MRS. ADEPEJU BOLANLE GEORGE (NPI# 1316007685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316007685 |
| Entity Type | Individual |
| Full Name | MRS. ADEPEJU BOLANLE GEORGE |
| Credential | P.A. |
| Practice Address |
8233 E Stockton Blvd Ste D Sacramento CA 95828-8203 |
| Mailing Address |
9999 Cortino Way Elk Grove CA 95757-3052 |
| Practice Telephone | 9163683080 |
| Practice Fax Number | 9164056551 |
| Mailing Telephone | 9168794157 |
| Enumeration Date | 2006-12-09 |
| Last Update Date | 2015-11-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | PA17876 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA17876 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PA17876 | 05 |
| Street Address |
8233 E STOCKTON BLVD STE D |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95828-8203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669471868 | Charles Scott Harrod | Internal Medicine | 8233 E Stockton Blvd Ste D, Sacramento, CA 95828-8203 | 2005-07-19 |
| 1285253559 | Michael Yeboah | Nurse Practitioner | 8233 E Stockton Blvd Ste D, Sacramento, CA 95828-8203 | 2020-04-15 |
| 1962907907 | Neelofar Noori | Nurse Practitioner | 8233 E Stockton Blvd Ste D, Sacramento, CA 95828-8203 | 2018-03-29 |
| 1205215720 | Susan R Little | Marriage & Family Therapist | 8233 E Stockton Blvd Ste D, Sacramento, CA 95828-8203 | 2015-05-29 |
| 1093139321 | Tera Jean Block | Community Health Worker | 8233 E Stockton Blvd Ste D, Sacramento, CA 95828-8203 | 2014-02-06 |
| 1750710059 | Mey Saechao | Health Educator | 8233 E Stockton Blvd Ste D, Sacramento, CA 95828-8203 | 2013-11-06 |
| 1740621838 | Tamar Michelle Broussard | Physician Assistant | 8233 E Stockton Blvd Ste D, Sacramento, CA 95828-8203 | 2013-07-17 |
| 1265779557 | Valentina Rojas | Health Educator | 8233 E Stockton Blvd Ste D, Sacramento, CA 95828-8203 | 2013-01-07 |
| 1184980955 | Jason Lim | Dentist | 8233 E Stockton Blvd Ste D, Sacramento, CA 95828-8203 | 2012-04-05 |
| 1093093130 | Michele George | Community Health Worker | 8233 E Stockton Blvd Ste D, Sacramento, CA 95828-8203 | 2011-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497274047 | Valeria Sarmienta | Behavior Technician | 7805 Dalewoods Way, Sacramento, CA 95828 | 2017-09-14 |
| 1336661990 | Araceli Cantiller | Nursing Home Administrator | 8006 Bucks Harbor, Sacramento, CA 95828 | 2017-07-14 |
| 1528515020 | Penelope Mach | Nutritionist | 8233 E. Stockton Blvd, Sacramento, CA 95828 | 2016-09-01 |
| 1902196405 | Imelda Eileen Pahlas Moore | Social Worker | 8325 Boron Way, Sacramento, CA 95828 | 2011-04-18 |
| 1356678015 | Gray Construction Vand Securment Services - Ez Lift Accessibility Prod | Durable Medical Equipment & Medical Supplies | 8136 # A Junipero Street, Sacramento, CA 95828 | 2009-11-17 |
| 1982861431 | Hung Q. Le Dds. Inc | Preferred Provider Organization | 8021 Florin Rd, Sacramento, CA 95828 | 2008-05-21 |
| 1245419910 | Anna Shalnev | Licensed Vocational Nurse | 7016 Forman Way, Sacramento, CA 95828 | 2007-10-30 |
| 1548325004 | Sierra Vista Hospital | Psychiatry & Neurology | 8250 Calvine Rd, Ste C165, Sacramento, CA 95828 | 2006-12-26 |
| 1386709798 | River City Transportation Service | Non-emergency Medical Transport (VAN) | 8155 Derbyshire Circle, Sacramento, CA 95828 | 2006-12-26 |
| 1225059595 | Leslie H. Bess | Social Worker | 8247 E Stockton Blvd, Sacramento, CA 95828 | 2006-07-22 |
| Find all providers in zip 95828 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457963944 | Harlan William Monahan | Physician Assistant | 5210 Del Rio Rd, Sacramento, CA 95822-2519 | 2020-08-18 |
| 1548740541 | Genevieve Clara Towne | Physician Assistant | 4132 B St, Sacramento, CA 95819-2121 | 2018-08-19 |
| 1841577863 | Amy R. Quarre | Physician Assistant | 2408 Q St Apt 1, Sacramento, CA 95816-6837 | 2011-11-04 |
| 1356673214 | Gay D Ayers | Physician Assistant | 4460 Duckhorn Dr, Sacramento, CA 95834-2593 | 2010-02-03 |
| 1477795805 | Flene A Folsom | Physician Assistant | 4400 Duckhorn Drive, Sacramento, CA 95834 | 2009-03-31 |
| 1154566552 | Mikhail G Karton | Physician Assistant | 701 Howe Ave Ste C1, Sacramento, CA 95825-4670 | 2008-12-13 |
| 1881603629 | Ja Yang | Physician Assistant | 3811 Florin Rd Ste 9, Sacramento, CA 95823-1818 | 2006-08-07 |
| 1801899836 | Sarah L Zichella | Physician Assistant | 2801 K St, Suite 410, Sacramento, CA 95816-5120 | 2005-05-23 |
| 1285247049 | Thanh Trung Pham | Physician Assistant | 4610 X St, Sacramento, CA 95817-2200 | 2020-08-30 |
| 1760092688 | Keoki Lawrence Goeas Leong | Physician Assistant | 4610 X St, Sacramento, CA 95817-2200 | 2020-08-05 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95828 |
Please comment or provide details below to improve the information on MRS. ADEPEJU BOLANLE GEORGE.
| 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.