MRS. CAROLINE JO DIMATTEO (NPI# 1174058978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174058978 |
| Entity Type | Individual |
| Full Name | MRS. CAROLINE JO DIMATTEO |
| Other Name | MISS CAROLINE JO MUCHO |
| Credential | PA-C |
| Practice Address |
901 W Civic Center Clinic Ste 120 Santa Ana CA 92703 |
| Mailing Address |
901 W Civic Center Dr Santa Ana CA 92703-2352 |
| Practice Telephone | 7148358501 |
| Mailing Telephone | 7148358501 |
| Enumeration Date | 2017-04-29 |
| Last Update Date | 2020-01-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 54955 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
901 W CIVIC CENTER CLINIC STE 120 |
| City | SANTA ANA |
| State | CA |
| Zip Code | 92703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316580806 | F Rodef & B Yousefi Dental Corporation | Dentist | 100 N. Harbor Blvd Suite #c-7, Santa Ana, CA 92703 | 2019-10-28 |
| 1699283465 | Vinnie Quan Nguyen | Pharmacist | 941 Fair Way, Santa Ana, CA 92703 | 2018-01-16 |
| 1568823342 | Reina M Escolero | Registered Nurse | 1708 W. 12th Street, Santa Ana, CA 92703 | 2016-03-08 |
| 1528427994 | Nathaniel Gandy Lane | Physician Assistant | 420 S. Bristol St., Santa Ana, CA 92703 | 2016-02-15 |
| 1285035626 | Elizabeth Nieto Patino | Specialist/Technologist | 4201 W 5th St #211, Santa Ana, CA 92703 | 2014-09-04 |
| 1790113108 | Monica Susie Kim | Acupuncturist | 100 N Harbor Blvd., Unit C-7, Santa Ana, CA 92703 | 2013-10-22 |
| 1730525833 | Ryan Hoida | Counselor | 1202 W Civic Dr, Santa Ana, CA 92703 | 2013-05-15 |
| 1861777625 | Minh Pharmacy | Pharmacy | 5110 Westminster Ave #b, Santa Ana, CA 92703 | 2011-10-12 |
| 1518241868 | James Shon | Acupuncturist | 1111 N. Bristol #j, Santa Ana, CA 92703 | 2011-10-05 |
| 1235466681 | Mehdi Mohammad Saghafi | Chiropractor | 1202 W First St., Santa Ana, CA 92703 | 2009-11-05 |
| Find all providers in zip 92703 | ||||
| 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 |
|---|---|---|---|---|
| 1316581333 | Mckenzie Mcmahon | Physician Assistant | 1504 Brookhollow Dr Ste 119, Santa Ana, CA 92705-5418 | 2019-11-01 |
| 1386155208 | Yvonne Lam | Physician Assistant | 201 S. Broadway Ave, #208, Santa Ana, CA 92704-9270 | 2017-10-18 |
| 1255859948 | Jimmy Duc Bui | Physician Assistant | 2305 Strawberry Ln, Santa Ana, CA 92706-2240 | 2017-09-01 |
| 1518496256 | Sina Popal | Physician Assistant | 3210 S Shannon St, Santa Ana, CA 92704-6353 | 2017-06-07 |
| 1023467370 | Ivonne Landeros | Physician Assistant | 2010 Elite Pain Management, Suite 100, Santa Ana, CA 92705-6562 | 2016-06-08 |
| 1134544125 | Roberto Antonio Marin | Physician Assistant | 4402 W Camille St, Santa Ana, CA 92704-0614 | 2014-02-27 |
| 1891046330 | Vy-van Tran | Physician Assistant | 1212 S Bristol St Ste 16, Santa Ana, CA 92704-3439 | 2012-09-24 |
| 1316296932 | Van Laurie Nguyen | Physician Assistant | 1421 W Macarthur Blvd Ste E, Santa Ana, CA 92704-7318 | 2012-08-29 |
| 1871851519 | Jose Ruiz-ortega | Physician Assistant | 1430 W 1st St, Santa Ana, CA 92703-3724 | 2012-05-01 |
| 1497048250 | Lisa Marie Schrodi | Physician Assistant | 1534 E Warner Ave Ste A, Santa Ana, CA 92705-5475 | 2011-05-25 |
| Find all providers in SANTA ANA | ||||
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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.