MISS NETTIE NG (NPI# 1720245699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720245699 |
| Entity Type | Individual |
| Full Name | MISS NETTIE NG |
| Credential | P.A.-C |
| Practice Address |
455 Oconnor Dr Suite 290 San Jose CA 95128-1633 |
| Practice Telephone | 4089985400 |
| Practice Fax Number | 4089985414 |
| Mailing Telephone | 4089985400 |
| Mailing Fax Number | 4089985414 |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2013-04-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA19678 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CALIFORNIA LICENSE | PA19678 | 01 |
| Street Address |
455 OCONNOR DR SUITE 290 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95128-1633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609861400 | Aldon J Hilton | Dentist | 455 Oconnor Dr, Suite 320, San Jose, CA 95128-1633 | 2005-09-17 |
| 1245850585 | Celina Allyn Mercer | Student in an Organized Health Care Education/Training Program | 455 Oconnor Dr, San Jose, CA 95128-1633 | 2020-04-16 |
| 1255820635 | Alexandra Laura Duisberg | Student in an Organized Health Care Education/Training Program | 455 Oconnor Dr, San Jose, CA 95128-1633 | 2018-05-01 |
| 1457857831 | William Chun-yin Hui | Student in an Organized Health Care Education/Training Program | 455 Oconnor Dr, San Jose, CA 95128-1633 | 2018-04-04 |
| 1760910467 | Lucia Tome | Family Medicine | 455 Oconnor Dr, San Jose, CA 95128-1633 | 2017-05-25 |
| 1972985083 | O'connor Hospital | General Acute Care Hospital | 455 Oconnor Dr, Suite 200, San Jose, CA 95128-1633 | 2015-06-25 |
| 1790167401 | Angela F Chiang | Student in an Organized Health Care Education/Training Program | 455 Oconnor Dr, Suite 200, San Jose, CA 95128-1633 | 2015-06-18 |
| 1386026086 | Nhat Pham | Student in an Organized Health Care Education/Training Program | 455 Oconnor Dr, Ste 200, San Jose, CA 95128-1633 | 2015-06-18 |
| 1396123568 | Sutter Visiting Nurse Association and Hospice | Clinic/Center | 455 Oconnor Dr, Suite 300, San Jose, CA 95128-1633 | 2015-05-08 |
| 1194139253 | David Shin | Family Medicine | 455 Oconnor Dr, Suite 250, San Jose, CA 95128 | 2014-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982227138 | Ruth Larsen | Social Worker | 850 S. Bascom Avenue, Suite 280, San Jose, CA 95128 | 2020-05-22 |
| 1265067185 | Of Two Minds Psychotherapy | Marriage & Family Therapist | 190 S. Bascom Ave, Ste 130, San Jose, CA 95128 | 2020-03-11 |
| 1982244166 | Cindy Pantoja Escobar | Behavior Technician | 100 O'connor Drive, Suites 21, San Jose, CA 95128 | 2020-01-15 |
| 1104460591 | Katherine Alexandra Misogas | Pharmacist | 777 Turner Dr # 330, San Jose, CA 95128 | 2019-10-29 |
| 1942842216 | Jodie Pierce | Marriage & Family Therapist | 871 Enborg Lane, San Jose, CA 95128 | 2019-10-08 |
| 1003466434 | Dong Mi Cha | Pharmacist | 777 Turner Dr Ste 330, San Jose, CA 95128 | 2019-09-17 |
| 1114571759 | Sleep Well Acupuncture, Inc | Acupuncturist | 1361 S Winchester Blvd Suite 206, San Jose, CA 95128 | 2019-08-01 |
| 1083277677 | Wellocity, Inc | Health Educator | 334 Santana Row, 318, San Jose, CA 95128 | 2019-04-18 |
| 1518428812 | Alexander Diaz | Radiology | 75 South Bascom Ave, San Jose, CA 95128 | 2019-03-28 |
| 1720542103 | Nanci R Price Inc | Chiropractor | 100 O'connor Dr., Ste 27, San Jose, CA 95128 | 2019-01-30 |
| Find all providers in zip 95128 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093254674 | Nina Ya Lai | Physician Assistant | 398 Boynton Ave, Apt 11, San Jose, CA 95117-1258 | 2017-02-16 |
| 1285017335 | John Araujo | Physician Assistant | 1375 Blossom Hill Rd Ste 49, San Jose, CA 95118-3806 | 2015-07-08 |
| 1861834400 | Diana Ngoc Nguyen | Physician Assistant | 667 N White Rd, San Jose, CA 95127-1447 | 2013-07-24 |
| 1790037828 | Jesse Garland Smith | Physician Assistant | 1533 Koch Ln, San Jose, CA 95125-4852 | 2012-10-13 |
| 1902106982 | Metamorph, Inc. | Physician Assistant | 7725 Kilmarnok Dr, San Jose, CA 95135-2140 | 2010-10-25 |
| 1184671901 | Bina P Raghavan | Physician Assistant | 6260 Grand Oak Way, San Jose, CA 95135-2203 | 2006-05-27 |
| 1366064800 | Naomi Ayodele | Physician Assistant | 1691 The Alameda, San Jose, CA 95126-2203 | 2020-05-07 |
| 1982113007 | Melissa Nastacio | Physician Assistant | 1680 E Capitol Expy Ste 10, San Jose, CA 95121-1839 | 2017-09-20 |
| 1780038091 | Whitney Aislinn Porter | Physician Assistant | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2016-04-22 |
| 1902264021 | Briana Gonzalez | Physician Assistant | 225 N Jackson Ave, San Jose, CA 95116-1603 | 2016-02-03 |
| Find all providers in SAN JOSE | ||||
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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.