JACOB WAYNE RIES (NPI# 1598260671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598260671 |
Entity Type | Individual |
Full Name | JACOB WAYNE RIES |
Credential | PA-C |
Practice Address |
1140 W La Veta Ave Ste 860 Orange CA 92868-4218 |
Practice Telephone | 7148356500 |
Mailing Telephone | 7148356500 |
Enumeration Date | 2018-03-29 |
Last Update Date | 2018-03-29 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA55464 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1140 W LA VETA AVE STE 860 |
City | ORANGE |
State | CA |
Zip Code | 92868-4218 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912375577 | Onil Vallecillo | Physician Assistant | 1140 W La Veta Ave Ste 860, Orange, CA 92868-4218 | 2015-09-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346859386 | Sadaf Abrishami | Pharmacist | 101 The City Dr S., Orange, CA 92868 | 2020-07-27 |
1245869825 | Helena Yijia Hong | Student in an Organized Health Care Education/Training Program | Uci Medical Center, 101 The City Drive, Orange, CA 92868 | 2020-04-06 |
1932736527 | Joshua Kristopher Livingston | Student in an Organized Health Care Education/Training Program | 101 The City Dr S, Rte. 128-01, Orange, CA 92868 | 2020-03-24 |
1831725894 | Michelle Brown | Student in an Organized Health Care Education/Training Program | 101 The City Dr S. Rte 128-01, Orange, CA 92868 | 2020-03-20 |
1093363491 | Kristin Lee | Pharmacist | 132 S. Anita Dr., Orange, CA 92868 | 2019-08-28 |
1740834217 | Matthew Brian Mecheal | Dentist | 725 W. La Veta Suite 260, Orange, CA 92868 | 2019-08-01 |
1245897990 | Brent Tyler Louie | Student in an Organized Health Care Education/Training Program | 101 The City Drive South Building 3, Route 88, Neuropsychiatric Center Uc Irvine Medical Center, Orange, CA 92868 | 2019-05-28 |
1093277972 | Danielle Amato | Student in an Organized Health Care Education/Training Program | Uc Irvine Health 101 The City Drive, City Tower, Ste 40, Orange, CA 92868 | 2019-04-01 |
1851852206 | Julia Ting Bu | Student in an Organized Health Care Education/Training Program | Uc Irvine Health, 101 The City Drive, City Tower, Ste 400, Orange, CA 92868 | 2019-03-28 |
1326507344 | Harrison Beene Lowder | Student in an Organized Health Care Education/Training Program | 505 S. Main St, Suite 525, Orange, CA 92868 | 2019-03-19 |
Find all providers in zip 92868 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134510753 | Total Assisting | Physician Assistant | 8510 Thomas Rd, Orange, TX 77630-8956 | 2015-02-18 |
1619366929 | Jamie Mccoy | Physician Assistant | 1310 W Stewart Dr, Ste 503, Orange, CA 92868-3854 | 2015-01-10 |
1053753913 | Jennifer Swisher | Physician Assistant | 230 S Main St, Suite 100, Orange, CA 92868-3851 | 2013-07-20 |
1629367172 | Mykeisha Alzaatra | Physician Assistant | 280 S Main St Ste 200, Orange, CA 92868-3852 | 2011-04-06 |
1942440334 | Treanna Lynne Mather | Physician Assistant | 280 S Main St, 200, Orange, CA 92868-3852 | 2009-02-25 |
1255428280 | David Mcdougall | Physician Assistant | 101 The City Dr S, Pavillion 3, Orange, CA 92868-3201 | 2006-10-10 |
1477579704 | Michael Lawrence Digiovanni | Physician Assistant | 1310 W Stewart Dr, Suite 503, Orange, CA 92868-3854 | 2006-07-13 |
1326072950 | Lionel Madrid Gonzales Jr. | Physician Assistant | 1310 W Stewart Dr, Suite 503, Orange, CA 92868-3854 | 2006-07-10 |
1316979479 | Albert L Lin | Physician Assistant | 1010 W La Veta Ave, Suite 710, Orange, CA 92868-4300 | 2006-07-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649894403 | Kathlyn Larco | Physician Assistant | 1233 W Randall Way, West Covina, CA 91790-4747 | 2020-06-07 |
1487126421 | Eliza Hughes | Physician Assistant | 860 Oak Park Blvd Ste 101, Arroyo Grande, CA 93420-1800 | 2018-12-31 |
1508333873 | Andrew Cantos Malit | Physician Assistant | 409 Bristol Way, Corona, CA 92879-6156 | 2018-10-25 |
1578049458 | Ida Jelveh | Physician Assistant | 28096 Edelweiss Ct, Laguna Niguel, CA 92677-7006 | 2018-07-13 |
1356833578 | Michael James Gonzalez | Physician Assistant | 1500 E Chevy Chase Dr # 401a401b, Glendale, CA 91206-4152 | 2018-06-04 |
1023500592 | Pamela Lambert Pa-c, Inc. | Physician Assistant | 16105 Mariposa Ave, Riverside, CA 92504-8730 | 2018-05-31 |
1225532385 | Folsom Physicain Assistant First Assist, Inc | Physician Assistant | Nina Vasiliev Pa-c, 15407 Muller Rd, Plymouth, CA 95669-9770 | 2018-03-22 |
1275040008 | Gm Surgical Assistant Inc | Physician Assistant | 15615 Turnberry St, Moreno Valley, CA 92555-4901 | 2018-01-02 |
1902311186 | Or Solutions Inc | Physician Assistant | 1501 Secret Ravine Pkwy Unit 527, Roseville, CA 95661-6005 | 2017-12-09 |
1184143828 | Alaa Abdalla Daghlas | Physician Assistant | 1100 S Eliseo Dr Ste A, Greenbrae, CA 94904-2017 | 2017-09-13 |
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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.