ANGELA ABBOUD (NPI# 1114399334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114399334 |
| Entity Type | Individual |
| Full Name | ANGELA ABBOUD |
| Credential | MMS, PA-C |
| Practice Address |
2725 Mendocino Ave Santa Rosa CA 95403-2805 |
| Practice Telephone | 7075454537 |
| Practice Fax Number | 7075456726 |
| Mailing Telephone | 7075454537 |
| Mailing Fax Number | 7075456726 |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2017-04-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 52961 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2725 MENDOCINO AVE |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95403-2805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649265976 | Heather Noel Silva | Physician Assistant | 2725 Mendocino Ave, Santa Rosa, CA 95403-2805 | 2005-09-13 |
| 1558812875 | Northern California Medical Assoc Inc | Dermatology | 2725 Mendocino Ave, Santa Rosa, CA 95403-2805 | 2016-10-21 |
| 1760725394 | Brianne Zechlinski Dickey | Dermatology | 2725 Mendocino Ave, Santa Rosa, CA 95403-2805 | 2013-04-02 |
| 1649599648 | Jennifer Hayes | Dermatology | 2725 Mendocino Ave, Santa Rosa, CA 95403-2805 | 2010-06-01 |
| 1083949853 | Judith Hong | Dermatology | 2725 Mendocino Ave, Santa Rosa, CA 95403-2805 | 2009-10-12 |
| 1083849012 | Ligaya Park | Dermatology | 2725 Mendocino Ave, Santa Rosa, CA 95403-2805 | 2009-05-20 |
| 1942483755 | Pisenti Chiropractic, Inc | Chiropractor | 2725 Mendocino Ave, Suite C, Santa Rosa, CA 95403-2805 | 2007-12-14 |
| 1588879373 | Redwood Dermatopathology Laboratory | Clinical Medical Laboratory | 2725 Mendocino Ave, Santa Rosa, CA 95403-2805 | 2007-05-14 |
| 1710913231 | Redwood Family Dermatology Medical Associates | Dermatology | 2725 Mendocino Ave, Santa Rosa, CA 95403-2805 | 2006-06-25 |
| 1609862820 | Albert Peng | Dermatology | 2725 Mendocino Ave, Santa Rosa, CA 95403-2805 | 2005-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912549841 | Abundance Acupuncture Healing Clinic | Acupuncturist | 3410 Mendocino Avenue, Santa Rosa, CA 95403 | 2019-10-11 |
| 1982161337 | Crystal J Ward | Registered Nurse | 2350 Mendocino Ave, Ste A4, Santa Rosa, CA 95403 | 2019-02-21 |
| 1033674379 | George Edward Griese | Respiratory Therapist, Registered | 501 Bicentennial Way, Santa Rosa, CA 95403 | 2019-01-31 |
| 1508320672 | East-west Natural Medicine Inc. | Acupuncturist | 2200 Range Ave #207, Santa Rosa, CA 95403 | 2019-01-23 |
| 1316410640 | Lionel C Cooper | Counselor | 315 Mark West Springs Road, Santa Rosa, CA 95403 | 2019-01-09 |
| 1326519182 | Jkb Solutions Inc. | In Home Supportive Care | 3554 Round Barn Boulevard, Suite 311, Santa Rosa, CA 95403 | 2018-12-05 |
| 1487121265 | Catholic Charities of The Diocese of Santa Rosa | Clinic/Center | 987 Airway Ct, Santa Rosa, CA 95403 | 2018-10-30 |
| 1447746524 | Lisa Jean Quang | Optometrist | 3925 Old Redwood, Medical Office Building 4, Suite 141, Santa Rosa, CA 95403 | 2018-07-02 |
| 1598253353 | Jennifer Renee Lummus | Community Health Worker | 3614 Condo Court, Santa Rosa, CA 95403 | 2018-04-27 |
| 1871042366 | Sadie Thuet | Marriage & Family Therapist | 3434 A Mendocino Ave, Santa Rosa, CA 95403 | 2016-09-26 |
| Find all providers in zip 95403 | ||||
| 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 |
|---|---|---|---|---|
| 1588139091 | Jenny Quan | Physician Assistant | 2300 Mendocino Ave Ste 4, Santa Rosa, CA 95403-3115 | 2018-10-11 |
| 1760978506 | Rhett Chandler Lacey | Physician Assistant | 545 Caber Dr, Santa Rosa, CA 95409-4404 | 2018-07-05 |
| 1417079112 | James Thomas Williams | Physician Assistant | 728 Mendocino Ave, Santa Rosa, CA 95401-4804 | 2007-04-04 |
| 1356491112 | Jaremy Lowe Kwock | Physician Assistant | 525 Doyle Park Dr Ste 102, Santa Rosa, CA 95405-4562 | 2007-01-11 |
| 1235203274 | Ann S Bruner-welch | Physician Assistant | 401 Bicentennial Way # 120, Santa Rosa, CA 95403-2149 | 2006-11-20 |
| 1770672925 | Robert Evan Crenshaw | Physician Assistant | 401 Bicentennial Way Ste 120, Santa Rosa, CA 95403-2149 | 2006-10-12 |
| 1982640298 | Amy K Jones | Physician Assistant | 1221 N Dutton Ave, Concentra Medical Group, Santa Rosa, CA 95401-4607 | 2006-06-22 |
| 1821068669 | Christine J Perkowska | Physician Assistant | 583 Summerfield Rd, Santa Rosa, CA 95405-5239 | 2006-01-24 |
| 1649265976 | Heather Noel Silva | Physician Assistant | 2725 Mendocino Ave, Santa Rosa, CA 95403-2805 | 2005-09-13 |
| 1538167226 | Wendy A Williams | Physician Assistant | 2455 Summerfield Rd, Santa Rosa, CA 95405-7815 | 2005-07-07 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95403 |
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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.