HAYDEN LESLIE (NPI# 1184248650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184248650 |
Entity Type | Individual |
Full Name | HAYDEN LESLIE |
Practice Address |
1310 Club Dr Vallejo CA 94592-1187 |
Mailing Address |
14050 Winnemucca Trl Apple Valley CA 92307-5687 |
Practice Telephone | 7076385200 |
Mailing Telephone | 7608103210 |
Enumeration Date | 2020-06-01 |
Last Update Date | 2020-06-01 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1310 CLUB DR |
City | VALLEJO |
State | CA |
Zip Code | 94592-1187 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194747196 | Howard Leslie Feinberg | Internal Medicine | 1310 Club Dr, Vallejo, CA 94592-1187 | 2006-07-25 |
1306464896 | Vikesh Shrestha | Health Educator | 1310 Club Dr, Vallejo, CA 94592-1187 | 2020-07-10 |
1235768276 | Oliver Todd Tamis | Student in an Organized Health Care Education/Training Program | 1310 Club Dr, Vallejo, CA 94592-1187 | 2020-04-02 |
1659908713 | Lucinda Kurzava Kendall | Student in an Organized Health Care Education/Training Program | 1310 Club Dr, Vallejo, CA 94592-1187 | 2020-03-26 |
1710513429 | Tiffany Pham | Health Educator | 1310 Club Dr, Vallejo, CA 94592-1187 | 2020-03-14 |
1184269540 | Madina Aschrafnia | Student in an Organized Health Care Education/Training Program | 1310 Club Dr, Vallejo, CA 94592-1187 | 2019-11-08 |
1982249314 | Tramanh Bui | Physician Assistant | 1310 Club Dr, Vallejo, CA 94592-1187 | 2019-11-08 |
1447893052 | Lisa Michelle Topiol | Student in an Organized Health Care Education/Training Program | 1310 Club Dr, Vallejo, CA 94592-1187 | 2019-10-26 |
1013550698 | Brittany Nichole Hart | Physician Assistant | 1310 Club Dr, Vallejo, CA 94592-1187 | 2019-10-25 |
1659914240 | Sydney Cutchon | Student in an Organized Health Care Education/Training Program | 1310 Club Dr, Vallejo, CA 94592-1187 | 2019-10-25 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225671811 | Amy Ngoc Anh Tran | Student in an Organized Health Care Education/Training Program | Touro University California, 1310 Club Drive, Vallejo, CA 94592 | 2019-10-25 |
1780168666 | Bill Darrel Danyeur | Health Educator | Touro University California Dpp, 1310 Club Drive, Vallejo, CA 94592 | 2018-09-18 |
1194034710 | Paul Robert Hansen | Pharmacist | 1310 Johnson Lane, Mare Island, Vallejo, CA 94592 | 2010-09-30 |
1548298607 | Touro University California | Family Medicine | 1310 Club Drive, Vallejo, CA 94592 | 2006-06-29 |
1093785362 | Ronald W. Eng | Dentist | Vanchcs Outpatient Clinic. Dental Service (160/mi), Bldg. 201, Walnut Ave., Mare Island, CA 94592 | 2006-01-26 |
1952386625 | Renu Yadav Sharma | Dentist | Va Nchcs- Dental Service, Bldg 201 Walnut Ave, Mare Island, CA 94592 | 2005-12-14 |
1689659518 | Linda Chie | Dentist | Va Northern California Health Care Systen Dental Clinic, Bldg. 201, Walnut Ave., Mare Island, CA 94592 | 2005-12-14 |
1922082403 | Linda Ann Aragon | Internal Medicine | 201 Walnut Ave, Mare Isle, CA 94592 | 2005-11-30 |
1114404712 | Keith Isamu Yoshizuka | Pharmacist | 1310 Club Drive, Touro University California College of Pharmacy, Vallejo, CA 94592 | 2018-07-26 |
1669996518 | Daniel Jaemoon Kang | Dentist | 201 Walnut Avenue, 612 Ge/mi Dental, Vallejo, CA 94592 | 2017-08-02 |
Find all providers in zip 94592 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467803965 | Megan Leigh Mccaleb | Physician Assistant | 107 Kentucky St, Vallejo, CA 94590-5035 | 2016-06-26 |
1104854728 | Mervyn Bertrand Nicholas | Physician Assistant | 5505 Bordeaux Ct, Vallejo, CA 94591-6308 | 2006-06-30 |
1922648393 | Brittany Jordan Dingler | Physician Assistant | 100 Hospital Dr Ste 110, Vallejo, CA 94589-2577 | 2020-01-13 |
1811551096 | Kelly Lauren Platt | Physician Assistant | 2920 Sonoma Blvd Ste C, Vallejo, CA 94590-3879 | 2019-04-24 |
1285996611 | Joy Amanda Dugan | Physician Assistant | 365 Tuolumne St, Vallejo, CA 94590-5700 | 2012-06-12 |
1922105584 | Sally Kim Wong | Physician Assistant | 975 Sereno Drive, Vallejo, CA 94589 | 2006-09-17 |
1023056983 | John Howard Alexander | Physician Assistant | 2290 Sacramento St, Vallejo, CA 94590-2929 | 2006-06-03 |
1013961572 | Margaret Malig Nonato | Physician Assistant | 2290 Sacramento St, Vallejo, CA 94590-2929 | 2006-05-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760089437 | Karine Harutyunyan | Physician Assistant | 500 E Colorado St Ste 101, Glendale, CA 91205-1607 | 2020-10-06 |
1437756228 | Kale Burket | Physician Assistant | Bldg 523, S 8th St, El Centro, CA 92243 | 2020-10-05 |
1548867666 | Heba Marzouk Al-shoubaki | Physician Assistant | 633 S Pepper St, Anaheim, CA 92802-1459 | 2020-10-01 |
1275140550 | Lisa Lynn Passalacqua | Physician Assistant | 431 7th St, Norco, CA 92860-1671 | 2020-09-30 |
1144833989 | Trisha Taylor | Physician Assistant | 10399 Tivoli Way, Yucaipa, CA 92399-6017 | 2020-08-30 |
1457963944 | Harlan William Monahan | Physician Assistant | 5210 Del Rio Rd, Sacramento, CA 95822-2519 | 2020-08-18 |
1275144313 | Sofia Carmen Bustillo | Physician Assistant | 1709 Coral Pl, Seal Beach, CA 90740-5712 | 2020-08-12 |
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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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.