medical staff picture roster...st. jude neighborhood health center 731 s. highland avenue fullerton,...

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Medical Staff Picture Roster Page 1 Printed on Friday, April 19, 2013 Abaid, Lisa, M.D. 351 Hospital Rd. Ste. 507 Newport Beach, CA 92663 Tel: (949) 642-1361 Fax: (949) 642-3202Pager: Status: Specialty: Specialty2: Specialty3: Department: NPI: Provisional/Observ Gynecologic Oncology Surgery 1295943132 Abshier, Stanley, M.D. Anesthesia c/o Surgery Department 101 E. Valencia Mesa Drive Fullerton, CA 92835 Tel: (800) 333-0881 Fax: (818) 344-6993Pager: (714) 216-1064 Status: Specialty: Specialty2: Specialty3: Department: NPI: Active Anesthesiology Surgery 1710938287 Adams, Tiana M., P.A.-C 2720 N. Harbor Blvd., Suite 130 Fullerton, CA 92835 Tel: (714) 449-6207 Fax: (714) 449-1773Pager: Status: Specialty: Specialty2: Specialty3: Department: NPI: AHP-Observational Physician Assistant Telehealth Medicine AHP-Physician sponsored Adrean, Sean D., M.D. 301 W. Bastanchury Rd. Suite 285 Fullerton, CA 92835 Tel: (714) 738-4620 Fax: (714) 738-0388Pager: (714) 992-4455 Status: Specialty: Specialty2: Specialty3: Department: NPI: Active Ophthalmology Surgery 1073566568 Aguinaldo, Michael J., M.D. Inpatient Specialists Medical Group, Inc. 407 W. Imperial Hwy, H-171 Brea, CA 92821 Tel: (562) 365-3540 Fax: (714) 990-2754Pager: Status: Specialty: Specialty2: Specialty3: Department: NPI: Provisional/Observ Pediatrics Women & Childrens 1851531487 Ahmad, Irfan, M.D. 455 S. Main Street Orange, CA 92868 Tel: (714) 516-4373 Fax: (714) 532-7800Pager: Status: Specialty: Specialty2: Specialty3: Department: NPI: Active Neonatology Women & Childrens 1699790139

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Page 1: Medical Staff Picture Roster...St. Jude Neighborhood Health Center 731 S. Highland Avenue Fullerton, CA 92832 Tel: (714) 446-5100 Fax: (714) 449-0726Pager: (714) 764-5354 Status: Specialty:

Medical Staff Picture Roster

Page 1 Printed on Friday, April 19, 2013

Abaid, Lisa, M.D. 351 Hospital Rd. Ste. 507

Newport Beach, CA 92663

Tel: (949) 642-1361

Fax: (949) 642-3202Pager:

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Provisional/Observ Gynecologic Oncology

Surgery

1295943132

Abshier, Stanley, M.D. Anesthesia

c/o Surgery Department

101 E. Valencia Mesa Drive

Fullerton, CA 92835

Tel: (800) 333-0881

Fax: (818) 344-6993Pager: (714) 216-1064

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Anesthesiology

Surgery

1710938287

Adams, Tiana M., P.A.-C

2720 N. Harbor Blvd., Suite 130

Fullerton, CA 92835

Tel: (714) 449-6207

Fax: (714) 449-1773Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

AHP-Observational

Physician Assistant

Telehealth Medicine

AHP-Physician sponsored

Adrean, Sean D., M.D. 301 W. Bastanchury Rd.

Suite 285

Fullerton, CA 92835

Tel: (714) 738-4620

Fax: (714) 738-0388Pager: (714) 992-4455

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Ophthalmology

Surgery

1073566568

Aguinaldo, Michael J., M.D. Inpatient Specialists Medical Group, Inc.

407 W. Imperial Hwy, H-171

Brea, CA 92821

Tel: (562) 365-3540

Fax: (714) 990-2754Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Provisional/Observ

Pediatrics

Women & Childrens

1851531487

Ahmad, Irfan, M.D. 455 S. Main Street

Orange, CA 92868

Tel: (714) 516-4373

Fax: (714) 532-7800Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Neonatology

Women & Childrens 1699790139

Page 2: Medical Staff Picture Roster...St. Jude Neighborhood Health Center 731 S. Highland Avenue Fullerton, CA 92832 Tel: (714) 446-5100 Fax: (714) 449-0726Pager: (714) 764-5354 Status: Specialty:

Medical Staff Picture Roster

Page 2 Printed on Friday, April 19, 2013

Ahn, Martin T., M.D. 6301 Beach Blvd. Suite 101

Buena Park, CA 90621

Tel: (714) 994-5290

Fax: (714) 994-8090Pager: (714)994-5290

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active Family Medicine

Medicine Department

1649342171

Ajit, Amirtha, M.D. 1751 W. Romneya Dr.

Suite F

Anaheim, CA 92801

Tel: (714) 776-3180

Fax: (714) 991-1932Pager: (714) 517-5744

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Internal Medicine

Medicine Department

1881688422

Alapati, Ravindra, M.D. 1771 W. Romneya Dr.

Suite C

Anaheim, CA 92801

Tel: (714) 758-0403

Fax: (714) 917-0785Pager: (714) 410-0179

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Gastroenterology

Medicine Department

1912989773

Alavi, Ali S., M.D. 1950 Sunny Crest Drive

Suite 3400

Fullerton, CA 92835

Tel: (714) 879-2410

Fax: (714) 879-5340Pager: (714) 529-9963

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Urology

Surgery

1508936592

Alexander, Gerald J., M.D. 101 Laguna Rd.

Suite A

Fullerton, CA 92835

Tel: (714) 879-0050

Fax: (714) 879-0249Pager: (714) 879-0050

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Orthopedic Surgery

Surgery

1790721025

Alexson, Edward, M.D. 1100 N. Tustin Avenue

Suite A

Santa Ana, CA 92705-3509

Tel: (714) 835-4800

Fax: (714) 835-1900Pager: (714) 835-4800

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Hematology/Oncology

Medicine Department 1154363141

Page 3: Medical Staff Picture Roster...St. Jude Neighborhood Health Center 731 S. Highland Avenue Fullerton, CA 92832 Tel: (714) 446-5100 Fax: (714) 449-0726Pager: (714) 764-5354 Status: Specialty:

Medical Staff Picture Roster

Page 3 Printed on Friday, April 19, 2013

Ali, May M., P.A.-C

100 E. Valencia Mesa Drive Suite #311

Fullerton, CA 92835

Tel: (714) 446-5180

Fax: (714) 446-5465Pager:

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

AHP Physician Assistant

Plastic Surgery

Surgery

1952589459

Ali, Nausheen B., M.D. 1801 W. Romneya Dr.

Suite 207

Anaheim, CA 92801

Tel: (714) 956-5200

Fax: (714) 956-4614Pager: (714) 956-5200

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Nephrology

Medicine Department

1609869296

Ali, Raed M., M.D. 100 E. Valencia Mesa Drive

Suite 310

Fullerton, CA 92835

Tel: (714) 446-5200

Fax: (714) 446-5292Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Orthopedic Surgery

Surgery

1891795449

Alias, Amy, M.D. 2141 N. Harbor Blvd.

Ste. 25000

Fullerton, CA 92835

Tel: (714) 626-8615

Fax: (714) 626-8692Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Provisional/Observ

Internal Medicine

Medicine Department

1306015607

Amin, Ashokkumar I., M.D. 1711 W. Romneya Dr.

Anaheim, CA 92801

Tel: (714) 484-1200

Fax: (714) 484-8807Pager: (714) 410-8023

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Courtesy

Gastroenterology

Medicine Department

1831293109

Ammirati, Giuseppe, M.D. 9834 Genesse Avenue

Ste. 411

La Jolla, CA 92037

Tel: (858) 677-1775

Fax: (858) 677-1771Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Provisional/Observ

Neuro Interventional

Radiology

Medicine Department

1861653990

Page 4: Medical Staff Picture Roster...St. Jude Neighborhood Health Center 731 S. Highland Avenue Fullerton, CA 92832 Tel: (714) 446-5100 Fax: (714) 449-0726Pager: (714) 764-5354 Status: Specialty:

Medical Staff Picture Roster

Page 4 Printed on Friday, April 19, 2013

Anderson, Jonathan P., M.D. 2720 N. Harbor Blvd. Suite 200

Fullerton, CA 92835

Tel: (714) 449-6910

Fax: (714) 449-6960Pager: (714) 201-0647

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active Family Medicine

Medicine Department

1588664916

Andes, Jerry, M.D. St. Jude Neighborhood Health Center

731 S. Highland Avenue

Fullerton, CA 92832

Tel: (714) 446-5100

Fax: (714) 449-0726Pager: (714) 764-5354

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Extended

Gynecology

Surgery

Anker, Lars, M.D. 1310 W. Stewart Drive

Suite 410

Orange, CA 92868

Tel: (714) 919-7661

Fax: (714) 919-8826Pager: (714)

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Neurosurgery

Surgery

1962548537

Aou, Christopher S., D.O. 2151 N. Harbor Blvd

Suite 3200

Fullerton, CA 92835

Tel: (714) 446-5101

Fax: (714) 871-3006Pager: (714)871-1200

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Family Medicine

Medicine Department

1164422671

Arastu, Anwar, M.D. 12675 La Mirada Blvd.

Suite 200

La Mirada, CA 90638

Tel: (562) 941-9853

Fax: (562) 941-9683Pager: (562) 941-9853

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Internal Medicine

Medicine Department

1760509749

Arastu, Vaseema, M.D. 12675 La Mirada Blvd.

Suite 200

La Mirada, CA 90638

Tel: (562) 941-9853

Fax: (562) 941-9683Pager: (562) 941-9853

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Pediatrics

Women & Childrens 1104941616

Page 5: Medical Staff Picture Roster...St. Jude Neighborhood Health Center 731 S. Highland Avenue Fullerton, CA 92832 Tel: (714) 446-5100 Fax: (714) 449-0726Pager: (714) 764-5354 Status: Specialty:

Medical Staff Picture Roster

Page 5 Printed on Friday, April 19, 2013

Armstrong, Donald, M.D. 100 E. Valencia Mesa Drive Suite 215

Fullerton, CA 92835

Tel: (714) 879-6533

Fax: (714) 879-3037Pager: (714) 879-6533

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Senior Active Gynecology

Obstetrics/Gynecology

Surgery

1881672665

Arora, Raveen R., M.D. 1712 W. Medical Center Dr.

Anaheim, CA 92801

Tel: (714) 491-7200

Fax: (714) 491-7266Pager: (714) 491-7200

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Cardiovascular Disease

Internal Medicine

Cardiothoracic

1164483244

Ash, Robert B., M.D. 1100 W. Stewart Dr.

Orange, CA 92868

Tel: (714) 771-8153

Fax: (714) 744-8573Pager: (310) 335-4065

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Courtesy

Radiation Oncology

Medicine Department

1326238650

Aston, Edward, M.D. 333 W. Bastanchury Rd

Suite 110

Fullerton, CA 92835

Tel: (714) 879-4312

Fax: (714) 879-2154Pager: (714) 879-4311

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Courtesy

Dermatology

Medicine Department

1710917513

Aytug, Serhat, M.D. 101 E. Valencia Mesa Drive

Ste. 105

Fullerton, CA 92835

Tel: (714) 446-5640

Fax: (714) 446-5474Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Provisional/Observ

Endocrinology

Medicine Department

1194707471

Badyal, Monika K., N.P. 731 S. Highland

Fullerton, CA 92832

Tel: (714) 446-5100

Fax: (714) 449-0726Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

AHP

Nurse Practitioner

Family Practice

Medicine Department 1053681932

Page 6: Medical Staff Picture Roster...St. Jude Neighborhood Health Center 731 S. Highland Avenue Fullerton, CA 92832 Tel: (714) 446-5100 Fax: (714) 449-0726Pager: (714) 764-5354 Status: Specialty:

Medical Staff Picture Roster

Page 6 Printed on Friday, April 19, 2013

Bae, Anthony I., M.D. 4300 Rose Drive Ste. M

Yorba Linda, CA 92886

Tel: (714) 577-6601

Fax: (714) 223-6779Pager: (714)577-6600

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active Internal Medicine

Medicine Department

1194711945

Baffa, Gary A., Ph.D. 1440 N. Harbor Blvd, Suite 900

Fullerton, CA 92835

Tel: (714) 687-5150

Fax: (714) 626-0016Pager: (714) 407-2620

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Clinical Psychology

Medicine Department

1275604001

Banez, Marienelle, M.D. 4300 Rose Drive

Ste. C

Yorba Linda, CA 92886

Tel: (714) 577-6677

Fax: (714) 223-6769Pager: (714) 201-0013

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Pediatrics

Women & Childrens

1689695082

Baralt, Diana M., M.D. Specialists on Call, Inc.

1503 Edwards Ferry Road, NE Suite 310

Leesburg, VA 20176

Tel: (866) 483-9690

Fax: (855) 811-6296Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Provisional/Observ

Telepsychiatry

Medicine Department

1194715144

Baronofsky, Ian D., M.D. StatRad

13915 Danielson Street, Suite #200

Poway, CA 92064

Tel: (858) 546-3800

Fax: (858) 546-3900Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Provisional

Teleradiology

Medicine Department

1194713388

Barr, John, M.D. 9834 Genesse Avenue

Ste. 411

La Jolla, CA 92037

Tel: (858) 677-1775

Fax: (858) 677-1771Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Provisional/Observ

Neuro Interventional

Radiology

Medicine Department

1679523260

Page 7: Medical Staff Picture Roster...St. Jude Neighborhood Health Center 731 S. Highland Avenue Fullerton, CA 92832 Tel: (714) 446-5100 Fax: (714) 449-0726Pager: (714) 764-5354 Status: Specialty:

Medical Staff Picture Roster

Page 7 Printed on Friday, April 19, 2013

Bassiri, Daryoush, M.D. 455 S. Main St. Orange, CA 92868

Tel: (714) 516-4373

Fax: (714) 532-7800Pager: (714) 275-7028

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active Neonatology

Women & Childrens

1154414639

Bates, Sherri, Psy.D. 1440 N. Harbor Blvd.

Suite #900

Fullerton, CA 92835

Tel: (714) 687-5150

Fax: (714) 626-0016Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Clinical Psychology

Medicine Department

1700085206

Bath, Kiran K., M.D. 381 E. Imperial Highway

Fullerton, CA 92835

Tel: (714) 879-7200

Fax: (714) 879-3010Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Neurology

Medicine Department

1689831380

Batra, Anjan, M.D. 505 S. Main Street

Suite #200

Orange, CA 92868

Tel: (714) 512-3939

Fax: (714) 512-3949Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Courtesy

Pediatric Cardiology

Pediatrics

Women & Childrens

1235187311

Batty, William E., M.D. 2141 N. Harbor Blvd.

Suite #25000

Fullerton, CA 92835

Tel: (714) 626-8610

Fax: (714) 626-8695Pager: (714) 201-4150

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Internal Medicine

Medicine Department

1447246434

Baugh, William P., M.D. 333 W. Bastanchury Rd

Suite 110

Fullerton, CA 92835

Tel: (714) 879-4312

Fax: (714) 879-2154Pager: (714) 879-4312

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Dermatology

Medicine Department 1891725602

Page 8: Medical Staff Picture Roster...St. Jude Neighborhood Health Center 731 S. Highland Avenue Fullerton, CA 92832 Tel: (714) 446-5100 Fax: (714) 449-0726Pager: (714) 764-5354 Status: Specialty:

Medical Staff Picture Roster

Page 8 Printed on Friday, April 19, 2013

Beiser, Jonathan M., P.A.-C

1310 W. Stewart Drive Ste. 503

Orange, CA 92868

Tel: (714) 997-2224

Fax: (714) 997-1187Pager:

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

AHP Physician Assistant

Cardiovascular Surgery

Cardiothoracic

1063452266

Benoit, James, M.D. 2151 N. Harbor Blvd.

Suite 3200

Fullerton, CA 92835

Tel: (714) 446-5101

Fax: (714) 871-3006Pager: (714) 201-4153

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Family Medicine

Medicine Department

1407843949

Benz, Ricarda D., M.D. 150 Laguna Rd.

Fullerton, CA 92835

Tel: (714) 447-4800

Fax: (714) 447-1098Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Gynecology

Surgery

1669453254

Berbos, J. Nickolas, M.D. 1321 N. Harbor Blvd.

Suite 300

Fullerton, CA 92835

Tel: (714) 879-0020

Fax: (714) 526-2020Pager: (714) 447-5125

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Ophthalmology

Surgery

1467596114

Berdjis, Farhouch, M.D. 1010 W. La Veta Avenue

Suite 275

Orange, CA 92868

Tel: (714) 547-0900

Fax: (714) 547-2080Pager: (714) 301-1500

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Courtesy

Pediatric Cardiology

Women & Childrens

1699740555

Bergman, David E., D.O. Anesthesia

c/o Surgery Department

101 E. Valencia Mesa Drive

Fullerton, CA 92835

Tel: 714-992-3000 #3714 Fax: Pager: (714) 201-0039

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Anesthesiology

Surgery 1801848866

Page 9: Medical Staff Picture Roster...St. Jude Neighborhood Health Center 731 S. Highland Avenue Fullerton, CA 92832 Tel: (714) 446-5100 Fax: (714) 449-0726Pager: (714) 764-5354 Status: Specialty:

Medical Staff Picture Roster

Page 9 Printed on Friday, April 19, 2013

Berman, Michael L., M.D. 101 The City Dr. Bldg. 56 Orange, CA 92868

Tel: (714) 456-7971

Fax: (714) 456-7754Pager: (714) 717-2968

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Courtesy Gynecologic Oncology

Surgery

1295815371

Betson, Lance H., D.O. 361 Hospital Road, #324

Newport Beach, CA 92663

Tel: (949) 548-3441

Fax: (949) 548-2074Pager: (949) 548-3441

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Courtesy

Gynecology

Surgery

1083857908

Bhakta, Kushal, M.D. 455 S. Main Street

Orange, CA 92868

Tel: (714) 516-4373

Fax: (714) 532-7800Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Courtesy

Neonatology

Women & Childrens

1952338063

Bhavsar, Rajiv I., M.D. 1321 N. Harbor Blvd.

Suite 302

Fullerton, CA 92835

Tel: (714) 441-0591

Fax: (714) 441-0594Pager: (714) 419-0077

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Internal Medicine

Medicine Department

1477550648

Bhola, Rakesh K., M.D. 1781 W. Romneya Dr.

Suite C

Anaheim, CA 92801

Tel: (714) 776-2700

Fax: (714) 956-0001Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Pulmonary Disease

Medicine Department

1518937754

Bhupathy, Anand R., D.O. 16960 E. Bastanchury Rd.

Suite I

Yorba Linda, CA 92886

Tel: (714) 524-9700

Fax: (714) 524-9874Pager: (7140 528-4211

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Dermatology

Medicine Department 1881790418

Page 10: Medical Staff Picture Roster...St. Jude Neighborhood Health Center 731 S. Highland Avenue Fullerton, CA 92832 Tel: (714) 446-5100 Fax: (714) 449-0726Pager: (714) 764-5354 Status: Specialty:

Medical Staff Picture Roster

Page 10 Printed on Friday, April 19, 2013

Biegler, Todd, M.D. 1735 W. Romneya Dr. Anaheim, CA 92801

Tel: (714) 776-5920

Fax: (714) 776-3407Pager: (714) 776-5920

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active Cardiovascular Disease

Cardiothoracic

1124105119

Birkenstein, Kenneth, M.D. 16960 E. Bastanchury

Suite A

Yorba Linda, CA 92886

Tel: (714) 524-1700

Fax: (714) 524-2062Pager: (714) 524-1700

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Senior Active

Family Medicine

Medicine Department

1093710022

Bittner, Donald, M.D. 2141 N. Harbor Blvd.

Suite 35000

Fullerton, CA 92835

Tel: (714) 626-8630

Fax: (714) 626-8682Pager: (714) 255-9161

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Orthopedic Surgery

Surgery

1538169578

Blum, Michael, D.D.S. 1211 W. La Palma

Suite 604

Anaheim, CA 92801

Tel: (714) 772-2200

Fax: (714) 520-0969Pager: (714) 772-2200

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Courtesy

Oral Surgery

Surgery

1003976994

Bocian, Maureen E., M.D. 101 The City Dr. - Peds Dpt

ZC4482

Orange, CA 92868

Tel: (714) 456-5792

Fax: (714) 456-5330Pager: (714) 506-7087

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Affiliate/Consulting

Genetics

Pediatrics

Women & Childrens

1821178906

Bodwin, Jeffrey, M.D. St. Jude Heritage Medical Group

100 E. Valencia Mesa Drive, Suite 105

Fullerton, CA 92835

Tel: (714) 446-5640

Fax: (714) 446-5625Pager: (714) 201-4062

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Endocrinology

Medicine Department 1932195476

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Page 11 Printed on Friday, April 19, 2013

Bollin, Jr., Richard C., M.D. Anesthesia c/o Surgery Department

101 E. Valencia Mesa Drive

Fullerton, CA 92835

Tel: 714-992-3000 #3714

Fax: Pager: (714) 201-3793

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active Anesthesiology

Surgery

1306898366

Bonavita, Frank, M.D. 2240 N. Harbor Blvd.

Suite 200

Fullerton, CA 92835

Tel: (714) 870-4665

Fax: (714) 870-1582Pager: (714) 870-4665

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Cardiovascular Disease

Cardiothoracic

1366446312

Borsari, Bradley E., M.D. St. Jude Heritage Medical Group

2141 N. Harbor Blvd.

Suite 25000

Fullerton, CA 92835

Tel: (714) 626-8610

Fax: (714) 626-8694Pager: (714) 201-3329

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Internal Medicine

Medicine Department

1104826619

Bose, Adrian A., M.D. 101 E. Valencia Mesa Dr.

Intensivist Office

Fullerton, CA 92835

Tel: (714) 447-5060

Fax: Pager: (714) 506-6596

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Pulmonary Disease

Critical Care

Internal Medicine

Medicine Department

1104032630

Boston, Jessica, M.D. 2811 Wilshire Blvd.

Ste. 850

Santa Monica, CA 90403

Tel: (310) 449-6591

Fax: (310) 315-4968Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Provisional/Observ

Physical Medicine &

Rehab

Medicine Department 1427129592

Botnick, Leslie E., M.D. 1500 Rosecrans

Suite 400

Manhattan Beach, CA 90266

Tel: (310) 335-4065

Fax: (310) 335-4096Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Affiliate/Consulting

Radiation Oncology

Medicine Department 1275530917

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Page 12 Printed on Friday, April 19, 2013

Bougas, Panagiotis P., M.D. 1038 Bastanchury Rd. Suite 210

Fullerton, CA 92835

Tel: (714) 447-5060

Fax: (714) 992-3169Pager: (714) 201-0913

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active Pulmonary Disease

Critical Care

Internal Medicine

Medicine Department

1295814275

Bridges, Duane E., M.D. 11633 Hawthorne Blvd.

