RUSLAN KHABATYUK (NPI# 1225285133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225285133 |
| Entity Type | Individual |
| Full Name | RUSLAN KHABATYUK |
| Credential | PA-C |
| Practice Address |
3427 Robin Ln Suite 100 Cameron Park CA 95682-7254 |
| Mailing Address |
3400 Data Dr Rancho Cordova CA 95670-7956 |
| Practice Telephone | 5306767337 |
| Mailing Telephone | 9163792948 |
| Mailing Fax Number | 9168587065 |
| Enumeration Date | 2008-08-21 |
| Last Update Date | 2012-08-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA19861 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3427 ROBIN LN SUITE 100 |
| City | CAMERON PARK |
| State | CA |
| Zip Code | 95682-7254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184654030 | Everett Brantley Dyer | Pediatrics | 3427 Robin Ln, Suite 100, Cameron Park, CA 95682-7254 | 2006-07-04 |
| 1073829636 | Mercy Medical Group | Non-Pharmacy Dispensing Site | 3427 Robin Ln, 100, Cameron Park, CA 95682-7254 | 2010-08-20 |
| 1922336296 | Dignity Health Medical Foundation | Clinic/Center | 3427 Robin Ln, Suite 100, Cameron Park, CA 95682-7255 | 2009-11-25 |
| 1922238542 | Chw Medical Foundation | Clinic/Center | 3427 Robin Ln, Suite 100, Cameron Park, CA 95682-7254 | 2009-07-16 |
| 1912077868 | Wendy Zilch Dyer | Internal Medicine | 3427 Robin Ln, Cameron Park, CA 95682-7254 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003225681 | Breanna Canclini | Occupational Therapist | 2690 Hillcrest Dr, Cameron Park, CA 95682 | 2014-08-07 |
| 1497030852 | Bullards Dialysis LLC | Clinic/Center | 3311 Coach Ln Ste C, Cameron Park, CA 95682 | 2011-10-18 |
| 1417265786 | George Waite Weilepp | Orthopaedic Surgery | 4880 Maggie Court, Shingle Springs, CA 95682 | 2010-09-20 |
| 1831417757 | Maisha Michelle Correia | Psychiatry & Neurology | 3581 Palmer Dr Ste 202, Cameron Park, CA 95682 | 2010-05-17 |
| 1043466212 | Richard Joseph Sommerdyke | Dentist | 4200 Mother Lode Dr, Suite A, Shingle Springs, CA 95682 | 2008-08-07 |
| 1912120189 | Robert L Catron | Dentist | 3350 Coach Ln, Cameron Park, CA 95682 | 2007-04-10 |
| 1154457083 | Leslie Joan Hill-sokol | Marriage & Family Therapist | 3330 Heights Dr Ste 120, Cameron Park, CA 95682 | 2007-02-26 |
| 1114082765 | Torrey R Hammond | Dentist | 970 Camerado Drive, Ste 100, Cameron Park, CA 95682 | 2006-12-26 |
| 1659431062 | Petrice Foxworthy | Chiropractor | 3370 Country Club Dr., Cameron Park, CA 95682 | 2006-12-08 |
| 1346310570 | Lorin G Farr | Chiropractor | 3091 Alhambra Dr, Ste A, Cameron Park, CA 95682 | 2006-11-08 |
| Find all providers in zip 95682 | ||||
| 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 |
|---|---|---|---|---|
| 1922550821 | Carly J Hustrei | Physician Assistant | 3106 Ponte Morino Dr Ste C, Cameron Park, CA 95682-8281 | 2016-10-26 |
| 1972768489 | Jeffrey John Henefeld | Physician Assistant | 3427 Robin Ln Ste 100, Cameron Park, CA 95682-7255 | 2008-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407679 | Samantha Sidney Spinner | Physician Assistant | 1385 Shattuck Ave Apt 201, Berkeley, CA 94709-1468 | 2020-11-08 |
| 1134720972 | Alessandra Porfido | Physician Assistant | 733 Filbert St Apt 1, San Francisco, CA 94133-2767 | 2020-11-06 |
| 1992306872 | Kelsey Oberg | Physician Assistant | 1817 Oldfield Ct, El Cajon, CA 92019-4233 | 2020-11-05 |
| 1609477504 | Julia Claire Stiefel | Physician Assistant | 369 Orange St Apt A, Oakland, CA 94610-2979 | 2020-11-05 |
| 1164023347 | Wendy P Lewis | Physician Assistant | 10447 Highdale St, Bellflower, CA 90706-4122 | 2020-11-04 |
| 1245830181 | Lauren Bennett | Physician Assistant | 3360 Horizon St, Corona, CA 92881-0728 | 2020-10-29 |
| 1538769062 | Revital Ahl | Physician Assistant | 18141 Medley Dr, Encino, CA 91316-4447 | 2020-10-26 |
| 1922607423 | Emily Halla | Physician Assistant | 7473 Gresham Ct, San Jose, CA 95139-1424 | 2020-10-26 |
| 1386243889 | Ilaitia Lecia Namatasere | Physician Assistant | 614 Sycamore Ln Apt 225, Davis, CA 95616-7901 | 2020-10-26 |
| 1083213706 | Courtney Kathryn Hopp | Physician Assistant | 4060 Fourth Ave Ste 209, San Diego, CA 92103-2120 | 2020-10-23 |
| Find all providers with the same taxonomy | ||||
| City | CAMERON PARK |
| Zip Code | 95682 |
Please comment or provide details below to improve the information on RUSLAN KHABATYUK.
| 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.