ELISA R REA


Address: 696 E Santa Clara St, Suite 210, San Jose, CA 95112-1911
Phone: 4082959839

ELISA R REA (NPI# 1467727651) 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) 1467727651
Entity Type Individual
Full Name ELISA R REA
Credential PA-C
Practice Address 696 E Santa Clara St
Suite 210
San Jose
CA 95112-1911
Mailing Address 20700 Lake Chabot Rd
Ste 107
Castro Valley
CA 94546-5402
Practice Telephone 4082959839
Mailing Telephone 4082959839
Enumeration Date 2012-03-20
Last Update Date 2018-01-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA22083 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 696 E SANTA CLARA ST
SUITE 210
City SAN JOSE
State CA
Zip Code 95112-1911

Providers in the same location

NPI Name Taxonomy Address Enumeration
1407830185 Viet-hong Duy Bui Family Medicine 696 E Santa Clara St, Suite 210, San Jose, CA 95112-1911 2005-12-06
1841614963 Ariba Healthcare Group Inc. Exclusive Provider Organization 696 E Santa Clara St, Suite 202, San Jose, CA 95112-1911 2014-02-10
1518396712 Ngai Nguyen Internal Medicine 696 E Santa Clara St, 108, San Jose, CA 95112-1911 2013-11-07
1417392879 Noushin Sheidaei Physician Assistant 696 E Santa Clara St, Ste. 202, San Jose, CA 95112-1911 2013-04-29
1285996546 Richard Edmund Ferry Marriage & Family Therapist 696 E Santa Clara St, Suite 204, San Jose, CA 95112-1911 2012-06-13
1245415306 Mega Drugs LLC Pharmacy 696 E Santa Clara St, Suite 111, San Jose, CA 95112-1911 2008-01-08
1790995975 Hoang Manh Nguyen Internal Medicine 696 E Santa Clara St, Suite 108, San Jose, CA 95112-1911 2007-05-23
1609901222 Bay Area Urgent Care, Inc. Clinic/Center 696 E Santa Clara St, Suite 101, San Jose, CA 95112-1911 2007-02-22
1407902471 Tam T Tran Prosthetic/Orthotic Supplier 696 E Santa Clara St, Suite 104, San Jose, CA 95112-1911 2007-01-25
1770649352 Lisa S Chan Occupational Therapist 696 E Santa Clara St, Suite 209, San Jose, CA 95112-1911 2006-12-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104443407 Khady Fall Behavior Technician 408 494 1561, 614 Tully Road, San Jose, CA 95112 2020-07-02
1538791124 Vianey Martinez Social Worker 290 N Second Street, San Jose, CA 95112 2020-02-11
1083254262 Tessa Dobrin Zapalac Behavior Technician 1887 Monterey Road, Suite 225, San Jose, Ca 95112, San Jose, CA 95112 2020-01-15
1508404716 Emilie Caitlin Leach Counselor 290 N 2nd St, San Jose, CA 95112 2019-12-18
1699313080 Juan Carlos Mercado Marriage & Family Therapist 290 North 2nd St, San Jose, CA 95112 2019-12-16
1386288017 Path (people Assisting The Homeless) Case Manager/Care Coordinator 290 N. 2nd Street San Jose Ca, San Jose, CA 95112 2019-11-06
1316588528 Loralee Crystal Garcia Technician 546 N. 3rd Street #7, San Jose, CA 95112 2019-09-30
1306316922 Patricia Calatraba Swofford Marriage & Family Therapist 232 E. Gish Rd., San Jose, CA 95112 2018-11-27
1134606932 Ana Alicia Castro-banderas Social Worker 160 E Virginia St., Suite 100, San Jose, CA 95112 2018-07-24
1275035750 Theresa Khong Behavior Technician 1887 Monterey Hwy. Suite 225, San Jose, CA 95112 2018-03-01
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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
1922607423 Emily Halla Physician Assistant 7473 Gresham Ct, San Jose, CA 95139-1424 2020-10-26
1881210029 Jeremy Nathan Birch Physician Assistant 1287 San Moritz Dr, San Jose, CA 95132-2754 2020-06-23
1609491158 Kaitlin Aquino Physician Assistant 1382 Bing Dr, San Jose, CA 95129-4703 2020-06-10
1275152282 Heema K Bhagat Physician Assistant 6967 Sessions Dr, San Jose, CA 95119-1335 2020-04-09
1013557925 Kassaundra Cervantes Physician Assistant 2114 Mckee Rd, San Jose, CA 95116-1427 2020-01-08
1508416207 Shelley Brunkan Physician Assistant 227 Giddings Ct, San Jose, CA 95139-1421 2019-09-14
1053960724 Caroline Luczak Physician Assistant 88 E San Fernando St, San Jose, CA 95113-2535 2019-09-05
1336704402 Irene Rummel Physician Assistant 1227 Gehrig Ave, San Jose, CA 95132-2714 2019-05-04
1801350749 Brenda H.t. Nguyen Physician Assistant 1102 Brooks Range Lndg, San Jose, CA 95131-3803 2019-01-24
1477021848 Christina Ly Physician Assistant 1569 Lexann Ave Ste 206, San Jose, CA 95121-1795 2018-11-05
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Competitor

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City SAN JOSE
Zip Code 95112

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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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