Suite 400

Hawthorne, CA 90250

Tel: (310) 973-0600

Fax: (310) 419-0834Pager: (310) 253-1017

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Electrophysiology

Cardiovascular Disease

Cardiothoracic

1154352011

Briley, Dennis W., P.A.-C

2141 N. Harbor Blvd.

Suite 35000

Fullerton, CA 92835

Tel: (714) 626-8630

Fax: (714) 626-8679Pager: (714) 201-0072

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

AHP

Physician Assistant

Orthopedic Surgery

Surgery

1174731640

Brown, John V., M.D. 351 Hospital Road

Suite #507

Newport Beach, CA 92663

Tel: (949) 642-1361

Fax: (949) 642-3202Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Provisional/Observ

Gynecologic Oncology

Surgery

1659313633

Buchanan, Dennis J., M.D. 1950 Sunny Crest Drive

Suite 2800

Fullerton, CA 92835

Tel: (714) 992-5350

Fax: (714) 992-8156Pager: (714) 992-5350

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Senior Active

Obstetrics/Gynecology

Women & Childrens

1003864737

Buckhorn, Carl W., M.D. 515 E. Commonwealth Ave.

Fullerton, CA 92832

Tel: (714) 871-7118

Fax: (714) 871-3372Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Internal Medicine

Medicine Department 1649264847

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Page 13 Printed on Friday, April 19, 2013

Bui, Hana T., M.D. 1321 N. Harbor Blvd. Suite 101 Fullerton, CA 92835

Tel: (714) 870-4822

Fax: (714) 870-4804Pager: (714) 318-2103

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active Otolaryngology

Surgery

1932253960

Bui, Steve Q., M.D. 12665 Garden Grove Blvd.

Ste. 211

Garden Grove, CA 92843

Tel: (714) 636-2890

Fax: (714) 636-2909Pager: (714) 636-2890

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Nephrology

Medicine Department

1154390425

Bulger, Jeffrey E., P.A.-C

1310 W. Stewart Drive

Suite # 503

Orange, CA 92868

Tel: (714) 446-8866

Fax: (714) 997-1187Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

AHP

Physician Assistant

Cardiovascular Surgery

Cardiothoracic

1942245857

Burke, Richard, D.P.M. 1761 W. Romneya Dr.

Suite E

Anaheim, CA 92801

Tel: (714) 991-3333

Fax: (714) 991-6059Pager: (714) 991-3333

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Courtesy

Podiatry

Surgery

1063454163

Burrus, Tamika M., M.D. 1300 North Vermont Ave.

First Floor Doctors Towers

Los Angeles, CA 90027

Tel: (323) 913-4350

Fax: (323) 913-4351Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Provisional/Observ

Vascular Neurology

Medicine Department

1447457353

Byun, Eugene, M.D. 100 E. Valencia Mesa Drive

Suite 206

Fullerton, CA 92835

Tel: (714) 446-5050

Fax: (714) 446-5425Pager: (714) 219-9598

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Cardiovascular Disease

Cardiothoracic 1104812643

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Page 14 Printed on Friday, April 19, 2013

Cabagnot, Adelita, N.P. 241 E. Imperial Hwy. Ste. 350

Fullerton, CA 92835

Tel: (714) 447-5027

Fax: (714) 578-8629Pager:

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

AHP Nurse Practitioner

Geriatrics

Medicine Department

1639250319

Cabral, Ruben, M.D. 2141 N. Harbor Blvd.

Suite #25000

Fullerton, CA 92835

Tel: (714) 626-8610

Fax: (714) 626-8693Pager: (714) 201-4064

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Internal Medicine

Medicine Department

1568458008

Carr, Martin F., M.D. 1847 Sunnycrest Dr.

Fullerton, CA 92835

Tel: (714) 446-5831

Fax: (714) 446-7051Pager: (714) 446-5831

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Gastroenterology

Medicine Department

1326034265

Carrillo, Carrie M., P.A.-C

2141 N. Harbor Blvd

Suite 35000

Fullerton, CA 92835

Tel: (714) 626-8630

Fax: (714) 626-8682Pager: (714) 446-5200

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

AHP

Physician Assistant

Orthopedic Surgery

1588872089

Catuira, Evelyn V., DDS

7758 Knott Avenue

Buena Park, CA 90620

Tel: (714) 522-3705

Fax: (714) 522-4182Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Courtesy

General Dentistry

Surgery

1548399348

Celio, Christopher P., M.D. 1514 S. Valley Vista Dr.

Diamond Bar, CA 91765

Tel: (909) 860-1144

Fax: (909) 860-3526Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Family Medicine

Medicine Department 1538245279

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Page 15 Printed on Friday, April 19, 2013

Cellona, Lilli Ann C., M.D. 8245 East Monte Vista Rd. Suite 200

Anaheim, CA 92808

Tel: (714) 974-0100

Fax: (714) 974-0300Pager: (714) 693-3663

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active Endocrinology

Internal Medicine

Medicine Department

1770516999

Chabra, Sanjay, D.O. 2141 N. Harbor Blvd.

Suite #25000

Fullerton, CA 92835

Tel: (714) 626-8626

Fax: (714) 626-8688Pager: (714) 201-0246

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Rheumatology

Internal Medicine

Medicine Department

1316916125

Chamberlin, Janine, M.D. 2874 E. Imperial Hwy.

Brea, CA 92821

Tel: (714) 579-7505

Fax: (714) 993-4130Pager: (949) 551-7308

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Family Medicine

Medicine Department

1225210016

Chan, Steve L., M.D. 1106 S. Diamond Bar Blvd.

Diamond Bar, CA 91765

Tel: (909) 612-5835

Fax: (909) 612-5836Pager: (909) 612-5835

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Internal Medicine

Medicine Department

1790750743

Chang, Anthony C., M.D. 505 S. Main St.

Suite #200

Orange, CA 92868

Tel: (714) 512-3939

Fax: (714) 512-3949Pager: (714) 532-7576

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Courtesy

Pediatric Cardiology

Women & Childrens

1144328360

Chang, Bing-Lo, M.D. 2151 N. Harbor Blvd.

Suite 3200

Fullerton, CA 92835

Tel: (714) 446-5101

Fax: (714) 871-3006Pager: (714) 446-5101

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Family Medicine

Medicine Department 1295721900

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Page 16 Printed on Friday, April 19, 2013

Chang, Ker-Chow, M.D. 340 W. Central Ave., Suite 118

Brea, CA 92821

Tel: (714) 255-1148

Fax: (714) 482-0778Pager: (714) 3014099

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active Family Medicine

Medicine Department

1043304025

Chang, Wesley, M.D. 6200 Canyon Rim Road

Suite 103A

Anaheim, CA 92807

Tel: (714) 974-8130

Fax: (714) 974-6811Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Senior Active

Internal Medicine

Medicine Department

1174593453

Chapman, Amber, P.A.-C

351 Hospital Rd.

Ste. 507

Newport Beach, CA 92657

Tel: (949) 642-1361

Fax: (949) 642-1608Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

AHP-Observational

Physician Assistant

Gynecologic Oncology

Surgery

1912167685

Chapman, David, M.D. 1050 E. Yorba Linda Blvd

Suite 103

Placentia, CA 92870

Tel: (714) 996-3700

Fax: (714) 993-5897Pager: (714) 349-8152

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Gastroenterology

Medicine Department

1053321943

Charu, Veena, M.D. 1801 W. Romneya Drive

Suite 203

Anaheim, CA 92801-1824

Tel: (714) 999-1465

Fax: (714) 999-1701Pager: (714) 410-0179

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Provisional/Observ

Hematology/Oncology

Medicine Department

1568438976

Chen, Alexander, D.O. 6200 East Canyon Rim Rd

Ste. 110D

Anaheim, CA 92807

Tel: (657) 201-7649

Fax: (714) 644-8226Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Provisional

Internal Medicine

Medicine Department 1114252608

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Page 17 Printed on Friday, April 19, 2013

Cheung, Jason, M.D. Anesthesia c/o Surgery Department

101 E. Valencia Drive

Fullerton, CA 92835

Tel: 714-992-3000 #3714

Fax: Pager: (714) 439-4780

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active Anesthesiology

Surgery

1982691820

Chew, John, M.D. 1955 Sunnycrest Drive

Suite #108

Fullerton, CA 92835

Tel: (714) 441-0133

Fax: (714) 441-1082Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Affiliate/Consulting

Otolaryngology

Surgery

1265494256

Chiles, Dan, M.D. 895 E.Yorba Linda Blvd.

Suite 101

Placentia, CA 92870

Tel: (714) 528-5112

Fax: (714) 996-9355Pager: (714) 528-5112

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Senior Active

Pediatrics

Women & Childrens

1023032265

Chong, Charles, M.D. 1751 W Romneya

Suite A

Anaheim, CA 92801

Tel: (714) 778-0454

Fax: (714) 778-0443Pager: (714) 488-0025

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Internal Medicine

Medicine Department

1922036052

Choo, Daniel C., M.D. 17134 Colima Rd.

Suite E

Hacienda Heights, CA 91745

Tel: (626) 820-0603

Fax: (626) 820-0918Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Cardiovascular Disease

Interventional Cardiology

Cardiothoracic

1154325702

Chou, Eric, M.D. StatRad

13915 Danielson Street, Suite #200

Poway, CA 92064

Tel: (858) 546-3800

Fax: (858) 546-3900Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Provisional/Observ

Teleradiology

Medicine Department 1689627838

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Page 18 Printed on Friday, April 19, 2013

Chu, James M., M.D. 1010 W. La Veta Avenue Suite 275

Orange, CA 92868

Tel: (714) 547-0900

Fax: (714) 547-2080Pager: (714) 532-8705

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Courtesy Pediatric Cardiology

Women & Childrens

1346216009

Chun, David, M.D. 1310 W. Stewart Dr.

Suite 407

Orange, CA 92868

Tel: (714) 538-5558

Fax: (714) 538-6672Pager: (714) 405-0229

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Pediatric Cardiology

Pediatrics

Women & Childrens

1629096789

Chun, Joseph D., M.D. 6261 Stanton Ave.

Buena Park, CA 90621-1233

Tel: (714) 739-4325

Fax: (714) 452-1679Pager: (714) 291-0033

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Internal Medicine

Medicine Department

1710015425

Chung, Judith, M.D. 101 The City Dr.

South, Bldg. 56, Suite 800

Orange, CA 92868

Tel: (714) 456-8695

Fax: (714) 456-7754Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Perinatology

Women & Childrens

1689629495

Ciabarra, Anthony M., M.D. 381 E. Imperial Highway

Fullerton, CA 92835

Tel: (714) 879-7200

Fax: (714) 879-3010Pager: (714) 879-7200

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Neurology

Medicine Department

1942374392

Clark, Carrie-Anne, P.A.-C

2141 N. Harbor Blvd

Suite 35000

Fullerton, CA 92835

Tel: (714) 626-8630

Fax: (714) 626-8684Pager: (714) 201-2284

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

AHP

Physician Assistant

Orthopedic Surgery

Surgery 1275742462

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Page 19 Printed on Friday, April 19, 2013

Cleary, John P., M.D. 455 S. Main St. Orange, CA 92868

Tel: (714) 532-8632

Fax: (714) 532-7800Pager: (714) 532-7620

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active Neonatology

Women & Childrens

1134213143

Cobos, Renee Y., M.D. 475 S. State College Blvd.

Brea, CA 92821

Tel: (714) 870-7546

Fax: (714) 447-3376Pager: (714) 526-7076

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Community Supportive

Dermatology

Medicine Department

1801896857

Cochoit, Joseph E., M.D. 19441 S. Mesa Drive

Villa Park, CA 92861

Tel: (714) 992-3000 3714

Fax: (818) 344-6993Pager: (800)275-8970

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Anesthesiology

Surgery

1679525612

Cocke, Susan E., M.D. 4300 Rose Drive

Ste. A

Yorba Linda, CA 92886

Tel: (714) 579-6826

Fax: (714) 579-6890Pager: (714) 929-6125

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Affiliate/Consulting/A

Allergy

Pediatrics

Medicine Department

18761540775

Cole, Robin R., M.D. 1325 N. Rose Drive

Suite 202

Placentia, CA 92870

Tel: (714) 203-1500

Fax: (714) 203-1711Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

General Surgery

Surgery

1649276684

Coll, Jonathan P., M.D. StatRad

13915 Danielson Street, Suite #200

Poway, CA 92064

Tel: (858) 546-3800

Fax: (858) 546-3900Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Provisional

Teleradiology

Medicine Department 1679803977

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Page 20 Printed on Friday, April 19, 2013

Concoff, Andrew L., M.D. 2141 N. Harbor Blvd. Suite 35000

Fullerton, CA 92835

Tel: (714) 626-8630

Fax: (714) 626-8681Pager: (714) 214-1107

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active Rheumatology

Internal Medicine

Medicine Department

1366442998

Cornfield, Michael, DPM

6200 East Canyon Rim Rd.

Suite #110D

Anaheim, CA 92807

Tel: (714) 305-3510

Fax: (714) 644-8226Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Podiatry

Surgery

1194745471

Cornwell, Shannon, P.A.-C

St. Jude Emergency Department

St. Jude Emergency Department

101 E. Valencia Mesa Drive

Fullerton, CA 92835

Tel: (714) 626-8500

Fax: (714) 626-8519Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

AHP

Physician Assistant

Emergency Medicine

Medicine Department

1902961626

Cortez, Jacquelyn D., D.O. 1950 Sunnycrest Drive

Ste. 2800

Fullerton, CA 92835

Tel: (714) 992-5350

Fax: (714) 992-8156Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Obstetrics/Gynecology

Women & Childrens

1982732236

Crandell, Ana-Marie, N.P. 731 S. Highland Avenue

Community Clinic

Fullerton, CA 92832

Tel: (714) 446-5100 5237

Fax: Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

AHP

Nurse Practitioner

Pediatrics

Medicine Department

1891822078

Cryder, Vivian M., P.A.-C

St. Jude Emergency Department

St. Jude Emergency Department

101 E. Valencia Mesa Drive

Fullerton, CA 92835

Tel: (714) 626-8500 Fax: (714) 626-8519Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

AHP-Observational

Physician Assistant

Emergency Medicine

AHP-Physician sponsored

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Page 21 Printed on Friday, April 19, 2013

Cuiching, Myrlee, P.A.-C

1010 W. La Veta Ave. Suite #710

Orange, CA 92868

Tel: (714) 835-2724

Fax: (714) 835-2753Pager:

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

AHP Physician Assistant

Orthopedic Surgery

Surgery

1770697690

Dahl, Patrick R., M.D. 301 W. Bastanchury Rd.

Suite 245

Fullerton, CA 92835

Tel: (714) 525-3500

Fax: (714) 525-3588Pager: (714) 525-3500

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Courtesy

Dermatology

Medicine Department

1033213392

Dang, Lam D., M.D. 241 East Imperial Hwy, Suite 350

Fullerton, CA 92835

Tel: (714) 578-8669

Fax: (714) 578-8629Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Provisional/Observ

Family Medicine

Medicine Department

1861662553

Darbinian, Sevak H., M.D. 1310 W. Stewart Drive

Suite 503

Orange, CA 92868

Tel: (949) 364-6264

Fax: (949) 364-7249Pager: (949) 364-6264

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Courtesy

Cardiovascular Surgery

Cardiothoracic

1306859178

Daskalakis, Theodoros M., M.D. 2141 N. Harbor Blvd.

Ste. 35000

Fullerton, CA 92835

Tel: (714) 626-8620 Ext 6933

Fax: (714) 626-8678Pager: (714) 201-4086

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

General Surgery

Surgery

1346394376

Dauer, Leonard I., M.D. 15215 Leffingwell Rd.

Whittier, CA 90604

Tel: (562) 946-9696

Fax: (562) 946-9644Pager: (562) 807-5790

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Senior Active

Pediatrics

Women & Childrens 1073647418

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Page 22 Printed on Friday, April 19, 2013

Dauer, Wendy, M.D. 15215 Leffingwell Road Whittier, CA 90604

Tel: (562) 946-9696

Fax: (562) 946-9644Pager:

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Courtesy Pediatrics

Women & Childrens

1023132289

Davenport, Christopher, M.D. 4300 Rose Drive

Yorba Linda, CA 92886

Tel: (714) 528-4211

Fax: Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Provisional/Observ

Family Practice

Medicine Department

1639300528

Davenport, Mark B., M.D. 2151 N. Harbor Blvd.

Suite 3200

Fullerton, CA 92835

Tel: (714) 446-5101

Fax: (714) 871-3006Pager: (714) 201-4141

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Family Medicine

Medicine Department

1679569636

Davis, John W., M.D. 1121 Glenview

Fullerton, CA 92835

Tel: (714) 525-2795

Fax: (714) 525-0707Pager: (714) 879-2410

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Administrative Staff

Urology

Surgery

Davis, Kyla, P.A.-C

2141 N. Harbor Blvd.

Suite 35000

Fullerton, CA 92835

Tel: (714) 626-8630

Fax: (714) 626-8681Pager: (714) 201-0202

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

AHP

Physician Assistant

Orthopedic Surgery

Surgery

1972726784

Daw, Gina M., N.P. 2141 N. Harbor Blvd.

Ste. 35000

Fullerton, CA 92835

Tel: (714) 626-8645

Fax: (714) 626-8683Pager: (714) 321-1088

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

AHP

Nurse Practitioner

Orthopedic Surgery

Surgery 1952445827

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Page 23 Printed on Friday, April 19, 2013

De La Mora, Karen M., P.A.-C

Emergency Department 101 East Valencia Mesa Drive

Fullerton, CA 92835

Tel: (714) 626-8500

Fax: (714) 626-8519Pager:

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

AHP Physician Assistant

Emergency Medicine

Medicine Department

1982616868

De Silva, Bertrand R., M.D. 2133 W. Chapman Ave.

Suite "H"

Orange, CA 92868

Tel: (714) 673-2603

Fax: (714) 940-0985Pager: (714) 286-0127

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Courtesy

Pulmonary Disease

Critical Care

Internal Medicine

Medicine Department

1083712236

Del Campo, Carlos, M.D. 301 W. Bastanchury Road

Suite 195

Fullerton, CA 92835

Tel: (714) 446-8920

Fax: (714) 446-8923Pager: (714) 201-0716

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Cardiovascular Surgery

Cardiothoracic

1730222589

Del Carmen, Renato, M.D. P.O. Box 5221

Fullerton, CA 92838

Tel: (714)992-3000 ext. 3714

Fax: Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Anesthesiology

Surgery

1710938964

Dell, Jeffrey, M.D. 100 E. Valencia Mesa Drive

Suite 206

Fullerton, CA 92835

Tel: (714) 446-5405

Fax: (714) 446-5407Pager: (714) 219-5880

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Cardiovascular Disease

Internal Medicine

Cardiothoracic

1518953694

Demman, Philip J., M.D. 4644 Ponderosa Way

Yorba Linda, CA 92886

Tel: (800) 275-8970

Fax: (818) 344-6993Pager: (714) 219-7325

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Anesthesiology

Surgery 1750332938

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Page 24 Printed on Friday, April 19, 2013

Devaraj, Narayanaiyengar, M.D. 3356 W. Ball Road Suite 205

Anaheim, CA 92804

Tel: (714) 952-0958

Fax: (714) 952-0719Pager: (714) 952-0958

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active Cardiovascular Disease

Cardiothoracic

1639133960

Dewan, Chanchal, M.D. 2250 W. Whittier Blvd.

Suite 100

La Habra, CA 90631

Tel: (562) 690-4075

Fax: (562) 690-4185Pager: (562) 807-1450

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Pediatrics

Women & Childrens

1457385726

Dhar, Vijay, M.D. 455 South Main Street

Orange, CA 92868

Tel: (714) 516-4373

Fax: (714) 532-7800Pager: (714) 275-7067

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Courtesy

Neonatology

Women & Childrens

1568552651

Dhawan, Puneet, M.D. 301 W. Bastanchury Rd.

Suite 195

Fullerton, CA 92835

Tel: (714) 446-8920

Fax: (714) 446-8923Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Cardiovascular Surgery

Thoracic Surgery

Cardiothoracic

1447247853

Diaz, David G., M.D. 11160 Warner Avenue

Suite 411

Fountain Valley, CA 92708

Tel: (714) 446-1234

Fax: (714) 446-9140Pager: (714) 999-0169

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Courtesy

Infertility

Surgery

1114009693

Dieterich, F. W., M.D. 1275 N. Rose Dr.

Suite 106

Placentia, CA 92870

Tel: (714) 572-1921

Fax: (714) 572-8334Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Obstetrics/Gynecology

Women & Childrens 1720183650

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Page 25 Printed on Friday, April 19, 2013

DiGiovanni, Michael L., P.A.-C

1310 W. Stewart Drive #503 Orange, CA 92868

Tel: (714) 997-2224

Fax: (714) 997-1187Pager:

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

AHP Physician Assistant

Cardiovascular Surgery

Cardiothoracic

1477579704

Dinglasan, Joseph, M.D. St. Jude Emergency Department

St. Jude Emergency Department

101 E. Valencia Mesa Drive

Fullerton, CA 92835

Tel: (714) 626-8500

Fax: (714) 626-8519Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Emergency Medicine

Medicine Department

1457515272

Doi, Leslie, M.D. St. Jude Radiology

St. Jude Radiology Department

101 E. Valencia Mesa Drive

Fullerton, CA 92835

Tel: (714) 992-3978

Fax: (714) 446-5908Pager: (714) 992-3978

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Radiology

Medicine Department

1740386366

Dolkar, Dechen, M.D. Radiation Oncology Dept.

2151 N. Harbor Blvd. Ste 1500

Fullerton, CA 92835

Tel: (714) 446-5632

Fax: (714) 992-3081Pager: (714) 201-1392

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Radiation Oncology

Medicine Department

1861475683

Doolittle, Samuel, M.D. 1480 S. Harbor Blvd.

Suite 12

La Habra, CA 90631

Tel: (714) 871-3255

Fax: (714) 870-2038Pager: (714) 871-3255

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Senior Active

Family Medicine

Medicine Department

1750443198

Doshi, Nita, M.D. 505 S. Main Street

Suite #200

Orange, CA 92868

Tel: (714) 512-3939

Fax: (714) 512-3949Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Pediatric Cardiology

Women & Childrens 1891984316

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Page 26 Printed on Friday, April 19, 2013

Doshi, Rahul N., M.D. 2240 N. Harbor Blvd. Ste. 200

Fullerton, CA 92835

Tel: (714) 870-4665

Fax: (714) 870-1582Pager: 714-410-0179

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active Electrophysiology

Cardiovascular Surgery

Cardiothoracic

1710981766

Downing, Timothy H., M.D. 3819 Grandview Drive

Brea, CA 92823

Tel: (714) 992-3000 Ext. 3714

Fax: ( ) -Pager: (714) 201-0343

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Anesthesiology

Pain Medicine

Surgery

1629158761

Drake, Edward S., D.O. 1325 North Rose Drive

Suite 201

Placentia, CA 92870

Tel: (714) 203-1760

Fax: (714) 203-1765Pager: (800) 568-4770 ext.7561

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Family Medicine

Medicine Department

1629132592

Duke, Alexandra D., D.O. 2720 N. Harbor Blvd.

