VELMA L. PERDUE (NPI# 1700937737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700937737 |
| Entity Type | Individual |
| Full Name | VELMA L. PERDUE |
| Credential | PA |
| Practice Address |
8110 Mango Ave Fontana CA 92335 |
| Mailing Address |
Po Box 12209 San Bernardino CA 92423-2209 |
| Practice Telephone | 9094271303 |
| Mailing Telephone | 9093354188 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2018-08-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA18294 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 15791 Bear Valley Rd, Hesperia, CA 923451746 | 7609522000 |
| Street Address |
8110 MANGO AVE |
| City | FONTANA |
| State | CA |
| Zip Code | 92335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265491765 | Ayad Said Makar | Emergency Medicine | 8110 Mango Ave, Fontana, CA 92335-3603 | 2006-03-22 |
| 1861857260 | Erica Scott | Nurse Practitioner | 8110 Mango Ave, Fontana, CA 92335-3603 | 2015-12-29 |
| 1306210760 | Hyeran Lee | Nurse Practitioner | 8110 Mango Ave, Fontana, CA 92335-3603 | 2015-11-23 |
| 1538554548 | Mazin Elhadary | Family Medicine | 8110 Mango Ave, Fontana, CA 92335-3603 | 2015-04-06 |
| 1417342213 | Emad Nabil Lotfy Hanna | Pharmacist | 8110 Mango Ave, Fontana, CA 92335-3603 | 2015-03-30 |
| 1477959161 | Jereen Perez Medina | Nurse Practitioner | 8110 Mango Ave, Fontana, CA 92335-3603 | 2014-11-07 |
| 1942575022 | Heba A. Boshra | Family Medicine | 8110 Mango Ave, Suite 104, Fontana, CA 92335-3603 | 2012-03-21 |
| 1821360702 | Ana D Rubalcaba | Physician Assistant | 8110 Mango Ave, Fontana, CA 92335-3603 | 2012-02-07 |
| 1144534876 | Kevin Liao | Family Medicine | 8110 Mango Ave, Fontana, CA 92335-3603 | 2010-08-05 |
| 1215264098 | Young Kwun Kim | Dentist | 8110 Mango Ave, 101, Fontana, CA 92335-3603 | 2009-11-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104425131 | Hossein Malakooti A Dental Corporation | Clinic/Center | 16540 Merrill Ave, Fontana, CA 92335 | 2020-10-21 |
| 1790312791 | Trevor Nguyen | Student in an Organized Health Care Education/Training Program | 17234 Valley Blvd, Building A, Fontana, CA 92335 | 2020-03-27 |
| 1184251365 | Benjamin Chang | Student in an Organized Health Care Education/Training Program | 17234 Valley Blvd., Bldg. A, Fontana, CA 92335 | 2020-03-26 |
| 1407487309 | Perla Hernandez | Licensed Vocational Nurse | 14677 Merrill Aver, Fontana, CA 92335 | 2020-01-29 |
| 1013552660 | Valencia Malone | Licensed Vocational Nurse | 14677 Merrill, Fontana, CA 92335 | 2019-11-07 |
| 1831749779 | Daniel Eric Wright | Student in an Organized Health Care Education/Training Program | 14677 Merrell Ave., Fontana, CA 92335 | 2019-09-12 |
| 1962069815 | Melissa Rivera | Licensed Vocational Nurse | 15217 San Bernardino Ave., Fontana, CA 92335 | 2019-05-28 |
| 1275199770 | Jennifer Lynn Malone | Peer Specialist | 14677 Merrall Ave, Fontana, CA 92335 | 2019-05-10 |
| 1770147894 | Noelle Chong | Registered Nurse | 14677 Merill Ave, Fontana, CA 92335 | 2019-04-24 |
| 1992261929 | Destiny Alzate | Counselor | 1467 Merrill Ave, Fontana, CA 92335 | 2019-02-14 |
| Find all providers in zip 92335 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053715797 | Ann Marciano | Physician Assistant | 5481 Tenderfoot Dr, Fontana, CA 92336-1143 | 2014-10-09 |
| 1164605093 | Emily Davi Hun | Physician Assistant | 16465 Sierra Lakes Pkwy Ste 275, Fontana, CA 92336 | 2007-12-13 |
| 1205914546 | Felecia Green | Physician Assistant | 10650 Sierra Ave Ste B, Fontana, CA 92337 | 2006-11-02 |
| 1548819634 | Henrietta Anne Green | Physician Assistant | 17577 Arrow Blvd, Fontana, CA 92335-4011 | 2019-09-10 |
| 1215302989 | Tameem Hazem Sabry | Physician Assistant | 16465 Sierra Lakes Pkwy, Ste 300, Fontana, CA 92336-1242 | 2015-12-07 |
| 1861895781 | Reuben San Juan | Physician Assistant | 7774 Cherry Ave, Fontana, CA 92336-4014 | 2014-10-06 |
| 1982854865 | Wendy Jessica Amezcua | Physician Assistant | 7798 Cherry Ave, Fontana, CA 92336-4014 | 2008-09-26 |
| 1275717506 | Alfonso Becerra Jr. | Physician Assistant | 17051 Sierra Lakes Pkwy, Fontana, CA 92336-1274 | 2007-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760089437 | Karine Harutyunyan | Physician Assistant | 500 E Colorado St Ste 101, Glendale, CA 91205-1607 | 2020-10-06 |
| 1437756228 | Kale Burket | Physician Assistant | Bldg 523, S 8th St, El Centro, CA 92243 | 2020-10-05 |
| 1548867666 | Heba Marzouk Al-shoubaki | Physician Assistant | 633 S Pepper St, Anaheim, CA 92802-1459 | 2020-10-01 |
| 1275140550 | Lisa Lynn Passalacqua | Physician Assistant | 431 7th St, Norco, CA 92860-1671 | 2020-09-30 |
| 1144833989 | Trisha Taylor | Physician Assistant | 10399 Tivoli Way, Yucaipa, CA 92399-6017 | 2020-08-30 |
| 1457963944 | Harlan William Monahan | Physician Assistant | 5210 Del Rio Rd, Sacramento, CA 95822-2519 | 2020-08-18 |
| 1275144313 | Sofia Carmen Bustillo | Physician Assistant | 1709 Coral Pl, Seal Beach, CA 90740-5712 | 2020-08-12 |
| 1124638663 | Gayaneh Gharakhani | Physician Assistant | 1323 E Broadway Apt 110, Glendale, CA 91205-4018 | 2020-08-07 |
| 1144830183 | Loc Bao Tran | Physician Assistant | 8937 Emerson Pl, Rosemead, CA 91770-2813 | 2020-08-04 |
| 1558997957 | Sarah Lubinsky | Physician Assistant | 1511 Montana Ave, Santa Monica, CA 90403-1891 | 2020-03-17 |
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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.