KYLE JOSEPH GOLENO (NPI# 1083667851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083667851 |
| Entity Type | Individual |
| Full Name | KYLE JOSEPH GOLENO |
| Credential | PA-C |
| Practice Address |
2290 Sacramento St Vallejo CA 94590-2929 |
| Practice Telephone | 7076435785 |
| Practice Fax Number | 7076438810 |
| Mailing Telephone | 7076435785 |
| Mailing Fax Number | 7076438810 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2009-05-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA16376 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE PTAN | ZZZ97788Z | 01 |
| Street Address |
2290 SACRAMENTO ST |
| City | VALLEJO |
| State | CA |
| Zip Code | 94590-2929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003227372 | Jonathan Okman | Dermatology | 2290 Sacramento St, Vallejo, CA 94590 | 2014-05-08 |
| 1821238569 | Meghan Elizabeth Kennedy | Dermatology | 2290 Sacramento St, Vallejo, CA 94590-2929 | 2009-02-20 |
| 1811159387 | Kathryn Marie Kent | Dermatology | 2290 Sacramento St, Vallejo, CA 94590-2929 | 2008-06-26 |
| 1750564407 | Joshua Paul Spanogle | Dermatology | 2290 Sacramento St, Vallejo, CA 94590-2929 | 2007-12-17 |
| 1376623215 | Debra M Stock | Physician Assistant | 2290 Sacramento St, Vallejo, CA 94590-2929 | 2006-10-16 |
| 1023056983 | John Howard Alexander | Physician Assistant | 2290 Sacramento St, Vallejo, CA 94590-2929 | 2006-06-03 |
| 1275571028 | John Kevin Geisse | Dermatology | 2290 Sacramento St, Vallejo, CA 94590-2929 | 2006-06-03 |
| 1013961572 | Margaret Malig Nonato | Physician Assistant | 2290 Sacramento St, Vallejo, CA 94590-2929 | 2006-05-20 |
| 1518911395 | Serena Mraz | Dermatology | 2290 Sacramento St, Vallejo, CA 94590-2929 | 2006-05-19 |
| 1922052729 | Solano Dermatology Associates Inc | Dermatology | 2290 Sacramento St, Vallejo, CA 94590-2929 | 2006-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265051445 | Jaspreet Bains | Licensed Vocational Nurse | 508 Alabama Street, Vallejo, CA 94590 | 2020-04-08 |
| 1467097527 | Deneane Hannon | Behavioral Analyst | 238 Georgia St. Ste 102, Vallejo, CA 94590 | 2019-11-13 |
| 1780243196 | Abla Harara Almoraissi | Health Educator | John F. Kennedy Library, 505 Santa Clara St, Vallejo, CA 94590 | 2019-06-10 |
| 1891264461 | Brian Emory Kellogg | Marriage & Family Therapist | 525 Oregon St., Php/iop, Vallejo, CA 94590 | 2018-11-13 |
| 1952801862 | Carica Theresa Saraza Macariola | Specialist/Technologist | 1007 Solano Avenue, Vallejo, CA 94590 | 2018-02-16 |
| 1770007973 | Deborah A Johnson-white | Licensed Vocational Nurse | 908 Tuolumne, Vallejo, CA 94590 | 2017-07-29 |
| 1306378260 | Edgar Diaz | Counselor | 236 Georgia Street Suite 101, Vallejo, CA 94590 | 2017-03-30 |
| 1528440096 | Soren Perry | Counselor | 236 Georgia St., Vallejo, CA 94590 | 2015-06-22 |
| 1518366327 | Kimberly A Holland | Counselor | 631 Tennessee Street Suite 201, Vallejo, CA 94590 | 2014-08-18 |
| 1841605193 | Lawana Lofton | Psychologist | 88 Valle Vista Drive, Unit 6310, Vallejo, CA 94590 | 2014-06-25 |
| Find all providers in zip 94590 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265757447 | Mathew D Buechel | Physician Assistant | 100 Hospital Drive, Suite 303, Vallejo, CA 94589-0000 | 2010-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649894403 | Kathlyn Larco | Physician Assistant | 1233 W Randall Way, West Covina, CA 91790-4747 | 2020-06-07 |
| 1487126421 | Eliza Hughes | Physician Assistant | 860 Oak Park Blvd Ste 101, Arroyo Grande, CA 93420-1800 | 2018-12-31 |
| 1508333873 | Andrew Cantos Malit | Physician Assistant | 409 Bristol Way, Corona, CA 92879-6156 | 2018-10-25 |
| 1578049458 | Ida Jelveh | Physician Assistant | 28096 Edelweiss Ct, Laguna Niguel, CA 92677-7006 | 2018-07-13 |
| 1356833578 | Michael James Gonzalez | Physician Assistant | 1500 E Chevy Chase Dr # 401a401b, Glendale, CA 91206-4152 | 2018-06-04 |
| 1023500592 | Pamela Lambert Pa-c, Inc. | Physician Assistant | 16105 Mariposa Ave, Riverside, CA 92504-8730 | 2018-05-31 |
| 1225532385 | Folsom Physicain Assistant First Assist, Inc | Physician Assistant | Nina Vasiliev Pa-c, 15407 Muller Rd, Plymouth, CA 95669-9770 | 2018-03-22 |
| 1275040008 | Gm Surgical Assistant Inc | Physician Assistant | 15615 Turnberry St, Moreno Valley, CA 92555-4901 | 2018-01-02 |
| 1902311186 | Or Solutions Inc | Physician Assistant | 1501 Secret Ravine Pkwy Unit 527, Roseville, CA 95661-6005 | 2017-12-09 |
| 1184143828 | Alaa Abdalla Daghlas | Physician Assistant | 1100 S Eliseo Dr Ste A, Greenbrae, CA 94904-2017 | 2017-09-13 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KYLE JOSEPH GOLENO.
| 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.