MRS. BRENITTA GILLIAM-UDO (NPI# 1336396548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336396548 |
| Entity Type | Individual |
| Full Name | MRS. BRENITTA GILLIAM-UDO |
| Credential | PA-C |
| Practice Address |
351 N Mountain View Ave San Bernardino CA 92415-1018 |
| Mailing Address |
25064 Barton Rd Loma Linda CA 92354-2830 |
| Practice Telephone | 7147488955 |
| Mailing Telephone | 9095693576 |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2008-08-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 15518 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
351 N MOUNTAIN VIEW AVE |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92415-1018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578041042 | Karina Judith Barragan | Student in an Organized Health Care Education/Training Program | 19500 South Sunwest Lane, San Bernardino, CA 92415 | 2018-08-06 |
| 1841714839 | Layla Subhani | Marriage & Family Therapist | 780 E Gilbert Street, Bldg H, San Bernardino, CA 92415 | 2017-08-01 |
| 1023546637 | Angelica Ruiz | Marriage & Family Therapist | 900 E. Gilbert Street, Cottage 4, San Bernardino, CA 92415 | 2017-05-25 |
| 1750825030 | Jordyn Ackerman | Marriage & Family Therapist | 900 E Gilbert Street, Cottage 4, San Bernardino, CA 92415 | 2016-12-06 |
| 1083063663 | San Bernardino County Department of Public Health | Public Health or Welfare | 1505 South D Street, San Bernardino, CA 92415 | 2016-06-06 |
| 1366821233 | Jodi Cerney | Counselor | 1950 S. Sunwest Lane, Suite #200, San Bernardino, CA 92415 | 2015-05-26 |
| 1427442268 | Yessenia Cruz | Case Manager/Care Coordinator | 780 E Gilbert St Bldg H, San Bernardino, CA 92415 | 2015-03-18 |
| 1861808859 | Hector Armando Ortega | Student in an Organized Health Care Education/Training Program | 1950 S. Sunwest Ln., Rialto, CA 92415 | 2014-07-10 |
| 1437564762 | Ashlee Barker | Marriage & Family Therapist | 900 E Gilbert St. Cottage 4, San Bernardino, CA 92415 | 2014-06-25 |
| 1669802708 | County of San Bernardino | In Home Supportive Care | 784 E Hospitality Ln, San Bernardino, CA 92415 | 2013-11-26 |
| Find all providers in zip 92415 | ||||
| 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 |
|---|---|---|---|---|
| 1740849363 | Danniella Alexandra Murillo | Physician Assistant | 2101 North Waterman Ave, San Bernardino, CA 92404 | 2019-06-07 |
| 1265828370 | Tammy Darby | Physician Assistant | 1918 Business Center Dr Ste 110, San Bernardino, CA 92408-3471 | 2015-04-15 |
| 1275971079 | Brian K Jarman | Physician Assistant | 4905 N Berkeley Ave, San Bernardino, CA 92407-3015 | 2013-06-13 |
| 1437402765 | John Finley | Physician Assistant | 4378 Sepulveda Ave, Apt 11, San Bernardino, CA 92404-1274 | 2012-10-24 |
| 1275813370 | Daniel Kim | Physician Assistant | 1505 W. 17th St, San Bernardino, CA 92411-2661 | 2011-08-19 |
| 1417259268 | Elda Ilia | Physician Assistant | 1800 Medical Center Dr Ste 99, San Bernardino, CA 92411-1232 | 2010-11-30 |
| 1285806794 | Miguel Trujillo | Physician Assistant | 685 Carnegie Dr Ste 230, San Bernardino, CA 92408-3583 | 2008-03-25 |
| 1629146881 | Lorelie Tolentino | Physician Assistant | 1873 Commercenter West, San Bernardino, CA 92408 | 2006-12-04 |
| 1861582314 | Cecilia Talpa Quinones | Physician Assistant | 565 N. Mount Vernon Ave., San Bernardino, CA 92411 | 2006-10-13 |
| 1245327766 | Trudie B Dean | Physician Assistant | 599 Inland Center Dr, Suite 105, San Bernardino, CA 92408-1819 | 2006-10-06 |
| Find all providers in SAN BERNARDINO | ||||
| City | SAN BERNARDINO |
| Zip Code | 92415 |
Please comment or provide details below to improve the information on MRS. BRENITTA GILLIAM-UDO.
| 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.