KARLA KANONGATA'A MATAELE (Credential# 1595710) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
KARLA KANONGATA'A MATAELE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.004325. The credential type is physician assistant. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 5717 Pacific Center Blvd, San Diego, CA 92121. The current status is active.
| Licensee Name | KARLA KANONGATA'A MATAELE |
| Credential ID | 1595710 |
| Credential Number | 23.004325 |
| Credential Type | Physician Assistant |
| Business Address |
5717 Pacific Center Blvd San Diego CA 92121 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-10-30 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-02-19 |
| Street Address | 5717 Pacific Center Blvd |
| City | San Diego |
| State | CA |
| Zip Code | 92121 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Siri Martin | 5717 Pacific Center Blvd, San Diego, CA 92121 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Joanne Lastri Campbell | 5717 Pacific Center Blvd, San Diego, CA 92121 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Joshua Allen Rodgers | 5717 Pacific Center Blvd, San Diego, CA 92121 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Monica S Sanchez | 5717 Pacific Center Blvd, San Diego, CA 92121 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
| Jennifer Yeh Chiang | 5717 Pacific Center Blvd, San Diego, CA 92121 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Katie Lynn Scott | 5717 Pacific Center Blvd, San Diego, CA 92121-4250 | Physician Assistant | 2020-01-01 ~ 2020-12-31 |
| Julie Akiko Gladsjo | 5717 Pacific Center Blvd, San Diego, CA 92121 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Robert Michael Stickler | 5717 Pacific Center Blvd, San Diego, CA 92121 | Physician Assistant | 2019-06-06 ~ 2020-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Suneva Medical Inc. | 5870 Pacific Center Blvd, San Diego, CA 92121 | Securities - Exemptions | 2020-05-29 ~ |
| Nicole Golding | 10221 Wateridge Circle, San Diego, CA 92121 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Nancy M Satur | 5717 Pacific Center Blvd, Suite 200, San Diego, CA 92121 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Lauren Natalie Fox | 5717 Pacific Center Blvd, San Diego, CA 92121 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Drawbridge Health · Drawbridge Health, Inc | 11535 Sorrento Valley Road, San Diego, CA 92121 | Out of State Manufacturer of Drugs, Cosmetics & Medical Devices | 2020-01-22 ~ |
| Michael E Wall | 4115 Sorrento Valley Blvd, San Diego, CA 92121 | Professional Engineer | 2020-01-14 ~ 2021-01-31 |
| Robyn Rebecca Heister | 4570 Executive Drive, San Diego, CA 92121 | Physician/surgeon | 2019-12-02 ~ 2020-06-30 |
| Ethos Discovery | 10455 Sorrento Valley Road, San Diego, CA 92121 | Public Charity | 2019-12-01 ~ 2020-11-30 |
| Clarify Medical, Inc. | 10505 Sorrento Valley Road, San Diego, CA 92121 | Securities - Exemptions | 2019-11-07 ~ |
| Zeno Pharma, LLC | 10835 Road To The Cure, San Diego, CA 92121 | Securities - Exemptions | 2019-09-25 ~ |
| Find all Licenses in zip 92121 | |||
| City | San Diego |
| Zip Code | 92121 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + San Diego |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Karla L Matterfis | 66 Mctigh Road, Higganum, CT 06441 | Occupational Therapist Assistant | 2003-06-26 ~ 2005-07-31 |
| Karla Dunphy | 10 Day Lane Floor 1, Webster, MA 01570 | Occupational Therapist Assistant | 2019-08-01 ~ 2021-07-31 |
| Karla C Trotta | 16 Friar Tuck Dr., Gales Ferry, CT 06335 | Physical Therapist Assistant | 2001-12-21 ~ 2006-11-01 |
| Karla L Wagner | 19 Wright St #2, Stamford, CT 06902 | Physician/surgeon | 1993-12-01 ~ 1994-10-31 |
| Karla Boyd | 303 E 60th St Apt 28f, New York, NY 10022-1563 | Resident Physician | 2019-07-01 ~ 2021-06-30 |
| Karla M Perrizo | 383 Matthew St, Prospect, CT 06712 | Physician/surgeon | 2018-09-01 ~ 2019-08-31 |
| Karla Rodriguez Perez | 279 New Britain Rd Ste A, Berlin, CT 06037-3165 | Physician/surgeon | 2020-03-23 ~ 2020-11-30 |
| Karla Vera Molinero | 38 Crown Street, New Haven, CT 06510 | Resident Physician | 2019-07-01 ~ 2021-06-30 |
| Karla Lizeth Martinez Coleman | 370 Whitney Ave Apt 6, New Haven, CT 06511-2333 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Physician Assistant Foundation of The American Academy of Physician Assistants | 2318 Mill Rd Ste 1300, Alexandria, VA 22314-6868 | Public Charity | 2019-12-01 ~ 2020-11-30 |
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| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).