MR. DON JUAN ORTIZ (NPI# 1831135409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831135409 |
Entity Type | Individual |
Full Name | MR. DON JUAN ORTIZ |
Credential | PA-C |
Practice Address |
465 College Blvd. Ste. 1 Oceanside CA 92057 |
Mailing Address |
12823 Luiseno St Poway CA 92064-2008 |
Practice Telephone | 7606308400 |
Practice Fax Number | 7606308594 |
Mailing Telephone | 8585926540 |
Enumeration Date | 2006-06-21 |
Last Update Date | 2007-07-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
17862 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
465 COLLEGE BLVD. STE. 1 |
City | OCEANSIDE |
State | CA |
Zip Code | 92057 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760973952 | Michelle Alamo Domingo | Nurse Practitioner | 4330 Silver Spring Way, Oceanside, CA 92057 | 2018-05-23 |
1780107359 | Baljit D Singh | Dentist | 555221 Box, Box 555221, Fpo, AE 92057 | 2017-07-25 |
1629513734 | John Francis Donovan | Technician, Pathology | 3619 Dearborn St, Oceanside, CA 92057 | 2016-12-28 |
1639546997 | San Joaquin Assisted Living LLC | Assisted Living Facility | 4478 San Joaquin St, Oceanside, CA 92057 | 2015-08-21 |
1194167429 | Khamsy Siharath | Registered Nurse | 4451 San Joaquin St, Oceanside, CA 92057 | 2013-07-29 |
1205186244 | Michelle Tracy Plumb | Marriage & Family Therapist | 102 Rancho Del Oro Drive, Oceanside, CA 92057 | 2012-09-18 |
1720350416 | Ashley Nicole Kline | Military Health Care Provider | 191 Mckinley Street, Oceanside, CA 92057 | 2012-01-27 |
1548542558 | Jennifer Ann Wermers | Dental Hygienist | 4824 Contour Court, Oceanside, CA 92057 | 2011-09-15 |
1295969368 | Mariza Rubi Salazar | Dental Assistant | 103 Avenida Del Gado, Oceanside, CA 92057 | 2009-05-05 |
1669632378 | Marcie Alena Bokelman | Registered Nurse | 4906 Tyler St, Oceanside, CA 92057 | 2008-06-16 |
Find all providers in zip 92057 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184273617 | Chelsea Marie Ellingson | Physician Assistant | 3142 Vista Way Ste 401, Oceanside, CA 92056-3619 | 2019-09-07 |
1164846747 | Stephen F Funk | Physician Assistant | 3037 David Ct, Oceanside, NY 11572-4415 | 2014-02-18 |
1205026861 | Kelly T. Sales | Physician Assistant | 3230 Waring Ct Ste J, Oceanside, CA 92056-4509 | 2007-07-30 |
1346306123 | Susan Radoff | Physician Assistant | 3910 Vista Way Ste 106, Oceanside, CA 92056-4513 | 2006-12-28 |
1326076043 | Michelle F. Buxton | Physician Assistant | 4318 Mission Ave, Oceanside, CA 92057-6541 | 2006-06-29 |
1518953660 | Robin M. Waggoner | Physician Assistant | 3142 Vista Way, Suite 100, Oceanside, CA 92056-3627 | 2005-09-23 |
1194223834 | Waqas Ali | Physician Assistant | 1 Healthy Way, Oceanside, NY 11572-1551 | 2018-01-29 |
1316465214 | Alyson Wentworth | Physician Assistant | 200 Mercy Circle, Oceanside, CA 92055 | 2017-08-31 |
1972027092 | Shanelle Tashae Graham | Physician Assistant | 1 Healthy Way, Oceanside, NY 11572-1551 | 2017-07-31 |
1912378332 | Taera Young Felkins | Physician Assistant | 605 Crouch St, Oceanside, CA 92054-4415 | 2015-10-12 |
Find all providers in OCEANSIDE |
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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.