Suite 200

Fullerton, CA 92835

Tel: (714) 449-6910

Fax: (714) 449-6913Pager: (714) 201-4076

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Family Medicine

Medicine Department

1760479992

Dymond, Karen E., Ph.D. 1480 S. Harbor Blvd.

Suite 14

La Habra, CA 90631

Tel: (714) 447-8782

Fax: (714) 447-9386Pager: (714)449-3343

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Affiliate/Consulting

Clinical Psychology

Medicine Department

1750312492

Ela, Thomas W., M.D. 1771 W. Romneya Dr.

Suite A

Anaheim, CA 92801

Tel: (714) 780-9770

Fax: (714) 780-9773Pager: (714) 671-1350

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Neurology

Medicine Department 1831184795

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Page 27 Printed on Friday, April 19, 2013

Elbalalesy, Naser M., M.D. 455 S. Main Street Orange, CA 92868

Tel: (714) 532-7555

Fax: (714) 532-7953Pager: (714) 532-7555

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Courtesy Pediatric Neurology

Pediatrics

Women & Childrens

1720178817

Evensen, Karen, M.D. 2141 N. Harbor Blvd

Ste. 35000

Fullerton, CA 92835

Tel: (714) 626-8630

Fax: (714) 626-8682Pager: (714) 201-0112

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Orthopedic Surgery

Surgery

1750452652

Fabricant, Michael, M.D. 2141 N. Harbor Blvd.

Suite #25000

Fullerton, CA 92835

Tel: (714) 626-8610

Fax: (714) 626-8688Pager: (714) 237-4728

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Senior Active

Rheumatology

Medicine Department

1790771616

Farahanchi, Arash, D.O. 2720 N. Harbor Blvd.

Suite 130

Fullerton, CA 92835

Tel: (714) 449-6230

Fax: (714) 449-1773Pager: (714) 449-6230

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Family Medicine

Medicine Department

1497829972

Farahmand, Shirin M., M.D. St Jude Pathology Dept.

101 E. Valencia Mesa Drive

Fullerton, CA 92835

Tel: (714) 992-3907

Fax: (714) 992-3055Pager: (714) 335-0055

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Pathology

Surgery

1255384905

Farid, Hamed, M.D. 1038 E. Bastanchury Rd.

Suite #293

Fullerton, CA 92835

Tel: (714) 808-9292

Fax: (714) 808-9393Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Provisional

Neuro Interventional

Radiology

Medicine Department

1669685715

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Page 28 Printed on Friday, April 19, 2013

Farshidi, Elaheh E., M.D. 1801 W. Romneya Dr. Suite 305

Anaheim, CA 92801

Tel: (714) 999-5948

Fax: (714) 999-0930Pager: (714) 337-4780

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active Family Medicine

Medicine Department

1245277789

Feldman, Stuart, M.D. 1950 SunnyCrest Drive

Ste. #3400

Fullerton, CA 92835

Tel: (714) 879-2410

Fax: (714) 879-5340Pager: (562) 806-1864

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Urology

Surgery

1508089707

Feng, Karl H., M.D. St. Jude Emergency Department

St. Jude Emergency Department

101 E. Valencia Mesa Drive

Fullerton, CA 92835

Tel: (714) 626-8500

Fax: (714) 626-8519Pager: (714) 992-3965

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Emergency Medicine

Medicine Department

1306875190

Fisher, Marshall P., M.D. St. Jude Radiology

St. Jude Radiology Department

101 E. Valencia Mesa Drive

Fullerton, CA 92835

Tel: (714) 992-3978

Fax: (714) 446-5908Pager: (714) 992-3978

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Radiology

Medicine Department

1295760999

Fitzgibbons, Patrick, M.D. St. Jude Pathology

101 E. Valencia Mesa

Fullerton, CA 92835

Tel: (714) 992-3907

Fax: (714) 992-3055Pager: (714) 992-3907

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Pathology

Surgery

1568415743

Florin, Jack H., M.D. 100 Laguna Road

Suite 208

Fullerton, CA 92835

Tel: (714) 738-0800

Fax: (714) 738-3758Pager: (714) 738-0800

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Senior Active

Neurology

Medicine Department 1235218488

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Page 29 Printed on Friday, April 19, 2013

Foley, Allison K., M.D. 4300 Rose Drive Ste. M

Yorba Linda, CA 92886

Tel: (714) 577-6652

Fax: (714) 223-6779Pager: (714) 577-6600

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active Internal Medicine

Medicine Department

1982604906

Foley, William, M.D. 100 E. Valencia Mesa

Suite 211

Fullerton, CA 92835

Tel: (714) 871-6879

Fax: (714) 871-2530Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Senior Active

Vascular Surgery

Surgery

1700856598

Ford, Anne E., M.D. 2720 N. Harbor #200

Fullerton, CA 92835

Tel: (714) 449-6910

Fax: (714) 525-1698Pager: (714) 449-6970

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Family Medicine

Medicine Department

1518967140

Forouzannia, Afshin, M.D. 1500 Rosecrans Ave.

Suite 400

Manhattan Beach, CA 90266

Tel: (310) 335-4065

Fax: (310) 335-4098Pager: 310-335-4065

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Courtesy

Radiation Oncology

Medicine Department

1073597233

Forouzannia, Arman, M.D. St. Jude Radiology

St. Jude Radiology Department

101 E. Valencia Mesa Drive

Fullerton, CA 92835

Tel: (714) 992-3978

Fax: (714) 992-4465Pager: (714) 201-4942

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Radiology

Medicine Department

129587221

Fortuna, Robert, M.D. 13915 Danielson Street

Ste. 200

Poway, CA 92064

Tel: (858) 546-3800

Fax: (858) 546-3900Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Provisional

Teleradiology

Medicine Department 1992719165

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Page 30 Printed on Friday, April 19, 2013

Fralick, Jerry, M.D. 100 E. Valencia Mesa Dr. Suite 310

Fullerton, CA 92835

Tel: (714) 446-5200

Fax: (714) 446-5524Pager: (714) 446-7800

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active Physical Medicine &

Rehab

Medicine Department

1063408425

Franklin, Gloria, N.P. 1440 N. Harbor Blvd.

Suite 114

Fullerton, CA 92835

Tel: (714) 446-7454

Fax: (714) 879-1049Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

AHP

Nurse Practitioner

Family Practice

Medicine Department

1043301542

Franks, Theresa M., M.D. 1950 Sunny Crest Drive

Suite 2800

Fullerton, CA 92835

Tel: (714) 992-5350

Fax: (714) 992-8156Pager: (714) 992-5350

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Gynecology

Surgery

1396700704

Fraser, John, M.D. St. Jude Neighborhood Health Center

731 S. Highland Avenue

Fullerton, CA 92832

Tel: (714) 449-5100

Fax: (714) 449-0726Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Extended

Family Medicine

Medicine Department

1639334972

Frederick, Jane L., M.D. 500 Superior Ave.

Suite #210

Newport Beach, CA 92663

Tel: (949) 287-5600

Fax: (949) 642-2750Pager: (949) 472-9446

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Community Supportive

Ob/Gyn and

Reproductive Endoc

Surgery 1417927070

Frenkiel, Paul G., M.D. 15627 Imperial Hwy

La Mirada, CA 90638-1627

Tel: (714) 990-0911

Fax: (714) 255-9565Pager: (562)943-7219

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Gastroenterology

Medicine Department 1245284645

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Page 31 Printed on Friday, April 19, 2013

Frost, Marlene, N.P. 2240 N. Harbor Blvd. Ste. 200

Fullerton, CA 92835

Tel: (714) 870-4665

Fax: (714) 870-1582Pager:

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

AHP Nurse Practitioner

Cardiovascular Disease

Cardiothoracic

1346387073

Fuentes, Jennifer A., N.P. St. Jude Neighborhood Clinic

731 S. Highland Avenue

Fullerton, CA 92832

Tel: (714) 446-5100

Fax: (714) 449-0726Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

AHP

Nurse Practitioner

Family Medicine

AHP-Physician sponsored

1992906465

Furlan, Julie, M.D. 1200 N. Tustin Avenue

Ste. 140

Santa Ana, CA 92705

Tel: (714) 972-8432

Fax: (714) 972-4715Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Provisional/Observ

Ophthalmology

Surgery

1063611291

Gaddam, Syam P., M.D. 11922 Seacrest Dr.

Ste. A

Garden Grove, CA 92840

Tel: (714) 636-9100

Fax: (714) 636-1806Pager: (714) 636-9100

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Gastroenterology

Medicine Department

1275510711

Galligan, Donald J., D.O. Anesthesia

c/o Surgery Department

101 E. Valencia Drive

Fullerton, CA 92835

Tel: 714-869-2910 cell

Fax: Pager: (714) 806-1359

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Anesthesiology

Surgery

1205888245

Gandhi, Nirav D., M.D. 1801 W. Romneya Dr.

Ste. 207

Anaheim, CA 92801

Tel: (714) 956-5200

Fax: (714) 956-4614Pager: (714) 956-5200

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Courtesy

Nephrology

Internal Medicine

Medicine Department 1649263252

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Medical Staff Picture Roster

Page 32 Printed on Friday, April 19, 2013

Garces, Maximilian E., M.D. 4300 Rose Drive Ste. L

Yorba Linda, CA 92886

Tel: (714) 577-6612

Fax: (714) 223-6777Pager: (714) 218-9147

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active Internal Medicine

Medicine Department

1588650436

Garcia, Leo S., M.D. 2141 N. Harbor Blvd.

Suite #25000

Fullerton, CA 92835

Tel: (714) 626-8608

Fax: (714) 626-8695Pager: (714) 201-4155

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Internal Medicine

Medicine Department

1831185792

Garcia, Melinda S., P.A.-C

101 E. Valencia Mesa Dr.

Emergency Dept.

Fullerton, CA 92835

Tel: (714) 626-8500

Fax: (714) 626-8519Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

AHP

Physician Assistant

Emergency Medicine

Medicine Department

1437226263

Garcia, Nicole A., M.D. 6200 E. Canyon Rim Rd.

Suite 105B

Anaheim Hills, CA 92807

Tel: (714) 998-3627

Fax: (714) 998-1895Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Family Medicine

Medicine Department

1437145505

Gates, Richard N., M.D. 1310 W. Stewart Dr.

Suite 503

Orange, CA 92868

Tel: (714) 446-8866

Fax: (714) 997-1187Pager: (714) 997-2224

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Courtesy

Cardiovascular Surgery

Thoracic Surgery

Cardiothoracic

1568481414

Gazzaniga, Michael S., M.D. 301 W. Bastanchury Road

Suite 180

Fullerton, CA 92835

Tel: (714) 870-5970

Fax: (714) 870-4792Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Urology

Surgery 1396858163

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Medical Staff Picture Roster

Page 33 Printed on Friday, April 19, 2013

Ghobrial, Gergis R., M.D. 3605 Long Beach Blvd. Suite 405

Long Beach, CA 90807

Tel: (562) 426-0147

Fax: (888) 206-5318Pager: (714)

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Courtesy General Surgery

Surgery

1518975622

Gianzero, Marc V., M.D. Monox - Attn: Debbie Sigman

5 Holland Drive Ste. 101

Irvine, CA 92618

Tel: (949) 297-4690

Fax: Pager: (714) 476-2172

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Anesthesiology

Surgery

1417930975

Gibson, Harry, M.D. 101 Laguna Road

Suite A

Fullerton, CA 92835

Tel: (714) 879-0050

Fax: (714) 879-0229Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Senior Active

Orthopedic Surgery

Surgery

1598791725

Giglio, Mark F., M.D. 2720 N. Harbor Blvd.

Suite 200

Fullerton, CA 92835

Tel: (714) 449-6910

Fax: (714) 449-6913Pager: (714) 449-6970

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Family Medicine

Medicine Department

1134129182

Gilbert, Jr., John, M.D. 100 E. Valencia Mesa Dr.

Suite #105

Fullerton, CA 92835

Tel: (714) 446-5640

Fax: (714) 446-5468Pager: (714) 201-4160

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Endocrinology

Medicine Department

1588650667

Gill, Jeffry M., M.D. 407 W. Imperial Hwy. #H-171

Brea, CA 92821

Tel: (562) 365-3540

Fax: (714) 990-2754Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Courtesy

Pediatrics

Women & Childrens 1477654747

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Medical Staff Picture Roster

Page 34 Printed on Friday, April 19, 2013

Gjesdal, Donald, M.D. 16960 E. Bastanchury Rd. Suite H

Yorba Linda, CA 92886

Tel: (714) 961-0110

Fax: (714) 961-8208Pager:

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Courtesy Allergy

Medicine Department

1447254339

Gleeson, Diane L., N.P. 101 E. Valencia Mesa Drive

Fullerton, CA 92835

Tel: (714) 446-5796

Fax: Pager: (714) 201-0228

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

AHP

Nurse Practitioner

Neurology

Medicine Department

1417129131

Godbole, Shubhangi S., M.D. 501 S. Idaho Street

Suite #100

La Habra, CA 90631

Tel: (562) 690-0400

Fax: (562) 690-3182Pager: (562) 944-8054

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Internal Medicine

Medicine Department

1316042567

Goldberger, Sam, M.D. 301 W. Bastanchury Rd

Suite 190

Fullerton, CA 92835

Tel: (714) 449-1940

Fax: (714) 449-1988Pager: (714)449-1940

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Ophthalmology

Surgery

1982643144

Golkar, Linda, M.D. 4300 Rose Drive

Ste. J

Yorba Linda, CA 92886

Tel: (714) 577-6618

Fax: (714) 579-6859Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Dermatology

Medicine Department

1811997877

Gonda, Francisco, M.D. 1110 W. La Palma Ave

Suite 10

Anaheim, CA 92801

Tel: (714) 956-5470

Fax: (714) 956-4634Pager: (714) 956-5470

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Senior Active

Internal Medicine

Medicine Department 1447342308

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Medical Staff Picture Roster

Page 35 Printed on Friday, April 19, 2013

Gonzales, Gilbert S., M.D. 18200 Yorba Linda Blvd. Suite 108

Yorba Linda, CA 92886

Tel: (714) 524-6977

Fax: (714) 524-4476Pager: (714) 432-2508

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active Pediatrics

Women & Childrens

1144261462

Grant, Scott, M.D. 301 West Bastanchury Rd.

Suite 285

Fullerton, CA 92835

Tel: (714) 738-4620

Fax: (714) 738-0388Pager: (714) 738-4620

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Senior Active

Ophthalmology

Surgery

1194762310

Gray, Brian C., M.D. 1950 Sunny Crest Drive

Suite 2800

Fullerton, CA 92835

Tel: (714) 992-5350

Fax: (714) 992-8168Pager: (714) 992-5350

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Obstetrics/Gynecology

Women & Childrens

1457316705

Gray, Crystal M., P.A.-C

Gynecological Oncology Associates

351 Hospital Road, #507

Newport Beach, CA 92663

Tel: (949) 642-1361

Fax: (949) 642-1608Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

AHP-Observational

Physician Assistant

Gynecologic Oncology

AHP-Physician sponsored

Greco, Donald J., M.D. St. Jude Emergency Department

St. Jude Emergency Department

101 E. Valencia Mesa Drive

Fullerton, CA 92835

Tel: (714) 626-8500

Fax: (714) 626-8519Pager: (714) 992-3965

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Emergency Medicine

Medicine Department

1922032739

Greco, Timothy, M.D. St. Jude Emergency Department

St. Jude Emergency Department

101 E. Valencia Mesa Drive

Fullerton, CA 92835

Tel: (714) 626-8500 Fax: (714) 626-8519Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Emergency Medicine

Medicine Department 1255369757

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Medical Staff Picture Roster

Page 36 Printed on Friday, April 19, 2013

Green, Michael M., D.O. 2720 N. Harbor Blvd. Suite 130

Fullerton, CA 92835

Tel: (714) 449-6200

Fax: (714) 449-6283Pager:

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Provisional/Observ Occupational Medicine

Primary Care

1902944788

Greenfield, Larry D., M.D. 1980 Silver Leaf Circle

Apt. 119

Carlsbad, CA 92009

Tel: (760) 704-1282

Fax: Pager: (714) 992-3978

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Administrative Staff

Radiology

Nuclear Medicine

Medicine Department

Greenfield, Tennille R., P.A.-C

100 E. Valencia Mesa Drive

Suite #310

Fullerton, CA 92835

Tel: (714) 446-5200

Fax: (714) 446-5292Pager: (714) 308-0184

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

AHP

Physician Assistant

Orthopedic Surgery

Surgery

1265640734

Grenier, Richard, D.P.M. Foot Fitness Center

4976 Lakeview Avenue

Yorba Linda, CA 92886

Tel: (714) 777-2658

Fax: (714) 777-1055Pager: (714) 777-2658

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Podiatry

Surgery

1588637193

Groncy, Charles, M.D. 301 W. Bastanchury

Suite 25

Fullerton, CA 92835

Tel: (714) 680-6220

Fax: (714) 680-3893Pager: (714) 680-6220

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Affiliate/Consulting

Allergy

Medicine Department

1841205838

Gruenes, Jeri M., DPM

1041 E. Yorba Linda Blvd., #201

Placentia, CA 92870

Tel: (714) 985-9168

Fax: (714) 985-9161Pager: (714) 930-5568

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Podiatry

Surgery 1588764187

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Medical Staff Picture Roster

Page 37 Printed on Friday, April 19, 2013

Gunn, Gordon, M.D. 150 Laguna Road Fullerton, CA 92835

Tel: (714) 447-4800

Fax: (714) 447-1098Pager: (714) 447-4800

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Senior Active Gynecology

Surgery

1194829184

Gursahani, Meena, M.D. St. Jude Radiology

St. Jude Radiology Department

101 E. Valencia Mesa Drive

Fullerton, CA 92835

Tel: (714) 992-3978

Fax: (714) 992-3928Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Courtesy

Radiology

Medicine Department

1811979800

Gutierrez, Debra L., M.D. St. Jude Neighborhood Clinic

731 S. Highland Avenue

Fullerton, CA 92832

Tel: (714) 446-5100

Fax: (714) 449-0726Pager: (714) 201-0980

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Family Medicine

Medicine Department

1447308341

Haggag, Ahmed, P.A.-C

1041 E. Yorba Linda Blvd.

Suite #210

Placentia, CA 92870

Tel: (714) 223-7000

Fax: (714) 223-7001Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

AHP

Physician Assistant

Physical Medicine &

Rehab

Medicine Department

1033138383

Hameed, Afshan B., M.D. 101 The City Dr.

Bldg. 56, No.800

Orange, CA 92868

Tel: (714) 456-6807

Fax: (714) 456-7754Pager: (714) 456-6807

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Perinatology

Women & Childrens

1992885040

Hampton, Blanca B., M.D. 1110 W. La Palma Ave.

Suite 2

Anaheim, CA 92801

Tel: (714) 991-3180

Fax: (714) 991-1957Pager: (714) 991-3180

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Pediatrics

Women & Childrens 1245263953

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Medical Staff Picture Roster

Page 38 Printed on Friday, April 19, 2013

Han, Jay B., M.D. 100 E. Valencia Mesa Drive Suite 206

Fullerton, CA 92835

Tel: (714) 446-5050

Fax: (714) 446-5413Pager: (714) 806-4034

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active Cardiovascular Disease

Cardiothoracic

1669468757

Hanuman, Anil, D.O. 15034 Imperial Hwy.

La Mirada, CA 90638

Tel: (562) 902-4929

Fax: (562) 902-8792Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Community Supportive

Internal Medicine

Medicine Department

1023101813

Hardeman, James L., M.D. 2141 N. Harbor Blvd.

Suite #25000

Fullerton, CA 92835

Tel: (714) 626-8616

Fax: (714) 626-8670Pager: (714) 999-1122

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Pulmonary Disease

Critical Care

Internal Medicine

Medicine Department

1043399017

Hastin, Julie B., P.A.-C

2141 N. Harbor Blvd., #35000

Fullerton, CA 92835

Tel: (714) 626-8630

Fax: (714) 626-8659Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

AHP-Observational

Physician Assistant

Orthopedic Surgery

Medicine Department

1962787838

Hatfield, Tamera J., M.D. 101 The City Drive

Bldg 56, Ste. 800

Orange, CA 92868

Tel: (714) 456-5967

Fax: (714) 456-7091Pager: (714) 506-6345

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Provisional/Observ

Perinatology

Women & Childrens

1033390331

Heh, Christopher, M.D. 2141 N. Harbor Blvd., Suite 25000

Fullerton, CA 92835

Tel: (714) 626-8525

Fax: (714) 626-8695Pager: (714) 214-2110

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Psychiatry

Medicine Department 1467449629

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Medical Staff Picture Roster

Page 39 Printed on Friday, April 19, 2013

Helgesen, Helge S., P.A.-C

101 Laguna Rd. Ste. A

Fullerton, CA 92835

Tel: (714) 879-0050

Fax: (714) 879-0249Pager: (714)879-0050

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

AHP Physician Assistant

Orthopedic Surgery

Surgery

1669541330

Henderson, Donald W., M.D. 1950 Sunny Crest Dr

Suite 2800

Fullerton, CA 92835

Tel: (714) 992-5350

Fax: (714) 992-8156Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Senior Active

Obstetrics/Gynecology

Women & Childrens

1447217898

Hernandez, Ada A., M.D. Anesthesia

c/o Surgery Department

101 E. Valencia Drive

Fullerton, CA 92835

Tel: 714-992-3000 #3714

Fax: Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Provisional

Anesthesiology

Surgery

1477668945

Hernandez, Nicolas, D.O. 731 N. Beach Blvd.

Ste. 175

La Habra, CA 90631

Tel: (562) 697-6030

Fax: (562) 697-6267Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Family Medicine

Medicine Department

1992941751

Hernandez-Schneider, Ana M., M.D. 500 S. Anaheim Hills Road

Suite 128

Anaheim Hills, CA 92807

Tel: (714) 921-1211

Fax: (714) 921-8124Pager: (714) 921-1211

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Family Medicine

Medicine Department

1588770531

Hess, Carl A., M.D. 270 Laguna Rd.

