DARIA GREGORY (NPI# 1376056531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376056531 |
| Entity Type | Individual |
| Full Name | DARIA GREGORY |
| Credential | PAC |
| Practice Address |
804 Harbor Blvd West Sacramento CA 95691-2202 |
| Mailing Address |
Po Box 341191 Sacramento CA 95834-9091 |
| Practice Telephone | 9163711616 |
| Mailing Telephone | 4157588458 |
| Enumeration Date | 2017-11-09 |
| Last Update Date | 2017-11-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 55146 | CA | Allopathic & Osteopathic Physicians |
| Y | 363A00000X | Physician Assistant | 55146 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
804 HARBOR BLVD |
| City | WEST SACRAMENTO |
| State | CA |
| Zip Code | 95691-2202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477537413 | Vladimir Rafanov | Psychiatry & Neurology | 804 Harbor Blvd, West Sacramento, CA 95691-2202 | 2005-12-02 |
| 1457872517 | Elica Health Centers- Harbor Medical Center | General Practice | 804 Harbor Blvd, West Sacramento, CA 95691 | 2017-06-29 |
| 1003966037 | Valerie Druzhnikov | Physician Assistant | 804 Harbor Blvd, West Sacramento, CA 95691-2202 | 2007-01-11 |
| 1932284650 | Olga Kashlinskaya | Pediatrics | 804 Harbor Blvd, West Sacramento, CA 95691-2202 | 2006-10-25 |
| 1942392170 | Arnold Greenberg Md Inc | Family Medicine | 804 Harbor Blvd, West Sacramento, CA 95691 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386298545 | Breanna Lenae Garcia | Registered Nurse | 980 Central Street, Apartment 312, West Sacramento, CA 95691 | 2019-07-26 |
| 1093192650 | Heliodoro Magana | Physician Assistant | 2901 Colleent Court, West Sacramento, CA 95691 | 2015-05-04 |
| 1699187823 | Eugene Louis | Pharmacist | 1601 1/2 West Capital Ave., West Sacramento, CA 95691 | 2014-05-22 |
| 1184874026 | Dental Corporation of Amardeep Gill Dds | Dentist | 2455 Jefferson Blvd, Suite 130, West Sacramento, CA 95691 | 2008-09-29 |
| 1487784328 | Sidney Bahr Freeman | Dentist | 820 Westacre Rd, West Sacramento, CA 95691 | 2007-03-07 |
| 1073671038 | Tari Leanne Tribble | Physician Assistant | 2101 Stone Blvd #190, West Sacramento, CA 95691 | 2006-12-04 |
| 1942375068 | Yuly Vilderman Dds A Dental Corporation | Dentist | 825 Harbor Blvd, West Sacramento, CA 95691 | 2006-11-22 |
| 1760569537 | Elizabeth Barber | Marriage & Family Therapist | 1250 Harbor Blvd #600, Telecare Yolo Strides, West Sacramento, CA 95691 | 2006-11-01 |
| 1831207059 | Norman Gary Larsen | Physical Therapist | 3680 Industrial Blvd, #550h Us Health Works Med Group, West Sacramento, CA 95691 | 2006-08-28 |
| 1093790305 | Nancy Warden | Pediatrics | 1276 Halyard Dr, West Sacramento, CA 95691 | 2005-12-08 |
| Find all providers in zip 95691 | ||||
| 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 |
|---|---|---|---|---|
| 1760096663 | Garret Ryan Kingston | Physician Assistant | 998 Riverfront St Apt 423, West Sacramento, CA 95691-2989 | 2020-09-08 |
| 1174146203 | Jill Marie Nowicki | Physician Assistant | 1332 Milano Dr Unit 1, West Sacramento, CA 95691-6035 | 2020-05-23 |
| 1467089821 | Hien Michelle Truong | Physician Assistant | 1655 Alamo Pl, West Sacramento, CA 95691-5162 | 2020-03-25 |
| 1093192650 | Heliodoro Magana | Physician Assistant | 2901 Colleent Court, West Sacramento, CA 95691 | 2015-05-04 |
| 1164617700 | Sharon A Torres | Physician Assistant | 2101 Stone Blvd., Suite 190, West Sacramento, CA 95691-4044 | 2007-09-06 |
| 1659423093 | Surjit Kaur Nijjar | Physician Assistant | 2055 Town Center Plz Ste G130, West Sacramento, CA 95691-5058 | 2007-01-17 |
| 1073671038 | Tari Leanne Tribble | Physician Assistant | 2101 Stone Blvd #190, West Sacramento, CA 95691 | 2006-12-04 |
| 1740844596 | Kirsten Anderson | Physician Assistant | 1276 Halyard Dr, West Sacramento, CA 95691 | 2019-04-26 |
| 1023672342 | Joseph Adducci | Physician Assistant | 2455 Jefferson Blvd, West Sacramento, CA 95691-5313 | 2019-04-23 |
| 1346555620 | Jason Rose | Physician Assistant | 500 Jefferson Blvd Ste B180, West Sacramento, CA 95605-2394 | 2010-08-11 |
| Find all providers in WEST SACRAMENTO | ||||
| City | WEST SACRAMENTO |
| Zip Code | 95691 |
Please comment or provide details below to improve the information on DARIA GREGORY.
| 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.