ALLEN Y. ILORETA (NPI# 1265716302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265716302 |
Entity Type | Individual |
Full Name | ALLEN Y. ILORETA |
Credential | PA-C |
Practice Address |
10600 Magnolia Ave Ste I Riverside CA 92505-1819 |
Mailing Address |
14901 Frost Ave Apt 23 Chino Hills CA 91709-2480 |
Practice Telephone | 9513527918 |
Mailing Telephone | 8086514117 |
Enumeration Date | 2011-10-07 |
Last Update Date | 2011-10-07 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA21797 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
10600 MAGNOLIA AVE STE I |
City | RIVERSIDE |
State | CA |
Zip Code | 92505-1819 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205458460 | Mark Anthony Vargas | Behavioral Analyst | 94193 Flat Rock Dr Ste 220, Riverside, CA 92505 | 2020-05-11 |
1568099976 | Victoria Lee | Student in an Organized Health Care Education/Training Program | Riverside Family Medicine Residency, 10800 Magnolia Avenue, Riverside, CA 92505 | 2020-03-25 |
1588222087 | A Homecare Services, Inc | In Home Supportive Care | 4193 Flat Rock Road, Building 200 Suite 206, Riverside, CA 92505 | 2019-05-31 |
1609302397 | Tap Pharmacy, Inc. | Pharmacy | 4270 Riverwalk Pkwy Ste 102, Riverside, CA 92505 | 2017-05-02 |
1467998658 | Onofre Gascon | Behavior Technician | 11711 Collett Ave, #1614, Riverside, CA 92505 | 2017-01-11 |
1780038505 | Nash David Martinez | Emergency Medicine | 10800 Magnolia Ave Dept of Emergency Medicine, Kaiser Permanente Hospital, Riverside, CA 92505 | 2016-04-18 |
1447639901 | Jose Joel Manalese Dds Inc | Dentist | 3950 Pierce St., Suite L., Riverside, CA 92505 | 2015-05-29 |
1821493230 | Jean Huynh | Physician Assistant | 11725 State Ave., Suite 100, Riverside, CA 92505 | 2014-10-28 |
1003160649 | Elaf Farahat | Dietitian, Registered | 10800 Magnolia Avenue., Riverside, CA 92505 | 2012-11-05 |
1730458217 | Tammy Lynn Gilmore | Non-emergency Medical Transport (VAN) | 10770 Hole Avenue, 106, Riverside, CA 92505 | 2011-12-29 |
Find all providers in zip 92505 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023500592 | Pamela Lambert Pa-c, Inc. | Physician Assistant | 16105 Mariposa Ave, Riverside, CA 92504-8730 | 2018-05-31 |
1457300436 | Mission Surgical Clinic, Inc. | Physician Assistant | 3660 Park Sierra Dr, Suite 105, Riverside, CA 92505-3071 | 2006-05-08 |
1023079183 | Haider Spine Center Medical Group | Physician Assistant | 6276 River Crest Dr, Riverside, CA 92507-0754 | 2006-03-29 |
1982129342 | Henderson Surgical Physician Assistant | Physician Assistant | 4445 Magnolia Ave, Riverside, CA 92501-4135 | 2017-08-07 |
1851755128 | Anthony Cramer | Physician Assistant | 6276 River Crest Dr, Riverside, CA 92507-0783 | 2016-04-12 |
1912307448 | Jennifer Kang | Physician Assistant | 353 E Burlington St, Suite 100, Riverside, IL 60546-2189 | 2014-09-03 |
1750533618 | Kayleeta Evonne Robinson | Physician Assistant | 4445 Magnolia Ave, Riverside, CA 92501-4135 | 2008-10-22 |
1588750152 | Monica Falcon | Physician Assistant | 3660 Park Sierra Dr, Suite 105, Riverside, CA 92505-3071 | 2006-10-04 |
1417058934 | Alan D Moses | Physician Assistant | 353 E Burlington St, Suite 100, Riverside, IL 60546-2189 | 2006-09-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649894403 | Kathlyn Larco | Physician Assistant | 1233 W Randall Way, West Covina, CA 91790-4747 | 2020-06-07 |
1487126421 | Eliza Hughes | Physician Assistant | 860 Oak Park Blvd Ste 101, Arroyo Grande, CA 93420-1800 | 2018-12-31 |
1508333873 | Andrew Cantos Malit | Physician Assistant | 409 Bristol Way, Corona, CA 92879-6156 | 2018-10-25 |
1578049458 | Ida Jelveh | Physician Assistant | 28096 Edelweiss Ct, Laguna Niguel, CA 92677-7006 | 2018-07-13 |
1356833578 | Michael James Gonzalez | Physician Assistant | 1500 E Chevy Chase Dr # 401a401b, Glendale, CA 91206-4152 | 2018-06-04 |
1225532385 | Folsom Physicain Assistant First Assist, Inc | Physician Assistant | Nina Vasiliev Pa-c, 15407 Muller Rd, Plymouth, CA 95669-9770 | 2018-03-22 |
1275040008 | Gm Surgical Assistant Inc | Physician Assistant | 15615 Turnberry St, Moreno Valley, CA 92555-4901 | 2018-01-02 |
1902311186 | Or Solutions Inc | Physician Assistant | 1501 Secret Ravine Pkwy Unit 527, Roseville, CA 95661-6005 | 2017-12-09 |
1184143828 | Alaa Abdalla Daghlas | Physician Assistant | 1100 S Eliseo Dr Ste A, Greenbrae, CA 94904-2017 | 2017-09-13 |
1891227823 | Julieta A. Murillo | Physician Assistant | 1 Quality Dr Ste B36, Vacaville, CA 95688-9494 | 2017-03-29 |
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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.