NINA C JOE (NPI# 1619901188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619901188 |
| Entity Type | Individual |
| Full Name | NINA C JOE |
| Credential | PA-C |
| Practice Address |
3000 Q St Sacramento CA 95816-7058 |
| Mailing Address |
3400 Data Dr Rancho Cordova CA 95670-7956 |
| Practice Telephone | 9167335700 |
| Practice Fax Number | 9167335714 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2016-02-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA21411 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
0505P | NH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 30334232 | 05 |
| Street Address |
3000 Q ST |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95816-7058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518959097 | Lucian Maidan | Psychiatry & Neurology | 3000 Q St, Sacramento, CA 95816-7058 | 2005-08-19 |
| 1326505983 | Mavile L Hernandez | Pharmacy Technician | 3000 Q St, Sacramento, CA 95816 | 2019-03-01 |
| 1437621216 | Chloe Parra | Pharmacist | 3000 Q St, Sacramento, CA 95816-7058 | 2018-12-18 |
| 1912440918 | Mariel Yapdiangco | Nurse Practitioner | 3000 Q St, Sacramento, CA 95816-7058 | 2016-11-22 |
| 1881040970 | Caroline Lenaerts | Registered Nurse | 3000 Q St, Diabetes Education, Sacramento, CA 95816-7058 | 2016-05-09 |
| 1144614066 | Sarah Alayne Timberman | Nurse Practitioner | 3000 Q St, Sacramento, CA 95816-7058 | 2015-03-28 |
| 1194149435 | Nicole Zynda | Physician Assistant | 3000 Q St, Sacramento, CA 95816-7058 | 2014-02-06 |
| 1215366851 | Nyssa Thomas | Nurse Practitioner | 3000 Q St, Sacramento, CA 95816-7058 | 2013-11-04 |
| 1124452271 | Lindsey Zerhusen | Nurse Practitioner | 3000 Q St, Sacramento, CA 95816-7058 | 2013-08-26 |
| 1720338866 | Connie Haynie Sieracki | Audiologist | 3000 Q St, Sacramento, CA 95816-7058 | 2012-09-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618917 | Alyssa Weakley | Clinical Neuropsychologist | Uc Davis Midtown Neurology Clinic, 3160 Folsom Blvd, Sacramento, CA 95816 | 2020-08-04 |
| 1417418955 | Soraya Foutouhi | Student in an Organized Health Care Education/Training Program | 301 C Street, Suite 1400, Sacramento, CA 95816 | 2019-03-27 |
| 1265902704 | Daljit Girn | Behavior Technician | 1315 Alhambra Blvd Ste 110, Sacramento, CA 95816 | 2018-11-27 |
| 1609385178 | Jared James Harold-husted | Behavior Technician | 3031 C St, Sacramento, Sacramento, CA 95816 | 2017-09-27 |
| 1124537170 | Phuong Huynh | Behavior Technician | 3009 C Street, Sacramento, CA 95816 | 2017-09-21 |
| 1427570811 | Manpreet Kaur Chehal | Counselor | 500 22nd Street, Sacramento, CA 95816 | 2017-07-07 |
| 1295264646 | Veronica Lynn Just | Behavior Technician | 3031 C St., Sacramento, CA 95816 | 2017-06-08 |
| 1285163907 | Marquise Jones | Behavior Technician | 3031 C Street, Sacramento, CA 95816 | 2017-06-06 |
| 1578007159 | Kate Hanel | Student in an Organized Health Care Education/Training Program | 2500 I St, Sacramento, CA 95816 | 2016-12-15 |
| 1184174534 | Jennifer M Stegner | Nurse Practitioner | 1625 Stockton Blvd #104, Sacramento, CA 95816 | 2016-10-10 |
| Find all providers in zip 95816 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811230493 | Kimberly Michaelle Smith | Physician Assistant | 2315 Stockton Blvd Rm 6312, Sacramento, CA 95817 | 2013-04-01 |
| 1972651644 | Joan Collette Wolf | Physician Assistant | 20025 Morse Ave Suite 2e, Sacramento, CA 95825 | 2007-01-08 |
| 1336200427 | Judi Price | Physician Assistant | Kaiser Permanente Dept of Orthopedics, 2025 Morse Ave, Sacramento, CA 95825 | 2006-12-12 |
| 1205900792 | Jennifer L Bowman | Physician Assistant | 3939 J Street, Suite 320, Sacramento, CA 95819 | 2006-11-17 |
| 1699737361 | Michael Patrick Reising | Physician Assistant | 3424 Trio Ln, Sacramento, CA 95817-2071 | 2006-04-06 |
| 1689233256 | Jack Wilbur Jones IIi | Physician Assistant | 2825 Capitol Ave, Sacramento, CA 95816-6039 | 2019-06-07 |
| 1801361571 | Jaymie Dee Pearcy | Physician Assistant | 1430 22nd St, Sacramento, CA 95816-5708 | 2018-10-09 |
| 1326527045 | Keith Allen Jackson | Physician Assistant | 3000 Q St Fl 4, Sacramento, CA 95816-7058 | 2018-08-13 |
| 1467958827 | Logan Scherer | Physician Assistant | 555 Capitol Mall Ste 570, Sacramento, CA 95814-4502 | 2018-04-04 |
| 1215329396 | Bernadette Hystad | Physician Assistant | 2221 Stockton Blvd, 2112, Sacramento, CA 95817-1418 | 2015-02-26 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95816 |
Please comment or provide details below to improve the information on NINA C JOE.
| 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.