MR. CHRISTOPHER WAYNE MORALES-PHAN (NPI# 1194195875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194195875 |
Entity Type | Individual |
Full Name | MR. CHRISTOPHER WAYNE MORALES-PHAN |
Other Name | MR. CHRISTOPHER WAYNE MORALES |
Credential | P.A.-C. |
Practice Address |
1782 W Hammer Ln Stockton CA 95209-2922 |
Practice Telephone | 2094759500 |
Practice Fax Number | 2094759559 |
Mailing Telephone | 2094759500 |
Mailing Fax Number | 2094759559 |
Enumeration Date | 2015-10-07 |
Last Update Date | 2016-07-29 |
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 |
1782 W HAMMER LN |
City | STOCKTON |
State | CA |
Zip Code | 95209-2922 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699755397 | Pacific Urgent Care Inc | Clinic/Center | 1782 W Hammer Ln, Stockton, CA 95209-2922 | 2006-01-19 |
1487108015 | David Loth | Pharmacy | 1782 W Hammer Ln, Stockton, CA 95209-2922 | 2016-08-11 |
1760873996 | Deema Ahmad | Nurse Practitioner | 1782 W Hammer Ln, Stockton, CA 95209-2922 | 2015-02-10 |
1841572542 | David Loth | Pharmacist | 1782 W Hammer Ln, Stockton, CA 95209-2922 | 2011-09-19 |
1548314735 | Jason Ochoa | Physician Assistant | 1782 W Hammer Ln, Stockton, CA 95209-2922 | 2007-01-23 |
1437173689 | Rachel Sanchez | Physician Assistant | 1782 W Hammer Ln, Stockton, CA 95209-2922 | 2006-07-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104272954 | William Luther Bennett | Pharmacist | 1131 Sunnyoak Way, Stockton, CA 95209 | 2016-05-11 |
1548686769 | Roland Rillamas Lagpacan | Pharmacist | 3131 West Hammer Lane, Stockton, CA 95209 | 2014-03-12 |
1346599677 | Luis Leyva Garcia | Marriage & Family Therapist | 1755 West Hammer Lane, Stockton, CA 95209 | 2012-08-31 |
1942506233 | Donna Lynn Peterson | Dentist | 9409 Thornton Rd, Stockton, CA 95209 | 2011-02-03 |
1386969798 | Miusotic Zaragoza | Social Worker | 1755 W. Hammer Lane Suite 8, Latino Behavioral Health, Stockton, CA 95209 | 2010-03-30 |
1497988844 | Marissa Elizabeth Preciado | Counselor | 10147 River Falls Cir, Stockton, CA 95209 | 2009-09-02 |
1316190796 | Sutter Gould Medical Foundation | Clinic/Center | 8011 Don Ave, Stockton, CA 95209 | 2008-10-29 |
1881845790 | Gary Earl Fiscus | Dentist | 4565 Quail Lakes Drive, Suite A-2, Stockton, CA 95209 | 2008-10-09 |
1326225665 | Shirley's Care Home Inc | Intermediate Care Facility, Mentally Retarded | 2330 Shropshire Dr, Stockton, CA 95209 | 2008-01-29 |
1134272727 | Joanie Mc Culloch | Homeopath | 8807 Thornton Rd, Ste. P, Stockton, CA 95209 | 2007-01-19 |
Find all providers in zip 95209 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952875957 | Michelle Rose Abraham | Physician Assistant | 2633 Pacific Ave # 1, Stockton, CA 95204-4429 | 2019-01-14 |
1235453150 | James F Patton | Physician Assistant | 913 South St, Stockton, MO 65785-9381 | 2010-03-22 |
1932434404 | Noel Lena Moreno | Physician Assistant | 2633 Pacific Ave, Stockton, CA 95204-4429 | 2009-10-16 |
1093987414 | Stanley Ray Cathey | Physician Assistant | 8719 Moreno Ct, Stockton, CA 95209-1843 | 2008-03-26 |
1881672517 | Melodee Lubag Millare | Physician Assistant | 73 W March Ln, Suite A, Stockton, CA 95207-5726 | 2006-01-04 |
1295264760 | Lisa Walterscheid | Physician Assistant | 1800 N California St, Stockton, CA 95204-6019 | 2017-06-08 |
1588108526 | Rose Havea Regan | Physician Assistant | 1530 E Hammer Ln, Stockton, CA 95210-3149 | 2016-12-09 |
1699131110 | Cmc | Physician Assistant | 1801 E March Ln Ste D470, Stockton, CA 95210-6677 | 2016-01-13 |
1366812273 | Jamie Jay Bible | Physician Assistant | 525 W Acacia St, Stockton, CA 95203-2405 | 2015-10-05 |
1669755682 | Caroline D Andersen | Physician Assistant | 415 E Harding Way, Suite D, Stockton, CA 95204-6118 | 2011-09-26 |
Find all providers in STOCKTON |
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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.