JENNIFER D. FORTHMAN (NPI# 1205893666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205893666 |
| Entity Type | Individual |
| Full Name | JENNIFER D. FORTHMAN |
| Credential | PA |
| Practice Address |
105 W E St Tehachapi CA 93561-1607 |
| Mailing Address |
105 W E St Po Box 1900 Tehachapi CA 93561-1607 |
| Practice Telephone | 6618237070 |
| Mailing Telephone | 6618237070 |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2012-10-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 1523 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
22143 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200075940A | 05 |
| Street Address |
105 W E ST |
| City | TEHACHAPI |
| State | CA |
| Zip Code | 93561-1607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306314398 | Angela Locke | Physician Assistant | 105 W E St, Tehachapi, CA 93561-1607 | 2018-11-07 |
| 1275841629 | Adventist Health Medical Center Tehachapi | General Acute Care Hospital | 105 W E St, Tehachapi, CA 93561-1607 | 2010-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295353795 | Charles David Arcaro | Counselor | 20242 W Valley Blvd, Ste E, Tehachapi, CA 93561 | 2020-07-10 |
| 1063042422 | Behavior Education Analysis & Research LLC | Behavioral Analyst | 26300 Chester Ct., Tehachapi, CA 93561 | 2020-01-24 |
| 1821628637 | Healing Connections: Child and Family Therapy, Inc. | Marriage & Family Therapist | 20601 Highway 202, Unit A104, Tehachapi, CA 93561 | 2020-01-21 |
| 1245798503 | Alanamarie Pearsall | Chiropractor | 20406 Brian Way, Std 4d, Tehachapi, CA 93561 | 2019-03-06 |
| 1205329430 | Stephanie Edman | Acupuncturist | 276 S. Mill St. Suite A, Tehachapi, CA 93561 | 2018-06-12 |
| 1487010476 | Cassaundra Jo Lynch | Pharmacist | 24900 Ca-202, Tehachapi, CA 93561 | 2016-01-07 |
| 1407222888 | Erin E Grillo | Physical Therapist | 815 Tucker Rd Ste C, Tehachapi, CA 93561 | 2015-08-19 |
| 1447634258 | Jennifer Diaz | Licensed Vocational Nurse | 113 E F Street, Tehachapi, CA 93561 | 2015-07-13 |
| 1497138408 | Scott Long | Specialist/Technologist | 28400 Stallion Springs, Tehachapi, CA 93561 | 2015-07-08 |
| 1780064154 | Juan Medina | Student in an Organized Health Care Education/Training Program | 113 East F Street, Tehachapi, CA 93561 | 2015-06-01 |
| Find all providers in zip 93561 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790824548 | Teresa Ann Stephens | Physician Assistant | 432 S Mill Street, Tehachapi, CA 93561 | 2007-02-06 |
| 1871503565 | Barbara Apicella | Physician Assistant | 105 West 'e' Street, Tehachapi, CA 93561 | 2006-08-08 |
| 1043402787 | Robert James Leslie | Physician Assistant | 24900 Highway 202, Tehachapi, CA 93561 | 2007-08-16 |
| 1578600193 | Donald Tucker Daniels | Physician Assistant | 20797 Santa Lucia St, Tehachapi, CA 93561-8676 | 2007-01-31 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.