MR. DESHAWN MICHAEL ROBERSON (NPI# 1043603400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043603400 |
| Entity Type | Individual |
| Full Name | MR. DESHAWN MICHAEL ROBERSON |
| Practice Address |
10515 Balboa Blvd Suite 285 Granada Hills CA 91344-6343 |
| Practice Telephone | 6198207062 |
| Mailing Telephone | 6198207062 |
| Enumeration Date | 2015-03-10 |
| Last Update Date | 2017-05-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
54384 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | WA | Student, Health Care |
| Street Address |
10515 BALBOA BLVD SUITE 285 |
| City | GRANADA HILLS |
| State | CA |
| Zip Code | 91344-6343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841290400 | Steven Charles Shoham | Pediatrics | 10515 Balboa Blvd, Suite 360, Granada Hills, CA 91344-6343 | 2005-07-26 |
| 1972053288 | Karla Del Rosario Torres | Case Manager/Care Coordinator | 10515 Balboa Blvd, Granada Hills, CA 91344-6343 | 2016-10-11 |
| 1245619360 | Karlu Tan | Physical Therapist | 10515 Balboa Blvd, 285, Granada Hills, CA 91344 | 2015-05-21 |
| 1942544648 | Aron L Rotman, M.d. A Professional Corp | Internal Medicine | 10515 Balboa Blvd, 200, Granada Hills, CA 91344-6343 | 2012-11-19 |
| 1902175813 | Hong Nhung Thi Truong | Counselor | 10515 Balboa Blvd, Suite 376, Granada Hills, CA 91344-6343 | 2011-12-21 |
| 1609156447 | James D. Thomas, M.d. P C | Specialist | 10515 Balboa Blvd, 200, Granada Hills, CA 91344-6343 | 2011-08-24 |
| 1972824027 | Valley Physical Therapy Services, Inc | Clinic/Center | 10515 Balboa Blvd, 285, Granada Hills, CA 91344-6343 | 2010-06-11 |
| 1851622047 | Milagro Cunningham | Counselor | 10515 Balboa Blvd, Granada Hills, CA 91344-6343 | 2010-01-27 |
| 1952637175 | Clarisse Figueroa Felipe | Registered Nurse | 10515 Balboa Blvd, Suite 376, Granada Hills, CA 91344-6343 | 2009-10-22 |
| 1043441744 | Sandra I Martinez | Social Worker | 10515 Balboa Blvd, Suite #376, Granada Hills, CA 91344-6343 | 2009-07-30 |
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|---|---|---|---|---|
| 1083230296 | A&e Home Health Care Inc | Home Health | 17631 Chatsworth Street Ste B Room C, Granada Hills, CA 91344 | 2020-06-23 |
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| 1972066934 | Apple Speech and Educational Services, Inc. | Speech-Language Pathologist | 16853 Rinaldi Street, Granada Hills, CA 91344 | 2019-04-08 |
| 1376016642 | Hypnos Sleep Laboratory & Treatement Center, Inc | Clinic/Center | 17050 Chatsworth Blvd. Suite 243, Granada Hills, CA 91344 | 2019-01-09 |
| 1225503543 | Miguel Angel Salas | Naturopath | 10315 Woodley Ave., Suite 103 & 104, Granada Hills, CA 91344 | 2018-10-13 |
| 1790264588 | Ben Maguerrero | Respiratory Therapist, Registered | 16851 Simonds St, Granada Hills, CA 91344 | 2018-08-13 |
| 1265962856 | Safe Med Tranz Inc. | Non-emergency Medical Transport (VAN) | 16000 Horace St, Granada Hills, CA 91344 | 2017-06-15 |
| 1942731302 | Arthur Perez | Physical Therapy Assistant | 11233 Montgomery Ave., Granada Hills, Granada Hills, CA 91344 | 2017-03-27 |
| 1649718990 | Eugene Tan Aguilar | Nurse Practitioner | 16718 San Fernando Mission Blvd, Granada Hills, CA 91344 | 2017-02-07 |
| 1295282739 | San Fernando Mission Group Home | Residential Treatment Facility, Emotionally Disturbed Children | 17157 San Fernando Mission Blvd., Granada Hills, CA 91344 | 2016-09-01 |
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| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295296622 | Austin Weideman | Physician Assistant | 10605 Balboa Blvd Ste 240, Granada Hills, CA 91344-6374 | 2019-03-28 |
| 1770896961 | Angelica Ibarra | Physician Assistant | 10316 Woodley Ave, Granada Hills, CA 91344-6916 | 2010-07-16 |
| 1447439609 | Claudia L. Carcamo | Physician Assistant | 17709 Chatsworth St, Granada Hills, CA 91344-5675 | 2007-10-24 |
| 1114112596 | Sibu Rajan | Physician Assistant | 16907 Devonshire St, Granada Hills, CA 91344-7407 | 2007-09-10 |
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| 1124638663 | Gayaneh Gharakhani | Physician Assistant | 1323 E Broadway Apt 110, Glendale, CA 91205-4018 | 2020-08-07 |
| 1144830183 | Loc Bao Tran | Physician Assistant | 8937 Emerson Pl, Rosemead, CA 91770-2813 | 2020-08-04 |
| 1558997957 | Sarah Lubinsky | Physician Assistant | 1511 Montana Ave, Santa Monica, CA 90403-1891 | 2020-03-17 |
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| City | GRANADA HILLS |
| Zip Code | 91344 |
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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.