DIOGENES BERMUDO (NPI# 1235463779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235463779 |
| Entity Type | Individual |
| Full Name | DIOGENES BERMUDO |
| Credential | PA |
| Practice Address |
Bldg 1175 Mcas Yuma AZ 85369-9116 |
| Mailing Address |
Box 99116 Bldg 1175 Branch Health Clinic Mcas Yuma Yuma AZ 85369-9116 |
| Practice Telephone | 9282692416 |
| Practice Fax Number | 9282693184 |
| Enumeration Date | 2009-10-01 |
| Last Update Date | 2015-07-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
BLDG 1175 MCAS |
| City | YUMA |
| State | AZ |
| Zip Code | 85369-9116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508069527 | Naval Hospital Camp Pendleton | Clinic/Center | Bldg 1175, Yuma, AZ 85369 | 2007-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770024986 | Aaron Craig Andrew Hassad | Military Health Care Provider | 2989 East Arow Street, Yuma, AZ 85369 | 2017-03-20 |
| 1942697685 | Naval Hospital Camp Pendleton | Military/U.S. Coast Guard Pharmacy | Marine Corps Air Station, Bldg 1175, Yuma, AZ 85369 | 2015-04-21 |
| 1679869119 | Stephen Spencer Austad | General Practice | Group Aid Station, Mcas Yuma, Yuma, AZ 85369 | 2011-06-23 |
| 1427222736 | Christopher Michael Davis | Family Medicine | 2917 East Hart Street, Marine Corps Air Station, Yuma, AZ 85369 | 2008-04-17 |
| 1942365549 | Michael B Prudhomme | General Practice | Group Aid Station Mcas Yuma, Yuma, AZ 85369 | 2006-12-26 |
| 1427148758 | Naval Hospital Camp Pendleton | Military/U.S. Coast Guard Pharmacy | Bhc Marine Corp Air Station, Bldg 1175, Yuma, AZ 85369 | 2006-10-16 |
| 1073515417 | Scott Charles Haney | Dentist | 1175 Hart St., Mcas Yuma Branch Dental Clinic, Yuma, AZ 85369 | 2005-08-15 |
| 1942202924 | Todd Lauby | Optometrist | Branch Medical Clinic Mcas Yuma, Bldg 1175, Yuma, AZ 85369 | 2005-08-10 |
| 1518323260 | Keith Roxo | Preventive Medicine | 406 Halstead Ave, Yuma, AZ 85369 | 2016-01-11 |
| 1699162339 | Naval Hospital Camp Pendleton | Military/U.S. Coast Guard Pharmacy | Bhc Marine Corp Air Station, Bldg 1175, Yuma, AZ 85369 | 2015-04-21 |
| Find all providers in zip 85369 | ||||
| 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 |
|---|---|---|---|---|
| 1336511138 | Michael Gabriel Jones | Physician Assistant | 424 S 15th Ave, Yuma, AZ 85364-1942 | 2015-10-20 |
| 1679843205 | Tonilyn Hatch | Physician Assistant | 2110 W 24th St Ste C, Yuma, AZ 85364-8878 | 2012-01-12 |
| 1992929004 | Gila Valley Medical Group LLC | Physician Assistant | 1951 West 25th Street, Suite D, Yuma, AZ 85364 | 2007-04-12 |
| 1992821516 | Grace Li-yuen Ho Lee | Physician Assistant | 3442 W 14th St, Yuma, AZ 85364-4181 | 2007-03-22 |
| 1104970599 | Linda Carmen Conlee | Physician Assistant | 2825 S. Avenue B, Ste 29a, Yuma, AZ 85364 | 2007-01-22 |
| 1407929920 | Ismael Guerrero Md Pllc | Physician Assistant | 1965 West 24th Street, Ste A, Yuma, AZ 85364 | 2006-11-15 |
| 1508941915 | Anne Katherine Radnothy | Physician Assistant | Yrmc, 2400 S. Ave, Yuma, AZ 85364 | 2006-10-25 |
| 1821044405 | Nickie Machado Chouinard | Physician Assistant | 3250 E 40th St, Yuma, AZ 85365-7748 | 2006-05-25 |
| 1336775766 | Ashley Taylor Nickerson | Physician Assistant | 2400 S Avenue A, Yuma, AZ 85364-7127 | 2020-03-17 |
| 1184263717 | Jordan Frye | Physician Assistant | 1390 W 16th St, Yuma, AZ 85364-4430 | 2019-12-30 |
| Find all providers in YUMA | ||||
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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.