MR. SERGIO VINCENTE GODINEZ JR. (NPI# 1861003220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861003220 |
| Entity Type | Individual |
| Full Name | MR. SERGIO VINCENTE GODINEZ JR. |
| Practice Address |
834 Begonia St Escondido CA 92027-1722 |
| Practice Telephone | 7603108096 |
| Mailing Telephone | 7603108096 |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2020-08-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
834 BEGONIA ST |
| City | ESCONDIDO |
| State | CA |
| Zip Code | 92027-1722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912404179 | Shaunntanel Lund | Midwife | 16625 New Moon Lane, Escondido, CA 92027 | 2018-04-12 |
| 1457871766 | Stephen Martinez | Physical Therapy Assistant | 466 Devonshire Glen, Escondido, CA 92027 | 2017-06-27 |
| 1407227184 | Fletcher Carson | Military Health Care Provider | 719 Erica Street, Escondido, CA 92027 | 2015-10-07 |
| 1336413426 | Nadir T. Khuri | General Practice | 3284 White Hawk Rd., Escondido, CA 92027 | 2012-03-07 |
| 1598914624 | Maria Graciela Herrera | Case Manager/Care Coordinator | 463 N Midway, Ste 200, Escondido, CA 92027 | 2008-09-12 |
| 1891850913 | Anna Kansky | Dentist | 1711 E Valley Pkwy, Millennium Dental, Escondido, CA 92027 | 2006-12-27 |
| 1629164322 | County of San Diego | Exclusive Provider Organization | 420 North Falconer Road, Escondido, CA 92027 | 2006-10-04 |
| 1619968005 | Kaufman Physical Therapy Inc | Physical Therapist | 1318 Mountain Park Place, Escondido, CA 92027 | 2005-11-03 |
| 1336670645 | Ashley Ingram | Dentist | 430 N Rose St, Escondido, CA 92027 | 2017-03-27 |
| 1487899233 | Lindsley Marie Shaw | Case Manager/Care Coordinator | 463 N Midway, Escondido, CA 92027 | 2008-12-09 |
| Find all providers in zip 92027 | ||||
| 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 |
|---|---|---|---|---|
| 1770101867 | Trenton Lee Peterson | Physician Assistant | 21651 Trail Blazer Ln, Escondido, CA 92029-4845 | 2020-07-06 |
| 1154950616 | Michelle Roberts | Physician Assistant | 2317 Via Cascabel, Escondido, CA 92027-4821 | 2020-04-06 |
| 1417519471 | Jennifer Erin Quiros | Physician Assistant | 1649 Bear Valley Pkwy # B1, Escondido, CA 92027-4633 | 2019-06-30 |
| 1538634209 | Sarah Lyon | Physician Assistant | 306 W El Norte Pkwy Ste S, Escondido, CA 92026-1960 | 2018-10-09 |
| 1134694946 | Erica Deangelo | Physician Assistant | 1649 Bear Valley Pkwy Apt B4, Escondido, CA 92027-4633 | 2018-10-08 |
| 1265960165 | Charles Huynh | Physician Assistant | 135 Trellis Ln, Escondido, CA 92026-2078 | 2017-05-23 |
| 1023467065 | Stefenie Nazanin Casuto | Physician Assistant | 1955 Citracado Pkwy Ste 302, Escondido, CA 92029-4113 | 2016-06-10 |
| 1104292267 | Amanda Lynn Anderson | Physician Assistant | 550 E 8th Ave, Escondido, CA 92025-5121 | 2015-08-12 |
| 1205229804 | Jennifer Frontela Garcia | Physician Assistant | 1548 Nob Hill Dr, Escondido, CA 92026-2005 | 2015-03-06 |
| 1386893089 | John T. Walsh | Physician Assistant | 625 W Citracado Pkwy Suite 108, Escondido, CA 92025 | 2008-09-17 |
| Find all providers in ESCONDIDO | ||||
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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.