MR. LEONID ALEX PUGACH (NPI# 1578830253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578830253 |
| Entity Type | Individual |
| Full Name | MR. LEONID ALEX PUGACH |
| Credential | PA |
| Practice Address |
2970 Hilltop Mall Rd Suite 200 Richmond CA 94806-1947 |
| Mailing Address |
1055 Dellwood Ct Brentwood CA 94513-1841 |
| Practice Telephone | 5107244586 |
| Practice Fax Number | 5107249247 |
| Mailing Telephone | 5107244586 |
| Enumeration Date | 2011-11-22 |
| Last Update Date | 2011-11-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
18605 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2970 HILLTOP MALL RD SUITE 200 |
| City | RICHMOND |
| State | CA |
| Zip Code | 94806-1947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174528590 | Stefan Moiceanu | Dentist | 2970 Hilltop Mall Rd, Ste 211, Richmond, CA 94806-1949 | 2005-06-14 |
| 1780216937 | Lynne K Fairclough | Physical Therapist | 2970 Hilltop Mall Rd, Richmond, CA 94806-1947 | 2020-02-05 |
| 1407410152 | Maricarmen Sanchez | Assistant Behavior Analyst | 2970 Hilltop Mall Rd, Ste. 104, Richmond, CA 94806 | 2019-04-29 |
| 1225578453 | Baychildren's Physicians | Pediatrics | 2970 Hilltop Mall Rd, Suite 305, Richmond, CA 94806-1947 | 2017-03-07 |
| 1336509777 | Steven Jew | Physical Therapist | 2970 Hilltop Mall Rd, Suite 203, Richmond, CA 94806-1947 | 2016-02-27 |
| 1023407525 | Jonathan Stockton Chow | Physical Therapist | 2970 Hilltop Mall Rd, #203, Richmond, CA 94806-1947 | 2015-01-21 |
| 1336305168 | Hilltop Radiology LLC | Radiology | 2970 Hilltop Mall Rd, Suite 103, Richmond, CA 94806-1947 | 2008-07-31 |
| 1285812453 | Vatche Cabayan Medical Corporation | Orthopaedic Surgery | 2970 Hilltop Mall Rd, 200, Richmond, CA 94806-1947 | 2008-02-09 |
| 1477692069 | Erica Leigh | Pediatrics | 2970 Hilltop Mall Rd, Suite 305, Richmond, CA 94806-1947 | 2007-02-06 |
| 1124168760 | Lawrence Dana Piazza | Preventive Medicine | 2970 Hilltop Mall Rd, Suite 203, Richmond, CA 94806-1947 | 2007-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013574375 | Alejandra Valle | Behavior Technician | 2970 Hilltop Mall Rd Suite 104, Richmond, CA 94806 | 2019-05-22 |
| 1629535042 | Kaitlin Sue Oshiro | Specialist/Technologist | 16401 San Pablo Ave. Spc 153, San Pablo, CA 94806 | 2019-02-21 |
| 1114400561 | Alan Gonzalez | Pharmacist | 13691 San Pablo Ave., San Pablo, CA 94806 | 2018-09-12 |
| 1265918783 | Laurel Dunn | Student in an Organized Health Care Education/Training Program | 15501 San Pablo Ave # G317, Richmond, CA 94806 | 2018-07-17 |
| 1720503592 | Monika Tippie | Marriage & Family Therapist | West County Adult Mental Health, 13585 San Pablo Ave, 2nd Floor, San Pablo, CA 94806 | 2017-08-14 |
| 1225553902 | Charles Marco Aquilina | Student in an Organized Health Care Education/Training Program | Y Team, 3260 Blume Dr., Suite 450, Richmond, CA 94806 | 2017-08-03 |
| 1922538545 | Hui-teh Hsu | Pharmacist | 2714 Holly St, San Pablo, CA 94806 | 2017-06-15 |
| 1063942878 | Meng-ju Yang | Student in an Organized Health Care Education/Training Program | 3260 Blume Dr., Suite 450, Richmond, CA 94806 | 2017-06-14 |
| 1346780020 | Mae Mayfield | Social Worker | 3600 Sierra Ridge Drive Apt # 7304, Richmond, CA 94806 | 2017-03-01 |
| 1487000790 | Pasha Jackson | Family Medicine | 2970 Hilltop Mall Rd Ste 304, Richmond, CA 94806 | 2016-05-05 |
| Find all providers in zip 94806 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427515162 | Mnhisey, LLC | Physician Assistant | 19302 Palace Way Ct, Richmond, TX 77407-5584 | 2019-03-01 |
| 1861944217 | Independent First Assistant, LLC. | Physician Assistant | 23203 S Waterlake Dr, Richmond, TX 77406-7667 | 2016-11-02 |
| 1477915098 | Kelly Egan Weaver | Physician Assistant | 1201 Broad Rock Blvd Richmond Va 23224, Richmond, VA 23249-4915 | 2016-03-23 |
| 1063857480 | Lc Surgical Assistants LLC | Physician Assistant | 1112 Yorktown St, Richmond, TX 77469-1639 | 2013-04-30 |
| 1275891160 | Chloe Elisa Trevino | Physician Assistant | 2009 Long Dr, Richmond, TX 77469-4923 | 2012-04-27 |
| 1356614663 | Shalonda Michelle Cormier | Physician Assistant | 18623 Anderwood Forest Dr, Richmond, TX 77407-2305 | 2012-02-16 |
| 1972829463 | Selena Brown | Physician Assistant | 9711 S Mason Rd Ste. 125, #311, Richmond, TX 77407 | 2010-04-09 |
| 1437161502 | Louis (trey) C Trosclair IIi | Physician Assistant | 11330 Sandhaven Dr, Richmond, TX 77407-4508 | 2006-08-13 |
| 1669420048 | Surgical Assist,l.l.c. | Physician Assistant | 3913 Morton Dr, Richmond, VA 23223-1287 | 2006-05-05 |
| 1457327637 | Rozita Z Reyes | Physician Assistant | 7001 Forest Ave Ste 400, Richmond, VA 23230-1726 | 2006-02-27 |
| Find all providers in RICHMOND | ||||
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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.