REGINA LYNN PETERSEN (NPI# 1770721714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770721714 |
| Entity Type | Individual |
| Full Name | REGINA LYNN PETERSEN |
| Credential | PA-C |
| Practice Address |
145 Thunder Dr Vista CA 92083-6010 |
| Practice Telephone | 7606305487 |
| Practice Fax Number | 7606302558 |
| Mailing Telephone | 7606305487 |
| Mailing Fax Number | 7606302558 |
| Enumeration Date | 2009-01-29 |
| Last Update Date | 2015-01-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA16911 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
145 THUNDER DR |
| City | VISTA |
| State | CA |
| Zip Code | 92083-6010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396855235 | Amad Edward Kadry | Family Medicine | 145 Thunder Dr, Vista, CA 92083-6010 | 2006-08-30 |
| 1790166858 | Talia M Adams | Physician Assistant | 145 Thunder Dr, 1st Floor, Vista, CA 92083-6010 | 2015-06-15 |
| 1053648626 | Deisha Malones Wilson | Family Medicine | 145 Thunder Dr, Vista, CA 92083-6010 | 2009-11-03 |
| 1376723437 | Leo Russel Best | Physician Assistant | 145 Thunder Dr, Vista, CA 92083-6010 | 2007-11-06 |
| 1518184266 | Lily R Caesar | Physician Assistant | 145 Thunder Dr, Vista, CA 92083-6010 | 2007-04-20 |
| 1629295258 | David E Jones | Family Medicine | 145 Thunder Dr, Vista, CA 92083-6010 | 2007-04-18 |
| 1083781249 | Cassidy Medical Group - Radiology | Radiology | 145 Thunder Dr, Vista, CA 92083-6010 | 2006-11-30 |
| 1881761047 | Cassidy Medical Group - Ob-gyn | Obstetrics & Gynecology | 145 Thunder Dr, Vista, CA 92083-6010 | 2006-11-30 |
| 1215003470 | Cassidy Medical Group Inc. | Clinic/Center | 145 Thunder Dr, Vista, CA 92083-6010 | 2006-11-28 |
| 1295801470 | Erin C Quinn | Nurse Practitioner | 145 Thunder Dr, Vista, CA 92083-6010 | 2006-11-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114496882 | Claire Louise Marsden | Speech-Language Pathologist | 1626 Fawley Lane, Vista, CA 92083 | 2018-11-24 |
| 1861975336 | Shawna Corn | Counselor | 216 W. Los Angeles Dr., Vista, CA 92083 | 2018-09-11 |
| 1164916433 | Sindia Zamarripa | Case Manager/Care Coordinator | 139 East Dr, Vista, CA 92083 | 2018-06-19 |
| 1184140295 | Rosa Gema Pamatz | Counselor | 216 West Los Angeles Dr, Vista, CA 92083 | 2017-08-21 |
| 1528452521 | Vincetta Cox | Nursing Care | 770 Sycamore Avenue, 122-178, Vista, CA 92083 | 2015-03-27 |
| 1922367739 | Oriental Medical Arts & Acupuncture | Acupuncturist | 544 W Vista Way, Vista, CA 92083 | 2012-05-14 |
| 1861623001 | Dawn Lindshield | Counselor | 550 W Vista Way Ste 408, Vista, CA 92083 | 2009-08-06 |
| 1932336534 | Amyjane Dill | Student in an Organized Health Care Education/Training Program | 216 W Los Angeles Drive, New Haven Youth Family Services, Vista, CA 92083 | 2009-06-22 |
| 1821239054 | Marisela Wong | Pharmacist | 1510 N. Santa Fe Avenue, Vista, CA 92083 | 2009-03-18 |
| 1235389602 | Erik Sven Peterson | Counselor | 155 W. Bobier, Vista, CA 92083 | 2008-09-23 |
| Find all providers in zip 92083 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356644173 | Angela Lynn Segovia | Physician Assistant | 1070 S Santa Fe Ave Ste 10, Vista, CA 92084-7010 | 2010-12-16 |
| 1851620868 | Heather M Bland | Physician Assistant | 2023 W Vista Way Ste C, Vista, CA 92083-6030 | 2009-12-22 |
| 1124202247 | Madhuri Marelli | Physician Assistant | 2302 Amstel Ln, Vista, CA 92084-2601 | 2007-12-26 |
| 1497757728 | Jose Luis Suarez Jr. | Physician Assistant | 969 S Santa Fe Ave Ste A, Vista, CA 92083-6910 | 2005-05-31 |
| 1053409920 | Paula Sorrentino | Physician Assistant | 145 Thunder Dr, Vista, CA 92083-6010 | 2006-10-10 |
| 1922087253 | Armando Baza-vargas | Physician Assistant | 969 S Santa Fe Ave Ste A, Vista, CA 92083-6910 | 2006-01-13 |
| 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.