Suite 220

Fullerton, CA 92835

Tel: (714) 773-9500

Fax: (714) 773-9510Pager: (714) 355-0848

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Pain Medicine

Surgery 1154471118

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Medical Staff Picture Roster

Page 40 Printed on Friday, April 19, 2013

Hicks, David A., M.D. 455 S. Main Street CHOC

Orange, CA 92868

Tel: (714) 532-8632

Fax: (714) 532-7800Pager: (714) 532-8622

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active Neonatology

Women & Childrens

1851485627

Higgins, Kendra, P.A.-C

101 Laguna Rd.

Suite A

Fullerton, CA 92835

Tel: (714) 879-0050

Fax: (714) 879-0249Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

AHP

Physician Assistant

Orthopedic Surgery

Surgery

1063692366

Hill, Richard A., M.D. 1200 N. Tustin Ave.

Suite 240

Santa Ana, CA 92705

Tel: (714) 542-0111

Fax: (714) 542-8211Pager: (714) 542-0111

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Ophthalmology

Surgery

1255482055

Ho, Hector W., M.D. 1010 W. La Veta Ave.

Suite 710

Orange, CA 92868

Tel: (714) 835-2724

Fax: (714) 835-2751Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Neurosurgery

Surgery

1912969353

Ho, Pauline, M.D. 1275 Rose Dr. #134

Placentia, CA 92870

Tel: (714) 996-6500

Fax: (714) 996-1722Pager: (714) 996-6500

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Infectious Disease

Medicine Department

1194854794

Hodge, Julie, M.D. 1440 N. Harbor Blvd.

Suite 300

Fullerton, CA 92835

Tel: (714) 526-7546

Fax: (714) 526-7547Pager: (714) 5267546

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Courtesy

Dermatology

Medicine Department 1629150396

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Medical Staff Picture Roster

Page 41 Printed on Friday, April 19, 2013

Holmkvist, Kristina A., M.D. 301 W. Bastanchury Rd. Suite 245

Fullerton, CA 92835

Tel: (714) 525-3500

Fax: (714) 525-3588Pager: 714-525-3500

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Courtesy Dermatology

Medicine Department

1194772822

Horwath, Ewald, M.D. Specialists on Call, Inc.

1503 Edwards Ferry Road, NE Suite 310

Leesburg, VA 20176

Tel: (866) 483-9690

Fax: (855) 811-6296Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Provisional/Observ

Telepsychiatry

Medicine Department

1720128986

Houshyar, Ali A., M.D. 1275 North Rose

Suite 126

Placentia, CA 92870

Tel: (714) 524-3880

Fax: (714) 524-3884Pager: 714-524-3880

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Internal Medicine

Medicine Department

1568434595

Huang, James, D.O. 340 W. Central Ave.

Suite 119

Brea, CA 92821

Tel: (714) 990-0375

Fax: (714) 990-0305Pager: 714-990-0375

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Family Medicine

Medicine Department

1518992635

Huang, W. Luke, M.D. 340 W. Central Ave.

Suite #119

Brea, CA 92821

Tel: (714) 990-0375

Fax: (714) 990-0305Pager: (714) 990-0375

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Pediatrics

Women & Childrens

1538244611

Hughes, Thomas C., M.D. 1950 Sunny Crest Drive

Suite 2800

Fullerton, CA 92835

Tel: (714) 992-5350

Fax: (714) 992-8156Pager: (714) 410-0179 16171

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Senior Active

Gynecology

Surgery 1578520722

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Medical Staff Picture Roster

Page 42 Printed on Friday, April 19, 2013

Hurst, Fred, M.D. 4300 Rose Drive Ste. R

Yorba Linda, CA 92886

Tel: (714) 577-6620

Fax: (714) 579-6864Pager: (714) 219-6294

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Senior Active Family Medicine

Medicine Department

1114927720

Hutain, Royce, M.D. 501 N. Cornell Street

Fullerton, CA 92831

Tel: (714) 992-2730

Fax: (714) 992-1918Pager: (714) 992-2730

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Senior Active

Family Medicine

Medicine Department

1104894286

Hutchison, Edward, M.D. 2874 E. Imperial Hwy

Brea, CA 92821-6714

Tel: (714) 996-2390

Fax: (714) 996-3804Pager: (714) 343-1463

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Internal Medicine

Medicine Department

1912982026

Huynh, Chau Q., M.D. 15192 Lafayette Street

Westminster, CA 92683

Tel: (714) 271-2919

Fax: Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Radiology

Medicine Department

1649434390

Iskander, Rosanna, M.D. 314 N. Lemon

Walnut, CA 91789

Tel: (909) 598-0081

Fax: (909) 598-0072Pager: (909) 409-0001

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Senior Active

Family Medicine

Medicine Department

1265500896

Isterabadi, Larissa B., M.D. 4300 Rose Drive

Ste. C

Yorba Linda, CA 92886

Tel: (714) 577-6677

Fax: (714) 223-6769Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Pediatrics

Women & Childrens 1821125543

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Page 43 Printed on Friday, April 19, 2013

Ivanova, Ana I., M.D. 4300 Rose Drive Ste. R

Yorba Linda, CA 92886

Tel: (714) 528-4211

Fax: (714) 579-6864Pager: (714) 219-3819

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active Family Medicine

Medicine Department

1104812833

Jackson, Bradley, M.D. St. Jude Medical Center - Radiology

101 E. Valencia Mesa Drive

Fullerton, CA 92835

Tel: (714) 992-3978

Fax: (714) 992-3928Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Provisional

Radiology

Medicine Department

1124206487

Jafari, Alireza, M.D. 15141 Whittier Blvd.

Ste. 240

Whittier, CA 90603

Tel: (562) 945-7746

Fax: (562) 945-6619Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Courtesy

Cardiovascular Disease

Cardiothoracic

1235186347

Jamal, Hyder Z., M.D. 4300 Rose Drive

Ste. G

Yorba Linda, CA 92886

Tel: (714) 577-6624

Fax: (714) 579-6810Pager: (714)446-7048

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Gastroenterology

Internal Medicine

Medicine Department

1740280932

Janssen, Matthew, M.D. St. Jude Emergency Department

St. Jude Emergency Department

101 E. Valencia Mesa Drive

Fullerton, CA 92835

Tel: (714) 626-8500

Fax: (714) 626-8519Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Provisional

Emergency Medicine

Medicine Department

1497857023

Jao, Kedy, D.O. 12675 La Mirada Blvd.

Suite 220

La Mirada, CA 90638

Tel: (562) 946-4095

Fax: (562) 946-4793Pager: (562) 946-4095

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Family Medicine

Medicine Department 1629144464

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Page 44 Printed on Friday, April 19, 2013

Jesse, David, M.D. 3000 E. Birch St. Suite 110

Brea, CA 92821

Tel: (714) 996-5770

Fax: (714) 961-6189Pager: (714) 324-0821

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Senior Active Family Medicine

Medicine Department

1093730061

Jingco, Michael, N.P. 1440 N. Harbor Blvd.

Suite #114

Fullerton, CA 92835

Tel: (714) 446-7454

Fax: (714) 879-1049Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

AHP

Nurse Practitioner

Family Practice

Medicine Department

1245496793

Jones, Scot, M.D. St. Jude Emergency Department

St. Jude Emergency Department

101 E. Valencia Mesa Drive

Fullerton, CA 92835

Tel: (714) 626-8500

Fax: (714) 626-8519Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Emergency Medicine

Medicine Department

1740220094

Kadakia, Amar, M.D. 1440 N. Harbor Blvd.

Suite #114

Fullerton, CA 92835

Tel: (714) 446-7454

Fax: (714) 879-1049Pager: (714) 651-8138

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Internal Medicine

Medicine Department

1649386210

Kalthia, Ashish, M.D. 12665 Garden Grove Blvd.

Ste 211

Garden Grove, CA 92843

Tel: (714) 636-2890

Fax: (714) 636-2909Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Nephrology

Medicine Department

1508880659

Kamran, Shahid, M.D. St Jude NICU

101 E. Valencia Mesa Drive

Fullerton, CA 92835

Tel: (714) 532-8620

Fax: (714) 626-8537 or (714) 532-7800Pager: (714) 275-7133

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Neonatology

Pediatrics

Women & Childrens 1093809741

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Page 45 Printed on Friday, April 19, 2013

Kang, Aeri Y., M.D. 2720 N. Harbor Blvd. Suite 300

Fullerton, CA 92835

Tel: (714) 449-6990

Fax: (714) 449-6971Pager: (714) 219-5027

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active Internal Medicine

Pediatrics

Medicine Department

1689660755

Kang, Eileen S., Ph.D. 385 East Imperial Hwy.

Fullerton, CA 92835

Tel: (714) 681-9070

Fax: (714) 773-4788Pager: (714) 681-9070

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Clinical Psychology

Medicine Department

1689744005

Kang, Iksoo, M.D. 26881 Vista Pointe

San Juan Capistrano, CA 92675

Tel: (949) 291-9719

Fax: Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Emergency Medicine

Medicine Department

1093758393

Karich, Andrew C., M.D. 2141 N. Harbor Blvd

Suite 35000

Fullerton, CA 92835

Tel: (714) 626-8630

Fax: (714) 626-8684Pager: (714) 214-1533

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Orthopedic Surgery

Surgery

1508866575

Katz, Jeffrey H., D.P.M. 6200 E. Canyon Rim Rd.

Suite 111E

Anaheim, CA 92807

Tel: (714) 974-3338

Fax: (714) 974-7683Pager: (714)974-3338

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Podiatry

Surgery

1518923614

Katz, Michael, M.D. 101 E. Valencia Mesa Drive

c/o Critical Care Unit

Fullerton, CA 92835

Tel: (714) 447-5060

Fax: (714) 992-3169Pager: (714) 201-1400

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Critical Care

Critical Care

Internal Medicine

Medicine Department 1841213899

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Page 46 Printed on Friday, April 19, 2013

Kaw Jr., Henry, M.D. 869 Charleston Way Brea, CA 92821

Tel: (714) 747-7476

Fax: (714) 990-5034Pager:

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active Family Medicine

Medicine Department

1215022967

Kawai, Sharon, M.D. 1440 N. Harbor Blvd.

Suite 900

Fullerton, CA 92835

Tel: (714) 449-3340

Fax: (714) 870-9462Pager: 714-764-0248

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Affiliate/Consulting

Physical Medicine &

Rehab

Medicine Department

1396941142

Kawashima, Chika, P.A.-C

100 E. Valencia Mesa Drive

Ste. 310

Fullerton, CA 92835

Tel: (714) 446-5200

Fax: (714) 446-5472Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

AHP

Physician Assistant

Pain Medicine

Surgery

1073825097

Kayichian, Despina, M.D. St. Jude Administration

101 E. Valencia Mesa Drive

Fullerton, CA 92835

Tel: (714) 992-3000

Fax: (714) 447-6411Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Provisional/Observ

Medicine Department

1972614453

Keplinger, Lisbeth M., DPM

2141 N. Harbor Blvd.

St.e 35000

Fullerton, CA 92835

Tel: (714) 626-8630

Fax: (714) 626-8683Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Provisional

Podiatry

Surgery

1053571828

Khabaz, Farhan, M.D. 101 E. Valencia Mesa Dr.

Intensivist Office

Fullerton, CA 92835

Tel: (714) 447-5060

Fax: (714) -Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Pulmonary Disease

Critical Care

Internal Medicine

Medicine Department 1427159458

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Page 47 Printed on Friday, April 19, 2013

Khajavi, Kiarash, M.D. 2141 N. Harbor Blvd. Suite 35000

Fullerton, CA 92835

Tel: (714) 626-8630

Fax: (714) 626-8683Pager: (714) 201-0301

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active Orthopedic Surgery

Surgery

1265518443

Khandwala, Shefali, D.O

539 S. Brea Blvd.

Brea, CA 92821

Tel: (714) 671-2936

Fax: (714) 671-2938Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Provisional/Observ

Family Medicine

Medicine Department

1346495421

Khemka, Pankaj M., M.D. 1211 La Palma Ave.

Suite 410

Anaheim, CA 92801

Tel: (714) 288-8887

Fax: (714) 758-2927Pager: (714) 416-6000

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Courtesy

Infectious Disease

Medicine Department

1295826790

Kiciman, Nafiz, M.D. 505 S. Main Street

Suite #200

Orange, CA 92868

Tel: (714) 512-3939

Fax: (714) 512-3949Pager: (714) 506-1438

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Courtesy

Pediatric Cardiology

Pediatrics

Women & Childrens

1083794259

Kim, Brian, M.D. 1140 W. La Veta Avenue

Ste. 430

Orange, CA 92868

Tel: (714) 543-5555

Fax: (714) 835-5483Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Electrophysiology

Cardiovascular Disease

Cardiothoracic

1609849876

Kim, Daniel J., M.D. 2151 N. Harbor Blvd.

Suite 3200

Fullerton, CA 92835

Tel: (714) 446-5101

Fax: (714) 446-5135Pager: (714) 216-0775

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Family Medicine

Medicine Department 1457347411

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Page 48 Printed on Friday, April 19, 2013

Kim, Jae K., M.D. 101 E. Valenica Mesa Dr. Hospitalist

Fullerton, CA 92835

Tel: (714) 447-5027

Fax: (714) 992-3169Pager:

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active Internal Medicine

Medicine Department

1083642839

Kim, Jay H., M.D. 2141 N. Harbor Blvd.

Suite #25000

Fullerton, CA 92835

Tel: (714) 626-8610

Fax: (714) 626-8689Pager: (714) 314-2335

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Rheumatology

Internal Medicine

Medicine Department

1811984123

Kim, Matthew H., M.D. 270 Laguna Rd. #100

Fullerton, CA 92835

Tel: (714) 525-2375

Fax: (714) 871-9280Pager: (714) 320-0089

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Ophthalmology

Surgery

1770514465

Kim, Milan, M.D. 18895 Colima Road

Suite A

Rowland Heights, CA 91748

Tel: (626) 581-2332

Fax: (626) 581-2343Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Pediatrics

Women & Childrens

1588761233

Kim, Pius J., M.D. 101 E. Valencia Mesa Dr.

Heritage Hospitalist

Fullerton, CA 92835

Tel: (714) 447-5027

Fax: (714) 992-3169Pager: (714) 201-1458

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Internal Medicine

Medicine Department

1003863317

Kim, Steven, M.D. 2151 N. Harbor Blvd.

Ste. 2200

Fullerton, CA 92835

Tel: (714) 446-5900

Fax: (714) 446-5800Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Hematology/Oncology

Internal Medicine

Medicine Department 1003886698

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Page 49 Printed on Friday, April 19, 2013

Kinzinger, Kevin, M.D. 2141 N. Harbor Blvd. Ste. 35000

Fullerton, CA 92835

Tel: (714) 626-8620 Ext 6933

Fax: (714) 686-8686Pager: (714) 350-6338

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active General Surgery

Surgery

1760554232

Ko, William M., M.D. 100 E. Valencia Mesa Dr.

Suite 310

Fullerton, CA 92835

Tel: (714) 446-5200

Fax: (714) 446-5524Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Pain Medicine

Surgery

1629011762

Koffman, Brian, M.D. 1514 S. Valley Vista Dr.

Diamond Bar, CA 91765

Tel: (909) 860-1144 4235

Fax: (909) 860-8307Pager: (714) 860-1144

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Family Medicine

Medicine Department

1326049164

Koh, Kristine R., M.D. St. Jude Emergency Department

St. Jude Emergency Department

101 E. Valencia Mesa Drive

Fullerton, CA 92835

Tel: (714) 626-8500

Fax: (714) 626-8519Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Emergency Medicine

Medicine Department

1598712614

Konow, Audrey, M.D. 601 E. Yorba Linda Blvd.

Suite 1

Placentia, CA 92870

Tel: (714) 961-8500

Fax: (714) 961-8916Pager: (714) 276-8151

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Senior Active

Internal Medicine

Medicine Department

1659481125

Kramer, Jonathan, M.D. 4300 Rose Drive

Ste. E

Yorba Linda, CA 92886

Tel: (714) 577-6677

Fax: (714) 985-4502Pager: (714) 577-6677

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Pediatrics

Women & Childrens 1962402941

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Page 50 Printed on Friday, April 19, 2013

Krasner, Paul P., M.D. 1801 W. Romneya Dr. Suite 207

Anaheim, CA 92801

Tel: (714) 956-5200

Fax: (714) 956-4614Pager: (714) 956-5200

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Courtesy Nephrology

Medicine Department

1477545838

Krishnan, Ravi, M.D. CHOC Pediatric Subspecialty Faculty

455 S. Main Street

Orange, CA 92868

Tel: (714) 516-4373

Fax: (714) 532-7800Pager: (702) 381-9242

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Provisional/Observ

Neonatology

Women & Childrens

1588640197

Krivitsky, Paul, M.D. 1275 N. Rose Dr.

Suite 104

Placentia, CA 92870

Tel: (714) 996-1400

Fax: (714) 996-9806Pager: (714) 996-1400

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Otolaryngology

Surgery

1184707564

Kropf, Michael A., M.D. 1440 N. Harbor Blvd.

Suite 100

Fullerton, CA 92835

Tel: (714) 992-5292

Fax: (714) 992-1956Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Orthopedic Surgery

Surgery

1386798932

Kubaska III, Stephen M., M.D. 1211 W. La Palma Ave.

Suite 505

Anaheim, CA 92801

Tel: (714) 778-1032

Fax: (714) 780-0053Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Vascular Surgery

Surgery

1952481160

Kudrick, Nathan, M.D. Anesthesia

c/o Surgery Department

101 E. Valencia Drive

Fullerton, CA 92835

Tel: 714-992-3000 #3714 Fax: Pager: (714) 439-4779

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Anesthesiology

Surgery 1306887757

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Page 51 Printed on Friday, April 19, 2013

Kuettel, Kevin D., M.D. 1211 W. La Palma Ave. Suite 306

Anaheim, CA 92801

Tel: (714) 778-1300

Fax: (714) 778-0303Pager: (714) 778-1300

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Courtesy Gastroenterology

Medicine Department

1740286384

Kukreja, Sudeep, M.D. 455 South Main Street

Orange, CA 92868

Tel: (714) 532-8632

Fax: (714) 532-7800Pager: (714) 532-8632

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Courtesy

Neonatology

Women & Childrens

1356435051

Kupperstein, Paul, D.O. St. Jude Radiology

St. Jude Radiology Department

101 E. Valencia Mesa Drive

Fullerton, CA 92835

Tel: (714) 992-3978

Fax: (714) 446-5908Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Radiology

Medicine Department

1679572218

Kurtz, Jason, D.O

1041 E. Yorba Linda Blvd.

Ste. 306

Placentia, CA 92870

Tel: (714) 577-9500

Fax: (714) 577-9504Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Provisional/Observ

Internal Medicine

Medicine Department

1104128552

Kwok, Wei W., M.D. 301 W. Bastanchury Road, Suite 175

Fullerton, CA 92835

Tel: (714) 525-8822

Fax: (714) 525-5193Pager: (714) 446-7855

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Pain Medicine

Surgery

1861430902

Kwon, Peter B., M.D. 1275 N. Rose Drive

Suite 120

Placentia, CA 92870

Tel: (714) 961-5423

Fax: (714) 961-5374Pager: (714)529-1562

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Internal Medicine

Medicine Department 1003840471

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Page 52 Printed on Friday, April 19, 2013

Kwon, Steve O., M.D. 4300 Rose Drive Ste. E

Yorba Linda, CA 92886

Tel: (714) 577-6677

Fax: (714) 985-4502Pager:

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active Pediatrics

Women & Childrens

1841399847

Lada, Jana N., P.A.-C

2141 N. Harbor Blvd

Ste 35000

Fullerton, CA 92835

Tel: (714) 626-8630

Fax: (714) 626-8679Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

AHP

Physician Assistant

General Surgery

Surgery

1972730323

Lai, Albert, M.D. 1041 E. Yorba Linda Blvd.

Suite #210

Placentia, CA 92870

Tel: (714) 223-7000

Fax: (714) 223-7001Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Provisional

Physical Medicine &

Rehab

Medicine Department

1154385961

Lai-Wu, Lillian, M.D. 4300 Rose Drive

Ste. D

Yorba Linda, CA 92886

Tel: (714) 577-6677

Fax: (714) 223-6767Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Pediatrics

Women & Childrens

1699776898

Lam, Anson C., M.D. St. Jude Emergency Department

St. Jude Emergency Department

101 E. Valencia Mesa Drive

Fullerton, CA 92835

Tel: (714) 626-8500

Fax: (714) 626-8519Pager: (562) 905-3014

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Emergency Medicine

Medicine Department

1528121845

Lam, Linda L., M.D. 101 E. Valencia Mesa Drive

Heritage Hospitalist

Fullerton, CA 92835

Tel: (714) 447-5027

Fax: (714) 992-3169Pager: 714-992-3000

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Internal Medicine

Medicine Department 1639180086

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Page 53 Printed on Friday, April 19, 2013

Landa, Daniel, M.D. 2240 N. Harbor Blvd. Suite 200

Fullerton, CA 92835

Tel: (714) 870-4665

Fax: (714) 870-1582Pager: (714) 870-4665

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Senior Active Cardiovascular Disease

Cardiothoracic

1174527139

Landman, Robert G., M.D. 4300 Rose Drive

Ste. K

Yorba Linda, CA 92886

Tel: (714) 577-6628

Fax: (714) 777-4762Pager: (714) 528-4211

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Internal Medicine

Medicine Department

1326035874

Larsen, Cheryl, M.D. St. Jude Emergency Department

St. Jude Emergency Department

101 E. Valencia Mesa Drive

Fullerton, CA 92835

Tel: (714) 626-8500

Fax: (714) 626-8519Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Provisional

Emergency Medicine

Medicine Department

1538324397

Lavadia, Cynthia V., M.D. 100 E. Valencia Mesa Dr.

Suite 100

Fullerton, CA 92835

Tel: (714) 525-4185

Fax: (714) 525-7321Pager: (714) 524-6977

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Pediatrics

Women & Childrens

1659302230

Lawler, William, M.D. 2151 N. Harbor Blvd.

Ste. 2200

Fullerton, CA 92835

Tel: (714) 446-5900

Fax: (714) 446-5811Pager: (714) 446-7800

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Senior Active

Hematology

Medicine Department

1700886702

Lawton, Edward S., M.D. 2141 N. Harbor Blvd.

Suite #25000

Fullerton, CA 92835

Tel: (714) 626-8610

Fax: (714) 626-8670Pager: (714) 810-1745

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Pulmonary Disease

Critical Care

Internal Medicine

Medicine Department 1801882261

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Page 54 Printed on Friday, April 19, 2013

Lawton, Joseph, M.D. St. Jude Neighborhood Health Center 731 S. Highland Ave

Fullerton, CA 92832

Tel: (714) 446-5100

Fax: (714) 449-0726Pager: (714)

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Extended Family Medicine

Medicine Department

1679709786

Lawton, Robyn D., M.D. 1950 Sunny Crest Drive

Suite #2800

Fullerton, CA 92835

Tel: (714) 992-5350

Fax: (714) 992-8156Pager: (714) 572-3134

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Obstetrics

Women & Childrens

1407806961

Le, Chuong, M.D. 3004 B Poston Avenue

Nashville, TN 37203

Tel: (615) 346-8182

Fax: (877) 870-7862Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Provisional

Neurology

Medicine Department

1568501005

Lee, Edward J., M.D. 101 E. Valencia Mesa Dr.

