MRS. MITZI BRAY (NPI# 1912266883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912266883 |
| Entity Type | Individual |
| Full Name | MRS. MITZI BRAY |
| Credential | PA |
| Practice Address |
3613 Vista Way Oceanside CA 92056-4522 |
| Practice Telephone | 7607585340 |
| Mailing Telephone | 7607585340 |
| Mailing Fax Number | 7607585502 |
| Enumeration Date | 2012-05-11 |
| Last Update Date | 2012-05-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA16665 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3613 VISTA WAY |
| City | OCEANSIDE |
| State | CA |
| Zip Code | 92056-4522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538191077 | Dermatologist Medical Group of North County, Inc | Dermatology | 3613 Vista Way, Oceanside, CA 92056-4522 | 2006-07-07 |
| 1710374889 | Alina Goldenberg | Dermatology | 3613 Vista Way, Oceanside, CA 92056 | 2015-04-16 |
| 1801155775 | Amanda Mcconnell | Physician Assistant | 3613 Vista Way, Oceanside, CA 92056-4522 | 2012-05-11 |
| 1396060513 | Nicole Mau | Dermatology | 3613 Vista Way, Oceanside, CA 92056-4522 | 2010-03-30 |
| 1689817983 | Sheila Meena Krishna | Dermatology | 3613 Vista Way, Oceanside, CA 92056-4522 | 2009-04-16 |
| 1184846529 | Michelle Jackson | Dermatology | 3613 Vista Way, Oceanside, CA 92056-4522 | 2007-05-03 |
| 1154355097 | Sherry Lynn Rotunda | Dermatology | 3613 Vista Way, Oceanside, CA 92056 | 2006-07-10 |
| 1952333254 | Steven Mark Leshaw | Dermatology | 3613 Vista Way, Oceanside, CA 92056-4522 | 2006-07-07 |
| 1144252388 | Robert Scheinberg | Dermatology | 3613 Vista Way, Oceanside, CA 92056 | 2006-07-07 |
| 1235161308 | Alice Y Liu | Dermatology | 3613 Vista Way, Oceanside, CA 92056-4522 | 2006-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174148639 | Universal Health Net San Diego | Hospice Care, Community Based | 4155 Oceanside Blvd, Suite 240, Oceanside, CA 92056 | 2020-06-10 |
| 1750913216 | Jared Pomerenke | Counselor | 3923 Warning Rd., Suite D, Oceanside, CA 92056 | 2020-02-12 |
| 1700424728 | Donna Jean Trapolino | Dental Hygienist | Bldg414006 Nelson Rd, Camp Pendleton, CA 92056 | 2019-12-20 |
| 1679122717 | David King Ping | Registered Nurse | 3609 Ocean Ranch Blvd Street 104, Oceanside, CA 92056 | 2019-09-11 |
| 1396254058 | Alison Schurman | Nurse Practitioner | 200 Mercy Circle Dr, Department of Pediatrics, Oceanside, CA 92056 | 2017-09-26 |
| 1407212665 | Yolanda Orozco Gaeta | Marriage & Family Therapist | 3923 Waring Road Ste D, North Coastal Treatment Recovery Center, Oceanside, CA 92056 | 2016-01-04 |
| 1871982751 | Wael Wassef | Pharmacist | 4755 Oceanside Blvd Ste 130, Oceanside, CA 92056 | 2015-01-15 |
| 1639501869 | William Stacy Parks | Family Medicine | 2376 Back Nine St., Oceanside, CA 92056 | 2013-07-30 |
| 1760725766 | Great Expectations Services Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4825 Glenhaven Drive, Oceanside, CA 92056 | 2013-03-28 |
| 1649533993 | Justin Bowles | Family Medicine | 1761 Avenida Segovia, Oceanside, CA 92056 | 2012-06-21 |
| Find all providers in zip 92056 | ||||
| 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 |
|---|---|---|---|---|
| 1902448475 | Long Tran | Physician Assistant | 4926 Bella Collina St, Oceanside, CA 92056-1911 | 2019-10-16 |
| 1134761679 | Amanda Lee Vecchio | Physician Assistant | 4171 Oceanside Blvd Ste 109, Oceanside, CA 92056-6008 | 2019-10-16 |
| 1245796366 | Christian Thompson | Physician Assistant | 1st Med Bn, Camp Pendleton, Oceanside, CA 92058 | 2019-02-13 |
| 1801368881 | Yitzchok Tzvi Rosenbaum | Physician Assistant | 3397 Park Ave, Oceanside, NY 11572-4357 | 2019-01-01 |
| 1760971626 | Frank J Saviano | Physician Assistant | 3571 Long Beach Rd, Oceanside, NY 11572-5702 | 2018-05-07 |
| 1790021186 | Lindsey Armatis-rivera | Physician Assistant | 616 S Coast Hwy, Oceanside, CA 92054-4121 | 2012-12-12 |
| 1861725202 | Matthew J Spencer | Physician Assistant | 3231 Waring Court Ste. O, Oceanside, CA 92056 | 2009-09-17 |
| 1538492319 | Carolyn Michele Thomas | Physician Assistant | 3998 Vista Way Ste 102, Oceanside, CA 92056-4515 | 2009-09-11 |
| 1770761702 | Renee J. Reinertsen | Physician Assistant | 2710 Long Beach Rd, Oceanside, NY 11572-2255 | 2008-02-01 |
| 1063448074 | Danielle Mantini-reinoso | Physician Assistant | 3142 Vista Way Suite 207, Oceanside, CA 92056-3619 | 2006-06-23 |
| 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.