KHRISTINE MARIE BUENO (NPI# 1811356439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811356439 |
| Entity Type | Individual |
| Full Name | KHRISTINE MARIE BUENO |
| Credential | PA-C |
| Practice Address |
16465 Sierra Lakes Pkwy Ste 100 Fontana CA 92336-1242 |
| Practice Telephone | 9094341150 |
| Enumeration Date | 2016-02-11 |
| Last Update Date | 2019-11-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 53161 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 22421 Barton Rd # 357, Grand Terrace, CA 923135008 | 9092381381 | 9099128132 |
| Street Address |
16465 SIERRA LAKES PKWY STE 100 |
| City | FONTANA |
| State | CA |
| Zip Code | 92336-1242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700361243 | Schmidt and Jefferson Dental Corporation | Dentist | 16944 South Highland Avenue, Ste. 400, Fontana, CA 92336 | 2018-10-01 |
| 1275032658 | Kenitha Pulliam | Behavioral Analyst | 14051 Catalina Ct, Fontana, CA 92336 | 2018-02-12 |
| 1568961183 | Jordan Frailey | Marriage & Family Therapist | 9161 Sierra Ave. Suite 213, Fontana, CA 92336 | 2018-02-09 |
| 1689198905 | Sara Alyssa Lynch | Specialist/Technologist | 7151 Oak Tree Place, Fontana, CA 92336 | 2017-07-28 |
| 1043749526 | Eric Ceasar Parian Lopez | Registered Nurse | 16001 Pfc Paris Montanez Dr., Fontana, CA 92336 | 2017-06-08 |
| 1275065393 | Alyssa Calderon | Marriage & Family Therapist | 14335 Quail Ct, Fontana, CA 92336 | 2017-03-29 |
| 1588029219 | Daisy Maritza Santana | Behavioral Analyst | 16320 Rosa Linda Ln, Fontana, CA 92336 | 2015-12-23 |
| 1407237498 | Natalie Kathleen Herrera | Physician Assistant | 16456 Sierra Lakes Pkwy, Suite 300, Fontana, CA 92336 | 2015-06-15 |
| 1255738241 | Southern California Picc Providers, Inc. | Spec/Tech, Cardiovascular | 5787 Little Shay Dr, Fontana, CA 92336 | 2014-11-19 |
| 1396175758 | Martha C Ajca | Physician Assistant | 17051 Sierra Lakes Parkway, Suite 101, Fontana, CA 92336 | 2013-11-22 |
| Find all providers in zip 92336 | ||||
| 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 |
|---|---|---|---|---|
| 1356968325 | Tracey Huddleston | Physician Assistant | 13676 Dodge Ct, Fontana, CA 92336-3405 | 2020-06-25 |
| 1114559176 | Theresa Nkechinyerem Okeke | Physician Assistant | 5931 Wilshire Dr, Fontana, CA 92336-5697 | 2020-02-07 |
| 1972018513 | Tanya Lumbangaol | Physician Assistant | 6768 Winter Night Ct, Fontana, CA 92336-1417 | 2017-12-05 |
| 1174046676 | Diana Jaqueline Romo | Physician Assistant | 6570 Kaiser Ave, Fontana, CA 92336-3260 | 2017-07-18 |
| 1417482761 | Jeffrey Lynn Cox | Physician Assistant | 10444 Live Oak Ave, Fontana, CA 92337-7219 | 2017-04-25 |
| 1407237498 | Natalie Kathleen Herrera | Physician Assistant | 16456 Sierra Lakes Pkwy, Suite 300, Fontana, CA 92336 | 2015-06-15 |
| 1619385309 | Daniel Loera | Physician Assistant | 17156 Manzanita Dr, Fontana, CA 92335-5851 | 2014-07-26 |
| 1396175758 | Martha C Ajca | Physician Assistant | 17051 Sierra Lakes Parkway, Suite 101, Fontana, CA 92336 | 2013-11-22 |
| 1053666297 | Vanessa M Michelena Basantes | Physician Assistant | 4904 Tahan Way, Fontana, CA 92336-0428 | 2012-07-13 |
| 1083917439 | Yaw O Asamoah | Physician Assistant | 6309 Camelback Ln, Fontana, CA 92336-5830 | 2010-12-07 |
| Find all providers in FONTANA | ||||
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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.