Heritage Hospitalist

Fullerton, CA 92835

Tel: (714) 447-5027

Fax: (714) 992-3169Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Internal Medicine

Medicine Department

1508863499

Lee, Edward M., M.D. 100 E. Valencia Mesa Drive

Suite 206

Fullerton, CA 92835

Tel: (714) 446-5448

Fax: (714) 446-5116Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Cardiovascular Disease

Cardiothoracic

1568466431

Lee, George, M.D. 3004-B Poston AVenue

Nashville, TN 37203

Tel: (615) 346-8182

Fax: (877) 870-7862Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Provisional

Neurology

Medicine Department 1962434233

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Page 55 Printed on Friday, April 19, 2013

Lee, James C., D.P.M. 5475 E. La Palma Ave. Suite 208

Anaheim, CA 92807

Tel: (714) 777-0750

Fax: (714) 777-8291Pager: (714) 777-0750

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Courtesy Podiatry

Surgery

1437253663

Lee, James J., M.D. 1955 Sunnycrest Drive

Suite #108

Fullerton, CA 92835

Tel: (714) 441-0133

Fax: (714) 441-1082Pager: (714) 956-5440

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Otolaryngology

Surgery

1033316682

Lee, Jay H., M.D. 1140 West La Veta Ave.

Suite 640

Orange, CA 92868

Tel: (714) 564-3327 1203

Fax: (714) 245-2594Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Electrophysiology

Cardiovascular Disease

Cardiothoracic

1053346858

Lee, Jeong-Ok, M.D. 1801 W. Romneya

Suite 606

Anaheim, CA 92801

Tel: (714) 635-0600

Fax: (714) 635-0610Pager: (714) 635-0600

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Senior Active

Pediatrics

Women & Childrens

1134180946

Lee, Mansur, M.D. 101 E. Valencia Mesa Drive

Hospitalist Office

Fullerton, CA 92835

Tel: (714) 447-5027

Fax: (714) 992-3169Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Internal Medicine

Medicine Department

1265450621

Lee, Peter Y., D.M.D. 7758 Knott

Buena Park, CA 90620

Tel: (714) 522-3752

Fax: (714) 522-4182Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Affiliate/Consulting

General Dentistry

Surgery 1699771154

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Page 56 Printed on Friday, April 19, 2013

Lee, Steve, M.D. Anesthesia c/o Surgery Department

101 E. Valencia Drive

Fullerton, CA 92835

Tel: 714-992-3000 #3714

Fax: Pager:

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active Anesthesiology

Surgery

1417156498

Lee, Victor, M.D. St. Jude Pathology Department

101 E. Valencia Mesa Drive

Fullerton, CA 92835

Tel: (714) 992-3907

Fax: (714) 992-3055Pager: (714) 872-3436

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Senior Active

Pathology

Surgery

1245273457

Lee, Young S., M.D. 2151 N. Harbor Blvd. Ste. 1500

Radiation Oncology Department

Fullerton, CA 92835

Tel: (714) 446-5632

Fax: (714) 992-3081Pager: (7`14) 446-5632

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Radiation Oncology

Medicine Department

1710986260

Leung, Alex, M.D. 101 E. Valencia Mesa Dr.

Heritage Hospitalist

Fullerton, CA 92835

Tel: (714) 447-5027

Fax: (714) 992-3169Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Internal Medicine

Medicine Department

1669414512

Levine, Gail, M.D. 455 S. Main Street

Orange, CA 92868

Tel: (714) 204-3096

Fax: (714) 532-7800Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Neonatology

Pediatrics

Women & Childrens

1134130651

Liang, Paulynne P., M.D. 220 Laguna Rd.

Suite 6

Fullerton, CA 92835

Tel: (714) 680-0050

Fax: (714) 680-0054Pager: (714) 520-8345

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Internal Medicine

Medicine Department 1093700064

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Page 57 Printed on Friday, April 19, 2013

Lillie, Michael J., M.D. P.O. Box 6841 Fullerton, CA 92834-6841

Tel: (800) 275-8970 BILL

Fax: (818) 344-6993Pager: (800) 275-8970

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active Anesthesiology

Surgery

1740231927

Lim, Louis C., M.D. Anesthesia

c/o Surgery Department

101 E. Valencia Drive

Fullerton, CA 92835

Tel: (714) 357-5804

Fax: (213) 403-6118Pager: (714) 201-0827

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Anesthesiology

Surgery

1952353831

Lim, Timothy, M.D. 1801 W. Romneya

Suite 302

Anaheim, CA 92801

Tel: (714) 533-9860

Fax: (714) 533-0915Pager: (714) 533-9860

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Courtesy

Plastic Surgery

Surgery

1629084603

Lin, Albert L., P.A.-C

1010 West La Veta

St. 710

Orange, CA 92868

Tel: (714) 835-2724

Fax: (714) 835-2751Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

AHP-Observational

Physician Assistant

Neurosurgery

Surgery

1316979479

Lin, Chao-I, M.D. 505 S. Main St.

Suite 250

Orange, CA 92868

Tel: (714) 771-7994

Fax: (714) 744-4167Pager: (714) 771-7994

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Courtesy

Allergy

Medicine Department

1588779631

Lin, Eric L., M.D. 100 E. Valencia Mesa Dr.

Suite 310

Fullerton, CA 92835

Tel: (714) 446-5200

Fax: (714) 446-5292Pager: (714) 446-5200

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Orthopedic Surgery

Surgery 1053510099

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Page 58 Printed on Friday, April 19, 2013

Lin, James J.D., M.D. 340 W. Central Suite 122

Brea, CA 92821-3006

Tel: (714) 529-8923

Fax: (714) 529-7017Pager: (714) 529-8923

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Senior Active Family Medicine

Medicine Department

1619057429

Lin, Michael C., M.D. StatRad

13915 Danielson Street, Suite #200

Poway, CA 92064

Tel: (858) 546-3800

Fax: (858) 546-3900Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Provisional

Teleradiology

Medicine Department

1891010120

Lin, Steven T., M.D. St. Jude Emergency Department

St. Jude Emergency Department

101 E. Valencia Mesa Drive

Fullerton, CA 92835

Tel: (714) 626-8500

Fax: (714) 626-8519Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Emergency Medicine

Medicine Department

1821044082

Lin, Vivian, M.D. 1950 Sunny Crest Dr.

Suite 2800

Fullerton, CA 92835

Tel: (714) 992-5350

Fax: (714) 992-8168Pager: (714) 992-5350

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Obstetrics/Gynecology

Women & Childrens

1477750479

Lippman Salovesh, Dorothy, N.P. 101 E. Valencia Mesa Dr.

Palliative Care

Fullerton, CA 92835

Tel: (714) 992-3000 2463

Fax: Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

AHP

Nurse Practitioner

Palliative Care

Medicine Department

1265583033

Lising, Christian M., M.D. 500 W. Central Ave.

Suite B

Brea, CA 92821

Tel: (714) 671-0766

Fax: (714) 257-6132Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Family Medicine

Medicine Department 1760478606

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Page 59 Printed on Friday, April 19, 2013

Liu, Anthony D., M.D. 455 S. Main Street Orange, CA 92868

Tel: (714) 532-8632

Fax: (714) 532-7800Pager: (714) 532-8620

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Courtesy Neonatology

Pediatrics

Women & Childrens

1891889531

Liu, Clifford, M.D. 101 E. Valencia Mesa Dr.

Heritage Hospitalist

Fullerton, CA 92835

Tel: (714) 447-5027

Fax: ( ) -Pager: (714) 201-1100

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Internal Medicine

Medicine Department

1831299528

Lloyd, Richard E., M.D. 2151 N. Harbor Blvd.

Ste. 2200

Fullerton, CA 92835

Tel: (714) 446-5900 7139

Fax: (714) 446-5800Pager: (714) 446-7800

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Senior Active

Oncology

Medicine Department

1073509030

Longnecker, Joseph, D.O. 1041 E. Yorba Linda Blvd.

Ste. 306

Placentia, CA 92870

Tel: (714) 577-9500

Fax: (714) 577-9504Pager: (949) 651-2140

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Senior Active

Family Medicine

Medicine Department

1326049263

Lords, Deric, D.P.M. 1310 N. Kraemer Blvd.

Placentia, CA 92870

Tel: (714) 996-7601

Fax: (714) 996-0745Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Courtesy

Podiatry

Surgery

1841297488

Losco, Judy, D.O. 4300 Rose Drive

Ste. R

Yorba Linda, CA 92886

Tel: (714) 528-4211

Fax: (714) 579-6868Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Provisional

Family Medicine

Medicine Department 1699098897

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Page 60 Printed on Friday, April 19, 2013

Loudon, William G., M.D. 1010 W. LaVeta Ave Suite 710

Orange, CA 92868

Tel: (714) 835-2724

Fax: (714) 835-2751Pager: (714) 633-0942

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Courtesy Neurosurgery

Surgery

1437265816

Lu, Chao-Ming C., M.D. 1850 S. Azusa Ave

Suite 306

Hacienda Heights, CA 91745

Tel: (626) 913-2055

Fax: (626) 913-2085Pager: (626) 913-2055

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Nephrology

Internal Medicine

Medicine Department

1871515163

Luecha, Angsumarn, M.D. 1514 S. Valley Vista

Diamond Bar, CA 91765

Tel: (909) 860-1144

Fax: (909) 860-8307Pager: (714) 201-0956

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Family Medicine

Medicine Department

1023018009

Lukac, Jan S., M.D. 410 W. Central Avenue

Suite 109

Brea, CA 92821

Tel: (714) 529-9563

Fax: (714) 529-8476Pager: (714) 529-9563

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Ophthalmology

Surgery

1619964038

Lundquist, Christopher, M.D. 2874 E. Imperial Highway

Brea, CA 92821

Tel: (714) 579-7505

Fax: (714) 993-4130Pager: (714) 579-7505

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Senior Active

Family Medicine

Medicine Department

1477633402

Luong, Linda L., P.A.-C

Fullerton Orthopaedic

101 Laguna Road, Suite A

Fullerton, CA 92835

Tel: (714) 879-0050

Fax: (714) 879-0249Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

AHP-Observational

Physician Assistant

Orthopedic Surgery

AHP-Physician sponsored

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Page 61 Printed on Friday, April 19, 2013

MacCarthy, John B., M.D. 11830 N. Riviera Tustin, CA 92782

Tel: (714) 992-3000 3714

Fax: ( ) -Pager: (714) 216-4838

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active Anesthesiology

Surgery

1013969591

Machado, Jonathan L., P.A.-C

724 Via Otono

San Clemente, CA 92672

Tel: (949) 735-0774

Fax: Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

AHP

Physician Assistant

Emergency Medicine

Medicine Department

1184930174

Mahadev, Marigangaiah, M.D. 125 Chaparral Court

Suite 102

Anaheim Hills, CA 92808

Tel: (714) 998-1941

Fax: (714) 998-3472Pager: (714) 998-1941

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Pediatrics

Women & Childrens

1245264902

Mahdavi, Arash, D.O. 2617 E. Chapman Avenue

Suite 307

Orange, CA 92869

Tel: (714) 532-2344

Fax: (714) 997-4449Pager: (714) 532-2344

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

General Surgery

Surgery

1457373094

Mahmoud, Guison, M.D. Mission Hospital Laguna Beach

31872 Coast Hwy

Laguna Beach, CA 92651

Tel: (949) 499-1311

Fax: (949) 499-7283Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Provisional/Observ

Telehealth Medicine

Medicine Department

Major, Carol A., M.D. 101 The City Drive

Rt. 81, Bldg. 56, Rm. 800

Orange, CA 92868

Tel: (714) 456-5503

Fax: (714) 456-7091Pager: (714)456-6909

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Perinatology

Women & Childrens 1285676148

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Page 62 Printed on Friday, April 19, 2013

Mandelbaum, Jorge M., M.D. 1801 W. Romneya Dr. Suite 207

Anaheim, CA 92801

Tel: (714) 956-5200

Fax: (714) 956-4614Pager: (714)956-5200

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Courtesy Nephrology

Medicine Department

1518950104

Maniam, Ajit S., M.D. 1801 W. Romneya Dr., #203

Anaheim, CA 92801

Tel: (714) 999-1465

Fax: (714) 999-1701Pager: (714) 999-1701

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Provisional/Observ

Hematology/Oncology

Medicine Department

1205802618

Manuel, Roxanne C., P.A.-C

1041 E. Yorba Linda Blvd.

Suite #210

Placentia, CA 92870

Tel: (714) 223-7000

Fax: (714) 223-7001Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

AHP

Physician Assistant

Physical Medicine &

Rehab

Medicine Department

1760718233

Mar, Crispin J., P.A.-C

1310 W. Stewart Drive

Suite 503

Orange, CA 92868

Tel: (714) 997-2224

Fax: (714) 997-1187Pager: (714) 997-2224

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

AHP

Physician Assistant

Cardiovascular Surgery

Cardiothoracic

1649203183

Marilla, Anna-Lia, M.D. 2720 N. Harbor Blvd.

Ste. 300

Fullerton, CA 92835

Tel: (714) 449-6990

Fax: (714) 449-6971Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Family Medicine

Medicine Department

1205072055

Marinelli, Derrick V., M.D. 1950 Sunny Crest Dr.

Suite 3400

Fullerton, CA 92835

Tel: (714) 879-2410

Fax: (714) 879-5340Pager: (310) 806-1864

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Urology

Surgery 1689897761

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Page 63 Printed on Friday, April 19, 2013

Marino, Donna J., D.O. 2720 N. Harbor Blvd. Suite 220

Fullerton, CA 92835

Tel: (714) 449-6990

Fax: (714) 626-2682Pager: (714) 336-5348

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active Pediatrics

Women & Childrens

1790786655

Marquart, Elizabeth, M.D. St. Jude Emergency Department

St. Jude Emergency Department

101 E. Valencia Mesa Drive

Fullerton, CA 92835

Tel: (714) 626-8500

Fax: (714) 626-8519Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Emergency Medicine

Medicine Department

1558557769

Marshall, Natasha, D.P.M. 2141 N. Harbor Blvd.

Ste. 35000

Fullerton, CA 92835

Tel: (714) 626-8620

Fax: (714) 626-8659Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Provisional/Observ

Podiatry

Surgery

Martin, Keith, M.D. 1050 E. Yorba Linda Blvd.

Suite 103

Placentia, CA 92870

Tel: (714) 996-3700

Fax: (714) 993-5897Pager: (714) 996-3700

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Gastroenterology

Medicine Department

1649280546

Mata, Giselle, N.P. 1440 N. Harbor Blvd.

Suite #114

Fullerton, CA 92835

Tel: (714) 446-7454

Fax: (714) 879-1049Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

AHP

Nurse Practitioner

Family Practice

Medicine Department

1255659892

Mathews, Sajen J., M.D. 1847 Sunnycrest Dr.

Fullerton, CA 92835

Tel: (714) 446-5831

Fax: (714) 446-7051Pager: (714) 947-5038

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Gastroenterology

Medicine Department 1326048323

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Page 64 Printed on Friday, April 19, 2013

Mathur, Sandra, D.O. 1514 Valley Vista Drive Diamond Bar, CA 91765

Tel: (909) 860-1144

Fax: (909) 860-1366Pager:

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Provisional/Observ Pediatrics

Women & Childrens

1841250974

Maurer, Robert J., D.O. 2720 N. Harbor Blvd.

Suite 130

Fullerton, CA 92835

Tel: (714) 449-6200

Fax: (714) 449-1773Pager: (714)524-7333

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Family Medicine

Industrial Medicine

Medicine Department

1982605655

Maxwell, Samuel L., M.D. St. Jude Radiology

St. Jude Radiology Department

101 E. Valencia Mesa Drive

Fullerton, CA 92835

Tel: (714) 992-3978 x3954

Fax: (714) 446-5908Pager: (714) 214-1122

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Senior Active

Radiology

Medicine Department

1386740900

May, Daniel, M.D. 18300 Yorba Linda Blvd.

Suite 201

Yorba Linda, CA 92886

Tel: (714) 577-6000

Fax: (714) 572-1679Pager: (714) 577-6000

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Family Medicine

Medicine Department

1760423917

Mayfield, Tanya A., M.D. 4300 Rose Drive

Ste. D

Yorba Linda, CA 92886

Tel: (714) 577-6677

Fax: (714) 223-6767Pager: (714) 577-6677

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Pediatrics

Women & Childrens

1104826189

McConnell, Michael P., M.D. 100 E. Valencia Mesa Dr.

Suite 311

Fullerton, CA 92835

Tel: (714) 446-5180

Fax: (714) 446-5181Pager: (714) 201-0618

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Plastic Surgery

Surgery 1629117320

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Page 65 Printed on Friday, April 19, 2013

McCoy, Robert, M.D. 1950 Sunny Crest Drive Suite 2600

Fullerton, CA 92835

Tel: (714) 446-5260

Fax: (714) 446-5265Pager: (714) 446-5260

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active General Surgery

Surgery

1518961911

McGuire, Richard, M.D. Internal Medicine Specialists

15627 Imperial Hwy.

La Mirada, CA 90638

Tel: (714) 990-0911

Fax: (714) 255-9565Pager: (310) 861-0954

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Gastroenterology

Medicine Department

1437196730

McKay, Matthew B., M.D. St. Jude Emergency Department

St. Jude Emergency Department

101 E. Valencia Mesa Drive

Fullerton, CA 92835

Tel: (714) 626-8500

Fax: (714) 626-8519Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Emergency Medicine

Medicine Department

1184653966

McNabb, Louis, M.D. 1440 N. Harbor Blvd.

Suite 114

Fullerton, CA 92835

Tel: (714) 446-7454

Fax: (714) 879-1049Pager: (714) 999-1122

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Pulmonary Disease

Medicine Department

1346329323

Medina, Corazon C., M.D. 1751- H W. Romneya Dr.

Anaheim, CA 92801

Tel: (714) 563-2114

Fax: (714) 563-2116Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Internal Medicine

Medicine Department

1447309307

Mejia, Cynthia Y., P.A.-C

1950 Sunny Crest Dr.

Suite #2600

Fullerton, CA 92835

Tel: (714) 446-5260

Fax: (714) 446-5265Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

AHP

Physician Assistant

General Surgery

Surgery 1871602839

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Page 66 Printed on Friday, April 19, 2013

Mendivil, Alberto, M.D. 351 Hospital Rd. Ste. 507

Newport Beach, CA 92663

Tel: (949) 642-1361

Fax: (949) 642-3202Pager:

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Provisional Gynecologic Oncology

Surgery

1801097662

Mercer, Elliott C., M.D. St. Jude Radiology

St. Jude Radiology Department

101 E. Valencia Mesa Drive

Fullerton, CA 92835

Tel: (714) 992-3978

Fax: (714) 992-3928Pager: (949) 645-3534

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Radiology

Medicine Department

1174576771

Miao, Y. Frank, M.D. 2141 N. Harbor Blvd.

Suite #25000

Fullerton, CA 92835

Tel: (714) 626-8610

Fax: (714) 626-8655Pager: (714) 201-4087

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Senior Active

Gastroenterology

Medicine Department

1518953983

Middleton, Scott, M.D. 731 N. Beach Blvd.

Suite 175

La Habra, CA 90631

Tel: (562) 697-6030

Fax: (562) 697-6263Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Family Medicine

Medicine Department

1497742621

Miller, Cynthia N., M.D. SJMC - Pathology Dept

101 E. Valencia Mesa Drive

Fullerton, CA 92835

Tel: (714) 992-3907 3760

Fax: (714) 992-3055Pager: 714-725-9783

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Pathology

Surgery

1275588527

Mires, Marlene E., M.D. 500 W. Central Ave.

Suite B

Brea, CA 92821

Tel: (714) 671-0766

Fax: (714) 257-6132Pager: (714) 671-0766

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Family Medicine

Medicine Department 1235185976

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Medical Staff Picture Roster

Page 67 Printed on Friday, April 19, 2013

Mitchell, John, M.D. 2864 E. Imperial Highway Brea, CA 92821

Tel: (714) 996-9708

Fax: (714) 996-1230Pager: (714) 447-7334

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active Family Medicine

Medicine Department

1225024912

Montanez, Alicia, M.D. 1211 W. La Palma Ave.

Suite #408

Anaheim, CA 92801

Tel: (714) 353-3250

Fax: (714) 386-5350Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Electrophysiology

Cardiovascular Disease

Cardiothoracic

1326219783

Montgomery, Russell S., M.D. 100 E. Valencia Mesa Dr.

Ste. 211

Fullerton, CA 92835

Tel: (714) 871-6879

Fax: (714) 871-2530Pager: (714) 871-6879

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Vascular Surgery

General Surgery

Surgery

1386624526

Moon, Alfred, M.D. 4300 Rose Drive

Suite A

Yorba Linda, CA 92886

Tel: (714) 579-6826

Fax: (714) 579-6890Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Provisional/Observ

Allergy

Medicine Department

1396953105

Moon, Johnson L., M.D. 381 E. Imperial Highway

Fullerton, CA 92835

Tel: (714) 879-7200

Fax: (714) 879-3010Pager: (714) 879-7200

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Neurology

Medicine Department

1457407579

Moore, H. Christopher, M.D. 1950 Sunny Crest Drive

Ste. 3800

Fullerton, CA 92835

Tel: (714) 447-4100

Fax: (714) 447-1923Pager: (714) 447-4100

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Otolaryngology

Surgery 1033139001

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Medical Staff Picture Roster

Page 68 Printed on Friday, April 19, 2013

Morchi, Gira, M.D. 505 S. Main Street Suite #200

Orange, CA 92868

Tel: (714) 512-3939

Fax: (714) 512-3949Pager: (714) 275-7148

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Provisional/Observ Pediatric Cardiology

Women & Childrens

1386790996

Morovati, Abdi A., D.O. 100 Laguna Rd. Suite 208

Fullerton, CA 92835

Tel: (714) 738-0800

Fax: (714) 738-3758Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Neurology

Medicine Department

1417000563

Morrison, A. L., M.D. 2720 N Harbor Blvd.

Suite 100

Fullerton, CA 92835

Tel: (714) 449-6900

Fax: (714) 449-6907Pager: (714) 871-0787

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Senior Active

Family Medicine

Medicine Department

1750382628

Morten, Robert C., M.D. St. Jude Radiology

St. Jude Radiology Department

101 E. Valencia Mesa Drive

Fullerton, CA 92835

Tel: (714) 992-3978

Fax: (714) 446-5908Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Radiology

Medicine Department

1821194440

Mosier, William D., M.D. 265 Laguna Road

Fullerton, CA 92835

Tel: (714) 871-2570

Fax: (714) 441-2020Pager: (714) 871-2570

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Senior Active

Ophthalmology

Surgery

1063553378

Moss, Lewis M., M.D. St. Jude Emergency Department

St. Jude Emergency Department

101 E. Valencia Mesa Drive

Fullerton, CA 92835

Tel: (714) 626-8500 Fax: (714) 626-8519Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Senior Active

Emergency Medicine

Medicine Department 1568490332

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Page 69 Printed on Friday, April 19, 2013

Muhonen, Michael G., M.D. 1010 W. La Veta Ave Suite 710

Orange, CA 92868

Tel: (714) 835-2724

Fax: (714) 835-2751Pager: (714) 275-1934

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Courtesy Neurosurgery

Surgery

1891883708

Mullins, Keith M., M.D. 101 E. Valencia Mesa Dr.

