MICHELE DERNAY (NPI# 1336432384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336432384 |
| Entity Type | Individual |
| Full Name | MICHELE DERNAY |
| Credential | PA-C |
| Practice Address |
2702 Low Ct Fairfield CA 94534-9771 |
| Mailing Address |
10470 Old Placerville Rd Suite 100 Sacramento CA 95827-2539 |
| Practice Telephone | 7074322625 |
| Practice Fax Number | 7074322622 |
| Mailing Telephone | 8004700071 |
| Enumeration Date | 2011-05-24 |
| Last Update Date | 2015-07-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA11797 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2702 LOW CT |
| City | FAIRFIELD |
| State | CA |
| Zip Code | 94534-9771 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811960966 | Marlene H Freeman | Obstetrics & Gynecology | 2702 Low Ct, Dept of Ob/gyn, Fairfield, CA 94534-9771 | 2006-02-09 |
| 1932664893 | Jessica Mary Dillon | Nurse Practitioner | 2702 Low Ct, Fairfield, CA 94534-9771 | 2019-02-05 |
| 1053891341 | Sutter Valley Medical Foundation | Durable Medical Equipment & Medical Supplies | 2702 Low Ct, Fairfield, CA 94534-9771 | 2018-08-16 |
| 1740631753 | Vanessa-june Ruthchiet Pontillas | Nurse Practitioner | 2702 Low Ct, Fairfield, CA 94534-9771 | 2016-06-30 |
| 1275910291 | Ann Leu Thomas | Ophthalmology | 2702 Low Ct, Fairfield, CA 94534-9771 | 2015-04-28 |
| 1891039301 | Allison Elise Ringuette | Physical Therapist | 2702 Low Ct, Fairfield, CA 94534-9771 | 2012-11-21 |
| 1639425721 | Jennifer Marie Longoria | Occupational Therapy Assistant | 2702 Low Ct, Fairfield, CA 94534-9771 | 2012-07-26 |
| 1881952737 | Frances Lee | Internal Medicine | 2702 Low Ct, Fairfield, CA 94534 | 2012-04-29 |
| 1184993289 | Kristen Mary Judson | Physical Therapist | 2702 Low Ct, Fairfield, CA 94534-9771 | 2011-12-19 |
| 1124319470 | Michael John Pfisterer | Otolaryngology | 2702 Low Ct, Fairfield, CA 94534 | 2011-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558922187 | Solano County Superintendent of Schools | Marriage & Family Therapist | 5100 Business Center Drive, Fairfield, CA 94534 | 2019-06-25 |
| 1205312436 | John Will Hubbard Iv | Behavioral Analyst | 3426 Glen Ellen Dr, Fairfield, CA 94534 | 2018-07-11 |
| 1508358003 | Advent Healthcare Services LLC | Hospice Care, Community Based | 1300 Oliver Rd Ste 350, Fairfield, CA 94534 | 2018-05-31 |
| 1447770268 | Nicole Valentine | Social Worker | 1300 Oliver Rd., 193, Fairfield, CA 94534 | 2017-06-22 |
| 1700339843 | Lap of Love | Point of Service | 3286 Inwood Place, Fairfield, CA 94534 | 2016-07-25 |
| 1013398577 | Paul Severino Bright | Marriage & Family Therapist | 1771 Barton Dr, Fairfield, CA 94534 | 2015-06-10 |
| 1376920264 | Darshan Patel | Internal Medicine | 4520 Business Center Dr, Fairfield, CA 94534 | 2015-04-30 |
| 1972906048 | Kathleen Therese Omeara | Psychologist | 4416 Starflower Ct., Fairfield, CA 94534 | 2014-10-03 |
| 1689090391 | Solano Diagnostics Imaging Medical Group | Radiology | 4500 Business Center Drive, Fairfield, CA 94534 | 2014-03-06 |
| 1174953368 | Alice Lane Therrell | Registered Nurse | 4160 Suisun Valley Rd #132, Fairfield, CA 94534 | 2013-11-25 |
| Find all providers in zip 94534 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225668205 | Melissa Hisako Reagan | Physician Assistant | 1261 Travis Blvd Ste 100, Fairfield, CA 94533-4804 | 2020-01-18 |
| 1467639385 | Akosua Rodriguez | Physician Assistant | 2720 Low Ct Fl 2, Fairfield, CA 94534-9771 | 2008-01-22 |
| 1215061775 | Terrelyn C Fernandez | Physician Assistant | 1620 Pennsylvania Ave Ste C, Fairfield, CA 94533-3509 | 2007-03-15 |
| 1679618318 | Jennifer Chapman | Physician Assistant | 1801 Fairfield Beach Rd, Fairfield, CT 06824-6524 | 2007-02-20 |
| 1336251610 | Douglas K Casperson | Physician Assistant | 223 W Main, Ste A, Fairfield, MT 59436-6503 | 2006-08-31 |
| 1437142379 | Kayla Shaye Bell | Physician Assistant | 213 Nw 11th Street, Suite A, Fairfield, IL 62837 | 2005-08-25 |
| 1629513270 | Emily Elizabeth Helling | Physician Assistant | 2000 S Main St, Fairfield, IA 52556-9572 | 2017-01-05 |
| 1821546607 | Danielle Marie Centone | Physician Assistant | 75 Kings Highway Cutoff, Fairfield, CT 06824-5340 | 2016-09-21 |
| 1629431002 | Cassaundra Kalman Craig | Physician Assistant | 5390 Dixie Hwy, Fairfield, OH 45014-4124 | 2016-04-01 |
| 1457735540 | Emily Woodall | Physician Assistant | 3000 Mack Rd, Fairfield, OH 45014-5335 | 2015-07-17 |
| Find all providers in FAIRFIELD | ||||
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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.