MR. ALEX E DETRANA


Address: 1600 W Avenue J, Lancaster, CA 93534-2814
Phone: 6619495000

MR. ALEX E DETRANA (NPI# 1568549970) 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) 1568549970
Entity Type Individual
Full Name MR. ALEX E DETRANA
Credential PA
Practice Address 1600 W Avenue J
Lancaster
CA 93534-2814
Mailing Address Po Box 12380
Westminster
CA 92685-2380
Practice Telephone 6619495000
Mailing Telephone 8005926829
Enumeration Date 2006-11-01
Last Update Date 2013-07-31
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
PA18447 CA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA MEDICAL LICENSE PA18447 01

Office Location

Street Address 1600 W AVENUE J
City LANCASTER
State CA
Zip Code 93534-2814

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245236025 James Helfrich Mcmillan Obstetrics & Gynecology 1600 W Avenue J, Lancaster, CA 93534-2814 2005-06-25
1376144840 Christina Trieu Occupational Therapist 1600 W Avenue J, Lancaster, CA 93534-2814 2020-11-02
1770180382 Antelope Valley Inpatient Pediatric Associates, Inc Pediatrics 1600 W Avenue J, Lancaster, CA 93534-2814 2020-10-06
1679180574 Beena Batna Registered Nurse 1600 W Avenue J, Lancaster, CA 93534-2894 2020-09-25
1538772090 Stephanie N Smith Nurse Practitioner 1600 W Avenue J, Lancaster, CA 93534-2814 2020-08-25
1134746639 Jeremy Ryan Kennedy Registered Nurse 1600 W Avenue J, Lancaster, CA 93534-2894 2020-06-30
1295366656 Sam Joed Abid IIi Pharmacist 1600 W Avenue J, Lancaster, CA 93534-2814 2020-02-03
1316584907 Christopher Timothy Pereida Clinic/Center 1600 W Avenue J, Lancaster, CA 93534-2814 2019-12-03
1568013142 David Thai Nurse Practitioner 1600 W Avenue J, Lancaster, CA 93534-2814 2019-09-24
1356997050 Glenn Gabrang Registered Nurse 1600 W Avenue J, Lancaster, CA 93534-2894 2019-08-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194346098 Lori Ann Barlow Washington Counselor 921 W J Street, Lancaster, CA 93534 2020-05-01
1629698253 Gisela Regalado Paredes Surgery Antelope Valley Hospital, 1600 West Ave J, Lancaster, CA 93534 2020-04-23
1124668470 Latonya Jean Allen Case Manager/Care Coordinator 44443 10th St. West, Lancaster, CA 93534 2020-01-14
1629629746 Korinna Fite Occupational Therapy Assistant 43860 10th St. W., Lancaster, CA 93534 2019-09-20
1114576105 Victor Nemr Hass Md Anesthesiology Embassy Surgery Center, 42135 10th Street West 325, Lancaster, CA 93534 2019-09-11
1609421007 Jaime A Mort Nurse Practitioner 43112 N 15st W, Lancaster, CA 93534 2019-08-03
1013560747 Allyson Lods Dietitian, Registered 43115 15th Street West, Lancaster, CA 93534 2019-07-22
1144884123 Nicole Breanne Palman Speech-Language Pathologist 43860 10th St. West, 1st Floor, Lancaster, CA 93534 2019-04-25
1841761475 Vanessa Gonzalez Case Manager/Care Coordinator 44226 10th St West, Lancaster, CA 93534 2018-12-07
1760969265 Marilyn Joy Pollack Physical Therapy Assistant 1306 W Avenue J Ste 2, Lancaster, CA 93534 2018-07-26
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821697376 Sidney Patel Physician Assistant 1834 Oregon Pike Ste 20, Lancaster, PA 17601-6463 2020-10-25
1114355104 Charles Eugene Stream Physician Assistant 133 East Fredeick Street, Lancaster, PA 17602 2013-10-29
1982938593 Kathleen M. Thatcher Physician Assistant 401 N. Ewing Street, Fairfield Emergency Physicians, Lancaster, OH 43130 2009-09-29
1033373014 Rachel Leanne Thompson Physician Assistant 701 N Duke St, Lancaster, PA 17602-2019 2008-07-18
1659584746 Sharon Kay Ashton Physician Assistant 1652 W Avenue J, Lancaster, CA 93534-2814 2007-05-07
1477662203 Joaquin J Garcia Physician Assistant 2150 Noll Drive, Suite 100, Lancaster, PA 17603 2006-08-29
1467488072 Kelly O'sullivan Physician Assistant 3 Silent Meadow Ln, Dept of Medicine, Lancaster, NY 14086-3430 2006-06-24
1891738001 Paul Richard Leaman Physician Assistant 625 S. Duke St., Lancaster, PA 17602-0598 2006-06-14
1942249420 Brian Andrew Martin Physician Assistant 2150 Noll Dr Ste 100, Lancaster, PA 17603-7605 2006-06-06
1891742755 Christine N Kurpiel Physician Assistant 1861 Charter Ln, Suite 118, Lancaster, PA 17601-6736 2006-05-27
Find all providers in LANCASTER

Competitor

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City LANCASTER
Zip Code 93534

Improve Information

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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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