Heritage Hospitalist

Fullerton, CA 92835

Tel: (714) 447-5027

Fax: (714) 992-3169Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Internal Medicine

Medicine Department

1952367310

Murashige, John D., M.D. 1514 S. Valley Vista Dr.

Diamond Bar, CA 91765

Tel: (909) 860-1144 4215

Fax: (909) 860-8307Pager: (909) 860-1144

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Family Medicine

Medicine Department

1982605481

Murphy, Ivy, P.A.-C

St. Jude Emergency Department

St. Jude Emergency Department

101 E. Valencia Mesa Drive

Fullerton, CA 92835

Tel: (714) 626-8500

Fax: (714) 626-8519Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

AHP-Observational

Physician Assistant

Emergency Medicine

Medicine Department

Mutter, Bruce, M.D. 2720 N Harbor Blvd.

Suite 100

Fullerton, CA 92835

Tel: (714) 449-6900

Fax: (714) 680-8766Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Senior Active

Family Medicine

Medicine Department

1861493736

Myers, Norman, M.D. 433 Vista Flora

Newport Beach, CA 92660

Tel: (714) 293-8265

Fax: ( ) -Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Administrative Staff

Family Medicine

Medicine Department 1063663177

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Page 70 Printed on Friday, April 19, 2013

Naasz, Eric B., D.P.M. 704 N. Harbor Blvd. Fullerton, CA 92832

Tel: (714) 525-0225

Fax: (714) 525-0141Pager:

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Provisional Podiatry

Surgery

1609038264

Naasz, Michelle L., P.A.-C

St. Jude Emergency Department

St. Jude Emergency Department

101 E. Valencia Mesa Drive

Fullerton, CA 92835

Tel: (714) 626-8500

Fax: (714) 626-8519Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

AHP

Physician Assistant

Emergency Medicine

Medicine Department

1215254461

Naini-Reddy, Pavani, M.D. 1440 N. Harbor Blvd.

Suite #114

Fullerton, CA 92835

Tel: (714) 446-7454

Fax: (714) 879-1049Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Internal Medicine

Medicine Department

1982616124

Nathan, Ramani, M.D. 12665 Garden Grove Bl.

Suite 211

Garden Grove, CA 92843

Tel: (714) 636-2890

Fax: (714) 636-2909Pager: (714)954-8119

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Nephrology

Medicine Department

1487623724

Ness, Russell, M.D. 100 E Valencia Mesa Dr.

Suite 217

Fullerton, CA 92835

Tel: (714) 992-5581

Fax: (714) 992-2950Pager: (714) 992-5581

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Senior Active

Nephrology

Internal Medicine

Medicine Department

1770552978

Ngo, Anh T., M.D. 408 S. Beach Blvd.

Suite #213

Anaheim, CA 92804

Tel: (714) 879-4963

Fax: (714) 821-8905Pager: (714) 447-4800

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Affiliate/Consulting

Gynecology

Surgery 1649374638

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Page 71 Printed on Friday, April 19, 2013

Ngo, Hao Q., M.D. St. Jude Radiology St. Jude Radiology Department

101 E. Valencia Mesa Drive

Fullerton, CA 92835

Tel: (714) 992-3978

Fax: (714) 992-3928Pager: (714) 992-3978

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active Radiology

Medicine Department

1013090117

Nguyen, Bao, M.D. 1041 E. Yorba Linda Blvd.

Suite #210

Placentia, CA 92870

Tel: (714) 223-7000

Fax: (714) 223-7001Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Provisional/A

Physical Medicine &

Rehab

Pain Medicine

Medicine Department

1194913756

Nguyen, Danh T., M.D. St. Jude Radiology

St. Jude Radiology Department

101 E. Valencia Mesa Drive

Fullerton, CA 92835

Tel: (714) 992-3978 x3954

Fax: (714) 446-5908Pager: (714) 201-4463

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Radiology

Medicine Department

1003999103

Nichter, Edmund J., M.D. St. Jude Emergency Department

St. Jude Emergency Department

101 E. Valencia Mesa Drive

Fullerton, CA 92835

Tel: (714) 626-8500

Fax: (714) 626-8519Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Emergency Medicine

Medicine Department

1184897910

Nieto, Roberta, M.D. 1514 South Valley Vista Drive

Diamond Bar, CA 91765

Tel: (909) 860-1144

Fax: (909) 860-3526Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Family Medicine

Medicine Department

1306847116

Nikravan, Sean P., M.D. 4300 Rose Drive

Ste. G

Yorba Linda, CA 92886

Tel: (714) 446-5640

Fax: (714) 446-5474Pager: (714) 219-7701

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Endocrinology

Internal Medicine

Medicine Department 1558357319

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Page 72 Printed on Friday, April 19, 2013

Nitta, Douglas, M.D. 301 W. Bastanchury Road Suite 155

Fullerton, CA 92835

Tel: (714) 773-1116

Fax: (714) 773-4824Pager: (714) 773-1116

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Senior Active Family Medicine

Medicine Department

1912920125

Nixon, Samuel C., M.D. 101 E. Valencia Mesa Dr.

Hospitalist

Fullerton, CA 92835

Tel: (714) 447-5027

Fax: (714) 992-3169Pager: (714) 201-0420

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Internal Medicine

Medicine Department

1134214406

Noblett, Bradley D., M.D. 1010 W. La Veta Ave

Suite 710

Orange, CA 92868

Tel: (714) 835-2724

Fax: (714) 835-2753Pager: (714) 633-0942

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Neurosurgery

Surgery

1689788507

Novak, Bernard, M.D. 1837 Sunny Crest Drive

Fullerton, CA 92835

Tel: (714) 446-6670

Fax: (714) 446-6666Pager: (714) 446-6666

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Senior Active

General Surgery

Surgery

1326070640

Nowroozi, Fred E., M.D. P.O. Box 11686

Newport Beach, CA 92658

Tel: (714) 796-8600

Fax: Pager: (714) 447-4445

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Physical Medicine &

Rehab

Pain Medicine

Medicine Department 1760463764

Null, Laura M., P.A.-C

100 E. Valencia Mesa Dr. #206

Fullerton, CA 92835

Tel: (714) 446-5440

Fax: (714) 446-5425Pager: (714) 446-5050

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

AHP-Observational

Physician Assistant

Cardiovascular Disease

Cardiothoracic 1841408390

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Page 73 Printed on Friday, April 19, 2013

Okimoto, Dean, M.D. 4300 Rose Drive Ste. S

Yorba Linda, CA 92886

Tel: (714) 577-6632

Fax: (714) 579-6883Pager: (714) 219-3875

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active Family Medicine

Medicine Department

1912908336

Olson, Richard L., P.A.-C

St. Jude Heritage Healthcare

2720 N. Harbor Blvd., Suite 130

Fullerton, CA 92835

Tel: (714) 449-6200

Fax: Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Allied Health Prof

Physician Assistant

AHP-Physician sponsored

O'Neil, Terence, M.D. St. Jude Emergency Department

St. Jude Emergency Department

101 E. Valencia Mesa Drive

Fullerton, CA 92835

Tel: (714) 626-8500

Fax: (714) 626-8519Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Emergency Medicine

Medicine Department

1528093267

Openshaw, Stephen, Ph.D. 110 E. Wilshire Ave.

Suite 407

Fullerton, CA 92832

Tel: (714) 526-1370

Fax: (714) 447-9688Pager: (714)526-1370

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Courtesy

Clinical Psychology

Medicine Department

1376533232

Orozco, Pedro, M.D. Anesthesia

c/o Surgery Department

101 E. Valencia Drive

Fullerton, CA 92835

Tel: 714-992-3000 #3714

Fax: Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Provisional

Anesthesiology

Surgery

1902098858

Osnaya, Fany P., N.P. 525 Rosarita Drive

Fullerton, CA 92835

Tel: (714) 446-5100

Fax: (714) 449-0726Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

AHP

Nurse Practitioner

Family Practice

Medicine Department 1306974001

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Page 74 Printed on Friday, April 19, 2013

Packer, Jay M., M.D. St. Jude Pathology Department 101 E. Valencia Mesa Drive

Fullerton, CA 92835

Tel: (714) 992-3907

Fax: (714) 992-3055Pager: (714) 992-3907

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active Pathology

Surgery

1821033150

Padova, Paul J., D.O. Anesthesia

c/o Surgery Department

101 E. Valencia Drive

Fullerton, CA 92835

Tel: 714-992-3000 #3714

Fax: Pager: (562) 255-3044

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Anesthesiology

Surgery

1487605960

Palafox, Brian, M.D. 1310 W. Stewart Dr.

Suite 503

Orange, CA 92868

Tel: (714) 997-2224

Fax: (714) 997-1187Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Courtesy

Cardiovascular Surgery

Cardiothoracic

1568424422

Panares, Roy L., M.D. 2151 North Harbor Blvd.

Suite 2200

Fullerton, CA 92835

Tel: (714) 446-5900

Fax: (714) 446-5800Pager: (714)446-5900

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Hematology/Oncology

Internal Medicine

Medicine Department

1285837229

Pang, Shirley W., M.D. 2141 N. Harbor Blvd.

Suite #25000

Fullerton, CA 92835

Tel: (714) 626-8610

Fax: (714) 626-8692Pager: (714) 201-0889

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Rheumatology

Medicine Department

1457437627

Panguluri, Rangarao, M.D. 4111 Maine Avenue

Baldwin Park, CA 91706

Tel: (626) 960-3016

Fax: (626) 960-3517Pager: (626)960-3016

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Gastroenterology

Internal Medicine

Medicine Department 1619952405

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Park, Christopher W., M.D. StatRad 13915 Danielson Street, Suite #200

Poway, CA 92064

Tel: (858) 546-3800

Fax: (858) 546-3900Pager:

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Provisional Teleradiology

Medicine Department

1700863198

Park, David J., M.D. 2151 N. Harbor Blvd.

Suite 2200

Fullerton, CA 92835

Tel: (714) 446-5900

Fax: (714) 446-5811Pager: (714) 446-5900

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Hematology/Oncology

Internal Medicine

Medicine Department

1275619447

Park, Jin, DDS

731 Highland Avenue

St. Jude Neighborhood Health Center

Fullerton, CA 92832

Tel: (714) 446-5246

Fax: (714) 449-1740Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Provisional

General Dentistry

Surgery

1164552246

Parsa, A. Thomas, M.D. 2864 E. Imperial Hwy.

Brea, CA 92821

Tel: (714) 996-9708

Fax: (714) 996-1230Pager: (714) 996-9708

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Family Medicine

Medicine Department

1477652410

Patel, Arun, M.D. 907 W. Wilshire

Fullerton, CA 92832

Tel: (714) 871-6161

Fax: (714) 871-6169Pager: (714) 871-6161

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Internal Medicine

Medicine Department

1477628840

Patel, Dilip, M.D. 455 South Main Street

Orange, CA 92868

Tel: (714) 532-8616

Fax: (714) 532-7800Pager: (714) 532-8620

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Neonatology

Women & Childrens 1851480966

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Patel, Giribala R., M.D. 2151 N. Harbor Blvd. Ste. 2200

Fullerton, CA 92835

Tel: (714) 446-5900

Fax: (714) 446-5811Pager: (714) 446-7800

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active Oncology

Medicine Department

1033106562

Patel, Harishchandra, M.D. 3400 W. Ball Road

Suite 203

Anaheim, CA 92804

Tel: (714) 527-7000

Fax: (714) 952-0336Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Cardiovascular Disease

Cardiothoracic

1619908134

Patel, Jayanti N., M.D. 1801 W. Romneya Drive, Ste. 405

Anaheim, CA 92801

Tel: (714) 991-7352

Fax: (714) 974-5580Pager: 714-991-7352

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Senior Active

General Surgery

Surgery

1164512893

Patel, Ramesh, M.D. 1132 N. Brookhurst Street, Suite A

Anaheim, CA 92801-1702

Tel: (714) 635-0053

Fax: (714) 635-6160Pager: (714) 201-2970

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Senior Active

Cardiovascular Disease

Internal Medicine

Cardiothoracic

1740435197

Payne, David H., M.D. 1530 E. 1st Street

Ste. 216

Santa Ana, CA 92701

Tel: (714) 479-0840

Fax: (714) 836-5237Pager: (714) 239-0402

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Courtesy

Orthopedic Surgery

Surgery

1760492193

Pearle, James L., M.D. 1440 N. Harbor Blvd.

Suite 114

Fullerton, CA 92835

Tel: (714) 446-7454

Fax: (714) 879-1049Pager: (714) 999-1122

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Pulmonary Disease

Medicine Department 1982783940

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Peled, Harry B., M.D. 101 E. Valencia Mesa Drive Department of Cardiology

Fullerton, CA 92835

Tel: (714) 992-3000 3905

Fax: (714) 447-6418Pager:

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active Cardiovascular Disease

Cardiothoracic

1912994179

Peloquin, William H., M.D. 651 Lemke Drive

Placentia, CA 92870

Tel: (714) 525-2375

Fax: (714) 993-5294Pager: (714) 525-2251

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Senior Active

Ophthalmology

Surgery

1174685564

Penalver, Alberto, M.D. Specialists on Call, Inc.

1503 Edwards Ferry Road, NE Suite 310

Leesburg, VA 20176

Tel: (866) 483-9690

Fax: (855) 811-6296Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Provisional/Observ

Telepsychiatry

Medicine Department

1740294545

Peng, Lynnus F., M.D. Anesthesia

c/o Surgery Department

101 E. Valencia Drive

Fullerton, CA 92835

Tel: 714-992-3000 #3714

Fax: Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Anesthesiology

Surgery

1295787158

Peng, Ying, M.D. 455 S. Main St.

Orange, CA 92868

Tel: (714) 532-7555

Fax: (714) 532-7953Pager: (714) 532-7555

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Courtesy

Pediatric Neurology

Clinical Neurophysiology

Women & Childrens

1528156429

Percy, Kristine S., M.D. 539 S. Brea Blvd.

1st Floor

Brea, CA 92821

Tel: (714) 671-2936

Fax: (714) 671-2938Pager: (714) 447-5168

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Family Medicine

Medicine Department 1972697605

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Page 78 Printed on Friday, April 19, 2013

Perkowski, David J., M.D. 1310 W. Stewart Dr. Suite 503

Orange, CA 92868

Tel: (714) 997-2224

Fax: (714) 997-1187Pager: (714) 997-2224

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Courtesy Cardiovascular Surgery

Thoracic Surgery

Cardiothoracic

1942226279

Petreccia, David C., M.D. PO Box C198 C/O TOSS

18032 Lemon Dr.

Yorba Linda, CA 92887

Tel: (714) 883-3396

Fax: (714) 692-8279Pager: (714) 996-6500

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Administrative Staff

Infectious Disease

Medicine Department

1427186832

Petrie, Clarence R., M.D. 1837 Sunny Crest Drive

Fullerton, CA 92835

Tel: (714) 446-6653

Fax: (714) 446-6666Pager: (714) 871-9870

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Senior Active

General Surgery

Surgery

1902842990

Petrie, Justine, M.D. 2228 State College Blvd.

Fullerton, CA 92831

Tel: (714) 990-0700

Fax: (714) 990-0142Pager: (714) 990-0700

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Senior Active

Psychiatry

Sleep Disorders

Medicine Department

1730264912

Phan, Hoa, D.O. Heritage Hospitalist

101 E. Valencia Mesa Drive

Fullerton, CA 92835

Tel: (714) 447-5027

Fax: (714) 992-3169Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Provisional

Internal Medicine

Medicine Department

1295919686

Phillips, Emalee A., N.P. 100 E. Valencia Mesa Dr.

Suite #105

Fullerton, CA 92835

Tel: (714) 446-5640

Fax: (714) 446-5474Pager: (714) 214-1533

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

AHP

Nurse Practitioner

Endocrinology

Medicine Department 1962534792

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Page 79 Printed on Friday, April 19, 2013

Pirouz, Ashkan, M.D. 301 W. Bastanchury Rd. Ste. #285

Fullerton, CA 92835

Tel: (714) 738-4620

Fax: (714) 738-0388Pager:

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Provisional Ophthalmology

Surgery

1942489356

Ponzio, Dennis, M.D. 18300 Yorba Linda Blvd.

Suite 201

Yorba Linda, CA 92886

Tel: (714) 577-6000

Fax: (714) 572-1792Pager: (714) 579-6862

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Family Medicine

Medicine Department

1902848831

Ponzio, Sheila K., M.D. 18200 Yorba Linda Blvd.

Suite 108

Yorba Linda, CA 92886

Tel: (714) 524-6977

Fax: (714) 524-4476Pager: (714)447-5137

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Pediatrics

Women & Childrens

1992742381

Poon, Edward, M.D. StatRad

13915 Danielson Street, Suite #200

Poway, CA 92064

Tel: (858) 546-3800

Fax: (858) 546-3900Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Provisional/Observ

Teleradiology

Medicine Department

1770587115

Porto, Manuel, M.D. 101 The City Drive, BLDG 56

Suite 800, Rt. 81, OB/GYN

Orange, CA 92868

Tel: (714) 456-5968

Fax: (714) 456-8360Pager: (714) 456-5968

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Perinatology

Women & Childrens

1497838916

Posner, Steven P., M.D. 1211 West La Palma Avenue

Suite 505

Anaheim, CA 92801

Tel: (714) 778-1032

Fax: (714) 778-5634Pager: (714) 778-5634

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Vascular Surgery

Surgery 1083684872

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Page 80 Printed on Friday, April 19, 2013

Potter, Daniel A., M.D. 1950 SunnyCrest Dr. Suite 2400

Fullerton, CA 92835

Tel: (714) 738-4200

Fax: (714) 738-4496Pager: (714) 738-4200

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active Infertility

Surgery

1043280605

Quilligan, Christopher J., M.D. 1950 Sunny Crest Drive

Ste. 3800

Fullerton, CA 92835

Tel: (714) 447-4100

Fax: (714) 447-1923Pager: (714) 447-4100

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Otolaryngology

Surgery

1528085537

Rajalingam Moudgalya, Rajini, D.D.S. 731 S. Highland Ave.

St.Jude Neighborhood Hlth Ctr

Fullerton, CA 92832

Tel: (714) 446-5246

Fax: (714) 449-1740Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Affiliate/Consulting

General Dentistry

Surgery

1669407946

Rajudin, M. M., M.D. 3010 W. Orange Ave.

Suite 404

Anaheim, CA 92804

Tel: (714) 229-9500

Fax: (714) 229-9904Pager: (714) 229-9500

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Nephrology

Medicine Department

1790892230

Ramkumar, Hamsa, M.D. 2250 W. Whittier Blvd.

Suite 100

La Habra, CA 90631

Tel: (562) 690-4075

Fax: (562) 690-4185Pager: (310) 907-4599

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Pediatrics

Women & Childrens

1407994551

Randall, Leslie, M.D. 101 The City Drive

Bldg 56 Rm 260

Orange, CA 92868

Tel: (714) 456-7356

Fax: (714) 456-7754Pager: (714) 506-0160

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Courtesy

Gynecologic Oncology

Surgery 1821054602

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Page 81 Printed on Friday, April 19, 2013

Ranney, Robert, M.D. 2720 N. Harbor Blvd. Suite 300

Fullerton, CA 92835

Tel: (714) 449-6990

Fax: (714) 449-6971Pager: (714) 764-3178

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active Family Medicine

Medicine Department

1902807670

Rathod, Rajiv, M.D. 1200 North Tustin Avenue

Ste. 140

Santa Ana, CA 92705

Tel: (714) 972-8432

Fax: (714) 972-4715Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Provisional/Observ

Ophthalmology

Surgery

1821201351

Rathod, Ramesh, M.D. 100 E. Valencia Mesa Drive #206

Fullerton, CA 92835

Tel: (714) 446-5412

Fax: (714) 446-5116Pager: (714) 632-6092

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Cardiovascular Disease

Cardiothoracic

1396732855

Ravikumar, Asha, M.D. 5451 W. La Palma Avenue

Ste. #47

La Palma, CA 90623

Tel: (714) 562-8560

Fax: (714) 562-8563Pager: (949) 707-3320

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Courtesy

Nephrology

Medicine Department

1124240874

Ravikumar, Gadsalli R., M.D. 5451 La Palma Ave.

Suite 47

La Palma, CA 90623

Tel: (714) 562-8560

Fax: (714) 562-8563Pager: (949)203-0179 #10977

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Courtesy

Nephrology

Medicine Department

1982697579

Reber, Bradley, M.D. Anesthesia

c/o Surgery Department

101 E. Valencia Drive

Fullerton, CA 92835

Tel: 714-992-3000 #3714 Fax: Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Anesthesiology

Surgery 1164681789

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Rebolledo, Michael A., M.D. 505 S. Main Street Suite 200

Orange, CA 92868

Tel: (714) 512-3939

Fax: (714) 512-3949Pager: (714) 275-7035

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Courtesy Pediatric Cardiology

Pediatrics

Women & Childrens

1891893020

Redd, Joe, D.O. 4300 Rose Drive

Ste. N

Yorba Linda, CA 92886

Tel: (714) 577-6648

Fax: (714) 579-6822Pager: (714) 806-0674

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Family Medicine

Medicine Department

1407856404

Reddy, Rupa, D.O. 4300 Rose Drive, Suite "J"

Yorba Linda, CA 92886

Tel: (714) 528-4211

Fax: (714) 579-6868Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Provisional/Observ

Dermatology

Medicine Department

1114183464

Reddy, Sridhar, M.D. 12665 Garden Grove Blvd.

Ste. 211

Garden Grove, CA 92843

Tel: (714) 636-2890

Fax: (714) 636-2909Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Provisional/Observ

Nephrology

Medicine Department

1780835447

Rehan, Virender K., M.D. NICU

101 E. Valencia Mesa Drive

Fullerton, CA 92835

Tel: (714) 532-8616

Fax: (714) 532-7800Pager: (714)532-8616

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Neonatology

Pediatrics

Women & Childrens

1659382539

Reimbold, Patricia, N.P. 731 S. Highland Avenue

Community Clinic

Fullerton, CA 92832

Tel: (714) 446-5100

Fax: (714) 449-0726Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

AHP

Nurse Practitioner

Family Practice

Medicine Department 1043334154

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Page 83 Printed on Friday, April 19, 2013

Renella, Pierangelo, M.D. 505 S. Main Street Suite #200

Orange, CA 92868

Tel: (714) 512-3939

Fax: (714) 512-3949Pager:

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Courtesy Pediatric Cardiology

Women & Childrens

1124117254

Rettenmaier, Mark, M.D. 351 Hospital Rd.

