TERRY LEE BULLARD (NPI# 1598856726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598856726 |
| Entity Type | Individual |
| Full Name | TERRY LEE BULLARD |
| Credential | PAC |
| Practice Address |
403 W F St Ontario CA 91764 |
| Mailing Address |
6814 La Presa Dr San Gabriel CA 91775-1110 |
| Practice Telephone | 9099883288 |
| Practice Fax Number | 9099886767 |
| Mailing Telephone | 6262860179 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2012-10-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA11783 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
403 W F ST |
| City | ONTARIO |
| State | CA |
| Zip Code | 91764 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881677649 | Ricardo Vela | Registered Nurse | 403 W F St, Ontario, CA 91762-3207 | 2005-11-25 |
| 1245631365 | Gerardo Albert Regalado | Registered Nurse | 403 W F St, Ontario, CA 91762-3207 | 2014-09-08 |
| 1255613451 | Linden Batiste | Physician Assistant | 403 W F St, Ontario, CA 91762-3207 | 2011-09-13 |
| 1306074802 | Emmanuel Sawaya | Physician Assistant | 403 W F St, Ontario, CA 91762-3207 | 2009-06-24 |
| 1407006893 | Ruben Ruiz, Md A Medical Corporation | Clinical Medical Laboratory | 403 W F St, Ontario, CA 91762-3207 | 2008-09-23 |
| 1700977220 | Joanne Benzor | Family Medicine | 403 W F St, Ontario, CA 91762-3207 | 2006-09-28 |
| 1154422111 | J&j Rx | Pharmacy | 403 W F St, Ontario, CA 91762-3207 | 2006-09-25 |
| 1043241821 | Ruben Ruiz, M.d., A Medical Corporation | Specialist | 403 W F St, Ontario, CA 91762-3207 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760096952 | Jacqueline Iriart | Behavior Technician | 2930 Inland Empire Blvd St 100, Ontario, CA 91764 | 2020-09-03 |
| 1306459573 | Loremari Samantha Mohr | Assistant Behavior Analyst | 4688 Ontario Mills Parkwar, Ontario, CA 91764 | 2020-08-28 |
| 1023629649 | Yazmin Ramos | Behavior Technician | 4688 Ontario Mills Pwky, Ontario, CA 91764 | 2020-08-17 |
| 1184234999 | Adoniram Morales | Behavior Technician | 4688 Ontatio Mills Parkway, Ontario, CA 91764 | 2020-08-06 |
| 1396395489 | Enhanced Sleep Solutions | Clinic/Center | 2990 E. Inland Empire Blvd. #105, Antonio, CA 91764 | 2019-09-19 |
| 1013561588 | Jaquelyn Herrera | Behavior Technician | 2151 E Convention Center Way Ste #103, Ontario, CA 91764 | 2019-08-01 |
| 1285287995 | Ha Tran Tsai Dental Corporation | Dentist | 1361 East 4th Street, Ontario, CA 91764 | 2019-07-22 |
| 1346702974 | Rocio Sandoval | Behavior Technician | 800 Ferrari Ln Ste 100, Ontario, CA 91764 | 2019-04-02 |
| 1275011678 | Jquana Lucille Dowdy | Behavior Technician | 2903 Inland Empire Blvd, Suite 101, Ontario, CA 91764 | 2018-07-30 |
| 1063917458 | Maria Veronica Heard | Specialist/Technologist | 740 E Princeton St, Ontario, CA 91764 | 2018-03-27 |
| Find all providers in zip 91764 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154805729 | Ronald William Strohmeyer | Physician Assistant | 2327 S.w. 4th Ave, Ontario, OR 97914 | 2018-09-19 |
| 1659829513 | Gregory J Musselman | Physician Assistant | 3550 E Philadelphia St Ste 150, Ontario, CA 91761 | 2016-09-20 |
| 1093024994 | Stephen Styadi | Physician Assistant | 1760 E Flora St, Ontario, CA 91764-4458 | 2010-09-27 |
| 1801127170 | Rafael Romero | Physician Assistant | 521 E Park St, Ontario, CA 91761-1724 | 2010-01-26 |
| 1306175021 | Lilian Y Chou | Physician Assistant | 1440 E Cedar St, Ontario, CA 91761-8300 | 2009-12-08 |
| 1215160510 | Kacey L Andreasen | Physician Assistant | 1050 Sw 3rd Ave Ste 1200, Ontario, OR 97914-4550 | 2009-09-02 |
| 1235206483 | Leah Rose Zalsman | Physician Assistant | 1520 N. Moutain Ave Bldg F Suite 128, Ontario, CA 91762 | 2006-11-30 |
| 1518577394 | Matea Berria | Physician Assistant | 840 Sw 4th Ave, Ontario, OR 97914-2633 | 2020-08-05 |
| 1154971174 | Emily Grace Bond Russell | Physician Assistant | 2327 Sw 4th Ave, Ontario, OR 97914-1851 | 2019-09-12 |
| 1053740290 | Courtney M Combe | Physician Assistant | 702 Sunset Dr, Ontario, OR 97914-3121 | 2013-11-07 |
| Find all providers in ONTARIO | ||||
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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.