AARON BLEDSOE


Address: 631 W Avenue Q Ste B, Palmdale, CA 93551-3892
Phone: 6619479000

AARON BLEDSOE (NPI# 1366724650) 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) 1366724650
Entity Type Individual
Full Name AARON BLEDSOE
Credential PA-C
Practice Address 631 W Avenue Q Ste B
Palmdale
CA 93551-3892
Mailing Address 435 W Los Feliz Rd Unit 511
Glendale
CA 91204-3570
Practice Telephone 6619479000
Enumeration Date 2011-09-13
Last Update Date 2019-02-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
PA-1074 ID Physician Assistants & Advanced Practice Nursing Providers
N 363AM0700X Physician Assistant
Specialization: Medical
50.003314 OH Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
6052 W State St, Boise, ID 837032739 2083447799 2083447152

Office Location

Street Address 631 W AVENUE Q STE B
City PALMDALE
State CA
Zip Code 93551-3892

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831148501 Moutasem Abaza Dermatology 631 W Avenue Q Ste B, Palmdale, CA 93551-3892 2006-05-09
1548893241 La Laser Center PC, A Professional Medical Corporation Clinic/Center 631 W Avenue Q Ste B, Palmdale, CA 93551-3892 2020-02-20
1891231924 Clarence Chu Dermatology 631 W Avenue Q Ste B, Palmdale, CA 93551-3892 2017-01-12
1083069793 Damion D. Rodeback Dermatology 631 W Avenue Q Ste B, Palmdale, CA 93551-3892 2016-05-01
1790818201 Julian Garcia Pathology 631 W Avenue Q Ste B, Palmdale, CA 93551-3892 2007-03-13
1215943758 James L Reith Dermatology 631 W Avenue Q Ste B, Palmdale, CA 93551-3892 2006-08-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508057316 Kay Dee Roberts Physician Assistant 41230 11th St W Ste E, Palmdale, CA 93551-1411 2007-08-06
1013018944 Brian Adam Schlesinger Physician Assistant 1037 E. Palmdale Blvd., Palmdale, CA 93550 2006-09-25
1770984254 Clinica Medica Mi Familia De Palmdale, Inc. Physician Assistant 1037 E Palmdale Blvd, Suite 101, Palmdale, CA 93550-4745 2014-09-15
1568645000 Suzanne Marie Percival-pacini Physician Assistant 38600 Medical Center Dr, Palmdale, CA 93551-4483 2007-12-06
1003871450 Cynthia Gayle James Physician Assistant 41210 11th St W, Ste G, Palmdale, CA 93551-1447 2006-04-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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1548867666 Heba Marzouk Al-shoubaki Physician Assistant 633 S Pepper St, Anaheim, CA 92802-1459 2020-10-01
1275140550 Lisa Lynn Passalacqua Physician Assistant 431 7th St, Norco, CA 92860-1671 2020-09-30
1144833989 Trisha Taylor Physician Assistant 10399 Tivoli Way, Yucaipa, CA 92399-6017 2020-08-30
1457963944 Harlan William Monahan Physician Assistant 5210 Del Rio Rd, Sacramento, CA 95822-2519 2020-08-18
1275144313 Sofia Carmen Bustillo Physician Assistant 1709 Coral Pl, Seal Beach, CA 90740-5712 2020-08-12
1124638663 Gayaneh Gharakhani Physician Assistant 1323 E Broadway Apt 110, Glendale, CA 91205-4018 2020-08-07
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Competitor

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City PALMDALE
Zip Code 93551

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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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