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
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
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
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
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
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
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
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
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
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
Medical Staff Picture Roster
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
Medical Staff Picture Roster
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
Medical Staff Picture Roster
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
Medical Staff Picture Roster
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
Medical Staff Picture Roster
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
Medical Staff Picture Roster
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
Medical Staff Picture Roster
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
Medical Staff Picture Roster
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
Medical Staff Picture Roster
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
Medical Staff Picture Roster
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
Medical Staff Picture Roster
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
Medical Staff Picture Roster
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
Medical Staff Picture Roster
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
Medical Staff Picture Roster
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
Medical Staff Picture Roster
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
Medical Staff Picture Roster
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
Medical Staff Picture Roster
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
Medical Staff Picture Roster
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
Medical Staff Picture Roster
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
Medical Staff Picture Roster
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
Medical Staff Picture Roster
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
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
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
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
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
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
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
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
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
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
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
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
Medical Staff Picture Roster
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
Medical Staff Picture Roster
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
Medical Staff Picture Roster
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
Medical Staff Picture Roster
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
Medical Staff Picture Roster
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
Medical Staff Picture Roster
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
Medical Staff Picture Roster
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
Medical Staff Picture Roster
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
Medical Staff Picture Roster
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
Medical Staff Picture Roster
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
Medical Staff Picture Roster
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
Medical Staff Picture Roster
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
Medical Staff Picture Roster
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
Medical Staff Picture Roster
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
Medical Staff Picture Roster
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
Medical Staff Picture Roster
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
Medical Staff Picture Roster
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
Medical Staff Picture Roster
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
Medical Staff Picture Roster
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
Medical Staff Picture Roster
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
Medical Staff Picture Roster
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
Medical Staff Picture Roster
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
Medical Staff Picture Roster
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
Medical Staff Picture Roster
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
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
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
Medical Staff Picture Roster
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
Medical Staff Picture Roster
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
Medical Staff Picture Roster
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
Medical Staff Picture Roster
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
Medical Staff Picture Roster
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
Medical Staff Picture Roster
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
Medical Staff Picture Roster
Page 75 Printed on Friday, April 19, 2013
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
Medical Staff Picture Roster
Page 76 Printed on Friday, April 19, 2013
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
Medical Staff Picture Roster
Page 77 Printed on Friday, April 19, 2013
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
Medical Staff Picture Roster
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
Medical Staff Picture Roster
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
Medical Staff Picture Roster
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
Medical Staff Picture Roster
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
Medical Staff Picture Roster
Page 82 Printed on Friday, April 19, 2013
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
Medical Staff Picture Roster
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
Medical Staff Picture Roster
Page 84 Printed on Friday, April 19, 2013
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
Medical Staff Picture Roster
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
Medical Staff Picture Roster
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
Medical Staff Picture Roster
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
Medical Staff Picture Roster
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
Medical Staff Picture Roster
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
Medical Staff Picture Roster
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
Medical Staff Picture Roster
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
Medical Staff Picture Roster
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
Medical Staff Picture Roster
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
Medical Staff Picture Roster
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
Medical Staff Picture Roster
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
Medical Staff Picture Roster
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
Medical Staff Picture Roster
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
Medical Staff Picture Roster
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
Medical Staff Picture Roster
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
Medical Staff Picture Roster
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
Medical Staff Picture Roster
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
Medical Staff Picture Roster
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
Medical Staff Picture Roster
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
Medical Staff Picture Roster
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
Medical Staff Picture Roster
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
Medical Staff Picture Roster
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
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
Medical Staff Picture Roster
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
Medical Staff Picture Roster
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
Medical Staff Picture Roster
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
Medical Staff Picture Roster
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
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