VALERIE VERONICA MONGE (NPI# 1356548051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356548051 |
Entity Type | Individual |
Full Name | VALERIE VERONICA MONGE |
Credential | PA |
Practice Address |
1 Grand Ave San Luis Obispo CA 93407-9000 |
Practice Telephone | 8057561211 |
Practice Fax Number | 8051565298 |
Mailing Telephone | 8057561211 |
Mailing Fax Number | 8051565298 |
Enumeration Date | 2007-06-27 |
Last Update Date | 2010-03-01 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | PA16443 | CA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | PA STATE LICENSE | PA16433 | 01 |
Street Address |
1 GRAND AVE |
City | SAN LUIS OBISPO |
State | CA |
Zip Code | 93407-9000 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972561728 | Keri Ann Eichenberger | Specialist/Technologist | 1 Grand Ave, Cp Athletics, San Luis Obispo, CA 93401 | 2006-05-02 |
1003300153 | Jay Bettergarcia | Psychologist | 1 Grand Ave, San Luis Obispo, CA 93407-9000 | 2018-06-20 |
1427427749 | Carol Anne Freeman | Nurse Practitioner | 1 Grand Ave, Cal Poly Health Services, San Luis Obispo, CA 93410-9001 | 2015-09-16 |
1093946287 | Kevin Mccarthy | General Practice | 1 Grand Ave, San Luis Obispo, CA 93407-0210 | 2009-08-05 |
1184854598 | Richard V Ascoli | Family Medicine | 1 Grand Ave, San Luis Obispo, CA 93407-9000 | 2009-07-20 |
1942464920 | June Gelling | Pharmacist | 1 Grand Ave, San Luis Obispo, CA 93407-9000 | 2008-07-18 |
1902086150 | California Polytechnic State University At San Luis Obispo | Clinic/Center | 1 Grand Ave, San Luis Obispo, CA 93407-9000 | 2007-11-05 |
1902928542 | Raechel Nicole Cunningham | Specialist/Technologist | 1 Grand Ave, San Luis Obispo, CA 93407-9000 | 2007-04-04 |
1255456901 | Paul Eric Gabrielson | Specialist/Technologist | 1 Grand Ave, Athletics, San Luis Obispo, CA 93407-9000 | 2007-03-20 |
1558485896 | California Polytechnic State University | Specialist/Technologist | 1 Grand Ave, San Luis Obispo, CA 93407-9000 | 2007-03-19 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730244377 | Marilyn Jane Pieters | Nurse Practitioner | Cal Poly State University Student Health Services, San Luis Obispo, CA 93407 | 2006-12-26 |
1750442653 | California Polytechnic State University At San Luis Obispo | Clinic/Center | Cal Poly Health Services, Grand Ave., San Luis Obispo, CA 93407 | 2006-12-13 |
1710065461 | Marina E Perez | Nurse Practitioner | 1 Grand Ave., Cal Poly Health Services, San Luis Obispo, CA 93407 | 2006-11-01 |
1447435912 | Cal Poly Health Services | Clinic/Center | 1 Grand Ave Building 27, Cal Poly State University, San Luis Obispo, CA 93407-0000 | 2008-01-03 |
1275739245 | Nancy J Walden | Nurse Practitioner | Cal Poly State Health Center, 1 Grand Ave Building 27, San Luis Obispo, CA 93407-0210 | 2007-06-26 |
1558475699 | Mark Mason Haley | Physician Assistant | One Grand Ave, San Luis Obispo, CA 93407-0210 | 2006-08-18 |
1417194408 | Norman Brooks Smith | Family Medicine | 1 Grand Ave., Cal Poly Health Services, San Luis Obispo, CA 93407-0210 | 2009-01-13 |
1720140288 | Cal Poly Health Services | Clinic/Center | Health Services, California Polytechnic State University, San Luis Obispo, CA 93407-0210 | 2006-12-14 |
1750450680 | David Lloyd Harris | Internal Medicine | Health Services, California Polytechnic State University, San Luis Obispo, CA 93407-0210 | 2006-11-07 |
1578694675 | Student Health Service Pharmacy | Pharmacy | 1 Grand Ave Bldg 27, Health Center, San Luis Obispo, CA 93407-9000 | 2007-03-08 |
Find all providers in zip 93407 |
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 |
---|---|---|---|---|
1164076626 | Hilary Abbott Anderson | Physician Assistant | 127 Casa St., San Luis Obispo, CA 93405 | 2019-08-01 |
1033684774 | Taryn Alexandra Pearl | Physician Assistant | 892 Aerovista Pl, Suite 130, San Luis Obispo, CA 93401-8054 | 2018-10-09 |
1457864597 | Peter George May | Physician Assistant | 2365 Sunset Dr, San Luis Obispo, CA 93401-4651 | 2017-11-12 |
1003364191 | Taylor Suzanne Wahl | Physician Assistant | 1235 Osos St # 100, San Luis Obispo, CA 93401-3619 | 2016-09-16 |
1649423542 | Jarred Dewayne Minefee | Physician Assistant | 283 Madonna Road, Suite B, San Luis Obispo, CA 93405 | 2008-10-23 |
1558475699 | Mark Mason Haley | Physician Assistant | One Grand Ave, San Luis Obispo, CA 93407-0210 | 2006-08-18 |
1902873748 | Mark J Hollis | Physician Assistant | 15 Santa Rosa Street, San Luis Obispo, CA 93405-1811 | 2006-03-01 |
1235116955 | Julia Elizabeth Davison | Physician Assistant | 1551 Bishop St Ste A150, San Luis Obispo, CA 93401-4635 | 2005-12-22 |
1083197354 | Natalie Matenaer | Physician Assistant | 990 Pacific St, San Luis Obispo, CA 93401-6309 | 2018-09-12 |
1922589548 | Jessy Mackenzie Arthurs | Physician Assistant | 1235 Osos St Ste 100, San Luis Obispo, CA 93401-3619 | 2018-08-22 |
Find all providers in SAN LUIS OBISPO |
City | SAN LUIS OBISPO |
Zip Code | 93407 |
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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.