MS. CHONDRA ELISE SHANKS (NPI# 1467762179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467762179 |
Entity Type | Individual |
Full Name | MS. CHONDRA ELISE SHANKS |
Credential | PA-C |
Practice Address |
665 N D St San Bernardino CA 92401-1109 |
Practice Telephone | 9097088158 |
Mailing Telephone | 9097088158 |
Enumeration Date | 2010-10-15 |
Last Update Date | 2013-05-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | 21231 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
665 N D ST |
City | SAN BERNARDINO |
State | CA |
Zip Code | 92401-1109 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174550511 | Morton Paul Hibbert | Obstetrics & Gynecology | 665 N D St, San Bernardino, CA 92401-1109 | 2006-06-28 |
1144885252 | Yu-yen Lee | Dietitian, Registered | 665 N D St, San Bernardino, CA 92401-1109 | 2019-05-03 |
1578027561 | Rohini Thothala Chandrasekar | Physician Assistant | 665 N D St, San Bernardino, CA 92401-1109 | 2019-01-24 |
1154810679 | Luis A Santana | Physician Assistant | 665 N D St, San Bernardino, CA 92401-1109 | 2018-05-10 |
1629420617 | Eric Brown | Dentist | 665 N D St, San Bernardino, CA 92401-1109 | 2016-07-01 |
1083099816 | Uzair Siddiqui | Family Medicine | 665 N D St, San Bernardino, CA 92401-1109 | 2015-07-22 |
1881078111 | Debrina Johnson | Pharmacist | 665 N D St, San Bernardino, CA 92401-1109 | 2015-07-16 |
1538542709 | Natalia Monica Cardenas | Physician Assistant | 665 N D St, San Bernardino, CA 92401-1109 | 2015-07-07 |
1184006207 | Phillip Le | Pharmacist | 665 N D St, San Bernardino, CA 92401-1109 | 2015-06-25 |
1336534569 | Janel Calinisan | Psychologist | 665 N D St, San Bernardino, CA 92401-1109 | 2015-04-03 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649885468 | Eagles Wings Hospice, LLC | Hospice Care, Community Based | 255 N. D Street, Suite 200-xix, San Bernardino, CA 92401 | 2020-09-09 |
1457831398 | Omar Torres | Case Manager/Care Coordinator | 574 N Arrowhead Ave., San Bernardino, CA 92401 | 2018-08-20 |
1104354539 | Llesenia Aleman | Case Manager/Care Coordinator | 597 North Arrowhead Ave, San Bernardino, CA 92401 | 2017-05-30 |
1669916193 | Yvonne Castro | Marriage & Family Therapist | 572 N. Arrowhead Ave., Suite 200, San Bernardino, CA 92401 | 2016-12-19 |
1811342132 | Maria Teresa Rodriguez Cortes | Counselor | 572 N. Arrowhead Ave. Suite 100, San Bernardino, CA 92401 | 2016-04-25 |
1841603339 | Kelly Michelle Cottingham | Licensed Practical Nurse | 350 W. Fifth Street, Suite 212, San Bernardino, CA 92401 | 2014-06-03 |
1558781245 | Desiree Inez Harris | Counselor | 572 N Arrowhead Ave #200, San Bernardino, CALIFORNIA 92401 | 2014-04-21 |
1194159970 | Sabrina Shrita Thakur | Marriage & Family Therapist | 572 N Arrowhead, San Bernardino, CA 92401 | 2013-08-28 |
1770845497 | Youths' Hope Licensed Clinical Social Worker Inc | Counselor | 255 N. D Street, Suite 400, San Bernardino, CA 92401 | 2012-06-08 |
1235461427 | Erin Nicole Stines | Recreation Therapist | 572 N. Arrowhead Ave. Suite 200, San Bernardino, CA 92401 | 2010-02-12 |
Find all providers in zip 92401 |
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 |
---|---|---|---|---|
1740849363 | Danniella Alexandra Murillo | Physician Assistant | 2101 North Waterman Ave, San Bernardino, CA 92404 | 2019-06-07 |
1265828370 | Tammy Darby | Physician Assistant | 1918 Business Center Dr Ste 110, San Bernardino, CA 92408-3471 | 2015-04-15 |
1275971079 | Brian K Jarman | Physician Assistant | 4905 N Berkeley Ave, San Bernardino, CA 92407-3015 | 2013-06-13 |
1437402765 | John Finley | Physician Assistant | 4378 Sepulveda Ave, Apt 11, San Bernardino, CA 92404-1274 | 2012-10-24 |
1275813370 | Daniel Kim | Physician Assistant | 1505 W. 17th St, San Bernardino, CA 92411-2661 | 2011-08-19 |
1417259268 | Elda Ilia | Physician Assistant | 1800 Medical Center Dr Ste 99, San Bernardino, CA 92411-1232 | 2010-11-30 |
1336396548 | Brenitta Gilliam-udo | Physician Assistant | 351 N Mountain View Ave, San Bernardino, CA 92415-1018 | 2008-08-20 |
1285806794 | Miguel Trujillo | Physician Assistant | 685 Carnegie Dr Ste 230, San Bernardino, CA 92408-3583 | 2008-03-25 |
1629146881 | Lorelie Tolentino | Physician Assistant | 1873 Commercenter West, San Bernardino, CA 92408 | 2006-12-04 |
1861582314 | Cecilia Talpa Quinones | Physician Assistant | 565 N. Mount Vernon Ave., San Bernardino, CA 92411 | 2006-10-13 |
Find all providers in SAN BERNARDINO |
City | SAN BERNARDINO |
Zip Code | 92401 |
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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.