ANDREA SCONBERG (NPI# 1215306436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215306436 |
| Entity Type | Individual |
| Full Name | ANDREA SCONBERG |
| Practice Address |
3441 Marysville Blvd Sacramento CA 95838-4512 |
| Practice Telephone | 9165637229 |
| Enumeration Date | 2015-09-17 |
| Last Update Date | 2015-09-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 52592 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3441 MARYSVILLE BLVD |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95838-4512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699750497 | Yessennia Candelaria | Pediatrics | 3441 Marysville Blvd, Sacramento, CA 95838-4512 | 2005-12-14 |
| 1275169955 | Patrick Lorenz Paras Mallari | Nurse Practitioner | 3441 Marysville Blvd, Sacramento, CA 95838-4512 | 2020-03-13 |
| 1811455819 | Wellspace Health | Clinic/Center | 3441 Marysville Blvd, Sacramento, CA 95838-4512 | 2019-03-08 |
| 1487146213 | Coleman Alan Humbert | Nurse Practitioner | 3441 Marysville Blvd, Sacramento, CA 95838-4512 | 2018-06-06 |
| 1679832091 | Zainab Ajeena | Pediatrics | 3441 Marysville Blvd, Sacramento, CA 95838-4512 | 2012-05-04 |
| 1568666808 | Dirk Hendrik Vanmeurs | Family Medicine | 3441 Marysville Blvd, Sacramento, CA 95838-4512 | 2007-06-12 |
| 1083778765 | Keith A Hopkins | Internal Medicine | 3441 Marysville Blvd, Sacramento, CA 95838-4512 | 2006-12-20 |
| 1407924913 | Maria E Stoner | Nurse Practitioner | 3441 Marysville Blvd, Sacramento, CA 95838-4512 | 2006-12-01 |
| 1700991445 | River City Medical Group, Inc. | Family Medicine | 3441 Marysville Blvd, Sacramento, CA 95838-4512 | 2006-08-21 |
| 1326052663 | Ronald Greenwood | Pediatrics | 3441 Marysville Blvd, Sacramento, CA 95838-4512 | 2006-07-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467898106 | Reset Youth Treatment Enterprises | Clinic/Center | 3725 Marysville Boulevard, Suite 337, Sacramento, CA 95838 | 2013-05-21 |
| 1508193996 | Associated Medical Transport | Non-emergency Medical Transport (VAN) | 181 Grace Avenue, Sacramento, CA 95838 | 2009-11-05 |
| 1619131828 | Charlene Sashington | Counselor | 310 Harris Avenue, Ste A, Sacramento, CA 95838 | 2008-07-16 |
| 1164694451 | Jerry Lee Hull | Counselor | 310 Harris Avenue Suite A, Sacramento, CA 95838 | 2008-03-27 |
| 1831361294 | Diane Yvonne Dickinson | Counselor | 310 Harris Avenue, Suite A, Sacramento, CA 95838 | 2008-03-26 |
| 1629131073 | Ernesto S Orendain | Chiropractor | 3901 Norwood Ave, Suite A, Sacramento, CA 95838 | 2006-12-18 |
| 1518033901 | Cynthia Max-wright | Marriage & Family Therapist | 395 Performance Dr, Ste G, Sacramento, CA 95838 | 2006-11-28 |
| 1134185333 | Lu Saelee | Counselor | 310 Harris Avenue, Suite A, Sacramento, CA 95838 | 2006-04-25 |
| 1669438008 | Ming-huei Wu | Registered Nurse | 3950 Research Drive, Sacramento, CA 95838 | 2006-04-25 |
| 1366439358 | Kci Usa, Inc. | Durable Medical Equipment & Medical Supplies | 3951 Performance Dr, Ste H, Sacramento, CA 95838 | 2005-10-04 |
| Find all providers in zip 95838 | ||||
| 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 |
|---|---|---|---|---|
| 1689271587 | Vera Pavlovna Kondrashov | Physician Assistant | 1860 Howe Ave Ste 455, Sacramento, CA 95825-1086 | 2020-10-04 |
| 1861017691 | Kathryn Anne Pashalides | Physician Assistant | 1400 57th St, Sacramento, CA 95819-4205 | 2020-06-08 |
| 1396369567 | Isabelle Shapiro | Physician Assistant | 1411 U St, Sacramento, CA 95818-1416 | 2020-06-03 |
| 1487276382 | Ndaya Briana Kalambay | Physician Assistant | 3910 Auburn Blvd Apt 68, Sacramento, CA 95821-2130 | 2020-05-13 |
| 1053942888 | Eduardo Sevilla | Physician Assistant | 8129 Polo Crosse Ave, Sacramento, CA 95829-6546 | 2020-01-30 |
| 1316582695 | Lauren Hunter | Physician Assistant | 6600 Bruceville Rd Rm 1h5, Sacramento, CA 95823-4671 | 2019-11-11 |
| 1942841176 | Kimia Ighani | Physician Assistant | 3429 2nd Ave, Sacramento, CA 95817-2802 | 2019-09-29 |
| 1386290195 | Anthony Menacho | Physician Assistant | 2472 Larkspur Ln Apt 363, Sacramento, CA 95825-4153 | 2019-08-16 |
| 1891341178 | Ebtesam Gerges | Physician Assistant | 4411 4th Ave Apt B, Sacramento, CA 95817-3059 | 2019-08-13 |
| 1295392488 | Shea L Smith | Physician Assistant | 2570 48th St, Sacramento, CA 95817-1541 | 2019-05-22 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95838 |
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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.