CARLOS A CUELLAR (NPI# 1093831117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093831117 |
| Entity Type | Individual |
| Full Name | CARLOS A CUELLAR |
| Credential | PA-C |
| Practice Address |
Student Health Services Csu Chico Chico CA 95929-0001 |
| Mailing Address |
5 Donner Ln Chico CA 95928-4167 |
| Practice Telephone | 5308985241 |
| Mailing Telephone | 5308947354 |
| Mailing Fax Number | 5308986647 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA12339 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245482702 | Carlos Gustavo Cuellar | Dentist | 3307 Francisco Mina, Nuevo Laredo, TAMAULIPAS 88000 | 2008-10-15 |
| Street Address |
STUDENT HEALTH SERVICES CSU CHICO |
| City | CHICO |
| State | CA |
| Zip Code | 95929-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891177887 | William Scott Barker | Specialist/Technologist | Acker Gym Rm 149, Csu, Chico, Chico, CA 95929-0001 | 2015-06-25 |
| 1922299155 | Stephanie Bianco-simeral | Dietitian, Registered | Holt 106, Department of Nutrition and Food Sciences, California State University, Chico, Chico, CA 95929-0001 | 2007-08-05 |
| 1184814881 | Tammy Sue Meigs | Pharmacist | California State University Chico Student Health Pharm, Warner Ave. At College Dr., Chico, CA 95929-0001 | 2007-07-28 |
| 1831211515 | Kathleen Dian Leger | Nurse Practitioner | Csu Chico, Chico, CA 95929-0001 | 2007-04-04 |
| 1588792139 | Ann Emily Morrissey | Family Medicine | Csuc Student Health Service, 400 West 1st Street #777, Chico, CA 95929-0001 | 2007-03-02 |
| 1396873790 | Kimberly A. Chappell | Family Medicine | Calif State Univ Student Health Services, 400 West. 1st Street, Chico, CA 95929-0001 | 2007-02-28 |
| 1326105982 | James Patrick Mace | Social Worker | California State University Chico, School of Social Work, Chico, CA 95929-0001 | 2007-01-03 |
| 1891751053 | Christopher Todd Hougland | Specialist/Technologist | 400 W 1st St, Acker 149, Chico, CA 95929-0001 | 2006-04-25 |
| 1952398109 | Mary Jeanne Miner | Nurse Practitioner | Chico State University Student Health, Warner Ave & College Dr, Chico, CA 95929-0001 | 2005-10-03 |
| 1013902337 | Richard Stephen Kaney | Nurse Practitioner | California State University, Chico, Student Health Services, Chico, CA 95929-0001 | 2005-09-13 |
| Find all providers in zip 95929 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285725895 | Debra Diane Peterson | Physician Assistant | 185 East 7th Ave, Suite D, Chico, CA 95926 | 2006-09-27 |
| 1285679779 | Leon Denson Royston Jr. | Physician Assistant | 2012 Franklin St, Chico, CA 95928-6727 | 2006-06-18 |
| 1831180785 | Mary Katherine Hopson | Physician Assistant | 100 Independence Circle, Argyll Medical Group, Chico, CA 95973-0258 | 2005-10-31 |
| 1811431455 | Shirley Huffman | Physician Assistant | 100 Independence Cir, Chico, CA 95973-0258 | 2016-12-16 |
| 1275910622 | Aaron David Farmer | Physician Assistant | 845 W East Ave, Chico, CA 95926-2002 | 2015-05-05 |
| 1922419860 | Northstate Cardiology Consultants | Physician Assistant | 198 Cohasset Rd, Chico, CA 95926-2202 | 2014-05-14 |
| 1164785093 | David Vincent Robbins II | Physician Assistant | 1531 Esplanade, Chico, CA 95926-3310 | 2012-06-15 |
| 1033425889 | Bernadette Marie Connolly | Physician Assistant | 111 Raley Blvd, Suite 140, Chico, CA 95928-8351 | 2010-08-30 |
| 1821300534 | Stuart E Mishelof | Physician Assistant | 100 Independence Cir, Chico, CA 95973-0258 | 2010-07-10 |
| 1336378744 | Rebecca J Colby | Physician Assistant | 198 Cohasset Rd, Chico, CA 95926-2202 | 2009-07-07 |
| Find all providers in CHICO | ||||
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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.