Ste. 507

Newport Beach, CA 92663

Tel: (949) 642-1361

Fax: (949) 642-3202Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Provisional/Observ

Gynecologic Oncology

Surgery

1134166697

Reuben, Michael, M.D. 731 N. Beach Blvd.

La Habra, CA 90631

Tel: (562) 697-6030

Fax: (562) 697-6263Pager: (562) 697-6030

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Senior Active

Pediatrics

Women & Childrens

1437150273

Reyes, Elizabeth R., M.D. 301 W. Bastanchury Rd.

Suite #115

Fullerton, CA 92835

Tel: (714) 446-9030

Fax: (714) 446-9130Pager: (714) 291-2705

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Pediatrics

Women & Childrens

1275631236

Rhodes, David, M.D. 1514 S. Valley Vista Dr.

Diamond Bar, CA 91765

Tel: (909) 860-1144 4247

Fax: (909) 860-7684Pager: (909) 860-1144

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Family Medicine

Medicine Department

1518968353

Ridder, Cyndi N., N.P. St. Jude Medical Center - Palliative Care

101 E. Valencia Mesa Drive

Fullerton, CA 92835

Tel: (714) 992-3000

Fax: Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

AHP

Nurse Practitioner

Palliative Care

Medicine Department

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Rioux, Doreen, D.O

4300 Rose Drive Ste. N

Yorba Linda, CA 92886

Tel: (714) 577-6650

Fax: (714) 579-6822Pager: (714) 528-4211

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active Family Medicine

Medicine Department

1124029020

Rosenberg, Robert, M.D. 2720 N. Harbor Blvd.

Suite 210

Fullerton, CA 92835

Tel: (714) 626-6310

Fax: (714) 626-6320Pager: (714) 626-6310

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Dermatology

Medicine Department

1265433072

Rosenblum, Dale, D.P.M. 704 N. Harbor Blvd.

Fullerton, CA 92832

Tel: (714) 525-8282

Fax: (714) 525-0141Pager: (714) 525-8282

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Senior Active

Podiatry

Surgery

1144211889

Rosenthal, Johanna L., M.D. 1440 N. Harbor Blvd.

Ste. 100

Fullerton, CA 92835

Tel: (714) 870-0000

Fax: (714) 870-0002Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Neurology

Medicine Department

1881741247

Ross, Dennis, M.D. 18491 Durfee Circle

Villa Park, CA 98261

Tel: (714) 626-8500

Fax: (714) 626-8519Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Emergency Medicine

Medicine Department

1659309425

Rossini, Joseph J., D.O. 340 W. Central Ave.

Suite 110

Brea, CA 92821

Tel: (714) 529-3971

Fax: (714) 529-1070Pager: 714-529-3971

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Community Supportive

Family Medicine

Medicine Department 1689612848

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Page 85 Printed on Friday, April 19, 2013

Roy, Swapna, M.D. 220 Laguna Rd. Suite 5

Fullerton, CA 92835

Tel: (714) 879-2980

Fax: (714) 879-5134Pager: (714) 528-5112

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Senior Active Pediatrics

Women & Childrens

1639193873

Rubinstein, Rita, M.D. 340 W. Central Ave.

Suite 138

Brea, CA 92821

Tel: (714) 990-9421

Fax: (714) 990-1475Pager: (714) 632-6377

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Senior Active

Family Medicine

Medicine Department

1922179639

Ruckman, David A., M.D. 2141 N. Harbor Blvd.

Suite #25000

Fullerton, CA 92835

Tel: (714) 626-8613

Fax: (714) 626-8694Pager: (714) 201-4106

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Internal Medicine

Medicine Department

1285620658

Rudny, Kevin P., M.D. StatRad

13915 Danielson Street, Suite #200

Poway, CA 92064

Tel: (858) 546-3800

Fax: (858) 546-3900Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Provisional/Observ

Teleradiology

Medicine Department

1841304029

Ruiz, Blanca, RNP

731 S. Highland Avenue

Fullerton, CA 92832

Tel: (714) 446-5100

Fax: (714) 449-0726Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

AHP

Nurse Practitioner

Family Practice

Medicine Department

1821142555

Sadighian, Shahla, M.D. 1275 N. Rose Drive

Suite 126

Placentia, CA 92870

Tel: (714) 524-3880

Fax: (714) 524-3884Pager: 714-524-3880

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Internal Medicine

Medicine Department 1275690828

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Page 86 Printed on Friday, April 19, 2013

Sadri, Ehsan, M.D. 888 S. Disneyland Drive Ste. 100

Anaheim, CA 92802

Tel: (714) 399-0678

Fax: (714) 808-9650Pager:

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Provisional/Observ Ophthalmology

Surgery

1114025780

Saesim, Daniel D., M.D. 455 S. Main St.

Orange, CA 92868

Tel: (714) 516-4373

Fax: (714) 532-7800Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Neonatology

Women & Childrens

1598880072

Saetrum Opgaard, Ole, M.D. 1325 N. Rose Dr. Suite 202

Placentia, CA 92870

Tel: (714) 786-5794

Fax: (714) 786-5799Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Courtesy

Endocrinology

Medicine Department

1417197997

Safaie-Fard, Ehsan, M.D. 101 E. Valencia Mesa Dr.

Hospitalist

Fullerton, CA 92835

Tel: (714) 447-5027

Fax: (714) 992-3169Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Internal Medicine

Medicine Department

1457387003

Said-Hernandez, Nancy, D.O. Orange County Renal Medical Group

12665 Garden Grove Blvd. Ste. 211

Garden Grove, CA 92843

Tel: (714) 636-2890

Fax: (714) 636-2909Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Nephrology

Medicine Department

1831305879

Sainburg, Scott P., M.D. 1847 Sunnycrest Dr.

Fullerton, CA 92835

Tel: (714) 446-5831

Fax: (714) 446-7051Pager: (714) 201-4113

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Gastroenterology

Medicine Department 1184610552

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Page 87 Printed on Friday, April 19, 2013

Salmi, Sasan, M.D. 1010 W. La Veta Avenue Ste. 610

Orange, CA 92868

Tel: (714) 285-2311

Fax: (714) 285-2319Pager:

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Provisional/Observ Internal Medicine

Medicine Department

1639378201

Saltman, Steven, M.D. 100 E. Valencia Mesa Dr.

Suite #105

Fullerton, CA 92835

Tel: (714) 446-5640

Fax: (714) 446-5449Pager: (714) 201-0112

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Senior Active

Endocrinology

Medicine Department

1770579153

Sampat, Jayshree H., M.D. St. Jude Radiology

St. Jude Radiology Department

101 E. Valencia Mesa Drive

Fullerton, CA 92835

Tel: (714) 992-3978

Fax: (714) 446-5908Pager: (714) 992-3954

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Radiology

Medicine Department

1851496475

Santos, Melanie, M.D. 150 Laguna Rd.

Fullerton, CA 92835

Tel: (714) 447-4800

Fax: (714) 447-1098Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Gynecology

Surgery

1720262470

Sato, Robyn K., D.O. 301 W. Bastanchury Road

Suite 175

Fullerton, CA 92835

Tel: (714) 738-5525

Fax: (714) 738-1352Pager: (714) 237-0139

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Physical Medicine &

Rehab

Medicine Department 1053405670

Savalia, Neha B., M.D. 4300 Rose Drive

Ste. L

Yorba Linda, CA 92886

Tel: (714) 577-6675

Fax: (714) 223-6777Pager: (714) 201-0472

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Internal Medicine

Medicine Department 1114913043

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Page 88 Printed on Friday, April 19, 2013

Savalia, Nirav B., M.D. 180 Newport Center Dr. Ste. 170

Newport Beach, CA 92660-0937

Tel: (949) 759-0980

Fax: (949) 759-0981Pager: (714) 870-5341

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Courtesy Plastic Surgery

Surgery

1083712723

Sayyur, Lutfi A., M.D. 1440 N. Harbor Blvd.

Suite 114

Fullerton, CA 92835

Tel: (714) 446-7454

Fax: (714) 879-1049Pager: (714) 999-1122

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Internal Medicine

Medicine Department

1174602163

Schilleci, Rebecca, P.A.-C

101 Laguna Rd.

Ste. A

Fullerton, CA 92835

Tel: (714) 879-0050

Fax: (714) 879-0249Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

AHP

Physician Assistant

Orthopedic Surgery

Surgery

1306154604

Schmidt, John, M.D. St. Jude Neighborhood Health Clinic

731 S. Highland Avenue

Fullerton, CA 92832

Tel: (714) 446-5100

Fax: (714) 449-0726Pager: (714) 667-4958

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Extended

Family Medicine

Medicine Department

1154322253

Schmidt, Timothy, M.D. 4300 Rose Drive

Ste. S

Yorba Linda, CA 92886

Tel: (714) 577-6680

Fax: (714) 579-6883Pager: (714)528-4211

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Family Medicine

Medicine Department

1801897467

Schoellerman, Manal M., M.D. StatRad

13915 Danielson Street, Suite #200

Poway, CA 92064

Tel: (858) 546-3800

Fax: (858) 546-3900Pager: (714) 992-3978

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Provisional

Teleradiology

Medicine Department 1821060724

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Page 89 Printed on Friday, April 19, 2013

Shah, Biren G., M.D. 500 W. Central Ave. #B Brea, CA 92821

Tel: (714) 671-0766

Fax: (714) 257-6132Pager: (816) 990-1192

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active Family Medicine

Medicine Department

1710086533

Shanfield, Stewart L., M.D. 2141 N. Harbor Blvd.

Suite 35000

Fullerton, CA 92835

Tel: (714) 626-8630

Fax: (714) 626-8659Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Senior Active

Orthopedic Surgery

Surgery

1346286580

Sharkey, Nicole, M.D. 1110 W. La Palma Avenue

Ste. 5

Anaheim, CA 92801

Tel: (714) 808-0917

Fax: (714) 808-9326Pager: (714) 255-3283

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Provisional

Obstetrics/Gynecology

Women & Childrens

1104023829

Sharma, Sanjay, M.D. 2151 N. Harbor Blvd.

Suite 2200

Fullerton, CA 92835

Tel: (714) 446-5900

Fax: (714) 446-5881Pager: (714) 446-5900

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Hematology/Oncology

Internal Medicine

Medicine Department

1174609358

Sharp, Robert C., M.D. 641 S. Palm Street

Suite A

La Habra 90631-5758

Tel: (714) 990-4005

Fax: (562) 905-8350Pager: (714) 990-4005

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Senior Active

Pediatrics

Women & Childrens

1790794949

Shaw, Sandy S., M.D. P.O. Box 2217

Fullerton, CA 92837

Tel: (714) 999-5144

Fax: (714) 999-5143Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Provisional/Observ

Neonatology

Women & Childrens 1295891190

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Page 90 Printed on Friday, April 19, 2013

Shehadeh, Said, Psy.D. 385 East Imperial Hwy. Fullerton, CA 92835

Tel: (714) 681-9070

Fax: (714) 773-4788Pager:

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Provisional/Observ Clinical Psychology

Medicine Department

189107890

Sheng, Lavonne, M.D. 455 S. Main St.

Orange, CA 92868

Tel: (714) 509-4373

Fax: (714) 509-7800Pager: (714) 275-7301

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Neonatology

Women & Childrens

1134246432

Sherman, Jon R., M.D. 1400 N. Harbor Blvd.

Suite 100

Fullerton, CA 92835

Tel: (714) 578-0533

Fax: (714) 578-0548Pager: (714) 219-5058

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Cardiovascular Disease

Interventional Cardiology

Internal Medicine

Cardiothoracic

1366443053

Shou, Jason, M.D. StatRad

13915 Danielson Street, Suite #200

Poway, CA 92064

Tel: (858) 546-3800

Fax: (858) 546-3900Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Provisional/Observ

Teleradiology

Medicine Department

Sidarta, Angelia, D.O. 500 W. Central Avenue

Ste. B

Brea, CA 92821

Tel: (714) 671-0766

Fax: (714) 257-6132Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Provisional/Observ

Family Medicine

Medicine Department

1790731776

Siddiq, Khaliq A., M.D. 279 E. Imperial Hwy. Ste. 770

Fullerton, CA 92835

Tel: (714) 578-8616

Fax: (714) 578-8570Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Internal Medicine

Medicine Department 1598766230

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Page 91 Printed on Friday, April 19, 2013

Silveira, Bradford J., M.D. St. Jude Radiology St. Jude Radiology Department

101 E. Valencia Mesa Drive

Fullerton, CA 92835

Tel: (714) 992-3978

Fax: (714) 446-5908Pager:

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active Radiology

Medicine Department

1528165727

Simpson, Karen R., M.D. 2720 N. Harbor Blvd.

Suite 210

Fullerton, CA 92835

Tel: (714) 626-6310

Fax: (714) 626-6320Pager: (714) 626-6310

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Dermatology

Medicine Department

1376544189

Singh, Harmanjit, M.D. 5451 W. La Palma Avenue

Ste. 47

La Palma, CA 90623

Tel: (714) 562-8560

Fax: (714) 562-8563Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Provisional/Observ

Nephrology

Medicine Department

1255524799

Sire, David, M.D. Advanced Skincare MedCenter

301 W. Bastanchury, Suite 210

Fullerton, CA 92835

Tel: (714) 879-9936

Fax: (714) 879-3035Pager: (714) 879-4311

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Affiliate/Consulting

Dermatology

Medicine Department

1710046628

Skebelsky, Roger W., P.A.-C

100 E. Valencia Mesa Drive, #310

Fullerton, CA 92835

Tel: (714) 446-5200

Fax: (714) 446-5181Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

AHP-Observational

Physician Assistant

Orthopedic Surgery

AHP-Physician sponsored

Skinner, Harry B., M.D. 2141 N. Harbor Blvd

Suite 35000

Fullerton, CA 92835

Tel: (714) 626-8630

Fax: (714) 626-8681Pager: (714) 201-0611

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Orthopedic Surgery

Surgery 1790889384

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Page 92 Printed on Friday, April 19, 2013

Slaven, Margaret M., Psy.D. 385 East Imperial Hwy. Fullerton, CA 92835

Tel: (714) 681-9070

Fax: (714) 773-4788Pager: (714) 449-3343

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active Clinical Psychology

Medicine Department

1477628923

Smith, Jeffrey, P.A.-C

29608 Barefoot Circle

Menifee, CA 92585

Tel: (951) 746-3011

Fax: Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

AHP

Physician Assistant

Emergency Medicine

Medicine Department

1497847859

Smith, Lytton, M.D. 4300 Rose Drive

Ste. P

Yorba Linda, CA 92886

Tel: (714) 577-6656

Fax: (714) 993-2903Pager: (714) 219-1638

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Senior Active

Family Medicine

Medicine Department

1598766289

Smith, Robina M., M.D. 2151 N. Harbor Blvd.

Suite 2100

Fullerton, CA 92835

Tel: (714) 446-5296

Fax: (714) 446-5240Pager: (714) 446-5296

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

General Surgery

Surgery

1558561860

Smith, Ynolde F., D.O. 2151 N. Harbor Blvd. #3200

Fullerton, CA 92835

Tel: (714) 446-5101

Fax: (714) 871-3006Pager: (909) 630-7491 X7129

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Family Medicine

Medicine Department

1013950443

So, Africa, M.D. 100 E. Valencia Mesa Dr.

Ste. 100

Fullerton, CA 92835

Tel: (714) 525-4185

Fax: (714) 525-7321Pager: (714) 525-4185

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Pediatrics

Women & Childrens 1740381417

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Page 93 Printed on Friday, April 19, 2013

Sobral, Carlos A., M.D. 2720 N. Harbor Blvd. Suite 200

Fullerton, CA 92835

Tel: (714) 449-6910 6970

Fax: (714) 525-1698Pager: (714) 810-2187

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active Family Medicine

Medicine Department

1891796603

Sokol, Teresa B., P.A.-C

100 Laguna Rd.

Suite 208

Fullerton, CA 92835

Tel: (714) 738-0800

Fax: (714) 738-3758Pager: (714) 738-0800

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

AHP

Physician Assistant

Neurology

Medicine Department

1144213067

Sola, Augusto, M.D. CHOC Pediatric Subspecialty Faculty

455 S. Main Street

Orange, CA 92868

Tel: (714) 516-4373

Fax: (714) 532-7800Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Provisional/Observ

Neonatology

Pediatrics

Women & Childrens

1063440717

Solhpour, Shahram S., M.D. 2141 N. Harbor Blvd.

Suite 35000

Fullerton, CA 92835

Tel: (714) 626-8630

Fax: (714) 626-8679Pager: 714-201-3721

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Orthopedic Surgery

Surgery

1548268287

Soliman, Antoine, M.D. 455 S. Main Street

Orange, CA 92868

Tel: (714) 532-8620

Fax: (714) 532-7800Pager: (714) 275-7497

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Neonatology

Pediatrics

Women & Childrens

1003868746

Somoano, Brian, M.D. 2141 N. Harbor Blvd.

Ste. 25000

Fullerton, CA 92835

Tel: (714) 626-8610

Fax: (714) 626-8655Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Dermatology

Medicine Department 1245422658

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Page 94 Printed on Friday, April 19, 2013

Song, Erwin K., M.D. St. Jude Emergency Department St. Jude Emergency Department

101 E. Valencia Mesa Drive

Fullerton, CA 92835

Tel: (714) 626-8500

Fax: (714) 626-8519Pager:

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active Emergency Medicine

Medicine Department

1154359024

Song, James H., M.D. 1661 Hanover Road

Suite 103A

City of Industry, CA 91748

Tel: (626) 581-8330

Fax: (626) 581-8411Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Internal Medicine

Medicine Department

1043307291

Song, Mark, M.D. St. Jude Emergency Department

St. Jude Emergency Department

101 E. Valencia Mesa Drive

Fullerton, CA 92835

Tel: (714) 626-8500

Fax: (714) 626-8519Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Senior Active

Emergency Medicine

Medicine Department

1497865281

Sowerby, Maren, M.D. St. Jude Radiology

St. Jude Radiology Department

101 E. Valencia Mesa Drive

Fullerton, CA 92835

Tel: (714) 992-3978 x3954

Fax: (714) 992-3928Pager: (714) 992-3954

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Radiology

Medicine Department

1013013630

Stambuk, Edgar, M.D. St. Jude Radiology

St. Jude Radiology Department

101 E. Valencia Mesa Drive

Fullerton, CA 92835

Tel: (714) 992-3978

Fax: (714) 446-5908Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Senior Active

Radiology

Medicine Department

1194808295

Starr, Douglas, M.D. 1514 S. Valley Vista Drive

Diamond Bar, CA 91765

Tel: (909) 860-1144 4234

Fax: (909) 860-8307Pager: (909) 860-1144

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Family Medicine

Medicine Department 1154322998

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Page 95 Printed on Friday, April 19, 2013

Stauber, Martin H., M.D. 16611 Yorba Linda Blvd Yorba Linda, CA 92886

Tel: (714) 528-8670

Fax: (714) 528-7315Pager: (714) 528-8670

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active Orthopedic Surgery

Surgery

1689742181

Stearns, Lauren M., M.D. 539 S. Brea Blvd.

1st Floor

Brea, CA 92821

Tel: (714) 671-2936

Fax: (714) 671-2938Pager: (714) 671-2936

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Family Medicine

Medicine Department

1205921756

Stewardson, Richard H., M.D. 1275 N. Rose Drive

Suite 118

Placentia, CA 92870

Tel: (714) 577-9090

Fax: (714) 572-8483Pager: (714) 659-2211

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Senior Active

General Surgery

Surgery

1689652273

Stone, Michelle, P.A.-C

351 Hospital Rd.

Ste. 507

Newport Beach, CA 92663

Tel: (949) 642-1361

Fax: (949) 642-1394Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

AHP-Observational

Physician Assistant

Gynecologic Oncology

Surgery

1376771311

Streelman, A. James, D.O. 215 N. State College Blvd.

Suite C

Anaheim, CA 92806

Tel: (714) 774-0591

Fax: (714) 774-2179Pager: (714) 774-0591

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Senior Active

Family Medicine

Medicine Department

1255379582

Streit, Charles, M.D. 301 W. Bastanchury Rd.

Suite 180

Fullerton, CA 92835

Tel: (714) 870-5970

Fax: (714) 870-4792Pager: (714) 870-5970

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Urology

Surgery 1174522601

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Page 96 Printed on Friday, April 19, 2013

Strubbe, Phillip E., P.A.-C

St. Jude Emergency Department St. Jude Emergency Department

101 E. Valencia Mesa Drive

Fullerton, CA 92835

Tel: (714) 626-8500

Fax: (714) 626-8519Pager:

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

AHP Physician Assistant

Emergency Medicine

Medicine Department

1578510665

Su, Johanna, M.D. 1950 Sunnycrest Drive

Ste 2800

Fullerton, CA 92835

Tel: (714) 992-5350

Fax: (714) 992-8168Pager: (248) 992-0695

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Obstetrics/Gynecology

Women & Childrens

1255547725

Sud, Bhanu, M.D. 1275 Rose Drive

Suite 134

Placentia, CA 92870

Tel: (714) 996-6500

Fax: (714) 996-1722Pager: (714) 996-6500

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Infectious Disease

Internal Medicine

Medicine Department

1972643344

Sugarman, Michael, M.D. 2141 N. Harbor Blvd.

Suite #25000

Fullerton, CA 92835

Tel: (714) 626-8610

Fax: (714) 626-8687Pager: (714) 237-4919

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Senior Active

Rheumatology

Medicine Department

1922094028

Suh, Y. H. C., M.D. 100 E. Valencia Mesa Drive

Suite 206

Fullerton, CA 92835

Tel: (714) 446-5050

Fax: (714) 446-5407Pager: (714) 201-4065

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Cardiovascular Disease

Interventional Cardiology

Internal Medicine

Cardiothoracic

1194711184

Suzuki, Shuichi, MD-PhD

101 The City Drive

South Rt 140

Orange, CA 92868

Tel: (714) 943-3788

Fax: (714) 456-7864Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Courtesy

Neuro Interventional

Radiology

Medicine Department

1376569517

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Page 97 Printed on Friday, April 19, 2013

Syed, Aleem A., M.D. 1211 W. La Palma Ave. Suite 702

Anaheim, CA 92801

Tel: (714) 533-0300

Fax: (714) 533-0700Pager: (714) 533-0300

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active Endocrinology

Medicine Department

1003828641

Tan, Joanna, M.D. 4300 Rose Drive

Ste. Q

Yorba Linda, CA 92886

Tel: (714) 577-6658

Fax: (714) 579-6831Pager: (714) 579-6815

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Senior Active

Family Medicine

Medicine Department

1861493553

Tan, Kenneth, M.D. 4300 Rose Drive

Ste. Q

Yorba Linda, CA 92886

Tel: (714) 577-6662

Fax: (714) 579-6831Pager: (714) 219-5899

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Senior Active

Family Medicine

Medicine Department

1013918283

Tarlow, Gardner D., M.D. 215 N. State College Blvd.

