TRENT TYSON DAVIS (NPI# 1326356601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326356601 |
| Entity Type | Individual |
| Full Name | TRENT TYSON DAVIS |
| Credential | PA |
| Practice Address |
15791 Bear Valley Rd Hesperia CA 92345-1746 |
| Practice Telephone | 7609491231 |
| Practice Fax Number | 7609491236 |
| Mailing Telephone | 7609491231 |
| Mailing Fax Number | 7609491236 |
| Enumeration Date | 2010-09-20 |
| Last Update Date | 2010-09-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA21166 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962473868 | Trent Alan Davis | Counselor | 102 Broce Dr, Blacksburg, VA 24060-7807 | 2006-01-30 |
| 1265870844 | Trent Wilkins Davis II | Radiology | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2013-06-05 |
| 1972571750 | Trent W Davis | Psychiatry & Neurology | 501 S Santa Fe Ave, Suite 210, Salina, KS 67401-4189 | 2006-03-09 |
| Street Address |
15791 BEAR VALLEY RD |
| City | HESPERIA |
| State | CA |
| Zip Code | 92345-1746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346250396 | Dr.mikel Walk In Clinic Inc | Family Medicine | 15791 Bear Valley Rd, Hesperia, CA 92345-1746 | 2006-08-09 |
| 1730788977 | Rebecca Sue Alfonzo | Nurse Practitioner | 15791 Bear Valley Rd, Hesperia, CA 92345-1746 | 2020-10-20 |
| 1114421211 | Halima Zainab | Nurse Practitioner | 15791 Bear Valley Rd, Hesperia, CA 92345-1746 | 2018-03-22 |
| 1912367640 | Virginia Moore | Physician Assistant | 15791 Bear Valley Rd, Hesperia, CA 92345-1746 | 2016-02-23 |
| 1700119567 | Babajide Adetokunbo Fajemisin | Physician Assistant | 15791 Bear Valley Rd, Hesperia, CA 92345-1746 | 2009-09-11 |
| 1972658151 | Vista Pharmacies, Inc. | Pharmacy | 15791 Bear Valley Rd, Hesperia, CA 92345-1746 | 2007-01-25 |
| 1881762433 | Laverne Christie | Physician Assistant | 15791 Bear Valley Rd, Hesperia, CA 92345-1746 | 2006-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649881467 | Leslie Guzman | Behavioral Analyst | 6700 Newhall Ave, Hesperia, CA 92345 | 2020-08-14 |
| 1134769896 | Nu Wave Medical Group Inc | Family Medicine | 9390 Hesperia Rd Suite 7, Hesperia, CA 92345 | 2020-01-10 |
| 1760901383 | Lindsey Kathleen Dunnagan | Counselor | 16501 Walnut Street, Suite 12, Hesperia, CA 92345 | 2017-09-14 |
| 1356869374 | Deborah Irene Freeman | Nurse Practitioner | 15398 Main Street Suite A, Hesperia, CA 92345 | 2017-08-30 |
| 1902260151 | Serge Bronstein | Counselor | 16808 Main St., D-154, Hesperia, CA 92345 | 2016-04-13 |
| 1366815805 | Caremore Health Plan | Nurse Practitioner | 17085 Main Street, Hesperia, CA 92345 | 2015-11-05 |
| 1174928402 | Jennifer Cathrin Bayle | Counselor | 17130 Sequoia St, Suite 106, Hesperia, CA 92345 | 2014-10-29 |
| 1447654256 | Diana Grace Chilstrom | Marriage & Family Therapist | 11776 Mariposa Road, Hesperia, CA 92345 | 2014-10-22 |
| 1639597545 | Adrianna Ebony Williams | Physical Therapy Assistant | 8939 11th Ave, Hesperia, CA 92345 | 2014-03-29 |
| 1477974426 | Aja Stoll | Case Manager/Care Coordinator | 9655 Ninth Ave, Hesperia, CA 92345 | 2013-12-18 |
| Find all providers in zip 92345 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538423447 | Joseph Louis Tate | Physician Assistant | 11919 Hesperia Rd, Hesperia, CA 92345-2158 | 2012-06-26 |
| 1194000778 | Kathryn E Stewart | Physician Assistant | 17095 Main St, Hesperia, CA 92345-6004 | 2011-10-14 |
| 1457658171 | Jarnice Louise Johnson | Physician Assistant | 11919 Hesperia Rd, Suite A, Hesperia, CA 92345-2158 | 2011-02-15 |
| 1073523072 | Jose Angel Ortiz | Physician Assistant | 11919 Hesperia Rd, Hesperia, CA 92345-1855 | 2006-08-09 |
| 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 | ||||
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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.