BLAIR MONELL (NPI# 1255617544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255617544 |
| Entity Type | Individual |
| Full Name | BLAIR MONELL |
| Credential | PA |
| Practice Address |
805 Aerovista Pl Suite 106 San Luis Obispo CA 93401-7919 |
| Mailing Address |
6360 S 3000 E Ste 220 Salt Lake City UT 84121-6924 |
| Practice Telephone | 8055941240 |
| Mailing Telephone | 8055941240 |
| Enumeration Date | 2011-10-31 |
| Last Update Date | 2017-09-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
805 AEROVISTA PL SUITE 106 |
| City | SAN LUIS OBISPO |
| State | CA |
| Zip Code | 93401-7919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740276989 | Grace L Kim | Anesthesiology | 805 Aerovista Pl, Suite 106, San Luis Obispo, CA 93401-7919 | 2005-09-22 |
| 1689115446 | Allysa Rueschenberg | Registered Nurse | 805 Aerovista Pl, #106, San Luis Obispo, CA 93401-7919 | 2017-03-13 |
| 1578018735 | Andrea Ripoyla | Physical Therapist | 805 Aerovista Pl, Suite 104, San Luis Obispo, CA 93401-7919 | 2016-08-17 |
| 1710354253 | Luke Phillips | Physical Therapist | 805 Aerovista Pl, Ste 104, San Luis Obispo, CA 93401-7919 | 2015-09-01 |
| 1194191494 | Taylor Leiby | Physical Therapist | 805 Aerovista Pl, Ste 104, San Luis Obispo, CA 93401-7919 | 2015-08-20 |
| 1316345275 | Jennifer Watson | Physical Therapist | 805 Aerovista Pl, Ste 104, San Luis Obispo, CA 93401-7919 | 2014-12-09 |
| 1265858385 | Brandon N Weipert | Physical Therapist | 805 Aerovista Pl, Suite 104, San Luis Obispo, CA 93401-7919 | 2014-03-13 |
| 1942571260 | Industrial Physical Therapy Specialists | Physical Therapist | 805 Aerovista Pl, Suite 104, San Luis Obispo, CA 93401-7919 | 2012-01-18 |
| 1659676849 | Colleen R Vecchetti | Physical Therapist | 805 Aerovista Pl, Suite 104, San Luis Obispo, CA 93401-7919 | 2011-01-19 |
| 1841488715 | Julie Baclene | Physical Therapist | 805 Aerovista Pl, #201, San Luis Obispo, CA 93401-7919 | 2007-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497228399 | Barbara Jean Morrow | Dental Hygienist | 2191 Johnson Avenue, San Luis Obispo, CA 93401 | 2019-01-03 |
| 1104307743 | Griffith Jennings | Counselor | 1225 Kendal Rd, San Luis Obispo, CA 93401 | 2018-08-22 |
| 1124518808 | Joy L Delaluna | Licensed Psychiatric Technician | 692 Evens Rd, San Luis Obispo, CA 93401 | 2018-05-17 |
| 1982192084 | Sierra Mental Wellness Group | Community/Behavioral Health | 2180 B Johnson Avenue, San Luis Obispo, CA 93401 | 2018-04-25 |
| 1326554403 | Veronica Chanel Laguna | Case Manager/Care Coordinator | 1065 Kansas Ave., San Luis Obispo, CA 93401 | 2017-12-27 |
| 1043739782 | Janette Lynn Branca | Case Manager/Care Coordinator | 285 South Street, Suit J, San Louis Obispo, CA 93401 | 2017-09-13 |
| 1588194104 | Adv Vision LLC | Optometrist | 835 Aero Vista Pl, #110, San Luis Obispo, CA 93401 | 2017-06-15 |
| 1508395880 | Samantha Clay | Counselor | 1255 Kendall Road, San Luis Obispo, CA 93401 | 2017-06-08 |
| 1659804771 | Sara Anne Powers | Counselor | 697 Higuera Street D, San Luis Obispo, CA 93401 | 2017-04-05 |
| 1508306010 | Russell Piazza | Pharmacist | 873 Ricardo Court, San Luis Obispo, CA 93401 | 2017-03-02 |
| Find all providers in zip 93401 | ||||
| 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 |
|---|---|---|---|---|
| 1164076626 | Hilary Abbott Anderson | Physician Assistant | 127 Casa St., San Luis Obispo, CA 93405 | 2019-08-01 |
| 1033684774 | Taryn Alexandra Pearl | Physician Assistant | 892 Aerovista Pl, Suite 130, San Luis Obispo, CA 93401-8054 | 2018-10-09 |
| 1457864597 | Peter George May | Physician Assistant | 2365 Sunset Dr, San Luis Obispo, CA 93401-4651 | 2017-11-12 |
| 1003364191 | Taylor Suzanne Wahl | Physician Assistant | 1235 Osos St # 100, San Luis Obispo, CA 93401-3619 | 2016-09-16 |
| 1649423542 | Jarred Dewayne Minefee | Physician Assistant | 283 Madonna Road, Suite B, San Luis Obispo, CA 93405 | 2008-10-23 |
| 1558475699 | Mark Mason Haley | Physician Assistant | One Grand Ave, San Luis Obispo, CA 93407-0210 | 2006-08-18 |
| 1902873748 | Mark J Hollis | Physician Assistant | 15 Santa Rosa Street, San Luis Obispo, CA 93405-1811 | 2006-03-01 |
| 1235116955 | Julia Elizabeth Davison | Physician Assistant | 1551 Bishop St Ste A150, San Luis Obispo, CA 93401-4635 | 2005-12-22 |
| 1083197354 | Natalie Matenaer | Physician Assistant | 990 Pacific St, San Luis Obispo, CA 93401-6309 | 2018-09-12 |
| 1922589548 | Jessy Mackenzie Arthurs | Physician Assistant | 1235 Osos St Ste 100, San Luis Obispo, CA 93401-3619 | 2018-08-22 |
| Find all providers in SAN LUIS OBISPO | ||||
| City | SAN LUIS OBISPO |
| Zip Code | 93401 |
Please comment or provide details below to improve the information on BLAIR MONELL.
| 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.