Suite B

Anaheim, CA 92806

Tel: (714) 772-2210

Fax: (714) 774-2826Pager: (714)772-2210

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Family Medicine

Medicine Department

1871540369

Tatum, James K., M.D. 12625 Carriage Way

Oklahoma City, OK 73142

Tel: (405) 820-1428

Fax: Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Provisional/Observ

Neuro Interventional

Radiology

Medicine Department 1528102670

Terry, Clifford, M.D. 270 Laguna Road

Suite 100

Fullerton, CA 92835

Tel: (714) 525-2375

Fax: (714) 871-9280Pager: (714) 525-2375

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Senior Active

Ophthalmology

Surgery 1306842687

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Page 98 Printed on Friday, April 19, 2013

Tesmer, Katarzyna J., M.D. 455 S. Main Street Orange, CA 92868

Tel: (714) 532-8622

Fax: (714) 532-7800Pager: (714) 532-8622

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active Neonatology

Women & Childrens

1679662753

Tetzlaff, Joel, P.A.-C

2141 N. Harbor Blvd

Suite 35000

Fullerton, CA 92835

Tel: (714) 626-8630

Fax: (714) 626-8683Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

AHP

Physician Assistant

Orthopedic Surgery

Surgery

1164621074

Tewari, Krishnansu S., M.D. 101 The City Dr. Bldg. 56, Rm. 260

Orange, CA 92868

Tel: (714) 456-7356

Fax: (714) 456-7754Pager: (714) 506-6915

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Gynecologic Oncology

Surgery

1205868445

Thai, D. Michelle, M.D. St. Jude Rehab. Dept.

101 E. Valencia Mesa Drive

Fullerton, CA 92835

Tel: (714) 992-3000 x3886

Fax: (714) 596-2388Pager: 992-3000 x3669

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Physical Medicine &

Rehab

Medicine Department

1073625232

Thai, Linda, M.D. 1514 South Valley Vista Drive

Diamond Bar, CA 91765

Tel: (909) 860-1144

Fax: (909) 860-3526Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Provisional

Family Medicine

Medicine Department

1669794012

Thaker, Kartik B., M.D. 3650 E. South Street

Ste. 210

Lakewood, CA 90712

Tel: (562) 630-2360

Fax: (562) 633-0510Pager: (714) 990-0911

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Cardiovascular Disease

Interventional Cardiology

Cardiothoracic 1508907023

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Page 99 Printed on Friday, April 19, 2013

Tham, Allen, M.D. 2141 N. Harbor Blvd. Ste. 35000

Fullerton, CA 92835

Tel: (714) 626-8630

Fax: (714) 626-8659Pager:

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Provisional Orthopedic Surgery

Surgery

1578715801

Thanos, Jerald J., M.D. 2262 N. State College Blvd.

Fullerton, CA 92831

Tel: (714) 990-2900

Fax: (714) 990-3133Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Obstetrics/Gynecology

Women & Childrens

1013947738

Thanos, Nicholas, M.D. 2262 N. State College Blvd.

Fullerton, CA 92831

Tel: (714) 990-2900 113

Fax: (714) 990-3133Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Senior Active

Gynecology

Surgery

1427088194

Theetge, Kristin M., N.P. Alex Zand, MD, A Professional Corp.

1010 W. La Veta, #610

Orange, CA 92868

Tel: (714) 285-2311

Fax: (714) 285-2319Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

AHP

Nurse Practitioner

Internal Medicine

Medicine Department

1053440826

Thibault, William, M.D. 301 W. Bastanchury Road

Ste. 195

Fullerton, CA 92835

Tel: (714) 446-8866

Fax: (714) 446-8923Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Cardiovascular Surgery

General Surgery

Cardiothoracic

1417981929

Thiede, Craig, D.D.S. 13132 Newport Ave. #230

Tustin, CA 92780

Tel: (714) 730-6767

Fax: (714) 447-6411Pager: (714) 806-3687

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Courtesy

Oral Surgery

Surgery 1528127024

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Page 100 Printed on Friday, April 19, 2013

Thomas, Gigi P., M.D. 417 Associated Rd. Suite #182

Brea, CA 92821

Tel: (951) 734-7562

Fax: (951) 734-7683Pager: (714) 302-3013

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active Physical Medicine &

Rehab

Medicine Department

1477617314

Thurber, Stacy E., M.D. 2141 N. Harbor Blvd.

Suite #25000

Fullerton, CA 92835

Tel: (714) 626-8610

Fax: (714) 626-8696Pager: (714) 201-0733

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Dermatology

Medicine Department

1497886048

Tinnerman, Erin, P.A.-C

351 Hospital Rd.

Ste. 507

Newport Beach, CA 92663

Tel: (949) 642-1361

Fax: (949) 642-1608Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

AHP-Observational

Physician Assistant

Gynecologic Oncology

Surgery

1942240460

Tiquia, Herbert S., M.D. 12665 Garden Grove Blvd.

Suite 211

Garden Grove, CA 92843

Tel: (714) 636-2890

Fax: (714) 636-2909Pager: (714) 654-0805

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Nephrology

Medicine Department

1902875693

Toohey, Julianne S., M.D. 101 The City Drive No.25

Rt. 81, Bldg. 56, Rm.800

Orange, CA 92868

Tel: (714) 456-6618

Fax: (714) 456-7091Pager: (714) 506-7012

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Perinatology

Women & Childrens

1699728691

Towbin, Nancy A., M.D. 150 Laguna Road

Fullerton, CA 92835

Tel: (714) 447-4800

Fax: (714) 447-1098Pager: (714) 447-4800

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Gynecology

Surgery 1235233222

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Page 101 Printed on Friday, April 19, 2013

Tran, Andy D., M.D. 101 E. Valencia Mesa Dr. Intensivist Office

Fullerton, CA 92835

Tel: (714) 447-5060

Fax: (714) 992-3169Pager: (714) 201-0646

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active Internal Medicine

Critical Care

Medicine Department

1326059882

Tran, Dana D., M.D. 101 E. Valencia Mesa Dr.

Hospital Intensivist

Fullerton, CA 92835

Tel: (714) 447-5060

Fax: (714) 992-3169Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Pulmonary Disease

Critical Care

Internal Medicine

Medicine Department

1164566311

Tran, Jim D., D.O. 4300 Rose Drive

Ste. N

Yorba Linda, CA 92686

Tel: (714) 577-6664

Fax: (714) 579-6822Pager: (714) 219-0470

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Family Medicine

Medicine Department

1972504173

Tran, Kay, P.A.-C

100 E. Valencia Mesa Dr. Suite 211

Fullerton, CA 92835

Tel: (714) 871-6879

Fax: (714) 778-5634Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

AHP

Physician Assistant

Vascular Surgery

Surgery

1710904693

Trinh, Tuan, M.D. 101 E. Valencia Mesa Dr.

Heritage Hospitalist

Fullerton, CA 92835

Tel: (714) 447-5027

Fax: (714) 992-3169Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Internal Medicine

Medicine Department

1205924040

Trotter, Joel A., M.D. Infectious Disease Consult

1275 Rose Drive, Suite 134

Placentia, CA 92870

Tel: (714) 996-6500

Fax: (714) 996-1722Pager: (714) 996-6500

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Infectious Disease

Medicine Department 1578690343

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Page 102 Printed on Friday, April 19, 2013

Tsinberg, Michael, M.D. 2141 N. Harbor Blvd. Ste. 35000

Fullerton, CA 92835

Tel: (714) 626-8620

Fax: (714) 626-8686Pager:

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Provisional/A General Surgery

Surgery

1326212994

Tucker, Jessica, D.O. 2720 N. Harbor Blvd.

Ste. 300

Fullerton, CA 92835

Tel: (714) 449-6990

Fax: (714) 449-6971Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Provisional/Observ

Family Medicine

Medicine Department

1790940203

Unger, Phillip, M.D. St. Jude Radiology

St. Jude Radiology Department

101 E. Valencia Mesa Drive

Fullerton, CA 92835

Tel: (714) 992-3978

Fax: (714) 446-5908Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Senior Active

Radiology

Medicine Department

1114027851

Uy, Cherry, M.D. 101 The City Drive, So. Bldg., 56, Ste. 600

Orange, CA 92868

Tel: (714) 456-6933

Fax: (714) 456-7658Pager: (714) 505-1587

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Courtesy

Neonatology

Women & Childrens

1730273095

Van, Joanna T., D.O. 500 W. Central Ave.

Suite B

Brea, CA 92821

Tel: (714) 671-0766

Fax: (714) 257-6132Pager: (714) 528-4211

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Family Medicine

Medicine Department

1639250194

Vassantachart, Prasong B., M.D. 20691 Via Ventana

Yorba Linda, CA 92886

Tel: (714) 992-3000 3714

Fax: Pager: (714) 201-0302

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Anesthesiology

Surgery 1659323863

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Page 103 Printed on Friday, April 19, 2013

Vera, Jesus A., M.D. 100 E. Valencia Mesa Dr. Suite 206

Fullerton, CA 92835

Tel: (714) 446-5050

Fax: (714) 446-5116Pager:

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active Cardiovascular Disease

Cardiothoracic

1780621821

Verma, Vishal, M.D. StatRad

13915 Danielson Street, Suite #200

Poway, CA 92064

Tel: (858) 546-3800

Fax: (858) 546-3900Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Provisional

Teleradiology

Medicine Department

1881613586

Vilaysane, Ketsana, M.D. 2720 N. Harbor Blvd.

Suite 130

Fullerton, CA 92835

Tel: (714) 449-6234

Fax: (714) 449-1773Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Family Medicine

Medicine Department

1356321384

Vincent, Maurice M., M.D. 340 W. Central Ave.

Suite 100

Brea, CA 92821

Tel: (714) 482-2775

Fax: (714) 482-2779Pager: (714) 447-5069

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Family Medicine

Medicine Department

1588611990

Vridhachalam M.D., Sanjeevi 13915 Danielson Street

Ste. 200

Poway, CA 92064

Tel: (858) 546-3800

Fax: (858) 546-3900Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Provisional

Teleradiology

Medicine Department

1598754459

Vyas, Mahesh, M.D. 8245 Monte Vista Rd.

Suite 200

Anaheim, CA 92808

Tel: (714) 974-0100

Fax: (714) 974-0300Pager: (714) 693-3663

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Pediatrics

Women & Childrens 1942279633

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Page 104 Printed on Friday, April 19, 2013

Wagner, Kendall, M.D. 101 Laguna Road Suite A

Fullerton, CA 92835

Tel: (714) 879-0050 245

Fax: (714) 879-0249Pager: (714) 879-0050

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Senior Active Orthopedic Surgery

Surgery

1306888995

Wainwright, Christina A., M.D. St. Jude Emergency Department

St. Jude Emergency Department

101 E. Valencia Mesa Drive

Fullerton, CA 92835

Tel: (714) 626-8500

Fax: (714) 626-8519Pager: (714) 992-3965

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Emergency Medicine

Medicine Department

1770790859

Waki, Eric Y., M.D. 1950 Sunny Crest Drive

Ste. 3800

Fullerton, CA 92835

Tel: (714) 447-4100

Fax: (714) 447-1923Pager: (714) 447-4100

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Otolaryngology

Surgery

1306866462

Wald Jr., Robert M., M.D. 100 E. Valencia Mesa Drive

Suite 300

Fullerton, CA 92835

Tel: (714) 738-4282

Fax: (714) 738-1862Pager: (714) 742-9497

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Plastic Surgery

Surgery

1952477507

Waldman, Stephen, M.D. 381 E. Imperial Highway

Fullerton, CA 92835

Tel: (714) 879-7200

Fax: (714) 879-3010Pager: (714) 879-7200

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Senior Active

Neurology

Medicine Department

1326111279

Wali, Jyotika L., M.D. 1001 E. Chapman Ave.

Suite D

Fullerton, CA 92831

Tel: (714) 451-0000

Fax: (714) 451-0500Pager: (714) 529-3000

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Internal Medicine

Medicine Department 1134195118

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Page 105 Printed on Friday, April 19, 2013

Wallace, Eric W., M.D. StatRad 13915 Danielson Street, Suite #200

Poway, CA 92064

Tel: (858) 546-3800

Fax: (858) 546-3900Pager:

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Provisional/Observ Teleradiology

Medicine Department

1578502191

Wangyal, Angela M., P.A.-C

St. Jude Medical Center - Cardiovascular Surgery

101 E. Valencia Mesa Drive

Fullerton, CA 92835

Tel: (714) 992-3000 x8544

Fax: Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

AHP

Physician Assistant

Cardiovascular Surgery

Surgery

Wawro, Peter A., M.D. 801 N. Tustin Avenue

Suite 305

Santa Ana, CA 92705

Tel: (714) 953-4442

Fax: (714) 564-0399Pager: (714) 953-4442

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Courtesy

Cardiovascular Surgery

Thoracic Surgery

General Surgery

Cardiothoracic

1487691051

Wehner, Kyle C., M.D. Anesthesia

c/o Surgery Department

101 E. Valencia Drive

Fullerton, CA 92835

Tel: 714-992-3000 #3714

Fax: Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Anesthesiology

Surgery

1730130923

Weinberg, Alan, M.D. 301 W. Bastanchury Rd.

Suite 180

Fullerton, CA 92835

Tel: (714) 870-5970

Fax: (714) 870-4792Pager: (714) 870-5970

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Senior Active

Urology

Surgery

1851398382

Weinberg, David M., M.D. 2240 N. Harbor Blvd.

Suite 200

Fullerton, CA 92835-2605

Tel: (714) 870-4665

Fax: (714) 870-1582Pager: (714) 446-7993

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Cardiovascular Disease

Internal Medicine

Cardiothoracic 1518964105

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Page 106 Printed on Friday, April 19, 2013

Weiner, Keith M., M.D. 1310 W. Stewart Dr. Suite 407

Orange, CA 92868

Tel: (714) 538-5558

Fax: (714) 538-6672Pager: (714) 538-5558

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active Pediatric Cardiology

Women & Childrens

1023034733

Weinstein, Paul B., M.D. 2240 N. Harbor Blvd.

Suite 200

Fullerton, CA 92835

Tel: (714) 870-4665

Fax: (714) 870-1582Pager: (714) 410-0179

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Cardiovascular Disease

Cardiothoracic

1275537227

Weissig, Mark, M.D. 2141 N. Harbor Blvd.

Suite #25000

Fullerton, CA 92835

Tel: (714) 626-8610

Fax: (714) 626-8670Pager: (714) 237-0596

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Pulmonary Disease

Internal Medicine

Medicine Department

1649266032

Weitzel, Jeffrey N., M.D. 1500 E. Duarte Road

Duarte, CA 91010

Tel: (626) 256-8662

Fax: (626) 930-5495Pager: (626) 359-8111

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Courtesy

Oncology

Genetics

Internal Medicine

Medicine Department

1952368516

White, Margaret H., Ph.D. 1915 Sunny Crest Dr.

Fullerton, CA 92835

Tel: (714) 446-7240

Fax: (714) 446-7245Pager: (714) 446-7240

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Courtesy

Clinical Psychology

Sleep Disorders

Medicine Department

1083898043

Whiting, Mikel, M.D. 2141 N. Harbor Blvd.

Suite 35000

Fullerton, CA 92835

Tel: (714) 626-8630

Fax: (714) 626-8684Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Senior Active

Orthopedic Surgery

Surgery 1275576795

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Medical Staff Picture Roster

Page 107 Printed on Friday, April 19, 2013

Wightman, Ardath H., M.D. 101 E. Valencia Mesa Drive ATTN - Medical Staff Office

Fullerton, CA 92835

Tel: (714) -

Fax: Pager:

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Administrative Staff Urology

Surgery

Williams, Eugen, M.D. 101 Laguna Road

Suite A

Fullerton, CA 92835

Tel: (714) 879-0050

Fax: (714) 879-0249Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Senior Active

Orthopedic Surgery

Surgery

1124062666

Williams, Venita L., M.D. 1500 Rosecrans Ave. Ste 400

Manhattan Beach, CA 90267

Tel: (310) 335-4065

Fax: (310) 335-4098Pager: (714) 370-4186

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Courtesy

Radiation Oncology

Medicine Department

1659581775

Wilson, Stephen M., M.D. 1950 Sunnycrest Drive

Suite #2600

Fullerton, CA 92835

Tel: (714) 446-5260

Fax: (714) 446-5265Pager: 626 8620 ext 6936

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Senior Active

General Surgery

Surgery

1245301084

Wing, Deborah A., M.D. 101 The City Drive South

Bldg. 56, Suite 800

Orange, CA 92868

Tel: (714) 456-5967

Fax: (714) 456-7091Pager: 714-456-5967

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Courtesy

Perinatology

Women & Childrens

1881798460

Winkle, Peter J., M.D. 1211 W. La Palma Ave.

Suite 306

Anaheim, CA 92801

Tel: (714) 778-1300

Fax: (714) 778-0303Pager: 714-633-1823

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Courtesy

Gastroenterology

Internal Medicine

Medicine Department 1992923460

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Page 108 Printed on Friday, April 19, 2013

Winston, Jeffrey V., M.D. La Mirada Eye & Laser Center 12675 La Mirada Blvd.

La Mirada, CA 90638

Tel: (562) 204-3003

Fax: (562) 204-3009Pager: (562) 707-2235

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active Ophthalmology

Surgery

1316972649

Woo, Kiho, M.D. 241 E. Imperial Hwy.

Suite 350

Fullerton, CA 92835

Tel: (714) 447-5027

Fax: (714) 578-8629Pager: (714) 732-1496

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Internal Medicine

Geriatrics

Medicine Department

1003091539

Woo, Warren, M.D. 1275 North Rose Dr. #138

Placentia, CA 92870

Tel: (714) 961-1635

Fax: (714) 961-1679Pager: (714) 961-1635

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Senior Active

Family Medicine

Medicine Department

1447340336

Wu-Kuo, Tobey, M.D. 2720 N. Harbor Blvd.

Suite 210

Fullerton, CA 92835

Tel: (714) 626-6310

Fax: (714) 626-6320Pager: (714) 626-6310

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Dermatology

Medicine Department

1588665392

Xu, Qun, M.D. 2707 E. Valley Blvd

Suite 205

West Covina, CA 91792

Tel: (626) 839-4570

Fax: (626) 839-4582Pager: (626) 964-2226

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Neurology

Medicine Department

1174681274

Yamasaki, Richard L., P.A.-C

101 E. Valencia Mesa Dr.

St. Jude Emergency Dept.

Fullerton, CA 92835

Tel: (714) 626-8500

Fax: (714) 626-8519Pager: (714) 992-3965

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

AHP

Physician Assistant

Emergency Medicine

Medicine Department 1689615841

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Page 109 Printed on Friday, April 19, 2013

Yang, Jenchen, M.D. 654 N. Diamond Bar Blvd Diamond Bar, CA 91765

Tel: (909) 396-8228

Fax: (909) 396-8227Pager: (909) 396-8228

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active Cardiovascular Disease

Cardiothoracic

1912084534

Yeh, Timothy G., M.D. 1751 W. Romneya Drive

Suite A

Anaheim, CA 92801-1827

Tel: (714) 956-4958

Fax: (714) 400-0488Pager: (714)

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Electrophysiology

Cardiovascular Disease

Cardiothoracic

1275591463

Yi, Joseph H., M.D. 6301 Beach Blvd.

Suite 101

Buena Park, CA 90621

Tel: (714) 994-5290

Fax: (714) 994-8090Pager: (714) 994-5290

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Family Medicine

Medicine Department

1861565285

Yoler, Katharine, M.D. 13915 Danielson Street

Ste. 200

Poway, CA 92064

Tel: (858) 546-3800

Fax: (858) 545-3900Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Provisional

Teleradiology

Medicine Department

1508830225

Yoon, Eugene J., M.D. 1847 Sunnycrest Drive

Fullerton, CA 92835

Tel: (714) 446-5831

Fax: (714) 446-7051Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Gastroenterology

Internal Medicine

Medicine Department

1861618449

Yoon, Stephen, M.D. 101 E. Valencia Mesa Dr.

Heritage Hospitalist

Fullerton, CA 92835

Tel: (714) 447-5027

Fax: (714) 992-3169Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Internal Medicine

Medicine Department 1851327100

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Page 110 Printed on Friday, April 19, 2013

You, Timothy T., M.D. 1200 N. Tustin Ave. Suite 140

Santa Ana, CA 92705

Tel: (714) 972-8432

Fax: (714) 972-4715Pager: (714) 972-8432

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Courtesy Ophthalmology

Surgery

1326041880

Zadeh, Touran, M.D. 211 S. Main St.

Suite E

Orange, CA 92868

Tel: (714) 288-3500

Fax: (714) 288-3510Pager: (714) 662-8289

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Courtesy

Pediatrics

Women & Childrens

1811932940

Zamarra, John W., M.D. 1001 E. Chapman

Fullerton, CA 92831

Tel: (714) 871-5200

Fax: (714) 871-2877Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Senior Active

Cardiovascular Disease

Cardiothoracic

1518052489

Zand, Alex, M.D. Alex Zand, MD, A Professional Corp.

1010 W. La Veta, #610

Orange, CA 92868

Tel: (714) 285-2311

Fax: (714) 285-2319Pager:

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Provisional/Observ

Internal Medicine

Medicine Department

1649288002

Zaret, Phillip D., D.O. 15090 Imperial Hwy

La Mirada, CA 90638

Tel: (562) 943-8444

Fax: (562) 943-8446Pager: (714) 739-4814

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Family Medicine

Medicine Department

1235129354

Zdral, John D., M.D. 301 W. Bastanchury Rd.

Suite 10

Fullerton, CA 92835

Tel: (714) 879-7372

Fax: (714) 879-4304Pager: (714) 879-7372

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Ophthalmology

Surgery 1801993944

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Page 111 Printed on Friday, April 19, 2013

Zeim, Sam, M.D. St. Jude Radiology 101 E. Valencia Mesa Drive

Fullerton, CA 92835

Tel: (714) 992-3978

Fax: (714) 446-5908Pager:

Status: Specialty:

Specialty2:

Specialty3:

Department: NPI:

Provisional/Observ Radiology

Medicine Department

1558631655

Zepeda, Arthur D., M.D. 100 E. Valencia Mesa Dr.

Suite 310

Fullerton, CA 92835

Tel: (714) 446-5200

Fax: (714) 446-5524Pager: (714) 456-8748

Status:

Specialty:

Specialty2:

Specialty3:

Department: NPI:

Active

Pain Medicine

Anesthesiology

Surgery

1184718447