MS. M. BARBARA KLYDE (NPI# 1740309608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740309608 |
Entity Type | Individual |
Full Name | MS. M. BARBARA KLYDE |
Credential | PAC |
Practice Address |
2391 N River Trail Rd Orange CA 92865-2036 |
Practice Telephone | 1714921896 |
Practice Fax Number | 1714637426 |
Mailing Telephone | 1714921896 |
Mailing Fax Number | 1714637426 |
Enumeration Date | 2007-03-29 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA 10707 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
2391 N RIVER TRAIL RD |
City | ORANGE |
State | CA |
Zip Code | 92865-2036 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801366489 | Kathryn Enslow | Behavior Technician | 3111 N. Tustin St. #100, Orange, CA 92865 | 2018-11-27 |
1992285167 | Victoria Barrientes | Behavior Technician | 3111 N. Tustiv Ave #100, Tustin, CA 92865 | 2018-08-17 |
1003263310 | Zhihong Acupuncture Clinic Co | Clinic/Center | 2950 N Glassell St, Suite B, Orange, CA 92865 | 2016-05-17 |
1962879387 | Charles C. Park D.d.s. A Professional Corporation | Dentist | 1518 E. Lincoln Ave., Orange, CA 92865 | 2015-09-02 |
1275913535 | David M. Datu | Dentist | 1107 E. Lincoln Ave, #201, Orange, CA 92865 | 2015-06-02 |
1114107505 | Life Hearing Inc. | Hearing Instrument Specialist | 1635 E. Lincoln Ave., Orange, CA 92865 | 2007-11-14 |
1013118488 | David M Datu Dds | Dentist | 1107 E Lincoln Ave, Suite #201, Orange, CA 92865 | 2007-05-31 |
1831222611 | Amini Dental Corporation | Dentist | 1916 N Tustin St, Orange, CA 92865 | 2007-03-13 |
1598811341 | Linda Rose Cook | Counselor | 202 W Lincoln Ave, Suite F, Orange, CA 92865 | 2007-01-26 |
1467525543 | Hee S Kwon | Acupuncturist | 1516 E Lincoln Ave, Orange, CA 92865 | 2006-11-16 |
Find all providers in zip 92865 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609301506 | Tina Khosravi | Physician Assistant | 705 W La Veta Ave Ste 109, Orange, CA 92868-4447 | 2017-04-27 |
1831560721 | Kimberly Gin Hankamolkit | Physician Assistant | 200 S Manchester Ave Ste 210, Orange, CA 92868-3211 | 2015-10-17 |
1194846691 | Namneet K Dhaliwal | Physician Assistant | 1100 E Stewart Dr, Orange, CA 92868 | 2007-04-02 |
1750467346 | Joan Stoykovich | Physician Assistant | 1215 E Chapman Ave, Suite 4, Orange, CA 92866-2237 | 2006-10-27 |
1841222916 | Marcel M Motz | Physician Assistant | 1100 West Stewart Dr, Orange, CA 92868-3849 | 2006-07-07 |
1548263015 | Amir M Seifi | Physician Assistant | 280 S Main St Ste 200, Orange, CA 92868-3852 | 2005-05-27 |
1588297600 | Serena Marilyn Mclean | Physician Assistant | 1100 W Stewart Dr, Orange, CA 92868-3849 | 2020-02-17 |
1891331385 | Lacee Oliver | Physician Assistant | 2592 N Santiago Blvd, Orange, CA 92867-1862 | 2019-11-20 |
1518454396 | Yuchao Jin | Physician Assistant | 1140 W La Veta Ave Ste 610, Orange, CA 92868 | 2018-04-17 |
1528566122 | Kyle Daniels | Physician Assistant | 1100 W Stewart Dr, Orange, CA 92868-3849 | 2018-01-29 |
Find all providers in ORANGE |
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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.