MURIEL LISA ROSE (NPI# 1215080718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215080718 |
| Entity Type | Individual |
| Full Name | MURIEL LISA ROSE |
| Credential | PA-C |
| Practice Address |
1066 S. Green Valley Rd. Watsonville CA 95076 |
| Mailing Address |
1066 S Green Valley Rd Watsonville CA 95076-4163 |
| Practice Telephone | 8317222422 |
| Practice Fax Number | 8317222855 |
| Mailing Telephone | 8317222422 |
| Mailing Fax Number | 8317222855 |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA11912 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PA LICENSE | PA11912 | 01 |
| Street Address |
1066 S. GREEN VALLEY RD. |
| City | WATSONVILLE |
| State | CA |
| Zip Code | 95076 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023161619 | Anne-marie Edith Mcdaniel | Family Medicine | 1066 S. Green Valley Rd., Watsonville, CA 95076 | 2007-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841757515 | Vicky E Gonzalez | Case Manager/Care Coordinator | 2714 Freedom Blvrd, Watsonville, CA 95076 | 2019-02-28 |
| 1861987059 | Encompass Community Services | Community/Behavioral Health | 2714 Freedom Blvd., Freedom, CA 95076 | 2018-06-29 |
| 1134617798 | Haven of Hope, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 107 Pauline Dr, Watsonville, CA 95076 | 2018-04-28 |
| 1346743911 | Kathleen Long | Physician Assistant | 2468, 75 Nielson St, Watsonville, CA 95076 | 2018-03-09 |
| 1811403603 | Hieu Thi Thanh Nguyen Boulom | Pharmacist | 2810 Freedom Blvd, Watsonview, CA 95076 | 2017-12-16 |
| 1649798398 | Jonathon Rank | Counselor | 335 East Lake Ave, Watsonville, CA 95076 | 2017-09-01 |
| 1841653318 | Cristina Guzman | Registered Nurse | 195 Aviation Way, Ste 200, Watsonville, CA 95076 | 2016-04-01 |
| 1013388974 | Salud Para La Gente | Clinic/Center | 195 Aviation Way, Suite 200, Watsonville, CA 95076 | 2015-10-16 |
| 1386025757 | Yaseer Yousuf Parupia | Podiatrist | 47 Penny Lane, Suite 1, Watsonville, CA 95076 | 2015-06-11 |
| 1093100935 | Diana Perezchica | Counselor | 20716 Freedom Blv, Watsonville, CA 95076 | 2015-03-30 |
| Find all providers in zip 95076 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093023343 | Ashley L. Neway | Physician Assistant | 204 East Beach St, Watsonville, CA 95076-4809 | 2010-09-21 |
| 1578056529 | Carmen Violich | Physician Assistant | 1430 Freedom Blvd, Watsonville, CA 95076-2780 | 2018-06-13 |
| 1841609799 | Erica Navarro | Physician Assistant | 45 Neilson St, Watsonville, CA 95076-2468 | 2014-08-05 |
| 1508205691 | Alejandra Perez Leliaert | Physician Assistant | 1430 Freedom Blvd, Watsonville, CA 95076-2780 | 2013-06-21 |
| 1740598275 | Brent Christopher Marks | Physician Assistant | 75 Neilson St, Watsonville, CA 95076-2468 | 2010-09-17 |
| 1942524897 | Hugo Gerardo Mar | Physician Assistant | 284 Pennsylvania Dr, Suite 1, Watsonville, CA 95076-3768 | 2010-03-22 |
| 1326275587 | Olivia Guzman | Physician Assistant | 1150 Main St Ste 3, Watsonville, CA 95076-3760 | 2009-06-16 |
| 1265681977 | Cathleen Chandler-eckhardt | Physician Assistant | 204 E Beach St, Watsonville, CA 95076-4809 | 2008-09-17 |
| 1316112980 | Leticia G. Salazar | Physician Assistant | 204 E Beach St, Watsonville, CA 95076-4809 | 2008-04-24 |
| 1013934553 | Paul J Lewandowski | Physician Assistant | 75 Nielson St, Em Dept, Watsonville, CA 95076-2468 | 2006-07-17 |
| Find all providers in WATSONVILLE | ||||
| City | WATSONVILLE |
| Zip Code | 95076 |
Please comment or provide details below to improve the information on MURIEL LISA ROSE.
| 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.