MARINA GONZALEZ (NPI# 1891188454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891188454 |
| Entity Type | Individual |
| Full Name | MARINA GONZALEZ |
| Credential | PA-C |
| Practice Address |
33758 Yucaipa Blvd Yucaipa CA 92399-2243 |
| Mailing Address |
Po Box 10069 San Bernardino CA 92423-0069 |
| Practice Telephone | 9093354188 |
| Mailing Telephone | 9093354188 |
| Enumeration Date | 2015-03-06 |
| Last Update Date | 2015-08-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
52240 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578100590 | Marina Alexandra Gonzalez | Specialist/Technologist | 410 E Merced Ave, West Covina, CA 91790-5058 | 2019-12-09 |
| 1487148565 | Marina Gonzalez | Student in an Organized Health Care Education/Training Program | 555 N Duke St, Lancaster, PA 17602-2250 | 2018-06-21 |
| 1205213600 | Marina Gonzalez | Occupational Therapist | 1764 Marco Polo Way, Burlingame, CA 94010-4503 | 2015-05-05 |
| Street Address |
33758 YUCAIPA BLVD |
| City | YUCAIPA |
| State | CA |
| Zip Code | 92399-2243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295701977 | Victor Salib | Family Medicine | 33758 Yucaipa Blvd, Yucaipa, CA 92399 | 2006-02-23 |
| 1629681614 | Keely Alison Niemeyer | Dietitian, Registered | 33758 Yucaipa Blvd, Yucaipa, CA 92399-2243 | 2020-08-28 |
| 1750894630 | Huong Le | Optometrist | 33758 Yucaipa Blvd, Yucaipa, CA 92399-2243 | 2017-11-14 |
| 1801338645 | Kaitlin Darlene Kostecki | Nurse Practitioner | 33758 Yucaipa Blvd, Yucaipa, CA 92399-2243 | 2016-11-10 |
| 1568844645 | Lisa Shelly-ann Thompson | Family Medicine | 33758 Yucaipa Blvd, Yucaipa, CA 92399 | 2015-06-24 |
| 1457730392 | Mina Sameh Sobhy Soliman | Family Medicine | 33758 Yucaipa Blvd, Yucaipa, CA 92399 | 2015-05-26 |
| 1427437813 | Rachael Suzanne Tennant | Family Medicine | 33758 Yucaipa Blvd, Yucaipa, CA 92399-2243 | 2015-05-19 |
| 1295047058 | Mi La Kim | Nurse Practitioner | 33758 Yucaipa Blvd, Yucaipa, CA 92399 | 2010-07-09 |
| 1740500313 | Marc Hualong Ma | Family Medicine | 33758 Yucaipa Blvd, Yucaipa, CA 92399 | 2010-06-07 |
| 1821231648 | Gaja Andzel | Internal Medicine | 33758 Yucaipa Blvd, Yucaipa, CA 92399-2243 | 2009-04-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891301941 | Emily Ambrosi | Occupational Therapist | 12257 Tulip Ln, Yucaipa, CA 92399 | 2020-09-23 |
| 1952943524 | Terrence Williams | Behavioral Analyst | 13768 Meadow View Lane, Yucaipa, CA 92399 | 2019-10-15 |
| 1235795097 | Han Acu&herbs, Inc | Acupuncturist | 32387 Yucaipa Blvd, Ste, F, Yucaipa, CA 92399 | 2019-05-16 |
| 1366926784 | David Gene Satre | Psychologist | 31752 Dove Ct, Yucaipa, CA 92399 | 2018-09-21 |
| 1336659861 | Titianna Little | Physical Therapist | 32819 Yucaipa Boulevard #3, Yucaipa, CA 92399 | 2017-10-11 |
| 1174043467 | Sharon Lee Pendola | Licensed Vocational Nurse | 11885 4th St, Yucaipa, CA 92399 | 2017-06-27 |
| 1073033072 | Juniper Manor, LLC | Skilled Nursing Facility | 35223 Juniper Avenue, Yucaipa, CA 92399 | 2017-06-21 |
| 1952858417 | Rafael Arias | Non-emergency Medical Transport (VAN) | 12386 17th St, Yucaipa, CA 92399 | 2016-09-01 |
| 1578906467 | Joyce I Bandele | Durable Medical Equipment & Medical Supplies | 34664 County Line Rd Suite 14, Yucaipa, CA 92399 | 2013-04-10 |
| 1033475108 | Loleta Michelle Gustafson | Marriage & Family Therapist | 34455 Yucaipa Blvd Ste 206, Yucaipa, CA 92399 | 2012-04-03 |
| Find all providers in zip 92399 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833989 | Trisha Taylor | Physician Assistant | 10399 Tivoli Way, Yucaipa, CA 92399-6017 | 2020-08-30 |
| 1568659712 | Dustin Ware | Physician Assistant | 33494 Oak Glen Rd, Yucaipa, CA 92399-2057 | 2007-10-02 |
| 1417590951 | Bryan Curtis | Physician Assistant | 33494 Oak Glen Rd, Yucaipa, CA 92399-2057 | 2019-10-28 |
| 1316492754 | Alina Seratt | Physician Assistant | 33494 Oak Glen Rd, Yucaipa, CA 92399-2057 | 2016-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760089437 | Karine Harutyunyan | Physician Assistant | 500 E Colorado St Ste 101, Glendale, CA 91205-1607 | 2020-10-06 |
| 1437756228 | Kale Burket | Physician Assistant | Bldg 523, S 8th St, El Centro, CA 92243 | 2020-10-05 |
| 1548867666 | Heba Marzouk Al-shoubaki | Physician Assistant | 633 S Pepper St, Anaheim, CA 92802-1459 | 2020-10-01 |
| 1275140550 | Lisa Lynn Passalacqua | Physician Assistant | 431 7th St, Norco, CA 92860-1671 | 2020-09-30 |
| 1457963944 | Harlan William Monahan | Physician Assistant | 5210 Del Rio Rd, Sacramento, CA 95822-2519 | 2020-08-18 |
| 1275144313 | Sofia Carmen Bustillo | Physician Assistant | 1709 Coral Pl, Seal Beach, CA 90740-5712 | 2020-08-12 |
| 1124638663 | Gayaneh Gharakhani | Physician Assistant | 1323 E Broadway Apt 110, Glendale, CA 91205-4018 | 2020-08-07 |
| 1144830183 | Loc Bao Tran | Physician Assistant | 8937 Emerson Pl, Rosemead, CA 91770-2813 | 2020-08-04 |
| 1558997957 | Sarah Lubinsky | Physician Assistant | 1511 Montana Ave, Santa Monica, CA 90403-1891 | 2020-03-17 |
| 1316573843 | Roberto Emiliano Meraz Nunez | Physician Assistant | 6642 Fulton Ave, Van Nuys, CA 91401-1312 | 2020-03-16 |
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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.