Jennifer Latey (NPI# 1245310770, PAC ID# 7113025537) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1245310770 |
| PAC ID by PECOS | 7113025537 |
| Professional Enrollment ID | I20170928003555 |
| Full Name | Jennifer Latey |
| Organization Legal Name | SC MEDICAL, INC. |
| Address |
19042 Soledad Canyon Rd Santa Clarita CA 91351-3362 |
| Phone Number | 6612516300 |
| Gender | F |
| Credential | PA |
| Graduation Year | 2003 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 6305001439 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050056 | ANTELOPE VALLEY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 19042 Soledad Canyon Rd, Santa Clarita, CA 91351-3362 | 6612516300 | SC MEDICAL, INC. |
| Organization Legal Name | SC MEDICAL, INC. |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan Hartogh | Physician Assistant | Sc Medical, Inc. | 19042 Soledad Canyon Rd, Santa Clarita, CA 91351-3362 |
| Ezequiel Suarez | Preventative Medicine | Sc Medical, Inc. | 19042 Soledad Canyon Rd, Santa Clarita, CA 91351-3362 |
| Money Vashistha | Family Medicine | Sc Medical, Inc. | 19042 Soledad Canyon Rd, Santa Clarita, CA 91351-3362 |
| Gian Paolo Hernandez | Family Medicine | Sc Medical, Inc. | 19042 Soledad Canyon Rd, Santa Clarita, CA 91351-3362 |
| Afron Alphonso | Family Practice | Sc Medical, Inc. | 19042 Soledad Canyon Rd, Santa Clarita, CA 91351-3362 |
| Michael R Lewis | Family Practice | Sc Medical, Inc. | 19042 Soledad Canyon Rd, Santa Clarita, CA 91351-3362 |
| Vijay Patel | Family Practice | Sc Medical, Inc. | 19042 Soledad Canyon Rd, Santa Clarita, CA 91351-3362 |
| Shahab Banayan | Family Practice | Sc Medical, Inc. | 19042 Soledad Canyon Rd, Santa Clarita, CA 91351-3362 |
| Street Address |
19042 SOLEDAD CANYON RD |
| City | SANTA CLARITA |
| State | CA |
| Zip | 91351-3362 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan Hartogh | Physician Assistant | Sc Medical, Inc. | 19042 Soledad Canyon Rd, Santa Clarita, CA 91351-3362 |
| Ezequiel Suarez | Preventative Medicine | Sc Medical, Inc. | 19042 Soledad Canyon Rd, Santa Clarita, CA 91351-3362 |
| Money Vashistha | Family Medicine | Sc Medical, Inc. | 19042 Soledad Canyon Rd, Santa Clarita, CA 91351-3362 |
| Gian Paolo Hernandez | Family Medicine | Sc Medical, Inc. | 19042 Soledad Canyon Rd, Santa Clarita, CA 91351-3362 |
| Afron Alphonso | Family Practice | Sc Medical, Inc. | 19042 Soledad Canyon Rd, Santa Clarita, CA 91351-3362 |
| Michael R Lewis | Family Practice | Sc Medical, Inc. | 19042 Soledad Canyon Rd, Santa Clarita, CA 91351-3362 |
| Vijay Patel | Family Practice | Sc Medical, Inc. | 19042 Soledad Canyon Rd, Santa Clarita, CA 91351-3362 |
| Shahab Banayan | Family Practice | Sc Medical, Inc. | 19042 Soledad Canyon Rd, Santa Clarita, CA 91351-3362 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Colleen L Indermill | Physical Therapy | Relief Physical Therapy, Inc. | 27225 Camp Plenty Rd, Suite 6, Canyon Country, CA 91351-2654 |
| Robert Shepler | Chiropractic | 27225 Camp Plenty Rd, Suite 3, Canyon Country, CA 91351-2654 | |
| Edward C Landon | Optometry | 19036 Soledad Canyon Rd, Canyon Country, CA 91351-3362 | |
| Christopher Scott Eddy | Chiropractic | 19038 Soledad Canyon Rd, Santa Clarita, CA 91351-3362 | |
| Shoji Morita | Optometry | 19000 Soledad Canyon Rd, Canyon Country, CA 91351-3362 | |
| Philip D Eddy | Chiropractic | 19038 Soledad Canyon Rd, Canyon Country, CA 91351-3362 | |
| Ira S Latto | Ophthalmology | 19180 Soledad Canyon Rd, Canyon Country, CA 91351-3364 | |
| Nicole C Platte | Chiropractic | 18635 Soledad Canyon Rd, Suite 102, Santa Clarita, CA 91351-3723 | |
| Shin Ho | Family Practice | 27141 Hidaway Ave, Suite 106, Canyon Country, CA 91351-4135 | |
| Lawrence R Leiter | Family Medicine | 27141 Hidaway Ave, Suite 107, Canyon Country, CA 91351-4136 | |
| Find all physicians in zip 91351 | |||
| City | SANTA CLARITA |
| Zip Code | 91351 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | SANTA CLARITA + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Jennifer Latey.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.