ORIESA WIYONO OEIJ (NPI# 1568020428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568020428 |
Entity Type | Individual |
Full Name | ORIESA WIYONO OEIJ |
Credential | PA-C |
Practice Address |
800 S Main St Corona CA 92882-3420 |
Mailing Address |
1511 E Everglade Ave Fresno CA 93720-1930 |
Practice Telephone | 5594038373 |
Mailing Telephone | 5594038373 |
Enumeration Date | 2019-06-04 |
Last Update Date | 2019-06-04 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
PA56848 | CA | Allopathic & Osteopathic Physicians |
Street Address |
800 S MAIN ST |
City | CORONA |
State | CA |
Zip Code | 92882-3420 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639171788 | Calvin Marantz | Pathology | 800 S Main St, Corona, CA 92882-3420 | 2005-06-01 |
1184277394 | Courtney Snyder | Nurse Practitioner | 800 S Main St, Corona, CA 92882-3420 | 2019-07-17 |
1346802543 | Julie Kim Ahn | Physician Assistant | 800 S Main St, Corona, CA 92882-3420 | 2019-07-08 |
1689132474 | Bao-khoi Vu | Physician Assistant | 800 S Main St, Corona, CA 92882-3420 | 2019-03-11 |
1639633472 | Cep America - Neurology PC | Psychiatry & Neurology | 800 S Main St, Corona, CA 92882-3420 | 2019-01-25 |
1265925564 | Farhad Najafi, Md Inc. | General Acute Care Hospital | 800 S Main St, Corona, CA 92882-3420 | 2018-06-11 |
1154819126 | Western Institute of Critical Care Medicine, Inc | Anesthesiology | 800 S Main St, Corona, CA 92882-3420 | 2018-04-25 |
1558865840 | Corona Anesthesia Group, Inc. | Anesthesiology | 800 S Main St, Corona, CA 92882-3420 | 2018-03-21 |
1134629298 | Corona Regional Emergency Medical Associates Inc | Emergency Medicine | 800 S Main St, Corona, CA 92882 | 2018-02-15 |
1073046926 | Danny Hai Nguyen | Internal Medicine | 800 S Main St, Corona, CA 92882-3420 | 2017-04-07 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477116341 | People Providing Training Solutions | Health Educator | 650 S. Main Street Corona Public Library, Corona, CA 92882 | 2019-04-17 |
1972080752 | Boris Shlopov Md Pathology Medical Corporation | Pathology | 800 S Main, Corona, CA 92882 | 2018-07-24 |
1316431232 | Julia's Care Hospice | Hospice Care, Community Based | 1450 N Sixth St, Ste 117, Corona, CA 92882 | 2018-06-15 |
1477060499 | Shilpy Kanda | Physician Assistant | 2250 S Main St Ste 107, Corona, CA 92882 | 2017-12-29 |
1831616333 | Cindy Ruiz | Behavioral Analyst | 2868 Briarhaven Ln, Corona, CA 92882 | 2017-08-24 |
1366965667 | 3 Vest Medical Transportation Wc LLC | Non-emergency Medical Transport (VAN) | 3256 Rural Lane, Corona, CA 92882 | 2017-07-19 |
1477073468 | Adrian Macias I | Counselor | 2275 South Main Street Suite 201 Corona, Ca 92882, Corona, CA 92882 | 2017-06-21 |
1699205286 | Sylvia Barrow | Counselor | 2275 South Main Street Suite 201, Corona, CA 92882 | 2017-06-15 |
1417348574 | Pensar Medical | Durable Medical Equipment & Medical Supplies | 1269 Pomona Rd Ste 107, Corona, CA 92882 | 2015-02-11 |
1215327085 | Anne Maureen Sims | Social Worker | 2275 South Main, #201, Corona, CA 92882 | 2015-01-30 |
Find all providers in zip 92882 |
Taxonomy Code | 207PE0004X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Emergency Medicine |
Specialization | Emergency Medical Services |
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568464048 | Farough Owiesy | Emergency Medicine | 802 Magnolia Ave, Suite #106, Corona, CA 92879-3125 | 2005-08-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619576576 | Thethong P Thepvong | Emergency Medicine | 900 W Belgravia Ave, Fresno, CA 93706-3909 | 2020-10-21 |
1003441148 | Heather K Mineo | Emergency Medicine | 1908 Spahn Ln, Placentia, CA 92870-2844 | 2020-03-10 |
1407497837 | Jaskaranpreet Kaur Sahota | Emergency Medicine | 426 4th Street, Marysville, CA 95901 | 2019-10-07 |
1215493515 | Karla Beatriz Sonnier | Emergency Medicine | 17822 Cardiff Cir, Huntington Beach, CA 92649-4807 | 2019-02-12 |
1568992923 | American Specialty Physicians Group Inc | Emergency Medicine | 700 17th St Ste 205, Modesto, CA 95354-1249 | 2017-06-18 |
1841659067 | George Michael Savage | Emergency Medicine | 2600 Bridge Parkway, Proteus Digital Health, Redwood City, CA 94065 | 2016-02-16 |
1053779553 | Robert Alan Hochman | Emergency Medicine | 526 Firecrest Court, Newbury Park, CA 91320-5022 | 2016-01-29 |
1578954319 | Amerco Health Enterprise, Inc | Emergency Medicine | 1006 E Bastanchury Rd, Fullerton, CA 92835-2782 | 2015-02-16 |
1134543945 | Francine Vogler | Emergency Medicine | 22631 Pacific Coast Highway, #796, Malibu, CA 90265 | 2014-02-13 |
1396081659 | Kent Benedict | Emergency Medicine | 3283 Valencia Ave, Aptos, CA 95003-4122 | 2012-12-13 |
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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.