CORY AMADOR


Address: 197 East Caroline St., Suite 1400, San Bernardino, CA 92408
Phone: 9095585898

CORY AMADOR (NPI# 1801082946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801082946
Entity Type Individual
Full Name CORY AMADOR
Credential PA-C
Practice Address 197 East Caroline St.
Suite 1400
San Bernardino
CA 92408
Mailing Address 400 N Pepper Ave
Colton
CA 92324-1801
Practice Telephone 9095585898
Mailing Telephone 9095801000
Enumeration Date 2007-09-21
Last Update Date 2019-09-06
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
PA19368 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 197 EAST CAROLINE ST.
SUITE 1400
City SAN BERNARDINO
State CA
Zip Code 92408

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1689210775 Inland Empire Community Outreach Center Counselor 473 East Carnegie Drive, Suite 200, San Bernardino, CA 92408 2019-11-23
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1366084360 Theraville Counseling Services, A Licensed Clinical Social Worker Corp Social Worker 155 W Hospitality Ln Ste 245, San Bernardino, CA 92408 2019-10-10
1548730419 Adriana Alcaraz Behavior Technician 473 E Carnegie, Ste 200, San Bernardino, CA 92408 2018-12-04
1811467889 Xavier J Molina-williams Behavior Technician 476 E Carnegie Drive, Ste 200, San Bernardino, CA 92408 2018-12-03
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881183713 Judy Hsieh Physician Assistant 284 E Highland Ave, San Bernardino, CA 92404-3706 2018-05-07
1124475280 Steven Jess Heverly Physician Assistant 5801 Chiquita Ln, San Bernardino, CA 92404-3207 2016-05-18
1689045197 Bryan Carter Physician Assistant 1455 E 3rd Street, San Bernardino, CA 92410 2015-10-09
1497176754 Tunde Hrotko Physician Assistant 355 E 21st St Ste H, San Bernardino, CA 92404-4851 2014-01-03
1609993708 Lou Mizelle Delacruz Tanwangco Physician Assistant 1906 Commercenter E Ste 100, San Bernardino, CA 92408-3423 2007-03-23
1497822142 Ezequiel Martinez Physician Assistant 330 N D St Ste 300, San Bernardino, CA 92401-1522 2006-11-29
1750943668 Benjamin Arthur Rinard Physician Assistant 2101 N Waterman Ave, San Bernardino, CA 92404-4836 2019-07-01
1154810679 Luis A Santana Physician Assistant 665 N D St, San Bernardino, CA 92401-1109 2018-05-10
1316450885 Joseph Krpalek Physician Assistant 1455 E 3rd St, San Bernardino, CA 92408 2017-11-07
1003288481 Nicholas Walther Physician Assistant 2101 N Waterman Ave, San Bernardino, CA 92404-4836 2015-10-26
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Competitor

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City SAN BERNARDINO
Zip Code 92408

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Dataset Information

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.

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