MS. CINDY ELLEN TETZLAFF (NPI# 1013129659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013129659 |
| Entity Type | Individual |
| Full Name | MS. CINDY ELLEN TETZLAFF |
| Credential | PA-C |
| Practice Address |
10650 Sierra Ave Ste B Fontana CA 92337-7664 |
| Mailing Address |
6790 Fairchild St Fontana CA 92336-4192 |
| Practice Telephone | 9095503320 |
| Mailing Telephone | 9095126612 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2019-09-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 11644 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 3473 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 15888 Main St, Hesperia, CA 92345 | 8888736220 |
| Street Address |
10650 SIERRA AVE STE B |
| City | FONTANA |
| State | CA |
| Zip Code | 92337-7664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205914546 | Felecia Green | Physician Assistant | 10650 Sierra Ave Ste B, Fontana, CA 92337 | 2006-11-02 |
| 1528510062 | Urgent Care Travel, Inc | Clinic/Center | 10650 Sierra Ave Ste B, Fontana, CA 92337-7664 | 2016-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437630324 | Bobby Lou Moll | Dietitian, Registered | 11967 Savona Dr., Fontana, CA 92337 | 2018-08-28 |
| 1629587001 | Esther Muteti | Registered Nurse | 11468 Old Spring Rd, Fontana, CA 92337 | 2017-09-28 |
| 1992158307 | Crystalina Alvarez | Marriage & Family Therapist | 17210 Slover Ave, Fontana, CA 92337 | 2016-07-20 |
| 1659782787 | Russell Laroy Johnson | Contractor | 11629 Sueno Ct., Fontana, CA 92337 | 2014-05-12 |
| 1295151363 | Mccall Stephens | Marriage & Family Therapist | 15511 Colt Ave, Fontana, CA 92337 | 2014-03-12 |
| 1356780803 | Cynthia Lee Wright I | Registered Nurse | 17216 Slover Avenue, Building L, Fontana, CA 92337 | 2013-06-18 |
| 1649459652 | Rebecca Ann Carpio-darshay | Nurse Practitioner | 17296 Slover Avenue, Fontana, CA 92337 | 2007-10-25 |
| 1205025731 | Karen Garcia-herrera | Dietitian, Registered | 17296 Slover Ave, Palm Court 1, Fontana, CA 92337 | 2007-10-22 |
| 1417049933 | Shauna Nichele Lowry | Orthotist | 16200 Coleen St, Suite A, Fontana, CA 92337 | 2006-09-29 |
| 1033212592 | Jugal K Gupta | Dentist | 11623 Cherry Ave, Ste B-2, Fontana, CA 92337 | 2006-09-07 |
| Find all providers in zip 92337 | ||||
| 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 |
|---|---|---|---|---|
| 1356968325 | Tracey Huddleston | Physician Assistant | 13676 Dodge Ct, Fontana, CA 92336-3405 | 2020-06-25 |
| 1114559176 | Theresa Nkechinyerem Okeke | Physician Assistant | 5931 Wilshire Dr, Fontana, CA 92336-5697 | 2020-02-07 |
| 1972018513 | Tanya Lumbangaol | Physician Assistant | 6768 Winter Night Ct, Fontana, CA 92336-1417 | 2017-12-05 |
| 1174046676 | Diana Jaqueline Romo | Physician Assistant | 6570 Kaiser Ave, Fontana, CA 92336-3260 | 2017-07-18 |
| 1417482761 | Jeffrey Lynn Cox | Physician Assistant | 10444 Live Oak Ave, Fontana, CA 92337-7219 | 2017-04-25 |
| 1811356439 | Khristine Marie Bueno | Physician Assistant | 16465 Sierra Lakes Pkwy Ste 100, Fontana, CA 92336-1242 | 2016-02-11 |
| 1407237498 | Natalie Kathleen Herrera | Physician Assistant | 16456 Sierra Lakes Pkwy, Suite 300, Fontana, CA 92336 | 2015-06-15 |
| 1619385309 | Daniel Loera | Physician Assistant | 17156 Manzanita Dr, Fontana, CA 92335-5851 | 2014-07-26 |
| 1396175758 | Martha C Ajca | Physician Assistant | 17051 Sierra Lakes Parkway, Suite 101, Fontana, CA 92336 | 2013-11-22 |
| 1053666297 | Vanessa M Michelena Basantes | Physician Assistant | 4904 Tahan Way, Fontana, CA 92336-0428 | 2012-07-13 |
| Find all providers in FONTANA | ||||
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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.