MICAH CLEMENT (NPI# 1073991287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073991287 |
| Entity Type | Individual |
| Full Name | MICAH CLEMENT |
| Credential | PA |
| Practice Address |
25455 Barton Rd Loma Linda CA 92354-3128 |
| Practice Telephone | 9095586600 |
| Enumeration Date | 2015-05-08 |
| Last Update Date | 2015-08-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
25455 BARTON RD |
| City | LOMA LINDA |
| State | CA |
| Zip Code | 92354-3128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124018114 | Gary D Botimer | Orthopaedic Surgery | 25455 Barton Rd, Ste 102b, Loma Linda, CA 92354-3128 | 2005-10-21 |
| 1033753249 | Victoria V Teppone | Family Medicine | 25455 Barton Rd, Loma Linda, CA 92354-3128 | 2019-10-30 |
| 1376991059 | Russell Irving Carl Erickson Iv | Student in an Organized Health Care Education/Training Program | 25455 Barton Rd, Suite 206a, Loma Linda, CA 92354-3128 | 2016-06-02 |
| 1164879219 | Megan Ashley Olivas | Registered Nurse | 25455 Barton Rd, 204b, Loma Linda, CA 92354-3128 | 2016-05-18 |
| 1407202328 | Tiffiny Suzanne Pizzifred | Nurse Practitioner | 25455 Barton Rd, Suite 204b, Loma Linda, CA 92354-3128 | 2016-05-10 |
| 1679943054 | Rio Gutierrez Ocampo | Nurse Practitioner | 25455 Barton Rd, Suite 204b, Loma Linda, CA 92354-3128 | 2015-09-29 |
| 1164806329 | Mark R Weber | Physician Assistant | 25455 Barton Rd, Loma Linda, CA 92354-3128 | 2015-07-16 |
| 1457731572 | Mopelola Adetola Adeyemo | Internal Medicine | 25455 Barton Rd, Suite 206-a, Loma Linda, CA 92354-3128 | 2015-06-03 |
| 1952713802 | Jack Pierre Dubois | Family Medicine | 25455 Barton Rd, Loma Linda, CA 92354 | 2014-05-27 |
| 1033554613 | Loma Linda Inland Consortium for Healthcare Education | Clinic/Center | 25455 Barton Rd, Suite 209-b, Loma Linda, CA 92354-3128 | 2013-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264337 | Apple Red Nutrition Services | Dietitian, Registered | 357 W. 2nd St, Suite #2, Loma Linda, CA 92354 | 2020-10-30 |
| 1013517960 | Kristina Pulliam Markey | Nurse Practitioner | 11234 Anderson Strreet, Loma Linda, CA 92354 | 2020-10-29 |
| 1932725645 | Dev Priya Singhvi | Student in an Organized Health Care Education/Training Program | 11332 Mountain View Avenue, Westerly Building, Suite C, Gme Office, Loma Linda, CA 92354 | 2020-06-18 |
| 1750901278 | Angela N Torres | Student in an Organized Health Care Education/Training Program | Loma Linda University Health Emergency Medicine, 11234 Anderson Street, Loma Linda, CA 92354 | 2020-04-24 |
| 1548899230 | Holistic Physical Therapy Inc. | Physical Therapist | 25003 Starr Str, Loma Linda, CA 92354 | 2020-04-03 |
| 1508494071 | Eric Allen | Student in an Organized Health Care Education/Training Program | Loma Linda University Health Pediatrics, General, 11234 Anderson Street, Loma Linda, CA 92354 | 2020-03-31 |
| 1730640244 | Rose Valley Rcfe | Assisted Living Facility | 11574 Poplar St, Loma Linda, CA 92354 | 2019-03-27 |
| 1336633676 | David A Lawrence | Student in an Organized Health Care Education/Training Program | Loma Linda University Hospital, 11234 Anderson St., Loma Linda, CA 92354 | 2018-06-20 |
| 1205329547 | Rachael Nicole Spady | Student in an Organized Health Care Education/Training Program | Loma Linda University Health - Obstetrics & Gynecology, 11234 Anderson St, Loma Linda, CA 92354 | 2018-06-12 |
| 1447756069 | Anthony Ernest Sanchez | Otolaryngology | 11332 Mountain View, Westerly Building Suite C, Loma Linda, CA 92354 | 2018-04-03 |
| Find all providers in zip 92354 | ||||
| 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 |
|---|---|---|---|---|
| 1568079317 | Joshua Douglas Warr | Physician Assistant | 25014 Prospect Ave, Loma Linda, CA 92354-2900 | 2020-09-25 |
| 1386255446 | Michelle R Croyle | Physician Assistant | 24785 Stewar Street Evans Hall Room 201, Loma Linda, CA 92350-0001 | 2020-08-12 |
| 1982226973 | Kim Hanh Dinh | Physician Assistant | 25025 Starr St, Loma Linda, CA 92354-2821 | 2020-05-12 |
| 1336799055 | Curtis Manolesco | Physician Assistant | 11074 San Juan St, Loma Linda, CA 92354-2714 | 2019-09-14 |
| 1598310229 | Madeline Lizaida Tiffany | Physician Assistant | 24665 Stewart St, Loma Linda, CA 92354-2744 | 2019-08-08 |
| 1750942561 | Daniel L Rothstein | Physician Assistant | 25648 Van Leuven St Apt A, Loma Linda, CA 92354-2459 | 2019-06-23 |
| 1114445053 | Megan Kristine Carter | Physician Assistant | 25590 Prospect Ave Apt 4b, Loma Linda, CA 92354-3142 | 2017-08-30 |
| 1245757442 | Natalie Annie Chen | Physician Assistant | 11175 Campus Street Coleman Pavilion Suite 11120, Loma Linda, CA 92350-0001 | 2017-08-28 |
| 1558885293 | Joshua Don Johnson | Physician Assistant | 25240 Lawton Ave, Loma Linda, CA 92354-3541 | 2017-08-02 |
| 1992227813 | Ivanely Sanchez | Physician Assistant | 11245 Dumetz Ln, Loma Linda, CA 92354 | 2017-07-12 |
| Find all providers in LOMA LINDA | ||||
| City | LOMA LINDA |
| Zip Code | 92354 |
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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.