MARY F EANES (NPI# 1336219252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336219252 |
| Entity Type | Individual |
| Full Name | MARY F EANES |
| Credential | PA |
| Practice Address |
9700 El Camino Real Suite 100 Atascadero CA 93422-5569 |
| Mailing Address |
9700 El Camoino Real Suite 100 Atascadero CA 93422-5571 |
| Practice Telephone | 8054619000 |
| Practice Fax Number | 8054619001 |
| Mailing Telephone | 8054619000 |
| Mailing Fax Number | 8054619001 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2008-04-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA 12590 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICAL LICENSE # | PA 12590 | 01 |
| Street Address |
9700 EL CAMINO REAL SUITE 100 |
| City | ATASCADERO |
| State | CA |
| Zip Code | 93422-5569 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629054705 | Michael Blackwell | Physician Assistant | 9700 El Camino Real, Suite 100, Atascadero, CA 93422 | 2005-12-20 |
| 1689938086 | Central Coast Health Care, Inc. | Family Medicine | 9700 El Camino Real, Suite 100, Atascadero, CA 93422-5569 | 2012-06-29 |
| 1366727380 | Paul D Murdock | Psychologist | 9700 El Camino Real, 303, Atascadero, CA 93422-5569 | 2011-10-21 |
| 1619258514 | Laurie Ferguson | Psychologist | 9700 El Camino Real, Suite #303, Atascadero, CA 93422-5569 | 2011-09-06 |
| 1477743961 | Bethany S Fisher | Nurse Practitioner | 9700 El Camino Real, Ste 100, Atascadero, CA 93422-5569 | 2007-07-31 |
| 1255538146 | Darlene Maxfield Merrill | Nurse Practitioner | 9700 El Camino Real, Ste. 1200 West Tower, Atascadero, CA 93422-5569 | 2007-07-02 |
| 1164581971 | Karen Jean Roberts | Family Medicine | 9700 El Camino Real, Suite 100, Atascadero, CA 93422-5569 | 2006-12-07 |
| 1639127566 | Patricia Snyder | Family Medicine | 9700 El Camino Real, Suite 100, Atascadero, CA 93422-5569 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356903645 | Michael E Nevin | Licensed Psychiatric Technician | 6550 Morro Rd, Unit D, Atascadero, CA 93422 | 2019-07-08 |
| 1225495583 | Kelly Michelle Morrow | Counselor | 7130 Sombrilla Ave., Atascadero, CA 93422 | 2016-01-18 |
| 1609242817 | Cheyenne M Britton | Counselor | 9366 Ribereng Circle, Atascadero, CA 93422 | 2015-08-12 |
| 1033590856 | Debra Marie Califia | Counselor | 6500 Morro Rd., Aegis Treatment Centers, Atascadero, CA 93422 | 2015-06-17 |
| 1134548498 | Allison Muller | Counselor | 8000 Santa Rosa Road, Atascadero, CA 93422 | 2014-04-15 |
| 1376973875 | Jana Slezakova | Psychologist | 10333 El Camino Real Dept Of, Atascadero, CA 93422 | 2013-11-19 |
| 1013341189 | Kimberly L Schwab | Counselor | 5575 Hospital Dr., Atascadero, CA 93422 | 2013-08-26 |
| 1982941274 | Krisitana Lynn Hatcher Miller | Counselor | 6312 Atascadero Ave, Atascadero, CA 93422 | 2013-01-07 |
| 1588939995 | Else Mai Thi Curry | Counselor | 4000 Santa Cruz Rd, Atascadero, CA 93422 | 2012-03-19 |
| 1083987523 | Kathryn Gaoiran Bartlett | Pharmacist | 8200 El Camino Real, Atascadero, CA 93422 | 2012-02-14 |
| Find all providers in zip 93422 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700835444 | Korie Stevens Bayer | Physician Assistant | 10333 El Camino Real, Atascadero, CA 93422-5808 | 2006-05-09 |
| 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 | ||||
| City | ATASCADERO |
| Zip Code | 93422 |
Please comment or provide details below to improve the information on MARY F EANES.
| 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.