MS. SUZANNE MARIE PERCIVAL-PACINI (NPI# 1568645000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568645000 |
Entity Type | Individual |
Full Name | MS. SUZANNE MARIE PERCIVAL-PACINI |
Credential | PA-C |
Practice Address |
38600 Medical Center Dr Palmdale CA 93551-4483 |
Mailing Address |
Po Box 2017 Victorville CA 92393-2017 |
Practice Telephone | 6613825000 |
Mailing Telephone | 7602433151 |
Enumeration Date | 2007-12-06 |
Last Update Date | 2020-10-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA19504 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
38600 MEDICAL CENTER DR |
City | PALMDALE |
State | CA |
Zip Code | 93551-4483 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578557229 | Inpamani S Arul Md Inc | Pathology | 38600 Medical Center Dr, Palmdale, CA 93551-4483 | 2005-09-08 |
1780224535 | Cep America - Neurology PC | Psychiatry & Neurology | 38600 Medical Center Dr, Palmdale, CA 93551-4483 | 2020-01-09 |
1144879818 | Robert Winkler | Specialist/Technologist | 38600 Medical Center Dr, Palmdale, CA 93551-4483 | 2019-09-05 |
1003379678 | Elizabeth Wasil | Registered Nurse | 38600 Medical Center Dr, Palmdale, CA 93551-4483 | 2019-04-10 |
1770046708 | Brian Keith Patrick | Registered Nurse | 38600 Medical Center Dr, Palmdale, CA 93551-4483 | 2019-04-08 |
1083176192 | Amber Mcirvin | Registered Nurse | 38600 Medical Center Dr, Palmdale, CA 93551-4483 | 2019-04-05 |
1194287276 | David Charles Turner | Registered Nurse | 38600 Medical Center Dr, Palmdale, CA 93551-4483 | 2019-04-05 |
1275095382 | Ignacio M Llamas | Registered Nurse | 38600 Medical Center Dr, Palmdale, CA 93551-4483 | 2019-04-05 |
1013479732 | Marie Mathews | Specialist/Technologist | 38600 Medical Center Dr, Palmdale, CA 93551-4483 | 2019-04-02 |
1164994547 | Thao Vi K Le | Pharmacist | 38600 Medical Center Dr, Palmdale, CA 93551-4483 | 2018-12-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518578251 | Epak LLC | Registered Nurse | 6327 Giovanni Way, Palmdale, CA 93551 | 2020-08-16 |
1710500483 | Hmg Community Clinic Inc | Family Medicine | 38900 Trade Center Drive Suite B, Palmdale, CA 93551 | 2020-05-28 |
1891338372 | Babak Yousefi & Fariborz Rodef Dental Corporation | Dentist | 623 West Ave Q Suite #b, Palmdale, CA 93551 | 2019-10-28 |
1770052748 | The Kibbutz - Nature Serenity Renewal | Clinic/Center | 13136 Elizabeth Lake Rd, Leona Valley, CA 93551 | 2018-11-19 |
1306321872 | Vicky Elena Ledesma | Case Manager/Care Coordinator | 251 Grand Cypress Ave, Palmdale, CA 93551 | 2018-10-01 |
1972025898 | Tamika Estrella | Driver | 39553 Hawthorne St, Palmdale, CA 93551 | 2017-07-12 |
1245750751 | Tamara Vwich Dds Inc | Dentist | 3011 Rancho Vista Blvd., Suite I, Palmdale, CA 93551 | 2017-06-26 |
1487003356 | Thriving Consultingname | Home Health | 2845 Ladyfern Lane, Palmdale, CA 93551 | 2016-06-10 |
1235501750 | Jessica Andrea Ulloa | Counselor | 734 Celtic Dr, Palmdale, CA 93551 | 2015-10-23 |
1508240243 | Rachel Williams | Registered Nurse | 3961 Woburn Ct, Palmdale, CA 93551 | 2015-07-13 |
Find all providers in zip 93551 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508057316 | Kay Dee Roberts | Physician Assistant | 41230 11th St W Ste E, Palmdale, CA 93551-1411 | 2007-08-06 |
1013018944 | Brian Adam Schlesinger | Physician Assistant | 1037 E. Palmdale Blvd., Palmdale, CA 93550 | 2006-09-25 |
1770984254 | Clinica Medica Mi Familia De Palmdale, Inc. | Physician Assistant | 1037 E Palmdale Blvd, Suite 101, Palmdale, CA 93550-4745 | 2014-09-15 |
1366724650 | Aaron Bledsoe | Physician Assistant | 631 W Avenue Q Ste B, Palmdale, CA 93551-3892 | 2011-09-13 |
1003871450 | Cynthia Gayle James | Physician Assistant | 41210 11th St W, Ste G, Palmdale, CA 93551-1447 | 2006-04-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760089437 | Karine Harutyunyan | Physician Assistant | 500 E Colorado St Ste 101, Glendale, CA 91205-1607 | 2020-10-06 |
1437756228 | Kale Burket | Physician Assistant | Bldg 523, S 8th St, El Centro, CA 92243 | 2020-10-05 |
1548867666 | Heba Marzouk Al-shoubaki | Physician Assistant | 633 S Pepper St, Anaheim, CA 92802-1459 | 2020-10-01 |
1275140550 | Lisa Lynn Passalacqua | Physician Assistant | 431 7th St, Norco, CA 92860-1671 | 2020-09-30 |
1144833989 | Trisha Taylor | Physician Assistant | 10399 Tivoli Way, Yucaipa, CA 92399-6017 | 2020-08-30 |
1457963944 | Harlan William Monahan | Physician Assistant | 5210 Del Rio Rd, Sacramento, CA 95822-2519 | 2020-08-18 |
1275144313 | Sofia Carmen Bustillo | Physician Assistant | 1709 Coral Pl, Seal Beach, CA 90740-5712 | 2020-08-12 |
1124638663 | Gayaneh Gharakhani | Physician Assistant | 1323 E Broadway Apt 110, Glendale, CA 91205-4018 | 2020-08-07 |
1144830183 | Loc Bao Tran | Physician Assistant | 8937 Emerson Pl, Rosemead, CA 91770-2813 | 2020-08-04 |
1558997957 | Sarah Lubinsky | Physician Assistant | 1511 Montana Ave, Santa Monica, CA 90403-1891 | 2020-03-17 |
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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.