LUPE BARBARA PACHECO (NPI# 1043460645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043460645 |
| Entity Type | Individual |
| Full Name | LUPE BARBARA PACHECO |
| Credential | P.A. |
| Practice Address |
751 Lombardi Ct Ste C Santa Rosa CA 95407-6793 |
| Practice Telephone | 7075472220 |
| Practice Fax Number | 7075472229 |
| Mailing Telephone | 7075472220 |
| Mailing Fax Number | 7075472229 |
| Enumeration Date | 2008-09-19 |
| Last Update Date | 2016-10-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 15380 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
751 LOMBARDI CT STE C |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95407-6793 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205982147 | Family Service Agency of Sonoma County | Community/Behavioral Health | 751 Lombardi Ct Ste C, Santa Rosa, CA 95407-6793 | 2007-01-25 |
| 1710261250 | Marjorie Stornetta | Counselor | 751 Lombardi Ct Ste C, Santa Rosa, CA 95407-5454 | 2011-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972100477 | Charrise Reece | Case Management | 935 S Davis, Santa Rosa, CA 95407 | 2020-10-07 |
| 1629687256 | Suzel Anne-marie Deer | Registered Nurse | 1017 Stony Point Rd, Santa Rosa, CA 95407 | 2020-07-29 |
| 1285152884 | Mercedes Zipperle | Specialist/Technologist | 638 Athena Pl, Santa Rosa, CA 95407 | 2017-09-03 |
| 1235664988 | Priceless Transport Care LLC | Non-emergency Medical Transport (VAN) | 661 Powderhorn Ave, Santa Rosa, CA 95407 | 2017-05-01 |
| 1780139634 | Robin Shank Sanderson | Nurse Practitioner | 751 Lombardi, Santa Rosa, CA 95407 | 2016-08-22 |
| 1205207321 | Flaman Craig Mccloud Jr. | Counselor | 440 Arrowood Dr., Santa Rosa, CA 95407 | 2015-10-15 |
| 1548679400 | Jill Bauer | Dental Hygienist | 2740 Ironstone Circle, Santa Rosa, CA 95407 | 2014-08-05 |
| 1922413673 | Aurora Alejandra Gomez Selpides | Family Medicine | 2240 Mercury Way, Santa Rosa, CA 95407 | 2014-06-20 |
| 1508159955 | Luis Angel Gonzalez | Counselor | 1202 Apollo Way, Santa Rosa, CA 95407 | 2011-05-18 |
| 1326286295 | Kelly Alexis Rathmann | Social Worker | 3650 Standish Avenue, Santa Rosa, CA 95407 | 2009-01-29 |
| Find all providers in zip 95407 | ||||
| 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 |
|---|---|---|---|---|
| 1588139091 | Jenny Quan | Physician Assistant | 2300 Mendocino Ave Ste 4, Santa Rosa, CA 95403-3115 | 2018-10-11 |
| 1760978506 | Rhett Chandler Lacey | Physician Assistant | 545 Caber Dr, Santa Rosa, CA 95409-4404 | 2018-07-05 |
| 1417079112 | James Thomas Williams | Physician Assistant | 728 Mendocino Ave, Santa Rosa, CA 95401-4804 | 2007-04-04 |
| 1356491112 | Jaremy Lowe Kwock | Physician Assistant | 525 Doyle Park Dr Ste 102, Santa Rosa, CA 95405-4562 | 2007-01-11 |
| 1235203274 | Ann S Bruner-welch | Physician Assistant | 401 Bicentennial Way # 120, Santa Rosa, CA 95403-2149 | 2006-11-20 |
| 1770672925 | Robert Evan Crenshaw | Physician Assistant | 401 Bicentennial Way Ste 120, Santa Rosa, CA 95403-2149 | 2006-10-12 |
| 1982640298 | Amy K Jones | Physician Assistant | 1221 N Dutton Ave, Concentra Medical Group, Santa Rosa, CA 95401-4607 | 2006-06-22 |
| 1821068669 | Christine J Perkowska | Physician Assistant | 583 Summerfield Rd, Santa Rosa, CA 95405-5239 | 2006-01-24 |
| 1649265976 | Heather Noel Silva | Physician Assistant | 2725 Mendocino Ave, Santa Rosa, CA 95403-2805 | 2005-09-13 |
| 1538167226 | Wendy A Williams | Physician Assistant | 2455 Summerfield Rd, Santa Rosa, CA 95405-7815 | 2005-07-07 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95407 |
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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.