TRAVIS DILLON BROWN (NPI# 1548899313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548899313 |
| Entity Type | Individual |
| Full Name | TRAVIS DILLON BROWN |
| Credential | PA-S |
| Practice Address |
604 N Magnolia Ave Ste 100 Clovis CA 93611-9205 |
| Mailing Address |
2625 E Divisadero St Fresno CA 93721-1431 |
| Practice Telephone | 5593200531 |
| Practice Fax Number | 5593200539 |
| Mailing Telephone | 5594432682 |
| Mailing Fax Number | 5594432681 |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2020-10-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
58465 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508242868 | Travis Scott Brown | Physical Therapist | 1509 Deer Park Ln, Surfside Beach, SC 29575-5245 | 2015-08-09 |
| 1306250279 | Travis James Brown | Nurse Practitioner | 29934 July Rd, La Plata, MO 63549-3129 | 2014-06-18 |
| 1588847610 | Travis Gregory Brown | Family Medicine | 423 E Main St Ste 3, Midlothian, TX 76065-3345 | 2007-12-12 |
| 1568061687 | Travis D Brown | Behavior Technician | 1081 Thornberry Dr, Madisonville, KY 42431-1672 | 2020-10-20 |
| 1326675141 | Travis Brown | Student in an Organized Health Care Education/Training Program | 75 Francis St, Boston, MA 02115-6110 | 2020-03-23 |
| 1730656414 | Travis Brown | Case Manager/Care Coordinator | 10050 Bassett Rd, Athens, OH 45701-3626 | 2018-10-31 |
| 1245601772 | Travis H Brown | Counselor | 2814 S 108th St, West Allis, WI 53227-3224 | 2015-10-09 |
| 1134515661 | Travis Brown | Radiology | 2301 Holmes St, Kansas City, MO 64108-2640 | 2015-04-10 |
| 1699168484 | Travis Brown | Military Health Care Provider | 1355 Helicopter Rd, Virginia Beach, VA 23459-8937 | 2015-03-18 |
| 1982016671 | Travis Brown | Dentist | 205 E Harcourt Rd, Angola, IN 46703-7131 | 2014-05-29 |
| Street Address |
604 N MAGNOLIA AVE STE 100 |
| City | CLOVIS |
| State | CA |
| Zip Code | 93611-9205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124025325 | Eric Michael Lindvall | Orthopaedic Surgery | 604 N Magnolia Ave Ste 100, Clovis, CA 93611-9205 | 2005-07-01 |
| 1477178184 | Morgan Brooke Kelly | Physician Assistant | 604 N Magnolia Ave Ste 100, Clovis, CA 93611-9205 | 2020-06-09 |
| 1679196133 | Micah Pinasco | Nurse Practitioner | 604 N Magnolia Ave Ste 100, Clovis, CA 93611-9205 | 2020-05-19 |
| 1134766868 | Caroline Theresa Urbanek | Physician Assistant | 604 N Magnolia Ave Ste 100, Clovis, CA 93611-9205 | 2019-12-02 |
| 1588223762 | Christina M Furrer | Physician Assistant | 604 N Magnolia Ave Ste 100, Clovis, CA 93611-9205 | 2019-06-11 |
| 1346732658 | Daniel Patrick Cassell | Physician Assistant | 604 N Magnolia Ave Ste 100, Clovis, CA 93611-9205 | 2018-06-01 |
| 1033655238 | Joshua May | Physician Assistant | 604 N Magnolia Ave Ste 100, Clovis, CA 93611-9205 | 2017-01-11 |
| 1811390370 | Andrew Gutowski | Physician Assistant | 604 N Magnolia Ave Ste 100, Clovis, CA 93611-9205 | 2014-09-29 |
| 1962813741 | Lucas Seiler | Orthopaedic Surgery | 604 N Magnolia Ave Ste 100, Clovis, CA 93611-9205 | 2014-05-14 |
| 1689096786 | Michael Charles | Orthopaedic Surgery | 604 N Magnolia Ave Ste 100, Clovis, CA 93611-9205 | 2014-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033773122 | Mao Thao | Pharmacist | 2133 Shaw Avenue, Clovis, CA 93611 | 2019-04-24 |
| 1326506098 | Lauren Moriah Horsley | Speech-Language Pathologist | 650 W. Alluvial Ave., Clovis, CA 93611 | 2019-03-12 |
| 1780171223 | Alamos Care | Skilled Nursing Facility | 2193 Alamos Ave, Clovis, CA 93611 | 2018-04-19 |
| 1346612215 | Aimee Rasch | Occupational Therapy Assistant | 650 West Alluvial Avenue, Clovis, CA 93611 | 2015-10-30 |
| 1356778302 | Jonathan Crosby | Physician Assistant | 729 N Medical Center Drive West Suite 101, Clovis, CA 93611 | 2013-10-07 |
| 1093142697 | Stacey Melissa Montes | Nurse Practitioner | 729 N Medical Ctr Dr West, Suite 205, Clovis, CA 93611 | 2013-09-27 |
| 1538594163 | Carly Bren Lepp | Physician Assistant | 2006 Shaw Avenue, Clovis, CA 93611 | 2013-09-13 |
| 1811246150 | Vishal Arya | Pharmacist | 2518 Austin Ave, Clovis, CA 93611 | 2012-08-31 |
| 1669757209 | Kiran V Atwal | Pharmacist | 1815 Herndon Ave--walgreens, Clovis, CA 93611 | 2011-10-14 |
| 1952615957 | Weight Away | Nutritionist | 1895 Herndon Ave, Suite 105, Clovis, CA 93611 | 2010-08-02 |
| Find all providers in zip 93611 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346732658 | Daniel Patrick Cassell | Physician Assistant | 604 N Magnolia Ave Ste 100, Clovis, CA 93611-9205 | 2018-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649894403 | Kathlyn Larco | Physician Assistant | 1233 W Randall Way, West Covina, CA 91790-4747 | 2020-06-07 |
| 1487126421 | Eliza Hughes | Physician Assistant | 860 Oak Park Blvd Ste 101, Arroyo Grande, CA 93420-1800 | 2018-12-31 |
| 1508333873 | Andrew Cantos Malit | Physician Assistant | 409 Bristol Way, Corona, CA 92879-6156 | 2018-10-25 |
| 1578049458 | Ida Jelveh | Physician Assistant | 28096 Edelweiss Ct, Laguna Niguel, CA 92677-7006 | 2018-07-13 |
| 1356833578 | Michael James Gonzalez | Physician Assistant | 1500 E Chevy Chase Dr # 401a401b, Glendale, CA 91206-4152 | 2018-06-04 |
| 1023500592 | Pamela Lambert Pa-c, Inc. | Physician Assistant | 16105 Mariposa Ave, Riverside, CA 92504-8730 | 2018-05-31 |
| 1225532385 | Folsom Physicain Assistant First Assist, Inc | Physician Assistant | Nina Vasiliev Pa-c, 15407 Muller Rd, Plymouth, CA 95669-9770 | 2018-03-22 |
| 1275040008 | Gm Surgical Assistant Inc | Physician Assistant | 15615 Turnberry St, Moreno Valley, CA 92555-4901 | 2018-01-02 |
| 1902311186 | Or Solutions Inc | Physician Assistant | 1501 Secret Ravine Pkwy Unit 527, Roseville, CA 95661-6005 | 2017-12-09 |
| 1184143828 | Alaa Abdalla Daghlas | Physician Assistant | 1100 S Eliseo Dr Ste A, Greenbrae, CA 94904-2017 | 2017-09-13 |
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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.