asfc LLC, Fresno, CA 93702-4331 |
Dylan Thomas Guiney | Nurse Practitioner | Jason Kellogg Md Inc | 17782 Cowan, Suite A, Irvine, CA 92614-6041 |
Logan Jensen | Physician Assistant | Jason Kellogg Md Inc | 1501 E 16th St, Newport Beach, CA 92663-5924 |
Sanjai Thankachen | Psychiatry | Jason Kellogg Md Inc | 1715 S Cedar Ave, Asfc LLC, Fresno, CA 93702-4331 |
Natalya Godes | Clinical Psychologist | Jason Kellogg Md Inc | 17782 Cowan A, Irvine, CA 92614-6041 |
Dana Lynn Lambrose | Nurse Practitioner | Jason Kellogg Md Inc | 275 Victoria St, Costa Mesa, CA 92627-1906 |
Jessica E Connor | Clinical Social Worker | Jason Kellogg Md Inc | 17782 Cowan A, Irvine, CA 92614-6041 |
Street Address |
17782 COWAN A |
City | IRVINE |
State | CA |
Zip | 92614-6041 |
Name | Specialty | Organization | Address |
---|---|---|---|
Natalya Godes | Clinical Psychologist | Jason Kellogg Md Inc | 17782 Cowan A, Irvine, CA 92614-6041 |
Jessica E Connor | Clinical Social Worker | Jason Kellogg Md Inc | 17782 Cowan A, Irvine, CA 92614-6041 |
Name | Specialty | Organization | Address |
---|---|---|---|
Anthony Bocchino | Chiropractic | 17897 Macarthur Blvd, Suite 101, Irvine, CA 92614-0532 | |
Andrea Nguyen | Physician Assistant | Tien Q Nguyen Inc | 17305 Von Karman Ave, Suite 107, Irvine, CA 92614-0903 |
Tien Q Nguyen | Dermatology | Tien Q Nguyen Inc | 17305 Von Karman Ave, Suite 107, Irvine, CA 92614-0903 |
Darin P Kleinsmith | Physician Assistant | Tien Q Nguyen Inc | 17305 Von Karman Ave, Irvine, CA 92614-0903 |
Kellie L Hoy | Physician Assistant | Tien Q Nguyen Inc | 17305 Von Karman Ave, Suite 107, Irvine, CA 92614-0903 |
Melanie G Murray | Physician Assistant | Tien Q Nguyen Inc | 17305 Von Karman Ave, Suite 107, Irvine, CA 92614-0903 |
Milomir Milosevich | Physical Therapy | Physica Inc. | 17911 Sky Park Cir L, Irvine, CA 92614-2403 |
Regina R Chinsio-kwong | Family Practice | St Joseph Heritage Healthcare | 4 Park Plz, Suite 150, Irvine, CA 92614-2525 |
Bruce B Johnston | Psychologist, Clinical | 17962 Sky Park Cir C, Irvine, CA 92614-4412 | |
Allison Holtkamp | Psychologist, Clinical | 17744 Sky Park Cir, Suite 285, Irvine, CA 92614-4461 | |
Find all physicians in zip 92614 |
City | IRVINE |
Zip Code | 92614 |
Specialty | NURSE PRACTITIONER |
City + Specialty | IRVINE + NURSE PRACTITIONER |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.