KAI COSMO ZAJAC (NPI# 1114575081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114575081 |
| Entity Type | Individual |
| Full Name | KAI COSMO ZAJAC |
| Credential | PA |
| Practice Address |
1515 E Ocean Ave Lompoc CA 93436-7092 |
| Mailing Address |
1261 Pine Flat Rd Santa Cruz CA 95060-9709 |
| Practice Telephone | 7708746854 |
| Mailing Telephone | 8312399489 |
| Enumeration Date | 2019-09-03 |
| Last Update Date | 2019-09-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1515 E OCEAN AVE |
| City | LOMPOC |
| State | CA |
| Zip Code | 93436-7092 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356334742 | Midcoast Imaging Medical Group | Radiology | 1515 E Ocean Ave, Lompoc, CA 93436-7092 | 2005-08-31 |
| 1750996997 | Will Sharp | Pharmacist | 1515 E Ocean Ave, Lompoc, CA 93436-7092 | 2020-09-14 |
| 1780298455 | Sarah Jean Ashley Doyle | Nurse Anesthetist, Certified Registered | 1515 E Ocean Ave, Lompoc, CA 93436-7092 | 2020-09-01 |
| 1891335717 | Lompoc Hospitalist Group PC | Hospitalist | 1515 E Ocean Ave, Lompoc, CA 93436-7092 | 2020-01-08 |
| 1720621485 | Winnie Acosta Badger | Physical Therapist | 1515 E Ocean Ave, Lompoc, CA 93436-7092 | 2019-10-24 |
| 1598308405 | David Munar | Physical Therapist | 1515 E Ocean Ave, Lompoc, CA 93436-7092 | 2019-10-23 |
| 1265075535 | Kelly Francis | Speech-Language Pathologist | 1515 E Ocean Ave, Lompoc, CA 93436-7092 | 2019-10-19 |
| 1164064853 | Terri Robinson | Physical Therapy Assistant | 1515 E Ocean Ave, Lompoc, CA 93436-7092 | 2019-10-14 |
| 1205484318 | Courtni N Bonnello | General Acute Care Hospital | 1515 E Ocean Ave, Lompoc, CA 93436 | 2019-09-01 |
| 1518427129 | Radovan Anzulovic | Physician Assistant | 1515 E Ocean Ave, Lompoc, CA 93436-7092 | 2019-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225671498 | Bonnie O'brien | Technician | 4174 Sirius Avenue, Lompoc, CA 93436 | 2019-10-21 |
| 1043734056 | Stevens Life Chiropractic, PC | Chiropractor | 217-a West Central Ave, Lompoc, CA 93436 | 2017-08-01 |
| 1548621014 | Kimberly Gaynell Wiley | Home Health Aide | 610 East Pine St #34, Lompoc, CA 93436 | 2016-03-11 |
| 1386017960 | Marcos Paul Cline | Counselor | 117 North 'b' Street, Lompoc, CA 93436 | 2015-11-04 |
| 1487045324 | Angela Rose Robinson | Case Manager/Care Coordinator | 113 North H Street, Suite F, Lompoc, CA 93436 | 2015-02-13 |
| 1851795751 | Alina Staniger | Counselor | 604 W Ocean, Lompoc, CA 93436 | 2014-10-21 |
| 1154750560 | Lompoc Valley Medical Center | General Acute Care Hospital | 303 South C Street, Lompoc, CA 93436 | 2013-11-06 |
| 1598191488 | David Lewis Mcaninch Iv | Dentist | 1111 East Ocean Avenue, Suite 9, Lompoc, CA 93436 | 2013-09-24 |
| 1336407048 | Pamela Jordan | Counselor | 110 S. 'c' St. Ste. A, Family Service Agency, Lompoc, CA 93436 | 2012-05-01 |
| 1316220874 | Zillah J. Hodgkins | Counselor | 513 N G St, Lompoc, CA 93436 | 2011-09-21 |
| Find all providers in zip 93436 | ||||
| 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 |
|---|---|---|---|---|
| 1265481246 | California Em-i Medical Services, A Medical Corporation | Physician Assistant | 1515 East Ocean Avenue, Lompoc, CA 93436-7337 | 2006-05-08 |
| 1427603539 | Miranda Banuelos | Physician Assistant | 217 W Central Ave Ste G, Lompoc, CA 93436-2830 | 2019-08-06 |
| 1518427129 | Radovan Anzulovic | Physician Assistant | 1515 E Ocean Ave, Lompoc, CA 93436-7092 | 2019-03-20 |
| 1144794629 | Scott Kristofer Freeberg | Physician Assistant | 1515 E Ocean Ave, Lompoc, CA 93436-7092 | 2019-01-17 |
| 1154892453 | Stephanie Nichole Thiriot | Physician Assistant | 217 W Central Ave Ste G, Lompoc, CA 93436-2830 | 2018-12-12 |
| 1689140535 | Kyle Gregory Dickinson | Physician Assistant | 1225 N H St, Lompoc, CA 93436-3301 | 2018-10-18 |
| 1932682424 | Chantal J King | Physician Assistant | 217 W Central Ave Ste G, Lompoc, CA 93436-2830 | 2018-09-11 |
| 1306353420 | Jessica Ashley Denton | Physician Assistant | 1515 E Ocean Ave, Lompoc, CA 93436-7092 | 2018-01-10 |
| 1174037840 | Johnny Quan | Physician Assistant | 1515 E Ocean Ave, Lompoc, CA 93436-7092 | 2017-11-16 |
| 1952772162 | Honeycomb Medical Services, A Med Corp | Physician Assistant | 1515 E Ocean Ave, Lompoc, CA 93436-7092 | 2015-10-14 |
| Find all providers in LOMPOC | ||||
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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.