KUN SAVILLE (NPI# 1518377894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518377894 |
| Entity Type | Individual |
| Full Name | KUN SAVILLE |
| Practice Address |
31581 Canyon Estates Dr Lake Elsinore CA 92532-0424 |
| Practice Telephone | 9512443500 |
| Practice Fax Number | 9513443535 |
| Mailing Telephone | 9512443500 |
| Mailing Fax Number | 9513443535 |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2015-05-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 51508 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
31581 CANYON ESTATES DR |
| City | LAKE ELSINORE |
| State | CA |
| Zip Code | 92532-0424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811999261 | Mohammad Reza Danesh | Family Medicine | 31581 Canyon Estates Dr, Lake Elsinore, CA 92532-0424 | 2005-08-15 |
| 1790253672 | Navdeep Kaur Gill | Physician Assistant | 31581 Canyon Estates Dr, Lake Elsinore, CA 92532-0424 | 2018-11-08 |
| 1477074094 | Vincent Lieras | Family Medicine | 31581 Canyon Estates Dr, Lake Elsinore, CA 92532-0424 | 2017-07-05 |
| 1023483591 | Ryan Jacobs | Physician Assistant | 31581 Canyon Estates Dr, Lake Elsinore, CA 92532-0424 | 2015-12-08 |
| 1841664711 | Christina Kim Tran | Physician Assistant | 31581 Canyon Estates Dr, Lake Elsinore, CA 92532-0424 | 2015-11-16 |
| 1710242474 | Southern California Primary Care Canyon Lake Urgent & Family Care | Non-Pharmacy Dispensing Site | 31581 Canyon Estates Dr, Lake Elsinore, CA 92532-0424 | 2012-07-09 |
| 1376632281 | Southern California Primary Care Medical Group, Inc | Clinic/Center | 31581 Canyon Estates Dr, Lake Elsinore, CA 92532-0424 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649817842 | The Social Work Action Group | Family Medicine | 28497 California 74 Suite 113, Lake Elsinore, CA 92532 | 2019-12-06 |
| 1720477235 | Skyler Jeffrey Liatti | Dentist | 29273 Central Ave Ste A, Lake Elsinore, CA 92532 | 2015-01-21 |
| 1386068310 | Michael D Boucher | Physician Assistant | 29997 Canyon Hills Rd Ste 1604, Lake Elsinore, CA 92532 | 2014-02-11 |
| 1902083595 | Joong Gu Han | Acupuncturist | 53116 Tropical Street, Lake Elsinore, CA 92532 | 2008-01-25 |
| 1063632123 | Taba Apostu & Apostu Professional Dental Corp | Dentist | 361 Railroad Canyon Rd, #a, Lake Elsinore, CA 92532 | 2007-04-30 |
| 1164584793 | Stephen Gerard Schroeder | Optometrist | 25321 Railroad Canyon Dr., #503, Lake Elsinore, CA 92532 | 2006-12-13 |
| 1194821041 | Derek B. Hauser | Dentist | 31571 Canyon Estates Dr Ste 117, Lake Elsinore, CA 92532 | 2006-09-16 |
| 1912017567 | Costco Wholesale Corporation | Pharmacy | 29315 Central Ave, Lake Elsinore, CA 92532 | 2006-08-30 |
| 1952331217 | Longs Drug Stores California LLC | Durable Medical Equipment & Medical Supplies | 29985 Canyon Hills Road, Lake Elsinore, CA 92532 | 2006-07-03 |
| 1467709642 | Matthew Randall Kanter | Dentist | 31571 Canyon Estates Dr Ste 117, Lake Elsinore, CA 92532 | 2012-08-07 |
| Find all providers in zip 92532 | ||||
| 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 |
|---|---|---|---|---|
| 1386068310 | Michael D Boucher | Physician Assistant | 29997 Canyon Hills Rd Ste 1604, Lake Elsinore, CA 92532 | 2014-02-11 |
| 1285962985 | Courtney Paige Toogood | Physician Assistant | 4180 Crestview Dr, Lake Elsinore, CA 92530-6900 | 2009-11-18 |
| 1821147208 | Diane Brown | Physician Assistant | 506 West Grahan Avenue Suite 107, Lake Elsinore, CA 92530 | 2007-01-09 |
| 1497216824 | Megan Renee Hall | Physician Assistant | 425 Diamond Dr, Lake Elsinore, CA 92530-4495 | 2019-03-28 |
| 1942747951 | Rochelle Bui | Physician Assistant | 425 Diamond Dr, Suite #105, Lake Elsinore, CA 92530-4495 | 2017-01-28 |
| 1841664711 | Christina Kim Tran | Physician Assistant | 31581 Canyon Estates Dr, Lake Elsinore, CA 92532-0424 | 2015-11-16 |
| 1720480767 | William Kerr | Physician Assistant | 31571 Canyon Estates Dr, Lake Elsinore, CA 92532-0468 | 2014-09-22 |
| 1407925209 | Reginald R Peters | Physician Assistant | 2499 E Lakeshore Dr, Lake Elsinore, CA 92530-4446 | 2006-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407679 | Samantha Sidney Spinner | Physician Assistant | 1385 Shattuck Ave Apt 201, Berkeley, CA 94709-1468 | 2020-11-08 |
| 1134720972 | Alessandra Porfido | Physician Assistant | 733 Filbert St Apt 1, San Francisco, CA 94133-2767 | 2020-11-06 |
| 1992306872 | Kelsey Oberg | Physician Assistant | 1817 Oldfield Ct, El Cajon, CA 92019-4233 | 2020-11-05 |
| 1609477504 | Julia Claire Stiefel | Physician Assistant | 369 Orange St Apt A, Oakland, CA 94610-2979 | 2020-11-05 |
| 1164023347 | Wendy P Lewis | Physician Assistant | 10447 Highdale St, Bellflower, CA 90706-4122 | 2020-11-04 |
| 1245830181 | Lauren Bennett | Physician Assistant | 3360 Horizon St, Corona, CA 92881-0728 | 2020-10-29 |
| 1538769062 | Revital Ahl | Physician Assistant | 18141 Medley Dr, Encino, CA 91316-4447 | 2020-10-26 |
| 1922607423 | Emily Halla | Physician Assistant | 7473 Gresham Ct, San Jose, CA 95139-1424 | 2020-10-26 |
| 1386243889 | Ilaitia Lecia Namatasere | Physician Assistant | 614 Sycamore Ln Apt 225, Davis, CA 95616-7901 | 2020-10-26 |
| 1083213706 | Courtney Kathryn Hopp | Physician Assistant | 4060 Fourth Ave Ste 209, San Diego, CA 92103-2120 | 2020-10-23 |
| Find all providers with the same taxonomy | ||||
| City | LAKE ELSINORE |
| Zip Code | 92532 |
Please comment or provide details below to improve the information on KUN SAVILLE.
| 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.