MS. QUIANA WICKS (NPI# 1457694226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457694226 |
| Entity Type | Individual |
| Full Name | MS. QUIANA WICKS |
| Credential | P.A.- C |
| Practice Address |
1250 Pacific Ave Long Beach CA 90813-3026 |
| Mailing Address |
Po Box 273 Lynwood CA 90262-0273 |
| Practice Telephone | 3107097694 |
| Mailing Telephone | 3107097694 |
| Enumeration Date | 2013-03-30 |
| Last Update Date | 2013-03-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA22443 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1250 PACIFIC AVE |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90813-3026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528696911 | Dakota Troy Campbell | Registered Nurse | 1250 Pacific Ave, Long Beach, CA 90813-3026 | 2020-03-31 |
| 1407037518 | Carol Marie Murdock | Nurse Practitioner | 1250 Pacific Ave, Long Beach, CA 90813-3026 | 2007-11-16 |
| 1710168091 | Jose Serna | Physician Assistant | 1250 Pacific Ave, Long Beach, CA 90813-3026 | 2007-11-15 |
| 1669669354 | Christopher Ming Tang | Internal Medicine | 1250 Pacific Ave, Long Beach, CA 90813 | 2007-09-27 |
| 1780885053 | David Socol | General Practice | 1250 Pacific Ave, Long Beach, CA 90813-3026 | 2007-05-31 |
| 1033310347 | Daniel Ries | General Practice | 1250 Pacific Ave, Long Beach, CA 90813-3026 | 2007-05-31 |
| 1629288998 | Teddie Mont Nabong | Physical Medicine & Rehabilitation | 1250 Pacific Ave, Long Beach, CA 90813-3026 | 2007-05-23 |
| 1164632527 | Charles Brian Tang | Preventive Medicine | 1250 Pacific Ave, Long Beach, CA 90813-3026 | 2007-05-23 |
| 1407065139 | Helen H.r. Tang | Preventive Medicine | 1250 Pacific Ave, Long Beach, CA 90813-3026 | 2007-05-21 |
| 1619091055 | Earla Mahalia Burnett | Physician Assistant | 1250 Pacific Ave, Long Beach, CA 90813-3026 | 2007-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861018491 | Marisol Zobler | Social Worker | 820 Long Beach Bvld, Long Beach, CA 90813 | 2020-06-19 |
| 1437787009 | Cho Rok Kim | Student in an Organized Health Care Education/Training Program | Graduate Medical Education, 1050 Linden Ave., Long Beach, CA 90813 | 2020-03-30 |
| 1316407596 | Vicky Sandhu | Student in an Organized Health Care Education/Training Program | Graduate Medical Education, 1050 Linden Ave, Long Beach, CA 90813 | 2019-03-22 |
| 1245734912 | Madiha Naseem | Internal Medicine | Graduate Medical Education, 1050 Linden Avenue, Long Beach, CA 90813 | 2018-03-19 |
| 1689194508 | Naomi Ruiz | Specialist/Technologist | 838 Pine Ave Apt. 314, Long Beach, CA 90813 | 2017-06-21 |
| 1851831531 | Tyler Lappen | Student in an Organized Health Care Education/Training Program | 830 Atlantic Ave., Long Beach, CA 90813 | 2017-03-01 |
| 1639628886 | Assavuth Kim | Community Health Worker | 1471 Cherry Avenue, Long Beach, CA 90813 | 2016-09-29 |
| 1881031300 | Stacy Nicole Delgado-willis | Marriage & Family Therapist | 851 Pine Ave Ste 103, Long Beach, CA 90813 | 2013-05-23 |
| 1740623453 | Paula Ann Di Thomas | Nurse Practitioner | 1043 Elm Ave #104, Long Beach, CA 90813 | 2013-04-11 |
| 1629322722 | David O Chavez | Case Manager/Care Coordinator | 820 Long Beach Blvd, Long Beach, CA 90813 | 2012-10-29 |
| Find all providers in zip 90813 | ||||
| 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 |
|---|---|---|---|---|
| 1831703958 | Melanie Layne Mccoy | Physician Assistant | 202 Joyce Ave, Long Beach, MS 39560-4332 | 2020-09-04 |
| 1285244525 | Amir Kamal Abdou | Physician Assistant | 133 The Promenade N Unit 112, Long Beach, CA 90802-4728 | 2020-08-02 |
| 1316564156 | Eva Dolores Larson | Physician Assistant | 2230 Knoxville Ave, Long Beach, CA 90815-2340 | 2020-06-27 |
| 1609402148 | Justine Liao Huang | Physician Assistant | 2725 Pacific Ave, Long Beach, CA 90806-2612 | 2020-03-17 |
| 1962036525 | Gabriel Ernest Smith | Physician Assistant | 4541 Falcon Ave, Long Beach, CA 90807-1814 | 2020-02-22 |
| 1124660295 | Ngawina Veronica Komen | Physician Assistant | 1139 E Ocean Blvd Unit 109, Long Beach, CA 90802-5659 | 2019-10-10 |
| 1326691718 | Chelsea Caughran | Physician Assistant | 472 W Hill St, Long Beach, CA 90806-4548 | 2019-07-24 |
| 1255809216 | Mikaela Terez Zummo | Physician Assistant | 563 E Harrison St, Long Beach, NY 11561-2444 | 2018-11-07 |
| 1407338064 | Monali Patel | Physician Assistant | 237 W Ridgewood, Long Beach, CA 90805-6964 | 2018-08-30 |
| 1437679354 | Alana Doonachar | Physician Assistant | 100 Belmont Avenue, Long Beach, NY 11561 | 2017-06-21 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90813 |
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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.