GAYLE FENNER (NPI# 1255720025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255720025 |
| Entity Type | Individual |
| Full Name | GAYLE FENNER |
| Practice Address |
2405 Shadelands Dr Walnut Creek CA 94598-2444 |
| Practice Telephone | 9259398585 |
| Enumeration Date | 2015-01-16 |
| Last Update Date | 2015-01-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 52252 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2405 SHADELANDS DR |
| City | WALNUT CREEK |
| State | CA |
| Zip Code | 94598-2444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316939556 | Sequoia Surgical Center Lp | Clinic/Center | 2405 Shadelands Dr, Suite 200, Walnut Creek, CA 94598-2444 | 2005-08-15 |
| 1306499272 | Kevin Byrne | Physician Assistant | 2405 Shadelands Dr, Walnut Creek, CA 94598-2444 | 2019-07-19 |
| 1881062750 | Zachary Symmes | Physician Assistant | 2405 Shadelands Dr, Walnut Creek, CA 94598-2444 | 2015-09-09 |
| 1174914410 | Anna Geller | Registered Nurse | 2405 Shadelands Dr, Walnut Creek, CA 94598-2444 | 2015-02-09 |
| 1689075236 | Michael Francis Cadette | Physician Assistant | 2405 Shadelands Dr, Walnut Creek, CA 94598-2444 | 2014-09-12 |
| 1508270075 | Richard Friedell | Physical Therapist | 2405 Shadelands Dr, Walnut Creek, CA 94598-2444 | 2014-06-12 |
| 1235562489 | Mario Pisani | Physical Therapist | 2405 Shadelands Dr, Walnut Creek, CA 94598-2444 | 2013-08-12 |
| 1922379940 | Bronwyn Fevaleaki | Physical Therapist | 2405 Shadelands Dr, Walnut Creek, CA 94598-2444 | 2012-01-23 |
| 1891083408 | Mariel P Heller-benson | Physician Assistant | 2405 Shadelands Dr, Walnut Creek, CA 94598-2444 | 2011-07-17 |
| 1821303439 | Julie A Hadley | Registered Nurse | 2405 Shadelands Dr, Walnut Creek, CA 94598-2444 | 2010-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639716608 | Tasnim Diaf Moulton | Counselor | 2730 Shadelands Drive, Walnut Creek, CA 94598 | 2019-12-09 |
| 1790255370 | Harmony Grace Davis | Behavior Technician | 2730 Shadelands Drive Bldg 10, Walnut Creek, CA 94598 | 2018-11-27 |
| 1922583772 | Melissa Anne Mcgovern | Behavioral Analyst | 2370 Shadelands Drive, Bldg 10, Walnut Creek, CA 94598 | 2018-09-27 |
| 1184108367 | Brett Heflin Woodrufff | Behavior Technician | 2730 Shandeland Dr. Building 10, Walnut Creek, CA 94598 | 2018-09-24 |
| 1710411640 | Mandy Wei | Pharmacist | 2880 Shadeland Dr, Suite 201, Walnut Creek, CA 94598 | 2017-04-18 |
| 1437683497 | Hayley Miller | Student in an Organized Health Care Education/Training Program | 2204 Lomond Lane, Walnut Creek, CA 94598 | 2017-04-17 |
| 1043601594 | Marlene Perez Riedel | Nurse Practitioner | 450 North Wiget Lane, Walnut Creek, CA 94598 | 2015-02-05 |
| 1922418904 | Dante Michael Sorrentino | Ophthalmology | Kaiser Permanente Park Shadelands Medical Offices, 320 Lennon Lane, Walnut Creek, CA 94598 | 2014-04-30 |
| 1194156505 | Robert Harrison Hubbell | Obstetrics & Gynecology | 838 Stonehaven Dr, Walnut Creek, CA 94598 | 2013-12-11 |
| 1174954192 | Paul Mead | Orthopaedic Surgery | 2405 Shadelands Dr Ste 300, Walnut Creek, CA 94598 | 2013-12-01 |
| Find all providers in zip 94598 | ||||
| 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 |
|---|---|---|---|---|
| 1649897455 | Zoryana Dougan | Physician Assistant | 125 Near Ct Apt 641, Walnut Creek, CA 94596-5665 | 2020-06-26 |
| 1366077612 | Devi Satish Sharma | Physician Assistant | 1755 Trinity Ave Apt 23, Walnut Creek, CA 94596-4019 | 2020-03-06 |
| 1558846063 | Alfredo Cortez Melendez | Physician Assistant | 1461 Creekside Dr Apt 3015, Walnut Creek, CA 94596-5646 | 2018-10-01 |
| 1508340514 | Leah Benner | Physician Assistant | 370 N Wiget Ln Ste 125, Walnut Creek, CA 94598-2546 | 2018-09-17 |
| 1275046492 | Drew Sachwitz | Physician Assistant | 601 Cesar Ct, Walnut Creek, CA 94598-2208 | 2017-11-09 |
| 1801268164 | Clifford Porter | Physician Assistant | 1791 Castle Hill Rd, Walnut Creek, CA 94595-2312 | 2015-10-27 |
| 1629411145 | Janibel Melendez Mandap | Physician Assistant | 2255 Ygnacio Valley Rd Ste G, Walnut Creek, CA 94598-3335 | 2013-04-15 |
| 1356598403 | Elizabeth Maria Oconnor | Physician Assistant | 1601 Ygnacio Valley Rd., John Muir Medical Center, Walnut Creek, Walnut Creek, CA 94598 | 2008-08-20 |
| 1609085760 | Karen A Hauser | Physician Assistant | 1990 N. Calfornia Blvd., Suite 400, Walnut Creek, CA 94596-7249 | 2007-05-22 |
| 1083755862 | Patricia K Loo | Physician Assistant | 106 La Casa Via Ste 240, Walnut Creek, CA 94598-3012 | 2007-02-12 |
| Find all providers in WALNUT CREEK | ||||
| City | WALNUT CREEK |
| Zip Code | 94598 |
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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.