VANESSA CANDARE (NPI# 1134680564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134680564 |
| Entity Type | Individual |
| Full Name | VANESSA CANDARE |
| Practice Address |
480 4th Ave Ste 206 Chula Vista CA 91910-4412 |
| Mailing Address |
1584 Santa Sierra Dr Chula Vista CA 91913-2870 |
| Practice Telephone | 6194273361 |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2020-03-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 56927 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
480 4TH AVE STE 206 |
| City | CHULA VISTA |
| State | CA |
| Zip Code | 91910-4412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245429828 | South Bay Internal Medical Grp Inc | Legal Medicine | 480 4th Ave Ste 206, Chula Vista, CA 91910-4412 | 2007-10-18 |
| 1245878255 | Steven Montague | Physician Assistant | 480 4th Ave Ste 206, Chula Vista, CA 91910-4412 | 2019-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477194264 | Joshua Maurice Hayden | Dental Hygienist | 678 Thrid Ave, Chula Vista, CA 91910 | 2019-10-02 |
| 1255980504 | Samantha Bernaldo | Dental Hygienist | 668 Third Ave, Chula Vista, CA 91910 | 2019-09-10 |
| 1073179529 | Roshni Kakaiya | Student in an Organized Health Care Education/Training Program | 435 H Street, Cv112, Chula Vista, CA 91910 | 2019-05-09 |
| 1598232506 | Naria Le Mire | Dietitian, Registered | 288 Broadway #141a, Chula Vista, CA 91910 | 2018-10-28 |
| 1730676727 | Pei Chi Chain | Optometrist | 324 F Street., Chula Vista, CA 91910 | 2018-04-16 |
| 1104332741 | Teodoro David Pena | Dentist | 510 Broadway Ste 4-5, Chula Vista, CA 91910 | 2017-12-19 |
| 1538684865 | Camille Cooke | Counselor | 430 F. Street, Chula Vista, CA 91910 | 2017-08-08 |
| 1184146094 | Alexandra Lynn Scovill | Optometrist | Castillejos Eye Institute Medical Group, 342 F Street, Chula Vista, CA 91910 | 2017-07-12 |
| 1396270583 | Tam Trieu | Pharmacist | 555 Broaway Suite 1054, Chula Vista, CA 91910 | 2017-04-25 |
| 1548792815 | Sabrina Owens | Family Medicine | 499 H Street Cv112, Chula Vista, CA 91910 | 2017-03-28 |
| Find all providers in zip 91910 | ||||
| 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 |
|---|---|---|---|---|
| 1285275149 | Dana Faye Lowry | Physician Assistant | 319 F St Ste 102, Chula Vista, CA 91910-2666 | 2019-10-02 |
| 1528533007 | Russel Valencia Pineda | Physician Assistant | 344 F St Ste 203, Chula Vista, CA 91910-2646 | 2018-10-10 |
| 1902391212 | Kristina A Bormann | Physician Assistant | 786 Third Ave, Chula Vista, CA 91910-5826 | 2018-06-28 |
| 1134612898 | Christine Bihl | Physician Assistant | 480 4th Ave Ste 307, Chula Vista, CA 91910-4403 | 2018-06-07 |
| 1356797963 | John Rodriguez | Physician Assistant | 1424 Heatherwood Ave, Chula Vista, CA 91913-2972 | 2016-05-12 |
| 1831525286 | Alonso Benjamin Chan Jr. | Physician Assistant | 299 J St, Chula Vista, CA 91910-5831 | 2013-09-17 |
| 1730454091 | Jennifer Trimai | Physician Assistant | 256 Landis Ave Ste 300, Chula Vista, CA 91910-2650 | 2012-03-19 |
| 1689954612 | Yvette M Espiritu | Physician Assistant | 890 Eastlake Pkwy Ste 205, Chula Vista, CA 91914-4521 | 2011-08-22 |
| 1144542457 | Brian T. Martin | Physician Assistant | 340 4th Ave Ste 7a, Chula Vista, CA 91910-3813 | 2010-02-28 |
| 1548455405 | Diana Mariza Reveles | Physician Assistant | 352 L St, Chula Vista, CA 91911-1208 | 2007-09-12 |
| Find all providers in CHULA VISTA | ||||
| City | CHULA VISTA |
| Zip Code | 91910 |
Please comment or provide details below to improve the information on VANESSA CANDARE.
| 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.