NA JEN (NPI# 1053726695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053726695 |
| Entity Type | Individual |
| Full Name | NA JEN |
| Practice Address |
43839 15th St W Lancaster CA 93534-4756 |
| Mailing Address |
708 S 8th St Philadelphia PA 19147-2004 |
| Practice Telephone | 6619455984 |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2018-11-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 20A16741 | CA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | DR.0059296 | CO | Student, Health Care |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | OT015731 | PA | Student, Health Care |
| Street Address |
43839 15TH ST W |
| City | LANCASTER |
| State | CA |
| Zip Code | 93534-4756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508860412 | Manuel Arroyo | Family Medicine | 43839 15th St W, Lancaster, CA 93534-4756 | 2005-06-08 |
| 1376143339 | Antelope Valley Outpatient Imaging Center, LLC | Radiology | 43839 15th St W, Lancaster, CA 93534-4756 | 2020-10-29 |
| 1992336044 | Dennis Lee Anderson | Social Worker | 43839 15th St W, Lancaster, CA 93534-4756 | 2020-01-28 |
| 1780248492 | Annie Hu | Pharmacist | 43839 15th St W, Lancaster, CA 93534-4756 | 2019-04-28 |
| 1821573981 | Peggy Touche Leugue | Nurse Practitioner | 43839 15th St W, Lancaster, CA 93534-4756 | 2018-09-25 |
| 1427540434 | Kimberly Gill | Nurse Practitioner | 43839 15th St W, Lancaster, CA 93534-4756 | 2018-06-05 |
| 1083148241 | Nancy Le | Pharmacist | 43839 15th St W, Lancaster, CA 93534-4756 | 2017-04-14 |
| 1275996373 | Mike Mckelly | Respiratory Therapist, Certified | 43839 15th St W, Lancaster, CA 93534-4756 | 2016-04-05 |
| 1891153979 | Michelle Moon | Pharmacist | 43839 15th St W, Lancaster, CA 93534-4756 | 2016-02-04 |
| 1700251840 | Irene Hanna | Pharmacist | 43839 15th St W, Lancaster, CA 93534-4756 | 2015-12-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194346098 | Lori Ann Barlow Washington | Counselor | 921 W J Street, Lancaster, CA 93534 | 2020-05-01 |
| 1629698253 | Gisela Regalado Paredes | Surgery | Antelope Valley Hospital, 1600 West Ave J, Lancaster, CA 93534 | 2020-04-23 |
| 1124668470 | Latonya Jean Allen | Case Manager/Care Coordinator | 44443 10th St. West, Lancaster, CA 93534 | 2020-01-14 |
| 1629629746 | Korinna Fite | Occupational Therapy Assistant | 43860 10th St. W., Lancaster, CA 93534 | 2019-09-20 |
| 1114576105 | Victor Nemr Hass Md | Anesthesiology | Embassy Surgery Center, 42135 10th Street West 325, Lancaster, CA 93534 | 2019-09-11 |
| 1609421007 | Jaime A Mort | Nurse Practitioner | 43112 N 15st W, Lancaster, CA 93534 | 2019-08-03 |
| 1013560747 | Allyson Lods | Dietitian, Registered | 43115 15th Street West, Lancaster, CA 93534 | 2019-07-22 |
| 1144884123 | Nicole Breanne Palman | Speech-Language Pathologist | 43860 10th St. West, 1st Floor, Lancaster, CA 93534 | 2019-04-25 |
| 1841761475 | Vanessa Gonzalez | Case Manager/Care Coordinator | 44226 10th St West, Lancaster, CA 93534 | 2018-12-07 |
| 1760969265 | Marilyn Joy Pollack | Physical Therapy Assistant | 1306 W Avenue J Ste 2, Lancaster, CA 93534 | 2018-07-26 |
| Find all providers in zip 93534 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962911750 | Keystone Functional Medicine, PC | General Practice | 1689 Crown Ave Ste 5, Lancaster, PA 17601 | 2017-09-25 |
| 1073952669 | Robert Colvin Krissinger | General Practice | 1878 Villa Ct, Lancaster, PA 17603-2386 | 2013-06-18 |
| 1831438639 | Leigh Wakefield Kendall | General Practice | 1832 Apostle Way, Lancaster, PA 17603-2300 | 2013-02-14 |
| 1699810044 | Melquiades Rivero Valenzuela | General Practice | 43841 10th St W, Lancaster, CA 93534-4802 | 2007-02-21 |
| 1558371567 | Christine M Helbling | General Practice | 43839 N 15th St West, High Desert Medical Group, Lancaster, CA 93534 | 2006-08-09 |
| 1154382505 | Jerome Krumpelman | General Practice | 51 Back Creek Rd, Lancaster, KY 40444-8566 | 2006-03-28 |
| 1487633996 | Steven D Green | General Practice | 405 Danville St, Lancaster, KY 40444-1150 | 2006-01-12 |
| 1861056228 | Lydia Green Md Inc | General Practice | 1600 W Avenue J, Lancaster, CA 93534-2814 | 2019-04-30 |
| 1194217588 | Hmg Health Care | General Practice | 44215 15th Street West, Suite 315, Lancaster, CA 93534-5505 | 2018-06-01 |
| 1043568066 | A V Family Medicine Inc. | General Practice | 43841 10th St W, Lancaster, CA 93534-4802 | 2012-08-23 |
| Find all providers in LANCASTER | ||||
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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.