MR. JOHN ROBERT COLLEN (NPI# 1215058037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215058037 |
| Entity Type | Individual |
| Full Name | MR. JOHN ROBERT COLLEN |
| Credential | PA-C |
| Practice Address |
1981 N Broadway Ste 190 Walnut Creek CA 94596-3817 |
| Mailing Address |
1944 Reliez Valley Rd Lafayette CA 94549-1809 |
| Practice Telephone | 9259327715 |
| Enumeration Date | 2007-04-02 |
| 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 |
PA 17169 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1981 N BROADWAY STE 190 |
| City | WALNUT CREEK |
| State | CA |
| Zip Code | 94596-3817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477608511 | Jennifer Hayman Weise | Physician Assistant | 1981 N Broadway Ste 190, Walnut Creek, CA 94596-3671 | 2007-01-25 |
| 1013487651 | Occupational Health Centers of California, A Medical Corporation | Clinic/Center | 1981 N Broadway Ste 190, Walnut Creek, CA 94596-3671 | 2018-11-27 |
| 1992271415 | American Current Care of California, A Medical Corporation | Clinic/Center | 1981 N Broadway Ste 190, Walnut Creek, CA 94596-3671 | 2018-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467917229 | Alison M Khaddour | Behavior Technician | 800 S Broadway Ste. 310, Walnut Creek, CA 94596 | 2019-02-06 |
| 1134683618 | Ian Colas | Respiratory Therapist, Certified | 1425 South Main Street, Walnut Creek, Walnut Creek, CA 94596 | 2019-01-29 |
| 1912474131 | Albert Dizon Miraflores | Behavior Technician | 1910 Olympic Blvd Walnut Creek Ca 94596, Walnut Creek, CA 94596 | 2018-10-25 |
| 1487136834 | Daryn Stier | Social Worker | 80 Norlyn Drive, Walnut Creek, CA 94596 | 2018-09-02 |
| 1831682335 | Jessica Lim | Registered Nurse | 1357 Oakland Blvd, Walnut Creek, CA 94596 | 2018-06-08 |
| 1699278432 | Alanna Everhart | Behavior Technician | 877 Ygnacio Valley Road, Suite 100, Walnut Creek, CA 94596 | 2018-03-16 |
| 1962958108 | Derek Jue Md | Clinic/Center | 1812 San Miguel Drive, Walnut Creek, CA 94596 | 2016-08-28 |
| 1912369711 | Pamela Jean Lister | Marriage & Family Therapist | 2070 N Broadway, #5370, Walnut Creek, CA 94596 | 2016-03-22 |
| 1548635147 | Anne Lamoreaux Anderson | Behavioral Analyst | 800 South Broadway Suite #310, Walnut Creek, CA 94596 | 2015-12-08 |
| 1346619434 | Christine Anne Gotelli | Registered Nurse | 370 N. Civic Drive #311, San Francico, CA 94596 | 2015-09-18 |
| Find all providers in zip 94596 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841666443 | Salam Hasan | Physician Assistant | 2255 Ygnacio Valley Rd Ste N, Walnut Creek, CA 94598-3347 | 2015-08-18 |
| 1285720409 | Elizabeth Cannon Davis | Physician Assistant | 1450 Treat Blvd Ste 160, Walnut Creek, CA 94597-2168 | 2006-10-05 |
| 1386687945 | Angelica M Meza | Physician Assistant | 108 La Casa Via Ste 100, Walnut Creek, CA 94598-3013 | 2006-06-13 |
| 1851352355 | Hope Sharon Rubin | Physician Assistant | 110 Tampico Ste 210, Walnut Creek, CA 94598-2962 | 2006-04-01 |
| 1447677141 | Erin Walker | Physician Assistant | 106 La Casa Via, Suite 140, Walnut Creek, CA 94598-3086 | 2014-03-20 |
| 1023434065 | Maryam Husain | Physician Assistant | 370 N Wiget Ln, #125, Walnut Creek, CA 94598-2488 | 2014-03-14 |
| 1033542592 | Allison Jean De Young | Physician Assistant | 106 La Casa Via Ste 240, Walnut Creek, CA 94598-3012 | 2013-08-19 |
| 1871853200 | Jessamy Meu Lambert | Physician Assistant | 1450 Treat Blvd # 160, Walnut Creek, CA 94597 | 2012-05-18 |
| 1710250865 | Bridget Garrehy | Physician Assistant | 2625 Shadelands Dr, Walnut Creek, CA 94598-2512 | 2012-02-21 |
| 1528351814 | John Alan Puccini | Physician Assistant | 106 La Casa Via Ste 140, Walnut Creek, CA 94598-3084 | 2011-05-19 |
| Find all providers in WALNUT CREEK | ||||
| City | WALNUT CREEK |
| Zip Code | 94596 |
Please comment or provide details below to improve the information on MR. JOHN ROBERT COLLEN.
| 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.