MS. NICOLE MICHELLE ANTONIO (NPI# 1730398595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730398595 |
| Entity Type | Individual |
| Full Name | MS. NICOLE MICHELLE ANTONIO |
| Other Name | MRS. NICOLE MICHELLE OYAS |
| Credential | M.D. |
| Practice Address |
1300 E Cooley Dr Colton CA 92324-3905 |
| Mailing Address |
Po Box 10069 San Bernardino CA 92423-0069 |
| Practice Telephone | 9093704100 |
| Mailing Telephone | 9093354188 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2018-02-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | A103315 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1300 E COOLEY DR |
| City | COLTON |
| State | CA |
| Zip Code | 92324-3905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861447195 | Fay A. Simpson | Nurse Practitioner | 1300 E Cooley Dr, Colton, CA 92324-3905 | 2006-05-24 |
| 1972052132 | Brenda Jerez-aguilar | Nurse Practitioner | 1300 E Cooley Dr, Colton, CA 92324-3905 | 2016-09-29 |
| 1497102701 | Hassan Quadri | Family Medicine | 1300 E Cooley Dr, Colton, CA 92324-3905 | 2016-05-17 |
| 1942654793 | Suchal Karkera | Family Medicine | 1300 E Cooley Dr, Colton, CA 92324-3905 | 2016-04-19 |
| 1174933279 | Kelvin Ma | Family Medicine | 1300 E Cooley Dr, Colton, CA 92324-3905 | 2014-04-29 |
| 1497194468 | Linda Kit | Optometrist | 1300 E Cooley Dr, Colton, CA 92324-3905 | 2013-06-22 |
| 1518212299 | Jennifer Lynn Jensen | Physician Assistant | 1300 E Cooley Dr, Colton, CA 92324-3905 | 2012-07-18 |
| 1710249461 | Depatment of Behavioral Health | Special Hospital | 1300 E Cooley Dr, Colton, CA 92324-3905 | 2012-06-08 |
| 1932341203 | Carlos Daniel Ramirez | General Practice | 1300 E Cooley Dr, Colton, CA 92324-3905 | 2009-04-01 |
| 1831377662 | Beaver Medical Group Lp | Non-Pharmacy Dispensing Site | 1300 E Cooley Dr, Colton, CA 92324-3905 | 2008-02-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134739949 | Ava Vascular | Radiology | 1281 W. C. Street, Suite 200, Colton, CA 92324 | 2020-08-06 |
| 1063042851 | Making A Difference Association, Inc. | Psychologist | 1430 E Cooley Drive, Ste 111, Colton, CA 92324 | 2020-01-21 |
| 1326685488 | Allstar Medical Respite and Recuperative Care | Case Management | 450 N Sperry Drive, Colton, CA 92324 | 2019-12-06 |
| 1558916379 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 1010 North Pepper Ave, Colton, CA 92324 | 2019-08-08 |
| 1326692633 | Kadi Lyn Pearce | Licensed Practical Nurse | 970 N. Latham St, Colton, CA 92324 | 2019-07-25 |
| 1184281966 | Steven Andrew Cardoza | Physician Assistant | Armc, 400 N. Pepper Ave, Colton, CA 92324 | 2019-05-28 |
| 1528540952 | Daniel Tochukwu Umah-mgborogwu | Physician Assistant | 400 N Pepper Ave, Ste 107, Coton, CA 92324 | 2018-09-01 |
| 1255826038 | Cal Med Vascular Center LLC | Clinic/Center | 1281 W C St, Colton, CA 92324 | 2018-06-25 |
| 1891288072 | A. Arroyo Lourenco Dds, Inc | Dentist | 827 W Valley Blvd., Colton, CA 92324 | 2018-06-12 |
| 1700396165 | Emily Covington | Registered Nurse | 1550 E. Washington St., Ste 101, Colton, CA 92324 | 2017-10-11 |
| Find all providers in zip 92324 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053774679 | Garrett Sevigny | Pediatrics | 400 N Pepper Ave Ste 2m203, Colton, CA 92324-1801 | 2016-03-31 |
| 1649339946 | David Wayne Bailey | Pediatrics | 400 N Peeper Avenue, Colton, CA 92324-1819 | 2006-12-06 |
| 1386171106 | Bohye Shelly Hwang | Pediatrics | 308 N La Cadena Dr, Colton, CA 92324-2946 | 2017-05-11 |
| 1780937334 | Joseph M Molina Md Professional Corporation - Southern California | Pediatrics | 1181 N Mount Vernon Ave, Colton, CA 92324-2574 | 2012-10-19 |
| 1265550677 | Marissa Tagaban Caluya | Pediatrics | 400 N Pepper Ave, Pediatrics Administration, Colton, CA 92324-1819 | 2007-03-26 |
| 1093843005 | Arrowhead Pediatrics Medical Group, Inc. | Pediatrics | 400 N Pepper Ave, Colton, CA 92324 | 2007-03-01 |
| 1396811378 | Mary M Heyl | Pediatrics | 400 N Pepper Avenue, Colton, CA 92324-1817 | 2006-11-28 |
| 1164598157 | Laura Lynn Chang Strauss | Pediatrics | 400 N Pepper Ave, Colton, CA 92324 | 2006-11-28 |
| 1891861217 | Webster Andrew Wong | Pediatrics | 400 N Pepper Ave, Colton, CA 92324 | 2006-11-28 |
| 1003981887 | Anita Dian Barringham | Pediatrics | 400 N Pepper Ave, Colton, CA 92324-1801 | 2006-11-21 |
| Find all providers in COLTON | ||||
Please comment or provide details below to improve the information on MS. NICOLE MICHELLE ANTONIO.
| 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.