PATERSON RENE (NPI# 1124467659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124467659 |
| Entity Type | Individual |
| Full Name | PATERSON RENE |
| Credential | PA-C |
| Practice Address |
2600 Macdonald Ave Richmond CA 94804-1826 |
| Practice Telephone | 5102332514 |
| Mailing Telephone | 5102332514 |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2016-07-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA23037 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2600 MACDONALD AVE |
| City | RICHMOND |
| State | CA |
| Zip Code | 94804-1826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700968807 | Brazell H Carter Md Inc | Internal Medicine | 2600 Macdonald Ave, Richmond, CA 94804-1826 | 2006-10-19 |
| 1043750128 | Lisa Kay Tostenson | Nurse Practitioner | 2600 Macdonald Ave, Richmond, CA 94804-1826 | 2017-03-08 |
| 1962767780 | Valorie P Kolovos | Nurse Practitioner | 2600 Macdonald Ave, Richmond, CA 94804 | 2012-07-09 |
| 1902177892 | Lifelong Medical Care | Clinic/Center | 2600 Macdonald Ave, Richmond, CA 94804-1826 | 2012-01-24 |
| 1578736328 | Brazell H Carter | Specialist | 2600 Macdonald Ave, Richmond, CA 94804-1826 | 2008-04-11 |
| 1972780997 | Darla Jean Eboh | Nurse Practitioner | 2600 Macdonald Ave, Richmond, CA 94804-1826 | 2008-01-22 |
| 1780891598 | Damone Lushon Poole | Physician Assistant | 2600 Macdonald Ave, Richmond, CA 94804-1826 | 2007-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396385654 | Jennifer Phan | Behavior Technician | 865 Marina Bay Pkwy Ste 37 & 38, Richmond, CA 94804 | 2020-01-14 |
| 1033769104 | Marc Anthony Garcia | Behavioral Analyst | 865 Marina Bay Parkway, Suite 37 & 38, Richmond, CA 94804 | 2019-09-19 |
| 1447818216 | Bay Area Community Services | Community/Behavioral Health | 3215/3221 Nevin Avenue, Richmond, CA 94804 | 2019-06-05 |
| 1558832709 | Eliseo Matthew Beltran Ong | Behavior Technician | 865 Marina Bay Parkway Building C, Suite 37 & 38, Richmond, CA 94804 | 2018-12-16 |
| 1679064943 | Katherine Bacher | Counselor | 200 24th Str., Richmond, CA 94804 | 2018-05-22 |
| 1508353160 | Aveida Home Care LLC | In Home Supportive Care | 302 S 18th Street, Richmond, CA 94804 | 2018-04-19 |
| 1427577980 | Adam Hudson | Counselor | 3215 Nevin Avenue, Richmond, CA 94804 | 2017-09-15 |
| 1205176583 | Anna Fisher | Counselor | 32 Shoreline Ct, Richmond, CA 94804 | 2013-02-22 |
| 1366744328 | Che Hoskins | Counselor | 820 23rd St., Richmond, CA 94804 | 2010-11-24 |
| 1558671297 | Angela May Gaiser | Case Manager/Care Coordinator | 2500 Bissell Avenue, Richmond, CA 94804 | 2010-10-15 |
| Find all providers in zip 94804 | ||||
| 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 |
|---|---|---|---|---|
| 1467050633 | Timothy Jacob Simpson | Physician Assistant | 113 S Davis Ave Apt 6105, Richmond, VA 23220-5156 | 2020-10-11 |
| 1205433885 | Jackson Laboue | Physician Assistant | 3510 Archer Springs Ter, Richmond, VA 23235-2163 | 2020-10-06 |
| 1306460316 | Humaira Farukh | Physician Assistant | 13903 Carncross Ct, Richmond, TX 77407-1007 | 2020-06-04 |
| 1609413640 | Abigail Marie Stone | Physician Assistant | 16 N Vine St Apt 213, Richmond, VA 23220-4565 | 2019-12-10 |
| 1881241305 | Lauren Elizabeth Desroches | Physician Assistant | 7101 Jahnke Rd # 205, Richmond, VA 23225-4017 | 2019-08-20 |
| 1720633530 | Sabrina Chica | Physician Assistant | 7405 Montrose Ave, Richmond, VA 23227-1808 | 2019-08-08 |
| 1235790569 | Emma Katherine Cahoon | Physician Assistant | 20 Chelsea Farm Dr, Richmond, RI 02898-1221 | 2019-06-26 |
| 1699249615 | Kendra Ray Long | Physician Assistant | 9119 Stony Point Pkwy Apt 4203, Richmond, VA 23235-2076 | 2019-01-12 |
| 1578045993 | Lauren Jernegan | Physician Assistant | 204 S Mulberry St, Richmond, VA 23220 | 2018-09-01 |
| 1164954590 | Allyson Hudson Saunders | Physician Assistant | 7101 Jahnke Rd., Suite # 260, Richmond, VA 23225 | 2017-04-03 |
| Find all providers in RICHMOND | ||||
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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.