TIANA ABOUCHEDID (NPI# 1205461100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205461100 |
| Entity Type | Individual |
| Full Name | TIANA ABOUCHEDID |
| Credential | PA |
| Practice Address |
1130 Kregmont Dr Glendora CA 91741-2249 |
| Practice Telephone | 6263797905 |
| Mailing Telephone | 6263797905 |
| Enumeration Date | 2020-03-11 |
| Last Update Date | 2020-03-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA57896 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1130 KREGMONT DR |
| City | GLENDORA |
| State | CA |
| Zip Code | 91741-2249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083244016 | Monica Keo | Psychiatry & Neurology | 501 South Grand Avenue, #200, Glendora, CA 91741 | 2020-01-17 |
| 1871144816 | Djpnicolas, LLC | Clinic/Center | 144 N. Grand Avenue, Glendora, CA 91741 | 2019-09-20 |
| 1518517192 | Ashlyn Kate Cherry | Social Worker | 916 W. Danton Drive, Glendora, CA 91741 | 2019-09-16 |
| 1497284889 | Maged Guirguis | Private Vehicle | 1262 E Ada Ave, Glendora, CA 91741 | 2017-06-08 |
| 1952793200 | Dignity Transportation Service Inc | Private Vehicle | 255 S Glendora Ave #1613, Glendora, CA 91741 | 2015-02-24 |
| 1437568029 | Arakelyan Aznavour Dental Corporation | Dentist | 175 N Pennsylvania Ave #3, Glendora, CA 91741 | 2014-08-07 |
| 1528481223 | Lucinda Lorraine Schoenick | Nurse Practitioner | 250 S. Grand Ave, Glendora, CA 91741 | 2014-01-31 |
| 1073837548 | Advanced Dental Smiles | Dentist | 455 W. Foothill Blvd, Glendora, CA 91741 | 2010-03-26 |
| 1346404621 | Amee Brown | Occupational Therapist | 401 W. Ada Ave., Glendora, CA 91741 | 2008-07-15 |
| 1356539183 | Orthopaedic Medical Group | Specialist | 412 W Carroll St, Ste 107, Glendora, CA 91741 | 2007-10-05 |
| Find all providers in zip 91741 | ||||
| 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 |
|---|---|---|---|---|
| 1720456726 | Acacia Sutherland | Physician Assistant | 543 W Leeside St, Glendora, CA 91741-4230 | 2015-09-08 |
| 1154491074 | Deina Inman Stewart | Physician Assistant | 1365 S. Grand Avenue, Glendora, CA 91740 | 2006-11-08 |
| 1922035948 | David Y Kim | Physician Assistant | 1365 S Grand Ave, Glendora, CA 91740-5047 | 2006-06-26 |
| 1841648573 | Robert Cory Zapotosky | Physician Assistant | 210 S Grand Ave, Glendora, CA 91741-4205 | 2016-06-03 |
| 1134590342 | Honeycomb Medical Services, A Med Corp | Physician Assistant | 250 S Grand Ave, Glendora, CA 91741-4218 | 2015-10-14 |
| 1346635372 | Candace Hope Mcfarlin | Physician Assistant | 2301 E Foothill Blvd, Suite 100, Glendora, CA 91740-4000 | 2015-04-06 |
| 1457753519 | Jason Wagner | Physician Assistant | 2025 E Route 66, Glendora, CA 91740-4670 | 2014-09-19 |
| 1346672680 | Amanda E Duncan | Physician Assistant | 2301 E Foothill Blvd, Glendora, CA 91740-4000 | 2013-08-08 |
| 1275886715 | Ashlene Janiece Korcek | Physician Assistant | 2301 E Foothill Blvd, Suite 100, Glendora, CA 91740-4000 | 2012-10-22 |
| 1326349960 | David Abovian | Physician Assistant | 1365 S Grand Ave, Glendora, CA 91740-5047 | 2010-11-13 |
| Find all providers in GLENDORA | ||||
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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.