MR. DAVID ANTHONY KONZEM (NPI# 1043641822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043641822 |
| Entity Type | Individual |
| Full Name | MR. DAVID ANTHONY KONZEM |
| Credential | PA-C |
| Practice Address |
2880 Hulen Pl Riverside CA 92507-2606 |
| Practice Telephone | 9517153445 |
| Enumeration Date | 2013-12-04 |
| Last Update Date | 2020-03-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0010-07561 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | PA51287 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1705 Tarboro St Sw, Wilson, NC 278933428 | 2523998040 | 2523998778 |
| Street Address |
2880 HULEN PL |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92507-2606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629257373 | Cassandra L Black | Social Worker | 2880 Hulen Pl, Riverside, CA 92507-2606 | 2007-10-30 |
| 1184153124 | Lindsey Allison Cunanan | Nurse Practitioner | 2880 Hulen Pl, Riverside, CA 92507-2606 | 2017-06-04 |
| 1194256651 | James Perry Perkins Jr. | Chiropractor | 2880 Hulen Pl, Riverside, CA 92507-2606 | 2017-03-24 |
| 1811438740 | Cynthia Leticia Lopez | Family Medicine | 2880 Hulen Pl, Riverside, CA 92507-2606 | 2017-03-11 |
| 1285029462 | Urban Community Action Projects | Clinic/Center | 2880 Hulen Pl, Riverside, CA 92507-2606 | 2015-04-03 |
| 1548678881 | Jeffrey Hensley | Nurse Practitioner | 2880 Hulen Pl, Riverside, CA 92507-2606 | 2014-07-30 |
| 1063845972 | Lawrence B Sandberg | Family Medicine | 2880 Hulen Pl, Riverside, CA 92507-2606 | 2013-08-14 |
| 1275870628 | Joel Gallano Ombao | Nurse Practitioner | 2880 Hulen Pl, Riverside, CA 92507-2606 | 2013-01-04 |
| 1336492974 | Devadas Moses | Clinic/Center | 2880 Hulen Pl, Riverside, CA 92507-2606 | 2012-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205448917 | Rachel Nielson | Counselor | 1450 Spruce St, Suite A, Riverside, CA 92507 | 2020-08-24 |
| 1437769742 | Pakravan, Manavi & Cohen Dental Corporation | Dentist | 2862 Unit B Canyon Springs Parkway, Riverside, CA 92507 | 2020-08-03 |
| 1518577972 | Michael Vincent Laureola Dds Inc | Dentist | 2862 Unit A Canyon Springs Parkway, Riverside, CA 92507 | 2020-07-31 |
| 1164067567 | Audrey Gruen | Social Worker | Canyon Crest Mental Health, 5225 Canyon Crest Drive #100, Riverside, CA 92507 | 2019-11-10 |
| 1518432962 | Antonio Mixon | Specialist | 1405 Spruce Street, Suite A, Riverside, CA 92507 | 2018-10-11 |
| 1811479793 | New Day Counseling Services | Counselor | 20363 Harvard Way, Riverside, CA 92507 | 2018-09-06 |
| 1780176875 | Miriam Martinez | Case Manager/Care Coordinator | 2085 Rustin Ave., Riverside, CA 92507 | 2018-06-04 |
| 1518478874 | Lisa Manuel | Counselor | 2058 Rustin Ave, Riverside, CA 92507 | 2017-10-13 |
| 1497272942 | Yajaira Placensia | Behavioral Analyst | 1486 Everton Place, Riverside, CA 92507 | 2017-08-25 |
| 1841717691 | Stephanie Teuchert | Behavioral Analyst | 1080 Spruce Street Apartment 7c, Riverside, CA 92507 | 2017-08-23 |
| Find all providers in zip 92507 | ||||
| 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 |
|---|---|---|---|---|
| 1598307274 | Adriana Romo | Physician Assistant | 4100 Central Ave Ste 102, Riverside, CA 92506-2930 | 2019-10-14 |
| 1861059784 | Sean Jackson | Physician Assistant | 16851 Tava Ln, Riverside, CA 92504-5809 | 2019-05-27 |
| 1518449503 | Morgan Pilar Goodson | Physician Assistant | 7278 Westport St, Riverside, CA 92506-6163 | 2018-09-05 |
| 1194230334 | Helen Zhu | Physician Assistant | 7158 Foxcroft St, Riverside, CA 92506-6125 | 2017-12-11 |
| 1164933750 | Stephanie Jane Oertel | Physician Assistant | 1285 E Putnam Ave, Riverside, CT 06878 | 2017-10-23 |
| 1467800649 | Ann Gielyn Konzem | Physician Assistant | 17301 Palm Rd, Riverside, CA 92503-7501 | 2016-05-29 |
| 1396108189 | Chelsea Hardesty | Physician Assistant | 4646 Brockton Ave Ste 302, Riverside, CA 92506-0172 | 2016-03-30 |
| 1093191504 | Brian Montgomery | Physician Assistant | 5976 Omega St, Riverside, CA 92506-4744 | 2015-08-06 |
| 1851770721 | Safarini Njambi Nyaggah | Physician Assistant | 8439 Manuel Rd, Riverside, CA 92508-2928 | 2015-05-26 |
| 1124457015 | Tiffany Peraino | Physician Assistant | 5225 Canyon Crest Dr # 71-221, Riverside, CA 92507-6301 | 2013-11-01 |
| Find all providers in RIVERSIDE | ||||
Please comment or provide details below to improve the information on MR. DAVID ANTHONY KONZEM.
| 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.