VALERIE VERONICA MONGE


Address: 1 Grand Ave, San Luis Obispo, CA 93407-9000
Phone: 8057561211

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA16443 CA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA PA STATE LICENSE PA16433 01

Office Location

Street Address 1 GRAND AVE
City SAN LUIS OBISPO
State CA
Zip Code 93407-9000

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City SAN LUIS OBISPO
Zip Code 93407

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Dataset Information

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.

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