SHANA PUTNAM


Address: 9961 Sierra Ave, Fontana, CA 92335-6720
Phone: 9097242321

SHANA PUTNAM (NPI# 1144535980) 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) 1144535980
Entity Type Individual
Full Name SHANA PUTNAM
Other Name SHANA WANG
Credential PA-C
Practice Address 9961 Sierra Ave
Fontana
CA 92335-6720
Mailing Address 523 Emerson St
Upland
CA 91784-1341
Practice Telephone 9097242321
Mailing Telephone 6262353845
Enumeration Date 2010-08-17
Last Update Date 2019-05-30
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA22069 CA Physician Assistants & Advanced Practice Nursing Providers

Other Providers SHANA PUTNAM

NPI Name Taxonomy Address Enumeration
1427280114 Shana B Putnam Respiratory Therapist, Certified 115 E Main St Ste 18, Williamston, NC 27892-2482 2009-08-14

Office Location

Street Address 9961 SIERRA AVE
City FONTANA
State CA
Zip Code 92335-6720

Providers in the same location

NPI Name Taxonomy Address Enumeration
1578560199 Barbara Ann Mahoney Nurse Practitioner 9961 Sierra Ave, Fontana, CA 92335-6720 2005-06-29
1023629979 Whitney Mah Speech-Language Pathologist 9961 Sierra Ave, Fontana, CA 92335-6720 2020-08-13
1083224166 Jennifer Hull Genetic Counselor, MS 9961 Sierra Ave, Fontana, CA 92335-6720 2020-08-04
1568081842 Jorge Kareem Sierra Radiologic Technologist 9961 Sierra Ave, Fontana, CA 92335-6720 2020-04-16
1821625963 Syed Sajjad Sarwar Naqvi Student in an Organized Health Care Education/Training Program 9961 Sierra Ave, Fontana, CA 92335-6720 2020-03-26
1730716903 Hannah Choi Student in an Organized Health Care Education/Training Program 9961 Sierra Ave, Fontana, CA 92335-6720 2020-03-26
1912534413 Mia Raquel Montoya Student in an Organized Health Care Education/Training Program 9961 Sierra Ave, Fontana, CA 92335-6720 2020-03-25
1093342461 Jennica Kahkejian Student in an Organized Health Care Education/Training Program 9961 Sierra Ave, Fontana, CA 92335-6720 2020-03-25
1881221299 Youstina Youssef Student in an Organized Health Care Education/Training Program 9961 Sierra Ave, Fontana, CA 92335-6720 2020-03-25
1790312015 Sara Tong Student in an Organized Health Care Education/Training Program 9961 Sierra Ave, Fontana, CA 92335-6720 2020-03-25
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104425131 Hossein Malakooti A Dental Corporation Clinic/Center 16540 Merrill Ave, Fontana, CA 92335 2020-10-21
1790312791 Trevor Nguyen Student in an Organized Health Care Education/Training Program 17234 Valley Blvd, Building A, Fontana, CA 92335 2020-03-27
1184251365 Benjamin Chang Student in an Organized Health Care Education/Training Program 17234 Valley Blvd., Bldg. A, Fontana, CA 92335 2020-03-26
1407487309 Perla Hernandez Licensed Vocational Nurse 14677 Merrill Aver, Fontana, CA 92335 2020-01-29
1013552660 Valencia Malone Licensed Vocational Nurse 14677 Merrill, Fontana, CA 92335 2019-11-07
1831749779 Daniel Eric Wright Student in an Organized Health Care Education/Training Program 14677 Merrell Ave., Fontana, CA 92335 2019-09-12
1962069815 Melissa Rivera Licensed Vocational Nurse 15217 San Bernardino Ave., Fontana, CA 92335 2019-05-28
1275199770 Jennifer Lynn Malone Peer Specialist 14677 Merrall Ave, Fontana, CA 92335 2019-05-10
1770147894 Noelle Chong Registered Nurse 14677 Merill Ave, Fontana, CA 92335 2019-04-24
1992261929 Destiny Alzate Counselor 1467 Merrill Ave, Fontana, CA 92335 2019-02-14
Find all providers in zip 92335

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
1356968325 Tracey Huddleston Physician Assistant 13676 Dodge Ct, Fontana, CA 92336-3405 2020-06-25
1114559176 Theresa Nkechinyerem Okeke Physician Assistant 5931 Wilshire Dr, Fontana, CA 92336-5697 2020-02-07
1972018513 Tanya Lumbangaol Physician Assistant 6768 Winter Night Ct, Fontana, CA 92336-1417 2017-12-05
1174046676 Diana Jaqueline Romo Physician Assistant 6570 Kaiser Ave, Fontana, CA 92336-3260 2017-07-18
1417482761 Jeffrey Lynn Cox Physician Assistant 10444 Live Oak Ave, Fontana, CA 92337-7219 2017-04-25
1811356439 Khristine Marie Bueno Physician Assistant 16465 Sierra Lakes Pkwy Ste 100, Fontana, CA 92336-1242 2016-02-11
1407237498 Natalie Kathleen Herrera Physician Assistant 16456 Sierra Lakes Pkwy, Suite 300, Fontana, CA 92336 2015-06-15
1619385309 Daniel Loera Physician Assistant 17156 Manzanita Dr, Fontana, CA 92335-5851 2014-07-26
1396175758 Martha C Ajca Physician Assistant 17051 Sierra Lakes Parkway, Suite 101, Fontana, CA 92336 2013-11-22
1053666297 Vanessa M Michelena Basantes Physician Assistant 4904 Tahan Way, Fontana, CA 92336-0428 2012-07-13
Find all providers in FONTANA

Competitor

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City FONTANA
Zip Code 92335

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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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