DR. RYAN HISASHI NAKASONE (NPI# 1043207459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043207459 |
| Entity Type | Individual |
| Full Name | DR. RYAN HISASHI NAKASONE |
| Credential | D.C., P.A.-C |
| Practice Address |
1100 Paseo Camarillo Camarillo CA 93010-6073 |
| Practice Telephone | 8058955984 |
| Mailing Telephone | 8058955984 |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2016-04-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | DC-24909 | CA | Chiropractic Providers |
| Y | 363A00000X | Physician Assistant | PA22126 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1100 PASEO CAMARILLO |
| City | CAMARILLO |
| State | CA |
| Zip Code | 93010-6073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043648132 | Carlos Miguel Leal | Physician Assistant | 1100 Paseo Camarillo, Camarillo, CA 93010-6073 | 2013-10-28 |
| 1205195732 | Spanish Hills Interventional Pain Specialists Inc A Medical Corp | Pain Medicine | 1100 Paseo Camarillo, Camarillo, CA 93010-6073 | 2012-05-03 |
| 1275828568 | Patrick Dennis Buchanan | Pain Medicine | 1100 Paseo Camarillo, Camarillo, CA 93010-6073 | 2011-06-14 |
| 1417253550 | Jeannine Dannenbaum | Nurse Practitioner | 1100 Paseo Camarillo, Camarillo, CA 93010 | 2011-02-08 |
| 1083878227 | Antulio Benjamin Aroche Jr. | Orthopaedic Surgery | 1100 Paseo Camarillo, Camarillo, CA 93010-6073 | 2008-07-16 |
| 1376745497 | Central Pacific Pain Management | Specialist | 1100 Paseo Camarillo, Camarillo, CA 93010 | 2007-06-01 |
| 1023138625 | David M Davis | Physician Assistant | 1100 Paseo Camarillo, Camarillo, CA 93010-6073 | 2007-03-29 |
| 1316067069 | Stefany D. Wolfsohn | Anesthesiology | 1100 Paseo Camarillo, Camarillo, CA 93010 | 2007-03-29 |
| 1285665224 | Alireza Katouzian | Anesthesiology | 1100 Paseo Camarillo, Camarillo, CA 93010 | 2006-07-06 |
| 1386675049 | Alireza Katouzian, Md Inc. | Anesthesiology | 1100 Paseo Camarillo, Camarillo, CA 93010 | 2006-07-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588261366 | Edith Gallardo | Behavior Technician | 400 Mobile Avenue Suite A-3, Camarillo, CA 93010 | 2020-10-05 |
| 1568094761 | Amanda Montoya | Physical Therapist | 58 Calle Escalon, Camarillo, CA 93010 | 2020-02-06 |
| 1518509678 | Esther Marie Brown Gonzalez | Technician | 2826 Munson St, Camarilla, CA 93010 | 2019-10-10 |
| 1023666385 | Nancy Monetta Wigert | Speech-Language Pathologist | 155 Granada Street #a, Camarillo, CA 93010 | 2019-08-29 |
| 1174098651 | Tatianna Kraft | Counselor | 4243 Vincente Ave, Camarillo, CA 93010 | 2018-10-10 |
| 1861977662 | Marina Wischnack | Psychologist | 1200 Paseo Camarillo, Suite 245, Camarillo, CA 93010 | 2018-09-27 |
| 1417430620 | Peter Lawrence Mcdermott | Anesthesiology | 141 Lapatera Drive, Camarillo, CA 93010 | 2018-09-13 |
| 1689162521 | Mehgan Lynn Lambert | Specialist | 333 Skyway Drive, Camarillo, CA 93010 | 2018-04-26 |
| 1134643208 | Hailey Kay Kohler | Social Worker | 692 Spring Oak Road Unit 721, Camarillo, CA 93010 | 2017-08-01 |
| 1174052369 | Demi Shugrue | Counselor | 2021 Sperry Ave, Suite 37, Ventura, CA 93010 | 2017-06-09 |
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| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144730243 | Dianna Andrea Davis | Physician Assistant | 422 Arneill Rd Ste A, Camarillo, CA 93010-6434 | 2017-10-04 |
| 1477942647 | Jessica Fogeltanz | Physician Assistant | 1880 Del Ciervo Pl, Camarillo, CA 93012-4066 | 2015-01-12 |
| 1346641909 | Brittany Senff | Physician Assistant | 3901 Las Posas Rd Ste 10, Camarillo, CA 93010-1502 | 2014-09-12 |
| 1689823718 | Kelly L Calkins | Physician Assistant | 64 E Daily Dr, Camarillo, CA 93010-5803 | 2008-09-12 |
| 1518504513 | Laura Schmeer | Physician Assistant | 601 E Daily Dr Ste 228, Camarillo, CA 93010-5840 | 2019-12-09 |
| 1467901033 | Saul Lawrence Miller | Physician Assistant | 2103 Pickwick Dr, Camarillo, CA 93010-6427 | 2016-09-23 |
| 1558818591 | Peter Francis White | Physician Assistant | 1040 Flynn Rd, Camarillo, CA 93012-5092 | 2016-09-07 |
| 1447687041 | Ray Ruiz | Physician Assistant | 3801 Las Posas Rd, Camarillo, CA 93010-1427 | 2013-09-27 |
| 1023138625 | David M Davis | Physician Assistant | 1100 Paseo Camarillo, Camarillo, CA 93010-6073 | 2007-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407679 | Samantha Sidney Spinner | Physician Assistant | 1385 Shattuck Ave Apt 201, Berkeley, CA 94709-1468 | 2020-11-08 |
| 1134720972 | Alessandra Porfido | Physician Assistant | 733 Filbert St Apt 1, San Francisco, CA 94133-2767 | 2020-11-06 |
| 1992306872 | Kelsey Oberg | Physician Assistant | 1817 Oldfield Ct, El Cajon, CA 92019-4233 | 2020-11-05 |
| 1609477504 | Julia Claire Stiefel | Physician Assistant | 369 Orange St Apt A, Oakland, CA 94610-2979 | 2020-11-05 |
| 1164023347 | Wendy P Lewis | Physician Assistant | 10447 Highdale St, Bellflower, CA 90706-4122 | 2020-11-04 |
| 1245830181 | Lauren Bennett | Physician Assistant | 3360 Horizon St, Corona, CA 92881-0728 | 2020-10-29 |
| 1538769062 | Revital Ahl | Physician Assistant | 18141 Medley Dr, Encino, CA 91316-4447 | 2020-10-26 |
| 1922607423 | Emily Halla | Physician Assistant | 7473 Gresham Ct, San Jose, CA 95139-1424 | 2020-10-26 |
| 1386243889 | Ilaitia Lecia Namatasere | Physician Assistant | 614 Sycamore Ln Apt 225, Davis, CA 95616-7901 | 2020-10-26 |
| 1083213706 | Courtney Kathryn Hopp | Physician Assistant | 4060 Fourth Ave Ste 209, San Diego, CA 92103-2120 | 2020-10-23 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.