CASEY MCCOLLUM (NPI# 1083963664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083963664 |
Entity Type | Individual |
Full Name | CASEY MCCOLLUM |
Credential | PA-C |
Practice Address |
1902 Royalty Dr Suite 130 Pomona CA 91767-3030 |
Practice Telephone | 9098655777 |
Practice Fax Number | 9098655781 |
Mailing Telephone | 9098655777 |
Enumeration Date | 2012-08-29 |
Last Update Date | 2014-01-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | PA22463 | CA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578703120 | Casey Mccollum | Social Worker | 2477 Woodland Rd, Bryn Athyn, PA 19009 | 2009-02-23 |
1770011553 | Casey Mccollum | Physical Therapist | 1002 E Blanco Rd Ste B, Boerne, TX 78006-1802 | 2017-05-24 |
Street Address |
1902 ROYALTY DR SUITE 130 |
City | POMONA |
State | CA |
Zip Code | 91767-3030 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629073804 | Samuel Salen | Radiology | 1902 Royalty Dr, Ste 220, Pomona, CA 91767-3056 | 2005-06-15 |
1447721972 | Sarina Karwande | Physical Medicine & Rehabilitation | 1902 Royalty Dr, Pomona, CA 91767-3030 | 2018-12-10 |
1740778810 | Diana Marissa Velasco | Physical Therapy Assistant | 1902 Royalty Dr, Pomona, CA 91767-3030 | 2018-04-24 |
1902323181 | Justin Shieh | Occupational Therapist | 1902 Royalty Dr, Pomona, CA 91767-3030 | 2017-08-28 |
1609271501 | Maria Sancho | Physical Therapist | 1902 Royalty Dr, Suite 170, Pomona, CA 91767-3030 | 2014-11-04 |
1144636473 | Samantha Cardeno | Physical Therapist | 1902 Royalty Dr, Suite 170, Pomona, CA 91767-3030 | 2014-07-08 |
1861767212 | Stuart L Zubrick Marriage Family and Child Counseling, A Prof Corp | Non-Pharmacy Dispensing Site | 1902 Royalty Dr, Ste 290, Pomona, CA 91767-3030 | 2012-03-19 |
1063797835 | Rochelle Rose Gunnarsson | Physical Therapist | 1902 Royalty Dr, Suite 220, Pomona, CA 91767-3030 | 2011-10-12 |
1245511633 | Arj Medical Inc. | Non-Pharmacy Dispensing Site | 1902 Royalty Dr, Suite 120, Pomona, CA 91767-3030 | 2011-08-30 |
1275811085 | United Therapy Network Incorporated | Occupational Therapist | 1902 Royalty Dr, Suite 220, Pomona, CA 91767-3030 | 2011-07-27 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942807979 | Ayed Hawatmeh Dds Inc | Dentist | 322 E Foothill Blvd, Pomona, CA 91767 | 2020-10-02 |
1780205302 | Melanie Crystal Ramirez | Counselor | 845 East Arrow Hwy, Pomona, CA 91767 | 2020-05-05 |
1780249029 | Jean Hang | Pharmacist | 775 East Foothill Blvd, Pomona, CA 91767 | 2019-05-02 |
1679043269 | Christy Bloss | Counselor | 16029 Arrow Hwy. Suite G, Irwindale, CA 91767 | 2018-11-27 |
1740758895 | Pomona Community Health Center | Dentist | 1448 E Holt Avenue, Pomona, CA 91767 | 2018-11-07 |
1245749878 | Continental Post Acute LLC | Skilled Nursing Facility | 1912 N.san Antonio, Pomona, CA 91767 | 2017-09-26 |
1083134373 | Virginia Thompson | Counselor | 845 E. Arrow Hwy., Pomona, CA 91767 | 2017-06-27 |
1215489000 | Boys Republic - Pomona Residence | Community/Behavioral Health | 733 N Garey Ave, Pomona, CA 91767 | 2016-10-27 |
1164870499 | Karthikeyan Bhuvaneswaran | Psychiatry & Neurology | 255 E Bonita Ave Bldg Suite103, Pomona, CA 91767 | 2016-05-26 |
1679936777 | Nex's Traditional Chinese Medicine | Acupuncturist | 1150 N Garey Ave, Pomona, CA 91767 | 2016-04-05 |
Find all providers in zip 91767 |
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 |
---|---|---|---|---|
1760033278 | Kandin Maraquin | Physician Assistant | 1415 Ledgestone Ln, Pomona, CA 91767-3566 | 2019-09-25 |
1285123653 | Catherine Yaw | Physician Assistant | 450 E 2nd St, Pomona, CA 91766-1950 | 2018-05-01 |
1174052898 | Daniel Paul Bunker | Physician Assistant | 2410 N Towne Ave Unit 57, Pomona, CA 91767-2449 | 2017-06-06 |
1982074548 | Kathryn Taraneh Johnson | Physician Assistant | 1532 E. San Bernardino Ave, Suite A2, Pomona, CA 91762-4913 | 2015-09-25 |
1770982209 | Susan Kazumi Sasaki Pickard | Physician Assistant | 260 E. Holt Ave, Pomona, CA 91767 | 2014-08-20 |
1831493113 | Vida Vickers | Physician Assistant | 2112 S Garey Ave Ste C, Pomona, CA 91766-5600 | 2010-12-31 |
1124337241 | Aracely Perales | Physician Assistant | 716 E. Mission Blvd, Suite D, Pomona, CA 91766 | 2010-10-07 |
1235372145 | Jane Ellen Rodgers | Physician Assistant | 790 E Bonita Ave Fl 2, Pomona, CA 91767-1906 | 2009-04-08 |
1275784852 | Reynaldo C Obrero | Physician Assistant | 502 S Garey Ave, Pomona, CA 91766-3319 | 2008-10-01 |
1487812293 | Avigayl Gordon | Physician Assistant | 3 Beaver Dam Rd, Pomona, NY 10970-3202 | 2008-05-29 |
Find all providers in POMONA |
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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.