ANN M MENDENHALL (NPI# 1316320682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316320682 |
| Entity Type | Individual |
| Full Name | ANN M MENDENHALL |
| Credential | PA-C |
| Practice Address |
3 Vallejo Ave Point Reyes Station CA 94956 |
| Mailing Address |
Po Box 523 Point Reyes Station CA 94956-0523 |
| Practice Telephone | 2065951271 |
| Mailing Telephone | 2065951271 |
| Enumeration Date | 2015-07-06 |
| Last Update Date | 2020-11-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
52613 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CALIFORNIA PHYSICIAN ASSISTANT BOARD | 52613 | 01 |
| Street Address |
3 VALLEJO AVE |
| City | POINT REYES STATION |
| State | CA |
| Zip Code | 94956 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356801666 | Kira Gentle Barron | Dentist | 65 Third St. Suite 13, Point Reyes Station, CA 94956 | 2019-03-22 |
| 1477062537 | Freda Weitzer | Physical Therapist | 11431 State Route 1, Suite 9, Point Reyes Station, CA 94956 | 2017-09-21 |
| 1508232497 | Leslie Mcgarvey, Dds | Dentist | 65 Third Street, Suite 13, Point Reyes Station, CA 94956 | 2015-08-14 |
| 1356732325 | Coastal Health Alliance | Clinic/Center | 503 B Street, Point Reyes Station, CA 94956 | 2015-02-12 |
| 1275766297 | Angelo Anthony Sacheli I | Social Worker | 100 Sixth St., Point Reyes, CA 94956 | 2009-08-25 |
| 1336374842 | Wendy Etsuko Siu | Student in an Organized Health Care Education/Training Program | 100 6th St., Point Reyes Station, CA 94956 | 2009-05-28 |
| 1023269750 | James Kimball Goetz | Psychologist | 65 3rd Street, 29 B, Point Reyes Station, CA 94956 | 2008-09-30 |
| 1356527055 | Rosaleen Curry Shelley | Registered Nurse | 3 6th Street, Box 910, Point Reyes Station, CA 94956 | 2008-01-14 |
| 1558543025 | Michael C Whitt Md, A Prof. Corp. | General Practice | 11150 State Route 1, Pt Reyes Sta, CA 94956 | 2007-11-27 |
| 1619188513 | Linda Mulvany | Art Therapist | 6 Los Reyes, Point Reyes, CA 94956 | 2007-05-24 |
| Find all providers in zip 94956 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760089437 | Karine Harutyunyan | Physician Assistant | 500 E Colorado St Ste 101, Glendale, CA 91205-1607 | 2020-10-06 |
| 1437756228 | Kale Burket | Physician Assistant | Bldg 523, S 8th St, El Centro, CA 92243 | 2020-10-05 |
| 1548867666 | Heba Marzouk Al-shoubaki | Physician Assistant | 633 S Pepper St, Anaheim, CA 92802-1459 | 2020-10-01 |
| 1275140550 | Lisa Lynn Passalacqua | Physician Assistant | 431 7th St, Norco, CA 92860-1671 | 2020-09-30 |
| 1144833989 | Trisha Taylor | Physician Assistant | 10399 Tivoli Way, Yucaipa, CA 92399-6017 | 2020-08-30 |
| 1457963944 | Harlan William Monahan | Physician Assistant | 5210 Del Rio Rd, Sacramento, CA 95822-2519 | 2020-08-18 |
| 1275144313 | Sofia Carmen Bustillo | Physician Assistant | 1709 Coral Pl, Seal Beach, CA 90740-5712 | 2020-08-12 |
| 1124638663 | Gayaneh Gharakhani | Physician Assistant | 1323 E Broadway Apt 110, Glendale, CA 91205-4018 | 2020-08-07 |
| 1144830183 | Loc Bao Tran | Physician Assistant | 8937 Emerson Pl, Rosemead, CA 91770-2813 | 2020-08-04 |
| 1558997957 | Sarah Lubinsky | Physician Assistant | 1511 Montana Ave, Santa Monica, CA 90403-1891 | 2020-03-17 |
| Find all providers with the same taxonomy | ||||
| City | POINT REYES STATION |
| Zip Code | 94956 |
Please comment or provide details below to improve the information on ANN M MENDENHALL.
| 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.