AMANDA MARIE THOMETZ (NPI# 1992229801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992229801 |
| Entity Type | Individual |
| Full Name | AMANDA MARIE THOMETZ |
| Credential | PA |
| Practice Address |
8805 Haven Ave Ste 200 Rancho Cucamonga CA 91730-5157 |
| Mailing Address |
4306 Camelia Ct Chino CA 91710-1602 |
| Practice Telephone | 9099121750 |
| Mailing Telephone | 5627739718 |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2018-12-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA54913 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
8805 HAVEN AVE STE 200 |
| City | RANCHO CUCAMONGA |
| State | CA |
| Zip Code | 91730-5157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417966649 | Trenton Joe Shumway | Physical Therapist | 8805 Haven Ave Ste 200, Rancho Cucamonga, CA 91730-5157 | 2006-08-05 |
| 1265043178 | Steve Chu | Physical Therapist | 8805 Haven Ave Ste 200, Rancho Cucamonga, CA 91730-5157 | 2020-08-13 |
| 1629558994 | Renee Ghaly | Physical Therapist | 8805 Haven Ave Ste 200, Rancho Cucamonga, CA 91730-5157 | 2018-08-16 |
| 1639386295 | Sang Van Le | Orthopaedic Surgery | 8805 Haven Ave Ste 200, Rancho Cucamonga, CA 91730-5157 | 2007-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932722444 | Alliancerx Health Solutions, LLC. | Clinical Medical Laboratory | 9431 Haven Ave, Suite 100 #376, Rancho Cucamonga, CA 91730 | 2020-05-19 |
| 1346860194 | Wecare Dialysis Center | Clinic/Center | 8591 Grove Ave, Rancho Cucamonga, CA 91730 | 2020-04-22 |
| 1982235263 | Mel Latone Family Counseling, Inc. | Marriage & Family Therapist | 9033 Base Line Road, Suite M, Rancho Cucamonga, CA 91730 | 2020-01-27 |
| 1205471240 | Breena Nakamoto | Social Worker | 9645 Arrow Route, Building 5, Suite A, Rancho Cucamonga, CA 91730 | 2019-11-13 |
| 1497300180 | Laura Estela Le | Behavior Technician | 8350 Archilbald Ave Ste 110, Rancho Cucamonga, CA 91730 | 2019-08-08 |
| 1336792100 | Swan Psychological Services, Inc. | Psychologist | 8333 E. Foothill Blvd., Suite 109, Rancho Cucamonga, CA 91730 | 2019-07-22 |
| 1568023745 | Mariah Wright | Behavior Technician | 10532 Arcacia St, B-11, Rancho Cucamonga, CA 91730 | 2019-06-27 |
| 1770140378 | Amanda Ware | Clinic/Center | 9333 Fairway View Place Suite 101, Rancho Cucamonga, CA 91730 | 2019-05-20 |
| 1265995435 | Collaborative Autism Management Programs Inc. | Community/Behavioral Health | 9360 Santa Anita Ave Ste 104, Rancho Cucamonga, CA 91730 | 2019-04-12 |
| 1700361326 | Brittany Rhone | Behavioral Analyst | 933 Baseline Rd, Rancho Cucamonga, CA 91730 | 2018-09-28 |
| Find all providers in zip 91730 | ||||
| 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 |
|---|---|---|---|---|
| 1841818747 | Wtfootcare, Professional Physician Assistant Corporation | Physician Assistant | 8972 Appaloosa Ct, Rancho Cucamonga, CA 91737-1401 | 2020-07-08 |
| 1659993624 | Brandon Edward Mccullough | Physician Assistant | 6137 Walnut Grove Ct, Rancho Cucamonga, CA 91739-2267 | 2020-05-13 |
| 1114582681 | Jessica Lizet Gomez | Physician Assistant | 8008 Monet Ave Ste 107, Rancho Cucamonga, CA 91739-7509 | 2019-05-09 |
| 1497286082 | Lauren Michelle Bolda | Physician Assistant | 11660 Church St Apt 363, Rancho Cucamonga, CA 91730-8938 | 2017-03-24 |
| 1932537016 | Ashley Michelle Williams | Physician Assistant | 5135 Branding Iron Pl, Rancho Cucamonga, CA 91739-2273 | 2013-10-28 |
| 1346437977 | Judeth Christine Mckindley | Physician Assistant | 10808 Foothill Blvd Ste 160, Rancho Cucamonga, CA 91730-0601 | 2007-09-27 |
| 1043400419 | Antonia Lynn Rogers | Physician Assistant | 7777 Milliken Ave Ste 110, Rancho Cucamonga, CA 91730-6781 | 2007-07-31 |
| 1669675419 | Amber Marie Chin | Physician Assistant | 12739 N Overlook Dr, Rancho Cucamonga, CA 91739-2320 | 2007-06-08 |
| 1407904329 | Rosslyn S Byous | Physician Assistant | 9405 Fairway View Pl, Rancho Cucamonga, CA 91730-0932 | 2007-01-08 |
| 1083669576 | Alicia Gamboa | Physician Assistant | 12223 Highland Ave, Rancho Cucamonga, CA 91739-2574 | 2006-05-23 |
| Find all providers in RANCHO CUCAMONGA | ||||
| City | RANCHO CUCAMONGA |
| Zip Code | 91730 |
Please comment or provide details below to improve the information on AMANDA MARIE THOMETZ.
| 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.