MR. KENNETH CHARLES ALEXANDER (NPI# 1174506828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174506828 |
| Entity Type | Individual |
| Full Name | MR. KENNETH CHARLES ALEXANDER |
| Credential | PA |
| Practice Address |
13193 Central Avenue Suite 200 Chino CA 91710 |
| Practice Telephone | 9099029111 |
| Practice Fax Number | 9099029199 |
| Mailing Telephone | 9099029111 |
| Mailing Fax Number | 9099029199 |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA10648 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588202089 | Kenneth Alexander | Pharmacist | 40339 Grand River Ave # 110, Novi, MI 48375 | 2019-12-15 |
| 1487861423 | Kenneth Saul Alexander | Pharmacist | 7924 Wiseman Rd, Lambertville, MI 48144-9682 | 2007-05-17 |
| 1992046478 | Kenneth Alexander | Registered Nurse | 2052 Tillotson Ave, Bronx, NY 10475-1560 | 2013-03-08 |
| 1700059912 | Kenneth G Alexander | Counselor | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2008-04-09 |
| 1962582031 | Kenneth Andrew Alexander | Pediatrics | 13535 Nemours Pkwy, Orlando, FL 32827-7402 | 2006-10-16 |
| Street Address |
13193 CENTRAL AVENUE SUITE 200 |
| City | CHINO |
| State | CA |
| Zip Code | 91710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255313805 | Tracey Lynne Shepherd | Psychologist | 13193 Central Avenue, Suite 200, Chino, CA 91710 | 2005-11-18 |
| 1477562809 | Daniel Dominic Lopez | Marriage & Family Therapist | 13193 Central Avenue, Suite 200, Chino, CA 91710 | 2006-08-05 |
| 1780666339 | Mei Han Tang-pieri | Social Worker | 13193 Central Avenue, Suite 200, Chino, CA 91710 | 2005-11-18 |
| 1831171388 | Travis Dauntia Fultz | Psychologist | 13193 Central Avenue, Suite 200, Chino, CA 91710 | 2005-11-18 |
| 1336121888 | Foothills Psychological Services, Inc. | Psychiatry & Neurology | 13193 Central Avenue, Suite 200, Chino, CA 91710 | 2005-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962037887 | Corrections and Rehabilitation | Pharmacy | 14901 So Central Avenue, Chino, CA 91710 | 2020-03-11 |
| 1053968289 | California Institute for Men Phcy | Pharmacy | 14901 So Central Ave, Chino, CA 91710 | 2019-08-22 |
| 1982170510 | Kind Care Connections, LLC | In Home Supportive Care | 14726 Ramona Ave # E10, Chino, CA 91710 | 2018-10-22 |
| 1922593789 | Christopher Armando Camarena | Assistant Behavior Analyst | 6062 Eucalyptus Ave, Chino, CA 91710 | 2018-06-25 |
| 1730696519 | Barsoum Dental Corp | Dentist | 14613 Ramona Ave, Chino, CA 91710 | 2018-01-03 |
| 1326569864 | Christina La | Optometrist | 5250 Philadelphia St Ste D, Chino, CA 91710 | 2017-07-06 |
| 1629502554 | Jk Pharmacy Inc | Pharmacy | 5562 Philadelphia St, #110, Chino, CA 91710 | 2017-04-18 |
| 1801336680 | Altek Drugs Inc. | Pharmacy | 13085 Central Ave Ste 2, Chino, CA 91710 | 2017-02-28 |
| 1518405893 | Audrey Ronquillo | Behavior Technician | 800 Ferrari Ln, Suite 100, Ontario, CA 91710 | 2017-02-07 |
| 1952849556 | Jennifer Huynh | Behavior Technician | 800 Ferrari Ln Suite 100, Ontario, CA 91710 | 2017-02-03 |
| Find all providers in zip 91710 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679024426 | Danielle Elisa Martinez | Physician Assistant | 13768 Roswell Ave Ste 115, Chino, CA 91710-1402 | 2016-10-17 |
| 1689860082 | Sean Fitzgerald Coleman | Physician Assistant | 14726 Ramona Ave Ste And107, Chino, CA 91710-5730 | 2007-09-19 |
| 1659563369 | Michael Don Cordia | Physician Assistant | 14726 Ramona Ave Ste 107, Chino, CA 91710-5730 | 2007-08-16 |
| 1356884639 | Adam Elevario | Physician Assistant | 13768 Roswell Ave, Suite 118, Chino, CA 91710-1401 | 2016-11-18 |
| 1952730061 | Heather Michelle Sykes | Physician Assistant | 5475 Walnut Ave, Chino, CA 91710-2609 | 2013-11-08 |
| 1003154428 | Neeru Kaur Gaetano | Physician Assistant | 13768 Roswell Ave, Suite 216, Chino, CA 91710-1401 | 2013-01-18 |
| 1649419482 | Andrew Alfred Harris | Physician Assistant | 5475 Walnut Ave, Chino, CA 91710-2609 | 2009-02-18 |
| 1417080052 | Kristi Jo Diehl | Physician Assistant | 15361 Central Ave, Chino, CA 91710-7608 | 2007-03-13 |
| 1609808468 | Jose Domingo Garcia | Physician Assistant | 11760 Central Ave, Suite 100, Chino, CA 91710-1900 | 2006-07-06 |
| 1700815958 | Caryn Joy Axtell-kelly | Physician Assistant | 13193 Central Ave, Suite 220, Chino, CA 91710 | 2006-07-01 |
| Find all providers in CHINO | ||||
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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.