MS. LARA LYNN WESTBERG


Address: 1119 Pacific Ave, Suite 200, Santa Cruz, CA 95060-7503
Phone: 8314265550

MS. LARA LYNN WESTBERG (NPI# 1134224223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134224223
Entity Type Individual
Full Name MS. LARA LYNN WESTBERG
Credential PA
Practice Address 1119 Pacific Ave
Suite 200
Santa Cruz
CA 95060-7503
Mailing Address 1691 The Alameda
San Jose
CA 95126-2203
Practice Telephone 8314265550
Practice Fax Number 8314250106
Mailing Telephone 4082877532
Mailing Fax Number 4082870405
Enumeration Date 2006-09-13
Last Update Date 2007-12-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA 16422 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1119 PACIFIC AVE
SUITE 200
City SANTA CRUZ
State CA
Zip Code 95060-7503

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225081227 Planned Parenthood Mar Monte, Inc Clinic/Center 1119 Pacific Ave, Suite 200, Santa Cruz, CA 95060-7503 2006-05-18
1265767388 Radha Viana Krendl Registered Nurse 1119 Pacific Ave, Ste 200, Santa Cruz, CA 95060-7503 2009-10-07
1922254093 Julie Gorshe Physician Assistant 1119 Pacific Ave, Santa Cruz, CA 95060-7503 2008-08-08
1336311836 Jane Frances Beauchamp Registered Nurse 1119 Pacific Ave, Suite 200, Santa Cruz, CA 95060-7503 2008-03-25
1871775395 Nanette Mandin Kelsey Registered Nurse 1119 Pacific Ave, Suite 200, Santa Cruz, CA 95060-7503 2007-11-27
1699976258 Judith Joyce Geer Registered Nurse 1119 Pacific Ave, Suite 200, Santa Cruz, CA 95060-7503 2007-05-30
1740352855 Deborah Killebrew Saint John Registered Nurse 1119 Pacific Ave, Suite 200, Santa Cruz, CA 95060-7503 2006-11-14
1457420655 Katherine Sue Stuart Registered Nurse 1119 Pacific Ave, Suite 200, Santa Cruz, CA 95060-7503 2006-11-06
1184712812 Shirley Chavez Registered Nurse 1119 Pacific Ave, Suite 200, Santa Cruz, CA 95060-7503 2006-10-10
1306957634 Gail Fay Michaelis-ow Nurse Practitioner 1119 Pacific Ave, Suite 200, Santa Cruz, CA 95060-7503 2006-08-31
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366940215 Tiphanie Bowens Counselor 380 Encinal St., Suite 200, Santa Cruz, CA 95060 2018-01-25
1942714167 Kyle Hardwick Chiropractor 203 River Street, Santa Cruz, CA 95060 2017-11-27
1972015741 Nina Marie Francesconi Acupuncturist 110 Fern St Apt. C, Santa Cruz, CA 95060 2017-11-01
1679091870 Laura Evelyn Rochelle Counselor 380 Encinal St., Suit 200, Santa Cruz, CA 95060 2017-09-07
1649797903 Jessica Tarnoff Counselor 716 Ocean St., Santa Cruz, CA 95060 2017-08-28
1356862064 Lakia Niema Queen Counselor 542 Ocean Street Suite K, Santa Cruz, CA 95060 2017-07-03
1023555992 Allison Whitehead Nurse Practitioner 1080 Emeline Ave., County of Santa Cruz Health Services Agency, Santa Cruz, CA 95060 2017-01-30
1659827293 Annabelle Drda Marriage & Family Therapist 303 Portero St, Santa Cruz, CA 95060 2016-09-01
1376999698 Erin Liana Johnson Counselor 104 Walnut Avenue, Suite 208, Santa Cruz, CA 95060 2016-05-05
1659732097 Daniel Ezekiel Contreras Counselor 1080 Emeline Building D, Santa Cruz, CA 95060 2016-03-13
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730709049 Maria Veronica Serratos Valdivia Physician Assistant 1255 38th Ave Spc 114, Santa Cruz, CA 95062-3240 2020-04-16
1346618071 Ellen Hucal O'halloran Physician Assistant 620b Sumner St, Santa Cruz, CA 95062-2535 2015-09-11
1831412659 Kimberlee Kay Walsh Physician Assistant 1667 Dominican Way Ste 234, Santa Cruz, CA 95065-1560 2010-03-08
1518106533 Leila Ann Kramer Physician Assistant 2025 Soquel Ave., Santa Cruz, CA 95065-1794 2009-02-13
1124244215 Melinda Carol Padgett Physician Assistant University of California, Santa Cruz, Student Health, 1156 High Street, Santa Cruz, CA 95064 2007-04-17
1063581668 Sharon Lipschutz Kluger Physician Assistant 1661 Soquel Dr Ste E, Santa Cruz, CA 95065-1709 2006-11-07
1639182843 Brian Christopher Martin Physician Assistant 1505 Soquel Drive, Suite 12, Santa Cruz, CA 95065-1716 2006-08-15
1932179892 Pamela Wagner Physician Assistant 2900 Chanticleer Ave., Santa Cruz, CA 95065-1816 2006-01-24
1730188608 Marion Joanna Jordan Physician Assistant 1080 Emeline Ave, Santa Cruz, CA 95060-1966 2005-07-21
1164051314 Alec Steven Rogness Physician Assistant 2018 Mission St, Santa Cruz, CA 95060-5218 2020-04-08
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Competitor

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City SANTA CRUZ
Zip Code 95060

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Dataset Information

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.

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