LEAH ANN CLARKE (NPI# 1669640827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669640827 |
| Entity Type | Individual |
| Full Name | LEAH ANN CLARKE |
| Credential | PA |
| Practice Address |
135 Carmen Ln Santa Maria CA 93458-7729 |
| Mailing Address |
1320 Las Tablas Rd B Templeton CA 93465-9711 |
| Practice Telephone | 8059287361 |
| Practice Fax Number | 8059284752 |
| Mailing Telephone | 8054345563 |
| Mailing Fax Number | 8054349516 |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2015-11-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA20134 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE MEDICAL BOARD PHYSICIAN ASSISTANT LICENSE | PA20134 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700095593 | Leah Clarke | Counselor | 700 Walter Reed Dr, Greensboro, NC 27403-1128 | 2007-05-21 |
| Street Address |
135 CARMEN LN |
| City | SANTA MARIA |
| State | CA |
| Zip Code | 93458-7729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992799704 | Francis P Lagattuta | Physical Medicine & Rehabilitation | 135 Carmen Ln, Santa Maria, CA 93458-7729 | 2005-09-07 |
| 1922582832 | Anna Jadwiga Hadilaksono | Nurse Practitioner | 135 Carmen Ln, Santa Maria, CA 93458-7729 | 2018-09-18 |
| 1205225174 | Matthew Hadilaksono | Physical Medicine & Rehabilitation | 135 Carmen Ln, Santa Maria, CA 93458-7729 | 2015-01-15 |
| 1508299942 | Leoncio Paciente Yap | Nurse Practitioner | 135 Carmen Ln, Santa Maria, CA 93458-7729 | 2013-08-20 |
| 1609172030 | Sam (none) Safaee | Physician Assistant | 135 Carmen Ln, Santa Maria, CA 93458-7729 | 2011-02-02 |
| 1659691897 | Kendra Brown-walker | Physical Medicine & Rehabilitation | 135 Carmen Ln, Santa Maria, CA 93458-7729 | 2010-06-10 |
| 1184958837 | Beth A Brown | Physician Assistant | 135 Carmen Ln, Santa Maria, CA 93458-7729 | 2009-09-29 |
| 1982846770 | Jody Michelle Jensen | Physician Assistant | 135 Carmen Ln, Santa Maria, CA 93458-7729 | 2009-03-25 |
| 1851550404 | Winston F Montero | Physical Medicine & Rehabilitation | 135 Carmen Ln, Santa Maria, CA 93458-7729 | 2008-06-08 |
| 1346376183 | Julie Leanore Bruns | Physical Therapist | 135 Carmen Ln, Santa Maria, CA 93458-7729 | 2007-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790206761 | Recovery Point Acute Care | Family Medicine | 104b W Morrison Ave, Santa Maria, CA 93458 | 2017-06-29 |
| 1669912986 | Terry Jauregui | Behavior Technician | 1908 Vallet Vista, Santa Maria, CA 93458 | 2017-03-06 |
| 1770960692 | Anka Behavioral Health Incorporated | Community Based Residential Treatment Facility, Mental Illness | 212 West Carmen Lane, Santa Maria, CA 93458 | 2015-04-29 |
| 1447663299 | Dan Reynolds | Case Manager/Care Coordinator | 117 W. Tunnel Street, Santa Maria, CA 93458 | 2014-06-10 |
| 1043640824 | Good Samaritan Shelter | Counselor | 403 W Morrison Ave, Santa Maria, CA 93458 | 2013-11-15 |
| 1114281003 | Angelica Guadalupe Enriquez | Counselor | 1908 N. Western Ave, Santa Maria, CA 93458 | 2012-06-26 |
| 1225307036 | Krista Nicole Delia | Counselor | 2443 Ebony St., Santa Maria, CA 93458 | 2011-12-22 |
| 1528374774 | Jeff Robert Jeffery | Counselor | 117 S. Benwiley Avenue, Santa Maria, CA 93458 | 2010-08-25 |
| 1528295367 | Dena Marshelle Reed | Counselor | 401-b W. Morrison Ave., Santa Maria, CA 93458 | 2009-06-19 |
| 1114177326 | Suzanne Brooke Vierling | Counselor | 7321 S. Lincoln, Santa Maria, CA 93458 | 2008-09-24 |
| Find all providers in zip 93458 | ||||
| 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 |
|---|---|---|---|---|
| 1881112449 | Tess Wianecki | Physician Assistant | 116 S Palisade Dr Ste 110, Santa Maria, CA 93454 | 2017-09-05 |
| 1043560915 | Kelly J. Piazza | Physician Assistant | 1510 E Main St Ste 101, Santa Maria, CA 93454-4826 | 2012-09-18 |
| 1205106200 | Margarethe Sattva Pappademos | Physician Assistant | 525 E Plaza Drive, Suite 200, Santa Maria, CA 93454-6954 | 2012-01-06 |
| 1407159429 | Jenny Oleta Andrews | Physician Assistant | 316 S Stratford Ave Ste B, Santa Maria, CA 93454 | 2010-12-14 |
| 1902022890 | Coast Family Practice | Physician Assistant | 607 Plaza Dr, Suite C201, Santa Maria, CA 93454-6944 | 2007-04-18 |
| 1497806921 | Laura Ann Rummel | Physician Assistant | 525 Plaza Dr Ste 200, Santa Maria, CA 93454-6954 | 2007-01-12 |
| 1407969835 | Mari Proksel | Physician Assistant | 117 West Bunny Avenue, Santa Maria, CA 93458-2805 | 2006-08-17 |
| 1255360772 | Dana J. Shaheen | Physician Assistant | 2271 S. Depot Street, Santa Maria, CA 93455 | 2006-06-30 |
| 1992798706 | Debora Marie Moore | Physician Assistant | 2342 Professional Pkwy Ste 310, Santa Maria, CA 93455-6819 | 2005-08-26 |
| 1821080060 | Anne V Hall | Physician Assistant | 300 S Stratford Ave, Santa Maria, CA 93454-5903 | 2005-08-15 |
| Find all providers in SANTA MARIA | ||||
| City | SANTA MARIA |
| Zip Code | 93458 |
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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.