MRS. CARLY MARIE BASIRICO ERARD (NPI# 1205087699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205087699 |
| Entity Type | Individual |
| Full Name | MRS. CARLY MARIE BASIRICO ERARD |
| Credential | PA |
| Practice Address |
2295 S Vineyard Ave Ontario CA 91761-7925 |
| Practice Telephone | 9097243083 |
| Mailing Telephone | 9097243083 |
| Enumeration Date | 2008-10-04 |
| Last Update Date | 2014-01-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA19878 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2295 S VINEYARD AVE |
| City | ONTARIO |
| State | CA |
| Zip Code | 91761-7925 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558359075 | Barry S Bricca | Audiologist | 2295 S Vineyard Ave, Ontario, CA 91761 | 2005-10-10 |
| 1215569488 | Steven Christopher Nassar | Pharmacist | 2295 S Vineyard Ave, Ontario, CA 91761-7925 | 2020-02-06 |
| 1144865981 | Brian Huang | Physical Therapist | 2295 S Vineyard Ave, Ontario, CA 91761-7925 | 2019-11-15 |
| 1740837798 | Martin R. Dole | Registered Nurse | 2295 S Vineyard Ave, Ontario, CA 91761-7925 | 2019-08-23 |
| 1952869117 | Amirali Sepehrdad | Pharmacist | 2295 S Vineyard Ave, Ontario, CA 91761-7925 | 2019-03-06 |
| 1326513698 | Kelsey Lauren Pundamiera | Speech-Language Pathologist | 2295 S Vineyard Ave, Ontario, CA 91761-7925 | 2018-10-12 |
| 1699259739 | Teresa Uytingco Mendez | Respiratory Therapist, Certified | 2295 S Vineyard Ave, Ontario, CA 91761-7925 | 2018-09-24 |
| 1871073411 | Jisha Pangottil | Nurse Practitioner | 2295 S Vineyard Ave, Ontario, CA 91761-7925 | 2018-08-14 |
| 1265973762 | Claire Fitz | Pharmacist | 2295 S Vineyard Ave, Ontario, CA 91761-7925 | 2017-03-16 |
| 1811438500 | Pauline Poon | Pharmacist | 2295 S Vineyard Ave, Ontario, CA 91761-7925 | 2017-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902418163 | Blue Oak Counseling Services, Inc. | Counselor | 3200 Guasti Rd #100, Ontario, CA 91761 | 2020-08-19 |
| 1578115986 | Hadel Awad | Behavior Technician | 1801 South Excise Ave, 116, Ontario, CA 91761 | 2019-07-15 |
| 1265902845 | Stephanie Escalante | Behavior Technician | 1801 S. Excise Ave. #116, Ontario, CA 91761 | 2018-11-27 |
| 1801395595 | Optimum Bio Lab Inc | Clinical Medical Laboratory | 1910 S Archibald Ave #d, Ontario, CA 91761 | 2018-02-07 |
| 1871010033 | Evelyn Esther Martinez | Case Manager/Care Coordinator | 1556 S. Sultana Ave., Ontario, CA 91761 | 2017-08-28 |
| 1750812525 | Building Bridges Christian Counseling | Marriage & Family Therapist | 3200 Guasti Road, Suite 100, Ontario, CA 91761 | 2017-03-23 |
| 1659829513 | Gregory J Musselman | Physician Assistant | 3550 E Philadelphia St Ste 150, Ontario, CA 91761 | 2016-09-20 |
| 1700332327 | Ramon Cardenas | Registered Nurse | 721 E. Banyan St., Ontario, CA 91761 | 2016-09-01 |
| 1023565660 | Breanna Gonzalez | Occupational Therapist | 3449 S. Wrangler Pl., Ontario, CA 91761 | 2016-09-01 |
| 1326491507 | Sasha Khawaja | Specialist/Technologist | 1500 So. Haven Ave, Ste 190, Ontario, CA 91761 | 2016-07-22 |
| Find all providers in zip 91761 | ||||
| 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 |
|---|---|---|---|---|
| 1104442391 | Steven Paul Orton | Physician Assistant | 551 E Riverside Dr Apt 26, Ontario, CA 91761-6767 | 2020-06-23 |
| 1326516717 | Ruel Decastro Ramirez Jr. | Physician Assistant | 1454 E 5th St Apt 6, Ontario, CA 91764-2105 | 2018-11-05 |
| 1639621824 | Incare Health Solutions, LLC | Physician Assistant | 375 N Lexington Springmill Rd, Ontario, OH 44906-3812 | 2016-11-04 |
| 1659738920 | Jesus Perea Ochoa | Physician Assistant | 4355 E Airport Dr Ste 100, Ontario, CA 91761-7812 | 2016-01-18 |
| 1073881793 | Russell G Mobley | Physician Assistant | 730 North Turner Ave, Apt 2, Ontario, CA 91764 | 2011-12-08 |
| 1487882015 | Erin Marie Pascale | Physician Assistant | 3200 Inland Empire Blvd Ste 100, Ontario, CA 91764-5569 | 2009-06-22 |
| 1003081415 | Rafael Larios | Physician Assistant | 525 N Laurel Ave, Ontario, CA 91762-3213 | 2008-04-25 |
| 1215119250 | Ronald James Pratt | Physician Assistant | 1910 S Archibald Ave Ste E2, Ontario, CA 91761-8503 | 2007-12-01 |
| 1023227220 | Catlin Kim Hong Nguyen | Physician Assistant | 653 E E St Ste 109, Ontario, CA 91764-4257 | 2007-05-22 |
| 1902816085 | Leon Alfred Santa Cruz | Physician Assistant | 3200 Inland Empire Blvd., Ontario, CA 91764 | 2006-08-09 |
| Find all providers in ONTARIO | ||||
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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.