STEPHANIE DWYER (NPI# 1578125829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578125829 |
| Entity Type | Individual |
| Full Name | STEPHANIE DWYER |
| Practice Address |
4234 Riverwalk Pkwy Ste 230 Riverside CA 92505-3312 |
| Mailing Address |
1930 Emerald St Apt 109 San Diego CA 92109-3514 |
| Practice Telephone | 9517813572 |
| Practice Fax Number | 9517810365 |
| Enumeration Date | 2019-07-07 |
| Last Update Date | 2019-09-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 56944 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | PA56944 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 570 Lexington Ave Fl 9, New York, NY 100226710 | 6469627277 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295110724 | Stephanie Dwyer | Pharmacist | 3001 Green Bay Rd, North Chicago, IL 60064-3048 | 2015-07-27 |
| 1447455951 | Stephanie G Dwyer | Case Manager/Care Coordinator | 509 Ne Alberta St, Portland, OR 97211-3976 | 2007-06-15 |
| 1649494485 | Stephanie R Dwyer | Registered Nurse | 260 S Broad St, 18th Floor, Philadelphia, PA 19102-5021 | 2007-04-12 |
| Street Address |
4234 RIVERWALK PKWY STE 230 |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92505-3312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205829843 | Ali Mojaverian | Internal Medicine | 4234 Riverwalk Pkwy Ste 230, Riverside, CA 92505 | 2005-08-30 |
| 1093344004 | Tom A Bui | Physician Assistant | 4234 Riverwalk Pkwy Ste 230, Riverside, CA 92505-3312 | 2020-04-02 |
| 1407491574 | Michael Giles | Physician Assistant | 4234 Riverwalk Pkwy Ste 230, Riverside, CA 92505-3312 | 2019-11-13 |
| 1609424027 | Matthew Jordan Santa Cruz | Physician Assistant | 4234 Riverwalk Pkwy Ste 230, Riverside, CA 92505-3312 | 2019-08-28 |
| 1841774817 | Blessy Sabu | Nurse Practitioner | 4234 Riverwalk Pkwy Ste 230, Riverside, CA 92505-3312 | 2018-09-17 |
| 1659899813 | Jennifer Crystal Lievanos | Physician Assistant | 4234 Riverwalk Pkwy Ste 230, Riverside, CA 92505-3312 | 2017-09-07 |
| 1316460249 | Sammy Lei | Physician Assistant | 4234 Riverwalk Pkwy Ste 230, Riverside, CA 92505-3312 | 2017-07-23 |
| 1881085207 | Mohammad Malekzadegan | Internal Medicine | 4234 Riverwalk Pkwy Ste 230, Riverside, CA 92505-3312 | 2015-02-06 |
| 1669882130 | Sylvia Soo | Psychiatry & Neurology | 4234 Riverwalk Pkwy Ste 230, Riverside, CA 92505-3312 | 2014-05-05 |
| 1407273600 | Mindy Truc Bui | Internal Medicine | 4234 Riverwalk Pkwy Ste 230, Riverside, CA 92505-3312 | 2014-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205458460 | Mark Anthony Vargas | Behavioral Analyst | 94193 Flat Rock Dr Ste 220, Riverside, CA 92505 | 2020-05-11 |
| 1568099976 | Victoria Lee | Student in an Organized Health Care Education/Training Program | Riverside Family Medicine Residency, 10800 Magnolia Avenue, Riverside, CA 92505 | 2020-03-25 |
| 1588222087 | A Homecare Services, Inc | In Home Supportive Care | 4193 Flat Rock Road, Building 200 Suite 206, Riverside, CA 92505 | 2019-05-31 |
| 1609302397 | Tap Pharmacy, Inc. | Pharmacy | 4270 Riverwalk Pkwy Ste 102, Riverside, CA 92505 | 2017-05-02 |
| 1467998658 | Onofre Gascon | Behavior Technician | 11711 Collett Ave, #1614, Riverside, CA 92505 | 2017-01-11 |
| 1780038505 | Nash David Martinez | Emergency Medicine | 10800 Magnolia Ave Dept of Emergency Medicine, Kaiser Permanente Hospital, Riverside, CA 92505 | 2016-04-18 |
| 1447639901 | Jose Joel Manalese Dds Inc | Dentist | 3950 Pierce St., Suite L., Riverside, CA 92505 | 2015-05-29 |
| 1821493230 | Jean Huynh | Physician Assistant | 11725 State Ave., Suite 100, Riverside, CA 92505 | 2014-10-28 |
| 1003160649 | Elaf Farahat | Dietitian, Registered | 10800 Magnolia Avenue., Riverside, CA 92505 | 2012-11-05 |
| 1730458217 | Tammy Lynn Gilmore | Non-emergency Medical Transport (VAN) | 10770 Hole Avenue, 106, Riverside, CA 92505 | 2011-12-29 |
| Find all providers in zip 92505 | ||||
| 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 |
|---|---|---|---|---|
| 1598307274 | Adriana Romo | Physician Assistant | 4100 Central Ave Ste 102, Riverside, CA 92506-2930 | 2019-10-14 |
| 1861059784 | Sean Jackson | Physician Assistant | 16851 Tava Ln, Riverside, CA 92504-5809 | 2019-05-27 |
| 1518449503 | Morgan Pilar Goodson | Physician Assistant | 7278 Westport St, Riverside, CA 92506-6163 | 2018-09-05 |
| 1194230334 | Helen Zhu | Physician Assistant | 7158 Foxcroft St, Riverside, CA 92506-6125 | 2017-12-11 |
| 1164933750 | Stephanie Jane Oertel | Physician Assistant | 1285 E Putnam Ave, Riverside, CT 06878 | 2017-10-23 |
| 1467800649 | Ann Gielyn Konzem | Physician Assistant | 17301 Palm Rd, Riverside, CA 92503-7501 | 2016-05-29 |
| 1396108189 | Chelsea Hardesty | Physician Assistant | 4646 Brockton Ave Ste 302, Riverside, CA 92506-0172 | 2016-03-30 |
| 1093191504 | Brian Montgomery | Physician Assistant | 5976 Omega St, Riverside, CA 92506-4744 | 2015-08-06 |
| 1851770721 | Safarini Njambi Nyaggah | Physician Assistant | 8439 Manuel Rd, Riverside, CA 92508-2928 | 2015-05-26 |
| 1124457015 | Tiffany Peraino | Physician Assistant | 5225 Canyon Crest Dr # 71-221, Riverside, CA 92507-6301 | 2013-11-01 |
| Find all providers in RIVERSIDE | ||||
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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.