GARY L MIGUEL (NPI# 1871522110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871522110 |
| Entity Type | Individual |
| Full Name | GARY L MIGUEL |
| Credential | P.A. |
| Practice Address |
1093 Hilltop Dr Redding CA 96003-3811 |
| Practice Telephone | 5302211565 |
| Practice Fax Number | 5302213912 |
| Mailing Telephone | 5302211565 |
| Mailing Fax Number | 5302213912 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2020-11-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | PA10123 | CA | Allopathic & Osteopathic Physicians |
| Y | 363A00000X | Physician Assistant | PA10123 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2123 Eureka Way, Redding, CA 960010428 | 5302464629 | 5302464621 |
| Street Address |
1093 HILLTOP DR |
| City | REDDING |
| State | CA |
| Zip Code | 96003-3811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306972880 | Dorothy Ann Brooks | Family Medicine | 1093 Hilltop Dr, Redding, CA 96003-3811 | 2007-02-26 |
| 1235282559 | Clinton Edward Evans | Family Medicine | 1093 Hilltop Dr, Redding, CA 96003-3811 | 2007-01-19 |
| 1013923598 | Shane Matthew Swanson | Family Medicine | 1093 Hilltop Dr, Redding, CA 96003-3811 | 2006-08-01 |
| 1306868336 | Rodney Theodore Phillips | Family Medicine | 1093 Hilltop Dr, Redding, CA 96003-3811 | 2006-07-25 |
| 1104849140 | Jeremy Robert Austin | Family Medicine | 1093 Hilltop Dr, Redding, CA 96003-3811 | 2006-07-25 |
| 1629090709 | Michael Dayton Jorde | Family Medicine | 1093 Hilltop Dr, Redding, CA 96003-3811 | 2006-07-24 |
| 1285656199 | Mark E Pierce, M.d., Inc | Internal Medicine | 1093 Hilltop Dr, Redding, CA 96003-3811 | 2006-07-23 |
| 1366461220 | Jay Steven Roitman | Family Medicine | 1093 Hilltop Dr, Redding, CA 96003-3811 | 2006-07-19 |
| 1295753564 | Mark Edward Pierce | Internal Medicine | 1093 Hilltop Dr, Redding, CA 96003-3811 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144882309 | Patricia Price | Social Worker | 2280 Benton Dr Building C, Suite A, Redding, CA 96003 | 2019-07-08 |
| 1487102745 | Jill Marie Shepherd Piercy Clark | Psychologist | 1465 Victor Ave Ste B, Redding, CA 96003 | 2016-09-15 |
| 1811344450 | Roger Milton Slagle | Social Worker | 999 Mission De Oro Dr Ste 103, Redding, CA 96003 | 2016-05-23 |
| 1265713812 | Tesha Marie Huston | Pharmacist | 975 Cypress Ave, Redding, CA 96003 | 2011-09-08 |
| 1861717605 | Western Physical Therapy Inc | Physical Therapist | 1495 Victor Ave, Suite D, Redding, CA 96003 | 2010-04-05 |
| 1013230036 | Douglas Norman Porter | Psychologist | 748 North Market St., Redding, CA 96003 | 2010-03-04 |
| 1821232877 | Express Medi-trans, Inc. | Non-emergency Medical Transport (VAN) | 2985 Innsbruck Dr, Redding, CA 96003 | 2009-04-21 |
| 1235393000 | Bridget Gabrielle Young | Physical Therapist | 2021 Benton Dr, Redding, CA 96003 | 2008-07-10 |
| 1447427406 | Terra Bella Communities | Nursing Facility/Intermediate Care Facility | 280 Riverpark Drive, Redding, CA 96003 | 2008-05-09 |
| 1588830657 | Terra Bella Communities | Intermediate Care Facility, Mentally Retarded | 237 Shadowrun Ct., Redding, CA 96003 | 2008-05-07 |
| Find all providers in zip 96003 | ||||
| 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 |
|---|---|---|---|---|
| 1073123915 | Kendra Owen | Physician Assistant | 1555 East St Ste 100, Redding, CA 96001-1153 | 2020-08-05 |
| 1316578818 | Kaylin Rae Sanders | Physician Assistant | 375 Smile Pl Ste B, Redding, CA 96001-3653 | 2020-02-03 |
| 1922550292 | Nicole Combs | Physician Assistant | 2216 Buenaventura Blvd Ste B, Redding, CA 96001-3838 | 2016-11-02 |
| 1326482068 | Terry Lee Pelayo | Physician Assistant | 2022 Jewell Ln, Redding, CA 96001-4823 | 2013-04-24 |
| 1578842100 | Lacey Monique Townsend | Physician Assistant | 2891 Churn Creek Rd Ste A, Redding, CA 96002-1148 | 2011-08-13 |
| 1699061986 | Larisa Gumerova | Physician Assistant | 1742 Oregon St, Redding, CA 96001 | 2011-06-24 |
| 1396994430 | Robyn Lynn Carpenter | Physician Assistant | 2750 Eureka Way Ste 101, Redding, CA 96001-0251 | 2008-09-12 |
| 1528144912 | Kathleen B. Chesney | Physician Assistant | 1388 Court Street, Suite H, Redding, CA 96001-1650 | 2006-10-27 |
| 1073122412 | Christopher Wills | Physician Assistant | 100 E Cypress Ave, Redding, CA 96002-0162 | 2020-07-30 |
| 1689298598 | Kellie Sperduto | Physician Assistant | 1742 Oregon St, Redding, CA 96001-1717 | 2020-06-05 |
| Find all providers in REDDING | ||||
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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.