MONIQUE OFWONO (NPI# 1417987223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417987223 |
| Entity Type | Individual |
| Full Name | MONIQUE OFWONO |
| Credential | PA |
| Practice Address |
2185 Citracado Pkwy Escondido CA 92029-4159 |
| Mailing Address |
2100 Powell St Ste 900 Emeryville CA 94608-1844 |
| Practice Telephone | 4422815000 |
| Mailing Telephone | 5103502600 |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2018-05-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | CA | Physician Assistants & Advanced Practice Nursing Providers | |
| Y | 363A00000X | Physician Assistant | PA55290 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | PA030309 | DC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1150 Varnum St Ne, Washington, DC 20017 | 2022697001 |
| Street Address |
2185 CITRACADO PKWY |
| City | ESCONDIDO |
| State | CA |
| Zip Code | 92029-4159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033197082 | Tariq M Dastagir | Internal Medicine | 2185 Citracado Pkwy, Escondido, CA 92029-4159 | 2006-01-09 |
| 1801497284 | Kelly Rackham | Family Medicine | 2185 Citracado Pkwy, Escondido, CA 92029-4159 | 2020-11-03 |
| 1770057325 | Ryan Michael Mccarthy | Physical Therapist | 2185 Citracado Pkwy, Escondido, CA 92029-4159 | 2019-01-16 |
| 1679055057 | Jenna Emily Gilbert | Physician Assistant | 2185 Citracado Pkwy, Escondido, CA 92029-4159 | 2018-09-03 |
| 1669962353 | Jacinda Nim | Pharmacist | 2185 Citracado Pkwy, Escondido, CA 92029-4159 | 2018-05-17 |
| 1982194981 | Brandon Bailey | Pharmacist | 2185 Citracado Pkwy, Escondido, CA 92029-4159 | 2018-05-15 |
| 1053817304 | Tamar Lietzow | Pharmacist | 2185 Citracado Pkwy, Escondido, CA 92029-4159 | 2018-04-04 |
| 1710483094 | Karen Gonzales | Pharmacist | 2185 Citracado Pkwy, Escondido, CA 92029-4159 | 2018-04-04 |
| 1679088678 | Zachary Porter Buchanan | Physical Therapist | 2185 Citracado Pkwy, Escondido, CA 92029-4159 | 2017-12-12 |
| 1316456734 | Kimberly Rose Davis Md Inc Apmc | Clinic/Center | 2185 Citracado Pkwy, Escondido, CA 92029-4159 | 2017-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669839254 | Tina Lynn Sutherland | Behavioral Analyst | 1045 East Pennsylvania Ave, Escondido, CA 92029 | 2016-01-27 |
| 1477923373 | Aurora D'elia-verrocchi | Physician Assistant | 2185 Citracado Parkway, Escandido, CA 92029 | 2015-10-05 |
| 1659647436 | North County Neurology Associates Medical Group | Psychiatry & Neurology | 1955 Citracado Pkwy Ste 102, Escondido, CA 92029 | 2012-03-27 |
| 1609188937 | Marvin Walter Levenson | Case Manager/Care Coordinator | 2227 Enterprise St, Escondido, CA 92029 | 2010-07-01 |
| 1003137258 | James H Nelson | Radiology | 3337 Avenida Hacienda, Escondido, CA 92029 | 2010-06-22 |
| 1265568620 | Junia P Wadia | Dentist | 1340 W Valley Pkwy, #205, Escondido, CA 92029 | 2007-02-27 |
| 1225186232 | Paul Brian Volpp | Radiology | 2125 Citricado Pkwy, #110, Dept of Radiation Oncology, Escondido, CA 92029 | 2007-01-08 |
| 1679620231 | Alan David Will | Optometrist | 1264-a Auto Pkwy, Escondido, CA 92029 | 2007-01-05 |
| 1891842530 | Ngoc Mong Hoang Nguyen | Optometrist | 1264 Auto Pkwy, Ste A, Escondido, CA 92029 | 2007-01-04 |
| 1073608089 | Margaret Mauleon Novicio | Dentist | 3440 Del Lago Blvd, Suite C, Escondido, CA 92029 | 2006-10-04 |
| Find all providers in zip 92029 | ||||
| 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 |
|---|---|---|---|---|
| 1861003220 | Sergio Vincente Godinez Jr. | Physician Assistant | 834 Begonia St, Escondido, CA 92027-1722 | 2020-08-11 |
| 1770101867 | Trenton Lee Peterson | Physician Assistant | 21651 Trail Blazer Ln, Escondido, CA 92029-4845 | 2020-07-06 |
| 1154950616 | Michelle Roberts | Physician Assistant | 2317 Via Cascabel, Escondido, CA 92027-4821 | 2020-04-06 |
| 1417519471 | Jennifer Erin Quiros | Physician Assistant | 1649 Bear Valley Pkwy # B1, Escondido, CA 92027-4633 | 2019-06-30 |
| 1538634209 | Sarah Lyon | Physician Assistant | 306 W El Norte Pkwy Ste S, Escondido, CA 92026-1960 | 2018-10-09 |
| 1134694946 | Erica Deangelo | Physician Assistant | 1649 Bear Valley Pkwy Apt B4, Escondido, CA 92027-4633 | 2018-10-08 |
| 1265960165 | Charles Huynh | Physician Assistant | 135 Trellis Ln, Escondido, CA 92026-2078 | 2017-05-23 |
| 1023467065 | Stefenie Nazanin Casuto | Physician Assistant | 1955 Citracado Pkwy Ste 302, Escondido, CA 92029-4113 | 2016-06-10 |
| 1104292267 | Amanda Lynn Anderson | Physician Assistant | 550 E 8th Ave, Escondido, CA 92025-5121 | 2015-08-12 |
| 1205229804 | Jennifer Frontela Garcia | Physician Assistant | 1548 Nob Hill Dr, Escondido, CA 92026-2005 | 2015-03-06 |
| Find all providers in ESCONDIDO | ||||
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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.