MONDANA HATZIDAKIS (NPI# 1689820037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689820037 |
| Entity Type | Individual |
| Full Name | MONDANA HATZIDAKIS |
| Credential | PA-C |
| Practice Address |
7601 Imperial Hwy Ste Jpi 3120 Downey CA 90242 |
| Mailing Address |
7601 Imperial Hwy Ste Jpi 3120 Downey CA 90242-3456 |
| Practice Telephone | 5623857611 |
| Mailing Telephone | 5623857611 |
| Enumeration Date | 2008-08-15 |
| Last Update Date | 2018-05-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA19799 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
7601 IMPERIAL HWY STE JPI 3120 |
| City | DOWNEY |
| State | CA |
| Zip Code | 90242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972117182 | Andy Vo Osborne | Respiratory Therapist, Registered | 9333 E Imperial High Way, Downey, CA 90242 | 2020-09-04 |
| 1639783459 | Enrique Robles Soto | Behavior Technician | 12432 Bellflower Blvd., Downey, CA 90242 | 2020-08-31 |
| 1043842461 | Paul Yokoyama | Pharmacist | 9542 Dalen Street, Downey, CA 90242 | 2020-02-05 |
| 1639727837 | Demontay Deon High | Behavior Technician | 12342 Bellflower Blvd, Downey, CA 90242 | 2019-08-30 |
| 1467922328 | Nurisha Ficklin | Behavior Technician | 12342 Bellflower Blvd., Downey, CA 90242 | 2018-12-04 |
| 1235622358 | Marlene Castaneda | Occupational Therapist | 12555 Lakewood Blvd Ste D, Downey, CA 90242 | 2018-06-13 |
| 1942727383 | Arhtur Lozano | Non-emergency Medical Transport (VAN) | 13109 Woodruff Ave, Downey, CA 90242 | 2017-08-26 |
| 1336665983 | Laura E Del Val | Nurse Practitioner | 12207 Rives Ave, Downey, CA 90242 | 2017-08-16 |
| 1982127288 | Tiffany Chiyeko Yonemoto | Recreation Therapist | 7601 E. Imperial Hwy., Downey, CA 90242 | 2017-07-19 |
| 1265955504 | Julie Helgren | Recreation Therapist | 7601 E. Imperial Highway, Jpi Building Rm 1124, Downey, CA 90242 | 2017-07-19 |
| Find all providers in zip 90242 | ||||
| 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 |
|---|---|---|---|---|
| 1922633627 | Sonali Sharma | Physician Assistant | 9802 Brookshire Ave, Downey, CA 90240-3339 | 2020-03-03 |
| 1962992396 | Jillian Rose Stone | Physician Assistant | 8301 Florence Ave Ste 104, Downey, CA 90240 | 2018-05-10 |
| 1386073922 | Sumeet K. Rawal | Physician Assistant | 9449 Imperial Hwy Ste 130, Downey, CA 90242-2814 | 2013-11-04 |
| 1881926103 | Ramon Castellon Gonzalez | Physician Assistant | 7800 Florence Ave, Downey, CA 90240-3728 | 2010-02-11 |
| 1760653885 | Carol Veneracion-godoy | Physician Assistant | 8706 Imperial Hwy, Downey, CA 90242-3906 | 2008-03-17 |
| 1487834016 | Annette Magarro Pablo | Physician Assistant | 8500 Florence Ave Ste 101, Downey, CA 90240-4054 | 2007-11-12 |
| 1629273636 | Noel Chavez | Physician Assistant | 9818 Paramount Blvd Ste C, Downey, CA 90240-4406 | 2007-06-19 |
| 1508993635 | Jose Manuel Robles | Physician Assistant | 9360 Telegraph Rd, Downey, CA 90240-2425 | 2007-02-27 |
| 1366525768 | Jacqueline Maria Xavier | Physician Assistant | 7601 E Imperial Hwy, Downey, CA 90242 | 2006-10-23 |
| 1013961796 | Marlene F. Farronan | Physician Assistant | 9040 Telegraph Rd Ste 100, Downey, CA 90240-2395 | 2006-05-19 |
| Find all providers in DOWNEY | ||||
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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.