MR. KEITH BRYAN BYRD (NPI# 1720555352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720555352 |
| Entity Type | Individual |
| Full Name | MR. KEITH BRYAN BYRD |
| Credential | PHYSICIAN ASSISTANT |
| Practice Address |
4785 Dandelion Loop Tracy CA 95377-8773 |
| Practice Telephone | 2095815519 |
| Mailing Telephone | 2095815519 |
| Enumeration Date | 2018-11-01 |
| Last Update Date | 2018-11-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA56130 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4785 DANDELION LOOP |
| City | TRACY |
| State | CA |
| Zip Code | 95377-8773 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639787070 | Mehak Bhardwaj | Behavior Technician | 2434 Saffron Ct, Tracy, CA 95377 | 2020-07-22 |
| 1427510809 | Xiaorui Yang | Behavior Technician | 1951 W Middlefield Dr Apt 224, Tracy, CA 95377 | 2019-04-03 |
| 1962936328 | Duc Nguyen | Pharmacist | 2941 W. Lowell Ave, Apt# 21, Tracy, CA 95377 | 2017-04-12 |
| 1053735043 | Luke Rond | Emergency Medicine | 763 Quail Run Cir, Tracy, CA 95377 | 2014-02-11 |
| 1578862553 | Nhan Duong | Pharmacist | 3250 W. Grant Line Road, Tracy, CA 95377 | 2011-03-16 |
| 1952570582 | Tech Diamond Health Care | Home Health | 2098 Babcock Lane, Tracy, CA 95377 | 2008-02-28 |
| 1316058795 | Wandisan and Rosete Medical Group Professional Corporation | Internal Medicine | 4600 S Tracy Blvd #107, Tracy, CA 95377 | 2006-08-31 |
| 1801838610 | Rollie Duyao Rosete | Internal Medicine | 4600 S Tracy Blvd, #107, Tracy, CA 95377 | 2006-06-13 |
| 1649274663 | Wivina Talabis Urbano | Pediatrics | 4600 South Tracy Blvd, Suite 110, Tracy, CA 95377 | 2005-06-08 |
| 1770586448 | Mitchell Edward Blum | Otolaryngology | 2160 W. Grantline Rd, Suite 250, Tracy, CA 95377 | 2005-05-24 |
| Find all providers in zip 95377 | ||||
| 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 |
|---|---|---|---|---|
| 1477174134 | Angela Stroman | Physician Assistant | 2316 Orchard Pkwy Ste 120, Tracy, CA 95377-7324 | 2020-05-04 |
| 1770979361 | Billy Urbano | Physician Assistant | 830 Liberty Ct, Tracy, CA 95376-4738 | 2015-04-09 |
| 1437312527 | Paula E. Davis | Physician Assistant | 1630 Stags Leap Ln, Tracy, CA 95376-5372 | 2008-07-08 |
| 1184633976 | Hazrat G. Rafah | Physician Assistant | 388 Glenbriar Cir, Tracy, CA 95377-4144 | 2006-08-08 |
| 1346862075 | Zachary J Whipple | Physician Assistant | 445 W Eaton Ave, Tracy, CA 95376-3420 | 2020-05-15 |
| 1477079606 | Jahid Ahmad Wahabzai | Physician Assistant | 1420 N Tracy Blvd, Tracy, CA 95376-3451 | 2017-08-18 |
| 1750831632 | Joseph Bretschneider | Physician Assistant | 249 5th St E, Tracy, MN 56175-1536 | 2016-10-04 |
| 1215338611 | Kathryn Tiano | Physician Assistant | 1441 N Tracy Blvd, Tracy, CA 95376-3445 | 2014-09-04 |
| 1831505809 | Frederick Curtis | Physician Assistant | 23500 Kasson Rd, Tracy, CA 95378 | 2014-07-10 |
| 1770880361 | Jessica L Geddes | Physician Assistant | 1441 N Tracy Blvd, Tracy, CA 95376-3445 | 2011-02-17 |
| Find all providers in TRACY | ||||
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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.