MR. DARRYL DE HAAS (NPI# 1164416939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164416939 |
| Entity Type | Individual |
| Full Name | MR. DARRYL DE HAAS |
| Credential | PA-C |
| Practice Address |
5601 De Soto Avenue Kaiser, Woodland Hills Medical Cent Woodland Hills CA 91367-6701 |
| Mailing Address |
393 E. Walnut Street 3rd Floor Phr Systems Pasadena CA 91188-0001 |
| Practice Telephone | 8187192000 |
| Mailing Telephone | 6264056768 |
| Mailing Fax Number | 6264053640 |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2007-09-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA11598 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5601 DE SOTO AVENUE KAISER, WOODLAND HILLS MEDICAL CENT |
| City | WOODLAND HILLS |
| State | CA |
| Zip Code | 91367-6701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679078166 | Michael Xing Zhang | Student in an Organized Health Care Education/Training Program | 5601 De Soto Avenue, Family Medicine Department, 3rd Floor, Woodland Hills, CA 91367 | 2018-03-27 |
| 1285090092 | Maya Riva | Pharmacist | 5601 De Soto Avenue, Inpatient Pharmacy, Woodland Hills, CA 91367 | 2016-01-08 |
| 1689069320 | Huy Ngaou | Student in an Organized Health Care Education/Training Program | 5601 De Soto Avenue, Department of Family Medicine, North 6, 3rd Floor, Woodland Hills, CA 91367 | 2015-03-31 |
| 1922303528 | Haleh Shafa | Family Medicine | 5601 De Soto Avenue, Kaiser Permanente, Woodland Hills, CA 91367 | 2011-01-13 |
| 1225239361 | Julia Karyl Reisman | Social Worker | 5601 De Soto Avenue, Woodland Hills, CA 91367 | 2007-05-29 |
| 1356411243 | Armine Ishtoyan | Pharmacist | 5601 De Soto Avenue, Woodland Hills, CA 91365 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144837386 | Welby Way Home LLC | Hospice Care, Community Based | 21550 Oxnard St., 3rd Floor Suite # 57, Woodland Hills, CA 91367 | 2020-09-30 |
| 1821619180 | Jmg Recovery, Inc | Substance Abuse Rehabilitation Facility | 23043 Hatteras Street, Woodland Hills, CA 91367 | 2020-04-28 |
| 1952952137 | Carol L. Frankel | Technician | 22616 Victory Blvd., Woodland Hills, CA 91367 | 2019-09-27 |
| 1346890191 | Sharie Renell Boudreaux | Behavioral Analyst | 210600 Oxnard St, Suite 1800, Woodland Hills, CA 91367 | 2019-09-13 |
| 1104381631 | Victor Fernando Tovar | Behavior Technician | 21600 Oxnard Street, Suite 1030, Woodland Hills, CA 91367 | 2019-02-08 |
| 1982173076 | Tefany Cheam | Behavioral Analyst | 216000 Oxnard St., Suite 1800, Woodland Hills, CA 91367 | 2018-11-19 |
| 1205301520 | Basso Pharmacy, Inc. | Pharmacy | 5952 & 5954 Fallbrook Avenue, Woodland Hills, CA 91367 | 2018-10-13 |
| 1255813523 | Annemarie Fine | Behavioral Analyst | 21609 Oxnard St Ste 1800, Woodland Hills, CA 91367 | 2018-09-04 |
| 1730661166 | Paige Sefton | Marriage & Family Therapist | 21333 Oxnard St., Woodland Hills, CA 91367 | 2018-09-01 |
| 1073095402 | Rosalia Hernandez | Behavioral Analyst | 21600 Oxnard St Ste, Woodland Hills, CA 91367 | 2018-09-01 |
| Find all providers in zip 91367 | ||||
| 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 |
|---|---|---|---|---|
| 1760019053 | Andrew Kwangwon Chung | Physician Assistant | 23224 Hatteras St, Woodland Hills, CA 91367-3118 | 2020-03-25 |
| 1447884937 | Melina Aghajanian | Physician Assistant | 6101 Owensmouth Ave Unit 55, Woodland Hills, CA 91365-7304 | 2020-02-24 |
| 1376188060 | Nicole Mesriani | Physician Assistant | 5030 Arundel Dr, Woodland Hills, CA 91364-3602 | 2019-11-17 |
| 1326088618 | Steven Jay Fink | Physician Assistant | 6100 De Soto Ave, 321, Woodland Hills, CA 91367 | 2006-06-07 |
| 1457895179 | Shanah Gavia | Physician Assistant | 6325 Topanga Canyon Blvd Ste 301, Woodland Hills, CA 91367-2029 | 2016-12-14 |
| 1508204306 | Eric Montoya | Physician Assistant | 5601 De Soto Ave, Woodland Hills, CA 91367-6701 | 2013-06-13 |
| 1649504135 | Maricela Villalta | Physician Assistant | 5601 De Soto Ave, Woodland Hills, CA 91367-6701 | 2009-09-30 |
| 1366653834 | Jessica Lyn Horazy | Physician Assistant | 5995 Topanga Canyon Blvd, Woodland Hills, CA 91367-3623 | 2007-05-25 |
| 1871710350 | Daniel R Zimmer | Physician Assistant | 5601 De Soto Ave, Woodland Hills, CA 91367-6701 | 2007-04-19 |
| 1801013388 | Lisa Ober | Physician Assistant | 5601 De Soto Ave, Woodland Hills, CA 91367-6701 | 2007-04-19 |
| Find all providers in WOODLAND HILLS | ||||
| City | WOODLAND HILLS |
| Zip Code | 91367 |
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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.