MINTRA SAEFONG (NPI# 1326505280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326505280 |
| Entity Type | Individual |
| Full Name | MINTRA SAEFONG |
| Credential | PA-C |
| Practice Address |
2415 High School Ave Concord CA 94520-1800 |
| Mailing Address |
Po Box 548 Pinole CA 94564-0548 |
| Practice Telephone | 9256875210 |
| Enumeration Date | 2019-02-27 |
| Last Update Date | 2019-02-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 56575 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2415 HIGH SCHOOL AVE |
| City | CONCORD |
| State | CA |
| Zip Code | 94520-1800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376524231 | Leigh Fulford Kjeldsen | Audiologist | 2415 High School Ave, Suite 300, Concord, CA 94520-1800 | 2005-11-08 |
| 1699052506 | Robert Baron Green | Audiologist | 2415 High School Ave, Suite 300, Concord, CA 94520-1800 | 2011-11-05 |
| 1225336696 | Melanie Marie Anello | Nurse Practitioner | 2415 High School Ave, Suite 300, Concord, CA 94520-1800 | 2011-03-08 |
| 1073823332 | Diablo Valley Primary Care, Inc. | Family Medicine | 2415 High School Ave, Suite 800, Concord, CA 94520-1800 | 2010-10-20 |
| 1144374893 | Cardinal Primary Care Medical Group, Inc | Family Medicine | 2415 High School Ave, Suite 800, Concord, CA 94520-1800 | 2007-01-22 |
| 1811040967 | Gastroenterology Medical Group, Inc. | Internal Medicine | 2415 High School Ave, Suite 100, Concord, CA 94520-1800 | 2007-01-20 |
| 1609929751 | Richard Augustus Messian | Internal Medicine | 2415 High School Ave, Suite 100, Concord, CA 94520-1800 | 2007-01-20 |
| 1013094242 | Joanna Lynn Chan | Audiologist | 2415 High School Ave, #300, Concord, CA 94520-1800 | 2006-11-01 |
| 1508948886 | Maureen Nnene Mbadike-obiora | Family Medicine | 2415 High School Ave, Suite 300, Concord, CA 94520 | 2006-10-19 |
| 1801904545 | Sam Sundar | Internal Medicine | 2415 High School Ave, Suite 700, Concord, CA 94520 | 2006-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275130163 | Jessica E. Hiers | Audiologist | 2280 Diamnond Blvd, Suite 520, Concord, CA 94520 | 2020-10-05 |
| 1538712690 | Melody Louise Todd | Student in an Organized Health Care Education/Training Program | 2112 Willow Pass Rd., Suite 500, Concord, CA 94520 | 2019-07-18 |
| 1497319446 | Nately Rose | Social Worker | Contra Costa County Behavioral Health, 2425 Bisso Lane, Ste 200, Concord, CA 94520 | 2019-04-25 |
| 1609331412 | Darien Mccollins Jr. | Case Manager/Care Coordinator | 2380 Salvio Street Stu 200, Concord, CA 94520 | 2019-02-06 |
| 1972072122 | Rocio Flores Neale | Physician Assistant | 2415 High School Avenue, Suite 800, Concord, CA 94520 | 2018-11-16 |
| 1386129138 | Vanessa Segovia | Registered Nurse | 2500 Bates Ave., Suite B, Concord, CA 94520 | 2018-09-27 |
| 1417442278 | Raquel Jihan Chiasson | Social Worker | 2900 Avon Avenue, Concord, CA 94520 | 2018-06-25 |
| 1184118143 | Angela Navarro | Behavioral Analyst | 1844 Overhill Rd, Concord, CA 94520 | 2018-06-21 |
| 1811498678 | Sherry Currie-proctor | Case Manager/Care Coordinator | 2380 Salvio Street, Concord, CA 94520 | 2018-02-26 |
| 1770082547 | Donna Christianson | Marriage & Family Therapist | 2401 Stanwell Drive, Suite 460, Office #2, Concord, CA 94520 | 2018-02-07 |
| Find all providers in zip 94520 | ||||
| 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 |
|---|---|---|---|---|
| 1407455116 | Catherine Elizabeth O'neill | Physician Assistant | 4397 Arrowwood Cir, Concord, CA 94521-4428 | 2020-10-22 |
| 1972112084 | Claire Thetford | Physician Assistant | 9859 Flower Bonnet Ave Nw, Concord, NC 28027-8230 | 2020-07-24 |
| 1497379770 | Jacqueline Watts | Physician Assistant | 45 Garrison Rd, Concord, MA 01742-1926 | 2020-06-03 |
| 1063050870 | Kathryn Taylor Dudoroff | Physician Assistant | 5374 Myrtle Dr, Concord, CA 94521-1519 | 2019-12-12 |
| 1841833449 | Jennifer Lau | Physician Assistant | 4397 N Spoonwood Ct, Concord, CA 94521-4305 | 2019-10-26 |
| 1972072122 | Rocio Flores Neale | Physician Assistant | 2415 High School Avenue, Suite 800, Concord, CA 94520 | 2018-11-16 |
| 1598232134 | Catherine Valerie Hickey | Physician Assistant | 4040 Cowell Rd, Concord, CA 94518-1711 | 2018-11-01 |
| 1316422876 | Brendan Kyle Lucas | Physician Assistant | 2332 Fairfield Ave, Concord, CA 94520-1912 | 2018-10-01 |
| 1760999510 | Padmaja Shyamala Murtinty | Physician Assistant | 780 Oak Grove Rd Apt D119, Concord, CA 94518-2772 | 2018-01-02 |
| 1538672068 | Michelle Jaclyn Garcia | Physician Assistant | 1855 Gateway Blvd Ste 100, Concord, CA 94520 | 2017-11-06 |
| Find all providers in CONCORD | ||||
Please comment or provide details below to improve the information on MINTRA SAEFONG.
| 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.