PAUL ACERRA (NPI# 1306858220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306858220 |
| Entity Type | Individual |
| Full Name | PAUL ACERRA |
| Credential | PA |
| Practice Address |
2411 Osborne Rd Carlsbad NM 88220-3265 |
| Practice Telephone | 5058852188 |
| Practice Fax Number | 5058856486 |
| Mailing Telephone | 5058852188 |
| Mailing Fax Number | 5058856486 |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 79PA-001 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2411 OSBORNE RD |
| City | CARLSBAD |
| State | NM |
| Zip Code | 88220-3265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376520601 | Marshall G Baca | Specialist | 2411 Osborne Rd, Carlsbad, NM 88220-3265 | 2005-12-28 |
| 1801010368 | William J Baggs Md Pa | Specialist | 2411 Osborne Rd, Carlsbad, NM 88220-3265 | 2007-04-13 |
| 1881818201 | Marshall G Baca Md PC | Specialist | 2411 Osborne Rd, Carlsbad, NM 88220-3265 | 2007-04-13 |
| 1437107018 | Darla Ann Bannister | Nurse Practitioner | 2411 Osborne Rd, Carlsbad, NM 88220-3265 | 2006-05-05 |
| 1174500342 | Joseph K Ford | Specialist | 2411 Osborne Rd, Carlsbad, NM 88220-3265 | 2005-12-28 |
| 1760469035 | William J Baggs | Specialist | 2411 Osborne Rd, Carlsbad, NM 88220-3265 | 2005-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083248991 | Diana P Levy | Nurse Anesthetist, Certified Registered | Carlsbad Medical Center, 2430 W Pierce St., Carlsbad, NM 88220 | 2020-02-29 |
| 1790333680 | Angela Houston | Nurse Practitioner | 202 W. Church Street, Carlsbad, NM 88220 | 2019-09-03 |
| 1265958722 | Amanda Henry | Social Worker | 3000, West Church Street, Carlsbad, NM 88220 | 2017-08-16 |
| 1952827610 | Audriana B Martinez | Physical Therapy Assistant | 1038 Pinon Ln, Carlsbad, NM 88220 | 2017-08-15 |
| 1730538265 | Amber Bojorquez | Registered Nurse | 406 N. Alameda St., Carlsbad, NM 88220 | 2016-06-06 |
| 1164887584 | Kassandra Prutsman | Specialist | 126 S. Canyon, Carlsbad, NM 88220 | 2015-12-30 |
| 1306220314 | Rocky Mountain Holdings, LLC | Ambulance | 1505 Terminal Dr, Carlsbad, NM 88220 | 2015-07-20 |
| 1578986402 | Sheryl L Dugger | Registered Nurse | 406 N. Alameda, Carlsbad, NM 88220 | 2014-01-29 |
| 1194153106 | Wellcare, Inc. | Hospice Care, Community Based | 220 S Canal St Ste B, Carlsbad, NM 88220 | 2013-10-30 |
| 1932537420 | Wellcare, Inc | Home Health | 220 S Canal St Ste A, Carlsbad, NM 88220 | 2013-10-22 |
| Find all providers in zip 88220 | ||||
| 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 |
|---|---|---|---|---|
| 1861056475 | Ryan Gregory Ansari | Physician Assistant | 1013 Daisy Ave, Carlsbad, CA 92011-4818 | 2019-04-29 |
| 1134573140 | Lindsey Kelley | Physician Assistant | 7111 El Fuerte St, Carlsbad, CA 92009-6515 | 2016-04-15 |
| 1609029867 | Vivian W Carlton | Physician Assistant | 6260 El Camino Real Ste 101, Carlsbad, CA 92009-1609 | 2008-10-30 |
| 1720032717 | Carl J Yujuico | Physician Assistant | 5810 El Camino Real Ste A, Carlsbad, CA 92008-8819 | 2006-05-22 |
| 1912566910 | Kimberly Phan | Physician Assistant | 2176 Salk Ave Ste 200, Carlsbad, CA 92008 | 2019-06-12 |
| 1245792399 | Brynn Babette Waddington | Physician Assistant | 2524 La Costa Ave, Carlsbad, CA 92009-7321 | 2019-04-05 |
| 1770028722 | Jessica Elise Savic | Physician Assistant | 6010 Hidden Valley Rd Ste 200, Carlsbad, CA 92011-4219 | 2016-12-29 |
| 1740655653 | Melissa Beth Blake | Physician Assistant | 2176 Salk Ave, Carlsbad, CA 92008 | 2015-12-02 |
| 1144604190 | Kristy Schroll | Physician Assistant | 6010 Hidden Valley Rd Ste 200, Carlsbad, CA 92011-4219 | 2015-07-18 |
| 1578964698 | Christopher Stiglets | Physician Assistant | 2430 W Pierce St, Carlsbad, NM 88220 | 2014-09-08 |
| Find all providers in CARLSBAD | ||||
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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.