ALFAYO MICHIRA (NPI# 1245866086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245866086 |
Entity Type | Individual |
Full Name | ALFAYO MICHIRA |
Credential | PA |
Practice Address |
2760 3rd St Ceres CA 95307-3235 |
Mailing Address |
737 W Childs Ave Merced CA 95341-6805 |
Practice Telephone | 8666824842 |
Practice Fax Number | 8662345550 |
Mailing Telephone | 8666824842 |
Enumeration Date | 2020-03-12 |
Last Update Date | 2020-06-26 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
488425 | CA | Physician Assistants & Advanced Practice Nursing Providers |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
2760 3RD ST |
City | CERES |
State | CA |
Zip Code | 95307-3235 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962454652 | Daniel Tri Diep | Family Medicine | 2760 3rd St, Ceres, CA 95307-3235 | 2006-05-17 |
1255862553 | Elizabeth Catalina Weil | Registered Nurse | 2760 3rd St, Ceres, CA 95307-3235 | 2017-03-27 |
1730549080 | Shabana Sunesara | Nurse Practitioner | 2760 3rd St, Ceres, CA 95307 | 2016-02-29 |
1528465408 | Shelli Anne Nunes-briones | Social Worker | 2760 3rd St, Ceres, CA 95307-3235 | 2014-11-20 |
1891199055 | Elisabeth Ann Smith | Social Worker | 2760 3rd St, Ceres, CA 95307-3235 | 2014-10-17 |
1396923454 | Vlascovia Marlene Velasco Rios | Physician Assistant | 2760 3rd St, Ceres, CA 95307-3235 | 2008-01-31 |
1124204292 | Golden Valley Health Centers | Clinic/Center | 2760 3rd St, Ceres, CA 95307-3220 | 2008-01-18 |
1316121437 | Golden Valley Health Centers | Clinic/Center | 2760 3rd St, Ceres, AL 95307-3220 | 2007-12-26 |
1295915213 | Lisa Jewell Sanders | Registered Nurse | 2760 3rd St, Ceres, CA 95307-3220 | 2007-11-07 |
1457565590 | Golden Valley Health Centers | Family Medicine | 2760 3rd St, Ceres, CA 95307-3220 | 2007-05-09 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144762022 | Roxanne Mata | Technician | 1904 Richland Ave., Ceres, CA 95307 | 2016-11-09 |
1023496379 | Steven Leonard II | Technician, Other | 1904 Richalnd Ave, Ceres, CA 95307 | 2015-05-07 |
1942619820 | Thevi Phanthalangsy | Pharmacist | 1421 Coffee Road, Modesto, CA 95307 | 2014-08-05 |
1588973937 | Gloria June Coats | Nurse Practitioner | 3641 Mitchell Road, Suite H, Ceres, CA 95307 | 2010-10-04 |
1992953236 | John H Meekay | Dentist | 1788 Mitchell Road Suite 105, Ceres, CA 95307 | 2008-08-28 |
1316073778 | Donna J Payne | Case Manager/Care Coordinator | 1904 Richland Avenue, Ceres, CA 95307 | 2007-02-27 |
1104994656 | Katherine Anne Kucera | Dentist | 3507 Morgan Rd, Ceres, CA 95307 | 2006-12-01 |
1073615084 | Tracy S Park | Dentist | 2760 3rd Street, Suite A, Ceres, CA 95307 | 2006-09-01 |
1902855588 | Kerry B Evnin Md Inc A Professional Medical Corporation | Family Medicine | 3641 Mitchell Rd, H, Ceres, CA 95307 | 2006-05-09 |
1376012559 | David Andrew Kirkpatrick | Technician | 1904 Richland Ave Bldg D, Ceres, CA 95307 | 2018-11-17 |
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Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245879683 | Ilse Jazmin Tejeda | Physician Assistant | 1666 E Grayson Rd, Ceres, CA 95307-9564 | 2020-01-02 |
1891112652 | Ashlena Dass | Physician Assistant | 1904 Richland Ave, Ceres, CA 95307-4562 | 2014-03-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760089437 | Karine Harutyunyan | Physician Assistant | 500 E Colorado St Ste 101, Glendale, CA 91205-1607 | 2020-10-06 |
1437756228 | Kale Burket | Physician Assistant | Bldg 523, S 8th St, El Centro, CA 92243 | 2020-10-05 |
1548867666 | Heba Marzouk Al-shoubaki | Physician Assistant | 633 S Pepper St, Anaheim, CA 92802-1459 | 2020-10-01 |
1275140550 | Lisa Lynn Passalacqua | Physician Assistant | 431 7th St, Norco, CA 92860-1671 | 2020-09-30 |
1144833989 | Trisha Taylor | Physician Assistant | 10399 Tivoli Way, Yucaipa, CA 92399-6017 | 2020-08-30 |
1457963944 | Harlan William Monahan | Physician Assistant | 5210 Del Rio Rd, Sacramento, CA 95822-2519 | 2020-08-18 |
1275144313 | Sofia Carmen Bustillo | Physician Assistant | 1709 Coral Pl, Seal Beach, CA 90740-5712 | 2020-08-12 |
1124638663 | Gayaneh Gharakhani | Physician Assistant | 1323 E Broadway Apt 110, Glendale, CA 91205-4018 | 2020-08-07 |
1144830183 | Loc Bao Tran | Physician Assistant | 8937 Emerson Pl, Rosemead, CA 91770-2813 | 2020-08-04 |
1558997957 | Sarah Lubinsky | Physician Assistant | 1511 Montana Ave, Santa Monica, CA 90403-1891 | 2020-03-17 |
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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.