| Upperline Healthcare California Pc | |
|
1038 E Chapman Ave, Orange, CA 92866-2111 | |
| (407) 219-5402 | |
| (407) 608-6830 |
| Full Name | Upperline Healthcare California Pc |
|---|---|
| Type | Facility |
| Speciality | Clinic/center - Podiatric |
| Location | 1038 E Chapman Ave, Orange, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225663826 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Secondary |
| 261QP1100X | Clinic/center - Podiatric | (* (Not Available)) | Primary |
| Provider Name | Jeffrey R Desantis |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1659371748 PECOS PAC ID: 3577512391 Enrollment ID: I20050120000338 |
| Provider Name | Howard A Hewlett |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1124028691 PECOS PAC ID: 0446209159 Enrollment ID: I20050120000415 |
| Provider Name | Daniel P Molden |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1437128972 PECOS PAC ID: 0749220101 Enrollment ID: I20050505000520 |
| Provider Name | James K Jung |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1649224999 PECOS PAC ID: 5799793709 Enrollment ID: I20060403000570 |
| Provider Name | Brad A Katzman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1275586919 PECOS PAC ID: 8729188420 Enrollment ID: I20070710001012 |
| Provider Name | Oliver T Wang |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1063516409 PECOS PAC ID: 9537187950 Enrollment ID: I20101026000512 |
| Provider Name | John Angus Chisholm |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1396740072 PECOS PAC ID: 4880801349 Enrollment ID: I20101130000071 |
| Provider Name | Tina Jussal |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1164650206 PECOS PAC ID: 3870743719 Enrollment ID: I20121030000380 |
| Provider Name | John A Davidson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1689069874 PECOS PAC ID: 4284981424 Enrollment ID: I20180719001907 |
| Provider Name | Francisco G Mendivil-moreno |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1871989475 PECOS PAC ID: 9739433905 Enrollment ID: I20181107002069 |
| Provider Name | Han Nguyen |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1063918845 PECOS PAC ID: 7113253956 Enrollment ID: I20190731002514 |
| Provider Name | Dixon H Xu |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1598296600 PECOS PAC ID: 8022439900 Enrollment ID: I20200601002525 |
| Provider Name | Caitlyn Yee Lee |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1588129589 PECOS PAC ID: 4688099807 Enrollment ID: I20200805002272 |
| Provider Name | Laura Alfstad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295149151 PECOS PAC ID: 4284951971 Enrollment ID: I20200826000665 |
| Provider Name | Rahul Abraham |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1740713882 PECOS PAC ID: 6608145883 Enrollment ID: I20201202003434 |
| Provider Name | Brian Au |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1508392572 PECOS PAC ID: 4486924032 Enrollment ID: I20210423000805 |
| Provider Name | Paul Hong |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1508386517 PECOS PAC ID: 5395084222 Enrollment ID: I20210722003717 |
| Provider Name | Warda Saarah Shamshad |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1154842755 PECOS PAC ID: 6406247162 Enrollment ID: I20220106002676 |
| Provider Name | Dana Lin |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1811481914 PECOS PAC ID: 8426458878 Enrollment ID: I20220411001652 |
| Provider Name | Joshua Hendricks |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1992298822 PECOS PAC ID: 0244588341 Enrollment ID: I20220414001745 |
| Provider Name | Chase Masao Tamashiro |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1487117875 PECOS PAC ID: 5193105286 Enrollment ID: I20220707000782 |
| Provider Name | Chelsea Hendricks |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1083104319 PECOS PAC ID: 0345575627 Enrollment ID: I20220716000318 |
| Provider Name | Fatimah Badran |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1780236695 PECOS PAC ID: 1254712177 Enrollment ID: I20220722001412 |
| Provider Name | Anthony N Samaan |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1982260899 PECOS PAC ID: 0042691982 Enrollment ID: I20220722002421 |
| Provider Name | Lora D Yeager-smith |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1811939176 PECOS PAC ID: 0648265546 Enrollment ID: I20220830003350 |
| Provider Name | Eugene Cheng |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1568990455 PECOS PAC ID: 9133590730 Enrollment ID: I20230118001871 |
| Provider Name | Melissa Cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497421630 PECOS PAC ID: 1153729447 Enrollment ID: I20230119000681 |
| Provider Name | Sharonda Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700359072 PECOS PAC ID: 5890035786 Enrollment ID: I20230125001724 |
| Provider Name | Ashutosh Harish Ailani |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1538884929 PECOS PAC ID: 4486010378 Enrollment ID: I20230518002846 |
| Provider Name | Andrew George |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1790307007 PECOS PAC ID: 9032575774 Enrollment ID: I20230522003322 |
| Provider Name | Mary Grace Nuega |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407342603 PECOS PAC ID: 2466798418 Enrollment ID: I20230612002729 |
| Provider Name | Emily Sun Shibata |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1700409216 PECOS PAC ID: 3375086135 Enrollment ID: I20240620003577 |
| Provider Name | Heather Vu Tran |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1124643564 PECOS PAC ID: 8123559325 Enrollment ID: I20240929000092 |
| Provider Name | Iman Arroyo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417458647 PECOS PAC ID: 3678838489 Enrollment ID: I20241210004507 |
| Provider Name | Youngsen Jeng |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1033785076 PECOS PAC ID: 0345760591 Enrollment ID: I20250219000885 |
| Mailing Address | Practice Location Address |
|---|---|
| Upperline Healthcare California Pc 4101 Charlotte Ave Ste F185, Nashville, TN 37209-4066 Ph: (407) 219-5402 | Upperline Healthcare California Pc 1038 E Chapman Ave, Orange, CA 92866-2111 Ph: (407) 219-5402 |