MRS. ANDREA JEAN DOUGLAS (NPI# 1376585497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376585497 |
| Entity Type | Individual |
| Full Name | MRS. ANDREA JEAN DOUGLAS |
| Credential | P.A.C. |
| Practice Address |
440 W Foothill Blvd Glendora CA 91741-3361 |
| Practice Telephone | 6269639402 |
| Practice Fax Number | 6269145316 |
| Mailing Telephone | 6269639402 |
| Mailing Fax Number | 6269145316 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
15575 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184656779 | Andrea F Douglas | Neurological Surgery | 25 Valley Dr, Greenwich, CT 06831-5203 | 2006-07-06 |
| 1457972267 | Andrea Douglas | Nurse Practitioner | 775 S Main St, Chelsea, MI 48118-1383 | 2020-05-04 |
| 1689188591 | Andrea Gabrielle Douglas | Pharmacist | 3350 Peachtree Rd Ne, Atlanta, GA 30326-1039 | 2017-11-30 |
| 1033510375 | Andrea Douglas | Counselor | 2711 W 15th St, Panama City, FL 32401-1366 | 2014-09-05 |
| 1609095199 | Andrea M Douglas | Physical Therapist | 251 Landis Ave, Suite 201, Chula Vista, CA 91910-2628 | 2007-04-24 |
| Street Address |
440 W FOOTHILL BLVD |
| City | GLENDORA |
| State | CA |
| Zip Code | 91741-3361 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417995887 | Kurt Kurowski | Family Medicine | 440 W Foothill Blvd, Glendora, CA 91741-3361 | 2006-06-04 |
| 1326582743 | Emanate Health Medical Group | Family Medicine | 440 W Foothill Blvd, Glendora, CA 91741-3361 | 2016-12-05 |
| 1306226915 | Ruby Gonzalez | Family Medicine | 440 W Foothill Blvd, Glendora, CA 91741-3361 | 2015-06-09 |
| 1619363868 | Stephanie K Sharma | Physician Assistant | 440 W Foothill Blvd, Glendora, CA 91741-3361 | 2015-04-14 |
| 1477742781 | Michelle Ariane Brereton | Physician Assistant | 440 W Foothill Blvd, Glendora, CA 91741-3361 | 2007-10-23 |
| 1134201866 | Foothill Family Practice Medical Group Inc | Family Medicine | 440 W Foothill Blvd, Glendora, CA 91741-3361 | 2006-10-20 |
| 1588606404 | Holly Diahn Prentice | Physician Assistant | 440 W Foothill Blvd, Glendora, CA 91741-3361 | 2006-06-12 |
| 1811939937 | Dana Katherine Robben-folsom | Physician Assistant | 440 W Foothill Blvd, Glendora, CA 91741-3361 | 2006-06-12 |
| 1316989585 | Frank John Glavan | Family Medicine | 440 W Foothill Blvd, Glendora, CA 91741-3361 | 2006-06-12 |
| 1952343121 | Cynthia Ann Stuart | Family Medicine | 440 W Foothill Blvd, Glendora, CA 91741-3361 | 2006-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083244016 | Monica Keo | Psychiatry & Neurology | 501 South Grand Avenue, #200, Glendora, CA 91741 | 2020-01-17 |
| 1871144816 | Djpnicolas, LLC | Clinic/Center | 144 N. Grand Avenue, Glendora, CA 91741 | 2019-09-20 |
| 1518517192 | Ashlyn Kate Cherry | Social Worker | 916 W. Danton Drive, Glendora, CA 91741 | 2019-09-16 |
| 1497284889 | Maged Guirguis | Private Vehicle | 1262 E Ada Ave, Glendora, CA 91741 | 2017-06-08 |
| 1952793200 | Dignity Transportation Service Inc | Private Vehicle | 255 S Glendora Ave #1613, Glendora, CA 91741 | 2015-02-24 |
| 1437568029 | Arakelyan Aznavour Dental Corporation | Dentist | 175 N Pennsylvania Ave #3, Glendora, CA 91741 | 2014-08-07 |
| 1528481223 | Lucinda Lorraine Schoenick | Nurse Practitioner | 250 S. Grand Ave, Glendora, CA 91741 | 2014-01-31 |
| 1073837548 | Advanced Dental Smiles | Dentist | 455 W. Foothill Blvd, Glendora, CA 91741 | 2010-03-26 |
| 1346404621 | Amee Brown | Occupational Therapist | 401 W. Ada Ave., Glendora, CA 91741 | 2008-07-15 |
| 1356539183 | Orthopaedic Medical Group | Specialist | 412 W Carroll St, Ste 107, Glendora, CA 91741 | 2007-10-05 |
| Find all providers in zip 91741 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770597809 | Raquel Marie Henderson | Physician Assistant | 210 S Grand Ave Ste 400, Glendora, CA 91741-4279 | 2006-07-27 |
| 1619363868 | Stephanie K Sharma | Physician Assistant | 440 W Foothill Blvd, Glendora, CA 91741-3361 | 2015-04-14 |
| 1033499108 | Mayra Hubbard | Physician Assistant | 1377 S Grand Ave, Glendora, CA 91740-5047 | 2011-08-22 |
| 1306148150 | Elizabeth Soria-palacios | Physician Assistant | 1365 S Grand Ave, Glendora, CA 91740-5047 | 2010-11-30 |
| 1083924260 | Tamara Lynn Trzcinski | Physician Assistant | 2301 E Foothill Blvd, Suite 100, Glendora, CA 91740-4000 | 2010-10-20 |
| 1588606404 | Holly Diahn Prentice | Physician Assistant | 440 W Foothill Blvd, Glendora, CA 91741-3361 | 2006-06-12 |
| 1811939937 | Dana Katherine Robben-folsom | Physician Assistant | 440 W Foothill Blvd, Glendora, CA 91741-3361 | 2006-06-12 |
| 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.