OCTAVIO FRIAS PENALOZA (NPI# 1154332492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154332492 |
| Entity Type | Individual |
| Full Name | OCTAVIO FRIAS PENALOZA |
| Credential | PA-C |
| Practice Address |
1531 Plumas Ct Ste B Yuba City CA 95991-2966 |
| Mailing Address |
Po Box 3067 Yuba City CA 95992-3067 |
| Practice Telephone | 5307514900 |
| Practice Fax Number | 5307514901 |
| Mailing Telephone | 5307514784 |
| Mailing Fax Number | 5307514906 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2019-05-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA12685 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE PTAN NUMBER | CB230779 | 01 |
| Street Address |
1531 PLUMAS CT STE B |
| City | YUBA CITY |
| State | CA |
| Zip Code | 95991-2966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992203996 | Adventist Health Physicians Network | Clinic/Center | 1531 Plumas Ct Ste B, Yuba City, CA 95991-2966 | 2018-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326670290 | Dr. Page Hudson Dental Corporation | Dentist | 871 Gray Avenue, Suite B, Yuba City, CA 95991 | 2020-02-10 |
| 1457990756 | Amar Sohail, Dds, Inc | Dentist | 718 W. Onstott Frontage Road, Yuba City, CA 95991 | 2020-01-03 |
| 1295370203 | An M Vo | Physical Therapist | 825 Jones Road, Yuba City, CA 95991 | 2019-11-13 |
| 1720551021 | Brittany L Adams | Behavior Technician | 471 Century Dr., Ste.b, Yuba City, CA 95991 | 2019-01-09 |
| 1124538681 | Youth for Change | Clinic/Center | 1525 Plumas Court, Suites C & D, Yuba City, CA 95991 | 2017-10-10 |
| 1760902076 | Licia Dering | Behavior Technician | 1425 Tradewind Drive, Yuba City, CA 95991 | 2017-06-27 |
| 1306371059 | Hafiz Feezer Kassam | Orthopaedic Surgery | 470 Plumas Blvd Ste 201, Yuba City, CA 95991 | 2017-05-01 |
| 1912444357 | Daniel & Max, LLC | Optometrist | 444 Colusa Ave., Suite A, Yuba City, CA 95991 | 2017-01-24 |
| 1790041556 | Deanna Marie Pollock | Anesthesiology | 460 Plumas Blvd Ste 202, Yuba City, CA 95991 | 2012-04-05 |
| 1053689406 | Michael Tzung-hsun Yang | Pharmacist | 2555 Aurora Drive, Yuba City, CA 95991 | 2011-12-13 |
| Find all providers in zip 95991 | ||||
| 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 |
|---|---|---|---|---|
| 1023185097 | Dale G. Mcbride | Physician Assistant | 1414 La Grande Ave, Yuba City, CA 95991-6516 | 2006-11-28 |
| 1124074877 | Greg S Chance | Physician Assistant | 350 Del Norte Avenue, Yuba City, CA 95991 | 2006-05-25 |
| 1356334221 | Christopher M Johnson | Physician Assistant | 3055 Muir Rd, Yuba City, CA 95991-9103 | 2005-08-25 |
| 1700417243 | Matthew Hayes | Physician Assistant | 444 Plumas Blvd, Yuba City, CA 95991-5071 | 2020-02-03 |
| 1720620362 | Adrianna Letrice Marcus | Physician Assistant | 520 Bogue Rd, Yuba City, CA 95991-9242 | 2019-10-15 |
| 1831731793 | Ryan Snyder Thompson | Physician Assistant | 481 Plumas Blvd Ste 202, Yuba City, CA 95991-5075 | 2019-10-11 |
| 1104471036 | Natisha Ram | Physician Assistant | 1233 Plumas St Ste A, Yuba City, CA 95991-3410 | 2019-08-07 |
| 1801448956 | Madeline Lovrensky | Physician Assistant | 1007 Live Oak Blvd Ste B2, Yuba City, CA 95991-3454 | 2019-07-09 |
| 1710471289 | Brett Pedley | Physician Assistant | 350 Del Norte Ave, Yuba City, CA 95991-4123 | 2018-06-19 |
| 1578002077 | Nicholas Jordan | Physician Assistant | 1531 Plumas Ct, Suite B, Yuba City, CA 95991-2966 | 2017-02-16 |
| Find all providers in YUBA CITY | ||||
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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.