MS. RANDEE DENICE WILLIS (NPI# 1073618260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073618260 |
Entity Type | Individual |
Full Name | MS. RANDEE DENICE WILLIS |
Credential | PA-C |
Practice Address |
4201 Torrance Blvd Suite 220 Torrance CA 90503-4504 |
Mailing Address |
24209 Park St Torrance CA 90505-6554 |
Practice Telephone | 3105434444 |
Practice Fax Number | 3105434446 |
Mailing Telephone | 3103735022 |
Enumeration Date | 2006-09-13 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | 13139PA | CA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | STATE LICENSE NUMBER | 13139PA | 01 |
Street Address |
4201 TORRANCE BLVD SUITE 220 |
City | TORRANCE |
State | CA |
Zip Code | 90503-4504 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548265499 | William C. Kim, Md Inc | Specialist | 4201 Torrance Blvd, Ste 190, Torrance, CA 90503-4539 | 2005-06-16 |
1295271179 | Scpc Surgery Center | Clinic/Center | 4201 Torrance Blvd, Ste 590, Torrance, CA 90503-4504 | 2017-01-16 |
1992255335 | John P. Ducar, D.d.s., Inc | Dentist | 4201 Torrance Blvd, Suite 450, Torrance, CA 90503-4504 | 2016-10-10 |
1760932131 | Aj Pharmacy, Inc. | Pharmacy | 4201 Torrance Blvd, Suite 210, Torrance, CA 90503-4537 | 2016-10-10 |
1245602796 | Mehta Ortho Md Inc | Orthopaedic Surgery | 4201 Torrance Blvd, 310, Torrance, CA 90503-4504 | 2015-10-23 |
1740670298 | Sunny Sky Beltran | Hearing Instrument Specialist | 4201 Torrance Blvd, Suite 140, Torrance, CA 90503-4500 | 2015-02-04 |
1376962597 | Ram Dandillaya, M.d., Inc. | Internal Medicine | 4201 Torrance Blvd, Suite 790, Torrance, CA 90503 | 2014-04-15 |
1922422930 | Valley Cardiology and Vascular Associates Inc | Internal Medicine | 4201 Torrance Blvd, 750, Torrance, CA 90503-4504 | 2014-02-11 |
1194065078 | Eo Johnson, California Dental Corporation | Dentist | 4201 Torrance Blvd, Suite 420, Torrance, CA 90503-4504 | 2013-02-28 |
1750628715 | Sunila Fuster Md A Professional Corp. | General Practice | 4201 Torrance Blvd, Ste. 530, Torrance, CA 90503-4504 | 2013-01-11 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013562180 | Jason Anthony Maglinao | Chiropractor | 21010 Anza Ave., #12, Torrance, CA 90503 | 2019-08-06 |
1891288890 | Ehab Samaan Dds Inc | Dentist | 19019 Hawthorne Blvd Ste 100b, Torrance, CA 90503 | 2018-06-13 |
1740771435 | Icare California House Call Practice LLC | Nurse Practitioner | 4460 Spencer St, Torrance, CA 90503 | 2018-05-29 |
1396258729 | South Bay Home Care, Inc., Dba Always Best Care - South Bay | In Home Supportive Care | 370 S. Crenshaw Blvd., Ste. E106, Torrance, CA 90503 | 2017-11-07 |
1770093023 | Home Care Professional Services, Inc. | In Home Supportive Care | 3838 West Carson Street, Suite 208, Torrance, CA 90503 | 2017-10-01 |
1003355686 | Mona Nejad | Dentist | 4305 Torrance Blvd Ste 103, Torrance, CA 90503 | 2017-02-16 |
1497114722 | Jacqueline Martinez | Technician, Other | 4201 Torrance Blvd Suite 190, Torrance, CA 90503 | 2016-02-15 |
1093196255 | Hanmo Gu | Chiropractor | 3510 Torrance Blvd., Ste 106, Torrance, CA 90503 | 2015-06-13 |
1164813341 | Aimee Y Miyazawa | Specialist/Technologist | 20501 Earl St. Ste. 3, Torrance, CA 90503 | 2015-02-10 |
1396145231 | Nicole Soghomonian | Social Worker | 5010 Merrill St, Torrance, CA 90503 | 2014-08-28 |
Find all providers in zip 90503 |
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 |
---|---|---|---|---|
1326674854 | Karissa Tran Sharifian | Physician Assistant | 16818 Ainsworth Ave, Torrance, CA 90504-1239 | 2020-03-16 |
1861024671 | Agnes Leung | Physician Assistant | 4330 W 176th St, Torrance, CA 90504-3128 | 2020-02-10 |
1649802349 | Christine Tran | Physician Assistant | 2780 Skypark Dr Ste 115, Torrance, CA 90505-5342 | 2020-02-10 |
1770121014 | Michael Kerry Mills | Physician Assistant | 1524 W 215th St, Torrance, CA 90501-3026 | 2019-12-17 |
1760947543 | Ariel S. Blumenstrauch | Physician Assistant | 4201 Torrance Blvd Ste 640, Torrance, CA 90503-4524 | 2019-02-05 |
1881166767 | Dhithya Ramaswamy | Physician Assistant | 4152 Spencer St, Torrance, CA 90503-2420 | 2018-12-17 |
1588131254 | Lisa Iwasaki | Physician Assistant | 4201 Torrance Blvd Ste 340, Torrance, CA 90503-4514 | 2018-10-30 |
1629544234 | Doroty O.d.s. Devalon | Physician Assistant | 23530 Hawthorne Boulevard Building 1, Suite 290, Torrance, CA 90505 | 2018-10-22 |
1407337140 | Chinwe J Thomas | Physician Assistant | 20829 Anza Ave Apt 322, Torrance, CA 90503-4293 | 2018-08-21 |
1023507324 | Robert De Leon | Physician Assistant | 23530 Hawthorne Blvd Ste 290, Torrance, CA 90505 | 2018-05-02 |
Find all providers in TORRANCE |
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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.