ANNA DERACO (NPI# 1639291867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639291867 |
| Entity Type | Individual |
| Full Name | ANNA DERACO |
| Credential | PA-C |
| Practice Address |
204 E Beach St Watsonville CA 95076-4809 |
| Mailing Address |
Po Box 1870 Watsonville CA 95077-1870 |
| Practice Telephone | 8317280222 |
| Practice Fax Number | 8317072777 |
| Mailing Telephone | 8317280222 |
| Mailing Fax Number | 8317072777 |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2020-04-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA16329 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
204 E BEACH ST |
| City | WATSONVILLE |
| State | CA |
| Zip Code | 95076-4809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619967007 | Eugene C Santillano | Family Medicine | 204 E Beach St, Watsonville, CA 95076-4809 | 2005-10-26 |
| 1396342416 | Elisa Ortega-enriquez | Nurse Practitioner | 204 E Beach St, Watsonville, CA 95076-4809 | 2020-10-01 |
| 1992311674 | Ana B Gutierrez | Registered Nurse | 204 E Beach St, Watsonville, CA 95076-4809 | 2020-09-18 |
| 1326659038 | Patricia Ponce | Registered Nurse | 204 E Beach St, Watsonville, CA 95076-4809 | 2020-08-14 |
| 1215579446 | Natalie Cardenas | Registered Nurse | 204 E Beach St, Watsonville, CA 95076-4809 | 2019-10-09 |
| 1104472281 | Alexandra Lopez | Lactation Consultant, Non-RN | 204 E Beach St, Watsonville, CA 95076-4809 | 2019-08-14 |
| 1801360110 | Abel Corona | Dental Hygienist | 204 E Beach St, Watsonville, CA 95076-4809 | 2019-01-20 |
| 1982176277 | Beatriz Eugenia Walsh | Registered Nurse | 204 E Beach St, Watsonville, CA 95076-4809 | 2018-12-26 |
| 1790266377 | Maria Guadalupe Cardenas | Optometrist | 204 E Beach St, Watsonville, CA 95076 | 2018-08-22 |
| 1194214403 | Elvia Ramirez | Registered Nurse | 204 E Beach St, Watsonville, CA 95076-4809 | 2018-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841757515 | Vicky E Gonzalez | Case Manager/Care Coordinator | 2714 Freedom Blvrd, Watsonville, CA 95076 | 2019-02-28 |
| 1861987059 | Encompass Community Services | Community/Behavioral Health | 2714 Freedom Blvd., Freedom, CA 95076 | 2018-06-29 |
| 1134617798 | Haven of Hope, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 107 Pauline Dr, Watsonville, CA 95076 | 2018-04-28 |
| 1346743911 | Kathleen Long | Physician Assistant | 2468, 75 Nielson St, Watsonville, CA 95076 | 2018-03-09 |
| 1811403603 | Hieu Thi Thanh Nguyen Boulom | Pharmacist | 2810 Freedom Blvd, Watsonview, CA 95076 | 2017-12-16 |
| 1649798398 | Jonathon Rank | Counselor | 335 East Lake Ave, Watsonville, CA 95076 | 2017-09-01 |
| 1841653318 | Cristina Guzman | Registered Nurse | 195 Aviation Way, Ste 200, Watsonville, CA 95076 | 2016-04-01 |
| 1013388974 | Salud Para La Gente | Clinic/Center | 195 Aviation Way, Suite 200, Watsonville, CA 95076 | 2015-10-16 |
| 1386025757 | Yaseer Yousuf Parupia | Podiatrist | 47 Penny Lane, Suite 1, Watsonville, CA 95076 | 2015-06-11 |
| 1093100935 | Diana Perezchica | Counselor | 20716 Freedom Blv, Watsonville, CA 95076 | 2015-03-30 |
| Find all providers in zip 95076 | ||||
| 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 |
|---|---|---|---|---|
| 1346743911 | Kathleen Long | Physician Assistant | 2468, 75 Nielson St, Watsonville, CA 95076 | 2018-03-09 |
| 1215187794 | Ricardo Plata | Physician Assistant | 1150 Main St Ste 3, Watsonville, CA 95076-3760 | 2008-09-22 |
| 1629634829 | Brenda D De La Torre | Physician Assistant | 1066 S Green Valley Rd, Watsonville, CA 95076-4163 | 2019-05-13 |
| 1164985644 | Kellee English | Physician Assistant | 1066 S Green Valley Rd, Watsonville, CA 95076-4163 | 2019-04-10 |
| 1295218097 | Kelley Humphrey | Physician Assistant | 398 S Green Valley Rd, Watsonville, CA 95076-3099 | 2018-09-08 |
| 1477072775 | Stephanie Garcia Torres | Physician Assistant | 30 Brennan St, Watsonville, CA 95076-4303 | 2017-09-18 |
| 1720436470 | Caitlin Maureen Casey | Physician Assistant | 204 E Beach St, Watsonville, CA 95076-4809 | 2016-06-02 |
| 1033505987 | Zerlina Sramek | Physician Assistant | 1150 Main St Ste 3, Watsonville, CA 95076-3760 | 2015-04-07 |
| 1306243506 | Christopher Mills | Physician Assistant | 30 Brennan St, Watsonville, CA 95076-4303 | 2014-12-03 |
| 1861689911 | Alicia Catherine Potes | Physician Assistant | 204 E Beach St, Watsonville, CA 95076-4809 | 2007-10-02 |
| Find all providers in WATSONVILLE | ||||
| City | WATSONVILLE |
| Zip Code | 95076 |
Please comment or provide details below to improve the information on ANNA DERACO.
| 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.