JONATHAN EDENS (NPI# 1184265845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184265845 |
| Entity Type | Individual |
| Full Name | JONATHAN EDENS |
| Credential | PA |
| Practice Address |
13300 New Airport Rd Ste 100 Auburn CA 95602-7407 |
| Mailing Address |
8851 Risley Pl Granite Bay CA 95746-9673 |
| Practice Telephone | 5308898780 |
| Mailing Telephone | 7077081501 |
| Enumeration Date | 2019-10-03 |
| Last Update Date | 2019-10-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA57279 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
13300 NEW AIRPORT RD STE 100 |
| City | AUBURN |
| State | CA |
| Zip Code | 95602-7407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306144837 | Beautiful Minds Medical, Inc. | Clinic/Center | 13300 New Airport Rd Ste 100, Auburn, CA 95602-7407 | 2011-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144770793 | Western Sierra Medical Clinic, Inc. | Clinic/Center | 12183 Locksley Ln Ste 107, Auburn, CA 95602 | 2016-10-06 |
| 1073904231 | Bunny Stanfield | Psychologist | 6435 Fairway Ct., Auburn, CA 95602 | 2015-02-10 |
| 1326319419 | Blake Reed Williams | Counselor | 10593 Rockview Ct, Auburn, CA 95602 | 2012-01-20 |
| 1548387970 | Richard Earl Thornton | Chiropractor | 10988 Combie Road, Suite 100, Auburn, CA 95602 | 2007-03-22 |
| 1346378957 | Stanford K Schulte | Marriage & Family Therapist | 3215 Fortune Court, Auburn, CA 95602 | 2007-03-02 |
| 1144372590 | Daniel E Mertz Dds Inc | Dentist | 3205 Professional Dr, Auburn, CA 95602 | 2007-01-17 |
| 1619035805 | Robert Lee Hook | General Practice | 11775 Education St Ste 211, Auburn, CA 95602 | 2006-12-04 |
| 1568536191 | Sierra Foothills Surgical Specialists Inc | Surgery | 3257 Professional Drive, Suite E, Auburn, CA 95602 | 2006-11-17 |
| 1093898710 | David Ray Norcott | Optometrist | 3211 Fortune Court, Auburn, CA 95602 | 2006-10-24 |
| 1467553834 | Heather Lynne Perry | Chiropractor | 3275 Fortune Ct, Auburn, CA 95602 | 2006-09-26 |
| Find all providers in zip 95602 | ||||
| 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 |
|---|---|---|---|---|
| 1760009724 | Brenna Rasmussen | Physician Assistant | 88 Elmwood Rd, Auburn, ME 04210-6510 | 2020-06-25 |
| 1891235800 | Dekalb Health Memorial Hosptial Inc | Physician Assistant | 916 W. Seventh St., Auburn, IN 46706-2013 | 2017-02-24 |
| 1043671605 | Stefanie Morgan Wozmak | Physician Assistant | 137 Mcevoy Dr, Auburn, NH 03032-3930 | 2016-03-10 |
| 1063838258 | Robert Bogdasarian | Physician Assistant | 460 Southbridge St, Auburn, MA 01501-2442 | 2014-03-12 |
| 1801938394 | Kelli Knox Riddle | Physician Assistant | 1543 Professional Pkwy, Auburn, AL 36830-2858 | 2007-02-13 |
| 1801995618 | Thomas E Burkert | Physician Assistant | 77 Nelson Street, Suite 320, Amms, PC, Auburn, NY 13021 | 2006-09-21 |
| 1285746057 | Patrick Raymond Decommer | Physician Assistant | 3227 Professional Dr, Suite A, Auburn, CA 95602-2414 | 2006-08-31 |
| 1316987092 | Kara Lynn Perez | Physician Assistant | 310 6th St Ne, Auburn, WA 98002-4342 | 2006-06-08 |
| 1518912187 | Delinah M Anderson | Physician Assistant | 120 E Midland Rd, Auburn, MI 48611-9780 | 2006-05-23 |
| 1255391793 | Mark Henry Leinwand | Physician Assistant | 13 North Fulton Street, Auburn, NY 13021 | 2006-03-27 |
| Find all providers in AUBURN | ||||
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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.