EVANGELINE OBRERO (NPI# 1073844650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073844650 |
| Entity Type | Individual |
| Full Name | EVANGELINE OBRERO |
| Credential | PA-C |
| Practice Address |
3110 Chino Ave 150b Chino Hills CA 91709-1211 |
| Practice Telephone | 9096307868 |
| Practice Fax Number | 9096307869 |
| Enumeration Date | 2010-01-21 |
| Last Update Date | 2015-10-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA 16474 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3110 CHINO AVE 150B |
| City | CHINO HILLS |
| State | CA |
| Zip Code | 91709-1211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750381711 | Michael Deanda | Family Medicine | 3110 Chino Ave, Suite 150a, Chino Hills, CA 91709-1211 | 2005-07-29 |
| 1396167896 | Chino Hills Dentistry | Dentist | 3110 Chino Ave, Suite 260, Chino Hills, CA 91709 | 2014-01-17 |
| 1144651407 | Deanna Schmitt | Physical Therapist | 3110 Chino Ave, Suite 130, Chino Hills, CA 91709-1211 | 2013-12-11 |
| 1508151705 | Inland Empire Medical Network | Dermatology | 3110 Chino Ave, Suite 270, Chino Hills, CA 91709-1211 | 2011-06-15 |
| 1588983654 | Wajiha Khan | Family Medicine | 3110 Chino Ave, 150a, Chino Hills, CA 91709-1211 | 2010-05-27 |
| 1396973145 | Pro-body Orthopaedic & Sports Physical Therapy, Inc. | Physical Therapist | 3110 Chino Ave, Suite 270, Chino Hills, CA 91709-1211 | 2009-06-30 |
| 1225294713 | Sula M Safar | Family Medicine | 3110 Chino Ave, Suite 150a, Chino Hills, CA 91709-1211 | 2008-08-04 |
| 1639345861 | John Robert Bottala | Dentist | 3110 Chino Ave, Suite 200, Chino Hills, CA 91709-1211 | 2008-05-07 |
| 1033231402 | Eric John Mccabe | Physical Therapist | 3110 Chino Ave, Suite 130, Chino Hills, CA 91709-1211 | 2007-04-04 |
| 1104971704 | James M Park | Dentist | 3110 Chino Ave, Suite 240, Chino Hills, CA 91709 | 2007-01-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295384 | Jimmy Nguyen Dds Inc | Dentist | 13089 Peyton Dr. Ste. B, Chino Hills, CA 91709 | 2020-11-03 |
| 1811501166 | Carla Rita Rambo | Specialist/Technologist | 14772 Pineline Ave, Chino Hills, CA 91709 | 2020-09-03 |
| 1164071684 | Julia Grienitz | Physician Assistant | 3110 Chino Ave Ste 150b, Chino Hills, CA 91709 | 2019-09-06 |
| 1063992014 | Bonifacio Coronel Fontanilla | Respiratory Therapist, Certified | 2363 Scenic Ridge Dr, Chino Hills, CA 91709 | 2018-08-20 |
| 1174023832 | William George Kyriakakos | Counselor | 3782 Daisy Dr, Chino Hills, CA 91709 | 2018-02-19 |
| 1538677604 | Qurban Dental Corproation | Dentist | 15850 Soquel Canyon Pkwy, Suite A, Chino Hills, CA 91709 | 2018-01-11 |
| 1184131831 | Jacqueline Davidson | Specialist/Technologist | 14255 Peyton Dr., Chino Hills, CA 91709 | 2018-01-03 |
| 1508384702 | Jessica Suwan | Nurse Practitioner | 15403 Aqueduct Lane, Chino Hills, CA 91709 | 2017-09-07 |
| 1750809240 | Livewell Therapy, Inc. | Counselor | 5861 Pine Ave., Chino Hills, CA 91709 | 2017-09-05 |
| 1982122776 | Corey Robert Tiller | Physician Assistant | 1737 Walnut Creek Drive, Chino Hills, CA 91709 | 2017-09-01 |
| Find all providers in zip 91709 | ||||
| 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 |
|---|---|---|---|---|
| 1770192536 | Quy Alan Duy Dao | Physician Assistant | 2285 Monteclaro Dr, Chino Hills, CA 91709-1347 | 2020-07-28 |
| 1447805148 | John Vincent Garcia Enverga | Physician Assistant | 13622 Running Springs Dr, Chino Hills, CA 91709-1442 | 2019-08-08 |
| 1982122776 | Corey Robert Tiller | Physician Assistant | 1737 Walnut Creek Drive, Chino Hills, CA 91709 | 2017-09-01 |
| 1265969315 | Michael Ryan Lising Pingol | Physician Assistant | 5459 Wildsage Pl, Chino Hills, CA 91709-8723 | 2017-05-19 |
| 1518493709 | Julia Riel | Physician Assistant | 3100 Chino Hills Pkwy Unit 531, Chino Hills, CA 91709-4287 | 2017-05-07 |
| 1902275993 | Meredith Dettmar | Physician Assistant | 16705 Carob Ave, Chino Hills, CA 91709-6524 | 2015-09-19 |
| 1235533670 | Ivy Wei Chow | Physician Assistant | 13089 Peyton Dr # C468, Chino Hills, CA 91709-6018 | 2014-10-14 |
| 1366884520 | Jacqueline Turner | Physician Assistant | 4195 Chino Hills Pkwy # 167, Chino Hills, CA 91709-2618 | 2013-07-29 |
| 1104949858 | Stephanie A Chamani | Physician Assistant | 14740 Pipeline Ave Ste D, Suite D, Chino Hills, CA 91709-1293 | 2007-04-09 |
| 1730215401 | Jennifer K Lyons | Physician Assistant | 5558 Tremaine Way, Chino Hills, CA 91709-8807 | 2007-02-26 |
| Find all providers in CHINO HILLS | ||||
| City | CHINO HILLS |
| Zip Code | 91709 |
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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.