GREGORY CLIFFORD NELSON (NPI# 1396142311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396142311 |
| Entity Type | Individual |
| Full Name | GREGORY CLIFFORD NELSON |
| Credential | P.A. |
| Practice Address |
101 Bodin Cir Travis Afb CA 94535-1809 |
| Mailing Address |
2713 Manzano Mission Viejo CA 92692 |
| Practice Telephone | 7074237611 |
| Mailing Telephone | 9494127695 |
| Enumeration Date | 2014-11-20 |
| Last Update Date | 2014-11-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1121110 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346408341 | Gregory Rueben Nelson | Chiropractor | 26065 Main St, Zimmerman, MN 55398-9347 | 2008-05-27 |
| 1538289947 | Gregory Scott Nelson | Pharmacist | Pharmacy Innovations, 863 Fairmount Ave, Jamestown, NY 14701 | 2007-03-30 |
| 1912086992 | Gregory Floyd Nelson | Chiropractor | 1857 Wooddale Blvd, Baton Rouge, LA 70806-1510 | 2006-11-02 |
| 1457432825 | Gregory T Nelson | Optometrist | 5757a Atlanta Hwy, Montgomery, AL 36117-2150 | 2006-10-18 |
| 1346331345 | Gregory W. Nelson | Psychologist | 1400 Madison Avenue Suite 352, Mankato Clinic Department of Psychiatry and Psychology, Mankato, MN 56001 | 2006-09-27 |
| 1730107970 | Gregory Alan Nelson | Internal Medicine | 6315-17 Stenton Avenue, Philadelphia, PA 19138 | 2006-07-17 |
| 1689616708 | Gregory Paul Nelson | Chiropractor | 17787 Kenwood Trl, Lakeville, MN 55044-9493 | 2006-06-12 |
| 1033105473 | Gregory W Nelson | Chiropractor | 2828 Thousand Oaks Dr, Suite 102, San Antonio, TX 78232-4108 | 2005-09-21 |
| 1497757538 | Gregory Alan Nelson | Psychologist | 1617 S PCh Hwy, Suite F, Redondo Beach, CA 90277-5612 | 2005-08-10 |
| 1619507993 | Gregory Andrew Nelson | Pharmacist | 250 Mchenry St, Burlington, WI 53105-1828 | 2020-01-25 |
| Street Address |
101 BODIN CIR |
| City | TRAVIS AFB |
| State | CA |
| Zip Code | 94535-1809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801893276 | Charles A Tujo | Radiology | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2005-06-30 |
| 1538769351 | Chelsey Violet Pelkey | Military Health Care Provider | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2020-10-30 |
| 1538768114 | Jordan Rose | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2020-10-23 |
| 1821606591 | Madelyn Hale | Military Health Care Provider | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2020-07-20 |
| 1932727856 | Julie Thein | Audiologist | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2020-07-07 |
| 1063039501 | Shae Daniel Bryant | Dentist | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2020-07-01 |
| 1598381089 | Aaron J Surbaugh | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2020-06-19 |
| 1194348466 | Amanda Vance | Registered Nurse | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2020-05-21 |
| 1427681196 | Bradley Burkey | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2020-02-20 |
| 1821629288 | Gloria Calvillo | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2020-02-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508487711 | Sheila C Flood | Student in an Organized Health Care Education/Training Program | 101 Biden Circle, Fairfield, CA 94535 | 2020-04-28 |
| 1568081255 | Miguel Julian Moreno | Student in an Organized Health Care Education/Training Program | 690 Airmen Drive, Travis Afb, CA 94535 | 2020-04-13 |
| 1174096101 | Zlatoslava Karga | Nurse Practitioner | 60mdg / Sgow, 101 Bodin Circle, Travis Afb, CA 94535 | 2019-01-02 |
| 1437648292 | Luke C Vera | Dentist | David Grant Medical Center 101 Bodin Circle, Travis Air Force Base, CA 94535 | 2018-05-08 |
| 1588163430 | Sanaz Ziad | Pharmacist | 60mdg/mdts, 101 Bodin Circle, Travis Afb, CA 94535 | 2018-02-06 |
| 1194265686 | Geoffrey Johnston | Dentist | 60 Mdg/sgdd, 101 Bodin Circle, Travis Afb, CA 94535 | 2017-03-02 |
| 1336693407 | Hannah Isla Nordwall | Social Worker | 60 Mdg/mdos 101 Bodin Cir, Travis Afb, CA 94535 | 2016-08-06 |
| 1184177149 | Taylor Murrie-robinson | Social Worker | 60mdg / Sgow Mental Health Clinic, 101 Bodin Circle, Travis Afb, CA 94535 | 2016-07-26 |
| 1952759607 | Eric Kincaid-sharp | General Practice | 60 Mdg/amds, 101 Bodin Cir, Travis Afb, CA 94535 | 2016-06-02 |
| 1023472040 | Genieve Marie Martinez-hernandez | Internal Medicine | 60 Mdg/sgomi, 101 Bodin Circle, Fairfield, CA 94535 | 2016-04-06 |
| Find all providers in zip 94535 | ||||
| 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 |
|---|---|---|---|---|
| 1033109392 | Michael Allan Raethka | Physician Assistant | 60 Msgs Sgcxo, 101 Bodin Circle, Travis Afb, CA 94535 | 2005-10-26 |
| 1902463391 | Kyle David Ray | Physician Assistant | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2019-05-21 |
| 1962913368 | Evgenia Ioudina | Physician Assistant | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2017-10-12 |
| 1295274611 | Christopher Hu | Physician Assistant | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2017-02-17 |
| 1437698263 | Angela Lynn Vander Voort | Physician Assistant | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2017-02-13 |
| 1649622374 | Cortnee Lingerfelt | Physician Assistant | 60 Mdg/sgop, 101 Bodin Cir, Travis Afb, CA 94535-1800 | 2016-07-06 |
| 1144608233 | Maggie Smith-davidson | Physician Assistant | 101 Bodin Cir, Travis Afb, CA 94535 | 2015-05-11 |
| 1508269218 | Whitney Patrick | Physician Assistant | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2014-10-08 |
| 1821404039 | Diego Melgar-gray | Physician Assistant | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2014-07-08 |
| 1669752317 | Michael T Jobe | Physician Assistant | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2011-08-26 |
| Find all providers in TRAVIS AFB | ||||
| City | TRAVIS AFB |
| Zip Code | 94535 |
Please comment or provide details below to improve the information on GREGORY CLIFFORD NELSON.
| 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.