NICOLAS DEJONG (NPI# 1902204803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902204803 |
| Entity Type | Individual |
| Full Name | NICOLAS DEJONG |
| Credential | PA-C |
| Practice Address |
1751 Lombard St Ste A Oxnard CA 93030 |
| Mailing Address |
1751 Lombard St Ste A Oxnard CA 93030-8266 |
| Practice Telephone | 8059819111 |
| Enumeration Date | 2014-12-09 |
| Last Update Date | 2019-06-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 363A00000X | Physician Assistant | PA55150 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | PA60604695 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1751 LOMBARD ST STE A |
| City | OXNARD |
| State | CA |
| Zip Code | 93030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710599741 | Perla Ivette Romero | Dietitian, Registered | 1006 Vaquero Dr, Oxnard, CA 93030 | 2020-08-20 |
| 1649797432 | Scott Andrew Lessin | Marriage & Family Therapist | 1425 Vaquero Dr, Oxnard, CA 93030 | 2017-08-23 |
| 1881118974 | Abraham Ambriz | Counselor | 1212 Vaquero Cir, Oxnard, CA 93030 | 2017-07-31 |
| 1164944088 | Kiana Marie Gleason | Specialist/Technologist | 1611 Ebony Dr., Oxnard, CA 93030 | 2017-07-12 |
| 1740721067 | Jaymi Kathleen Stevens | Marriage & Family Therapist | 410 N. A St, Oxnard, CA 93030 | 2017-03-20 |
| 1386023984 | Jessica Marie Lopez | Specialist | 930 Nottingham Drive, Oxnard, CA 93030 | 2015-05-28 |
| 1447688924 | Jerry L Lanier, Dds, Inc | Dentist | 1200 Saviers Rd, Oxnard, CA 93030 | 2013-10-21 |
| 1760820104 | Kevin Brian Janeway | Counselor | 426 W. 5th Street, Oxnard Clubhouse, Oxnard, CA 93030 | 2013-06-07 |
| 1396095477 | County of Ventura | Clinic/Center | 800 Morado Place, Oxnard, CA 93030 | 2012-09-14 |
| 1720345614 | Healthstat On-site Clinic/reiter Oxnard | Preventive Medicine | 300 W 5th St., Suite A, Oxnard, CA 93030 | 2012-04-16 |
| Find all providers in zip 93030 | ||||
| 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 |
|---|---|---|---|---|
| 1730712134 | Javier Estefan Valencia Cervantes | Physician Assistant | 1266 Rubio Cir, Oxnard, CA 93030-0102 | 2020-02-13 |
| 1811460769 | Lace Granatelli | Physician Assistant | 1801 Solar Dr Ste 150, Oxnard, CA 93030-0147 | 2019-01-03 |
| 1487147013 | Ryan Masaru Kennedy | Physician Assistant | 4421 E Hueneme Rd, Oxnard, CA 93033-8232 | 2018-06-08 |
| 1093221020 | Scott Thomas Welch | Physician Assistant | 2750 Park View Ct Ste 250, Oxnard, CA 93036-5458 | 2017-12-28 |
| 1396296844 | Stephanie Anne Smith | Physician Assistant | 345 S A St, Oxnard, CA 93030-5804 | 2016-10-19 |
| 1881064988 | Tim Ho | Physician Assistant | 4621 Frost Dr, Oxnard, CA 93033-7247 | 2015-10-01 |
| 1407161698 | Jessica Hope Harvey | Physician Assistant | St. John's Regional Medical Center - 1600 N Rose Avenue, Oxnard, CA 93030 | 2010-08-11 |
| 1023114709 | Joseph Michael Diaz | Physician Assistant | 2240 E Gonzales Rd Ste 100, Oxnard, CA 93036-8212 | 2006-09-16 |
| 1043223704 | Areli Torres | Physician Assistant | 450 West Clara Street, Clinicas Del Camino Real Inc, Oxnard, CA 93033 | 2006-08-14 |
| 1659932606 | Eeman Hasan | Physician Assistant | 4400 Olds Rd, Oxnard, CA 93033-8061 | 2019-06-20 |
| Find all providers in OXNARD | ||||
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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.