SUNEENA POKKAMTHANAM (NPI# 1396163945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396163945 |
| Entity Type | Individual |
| Full Name | SUNEENA POKKAMTHANAM |
| Credential | PA-C |
| Practice Address |
3409 Calloway Dr Unit 601 Bakersfield CA 93312-2534 |
| Practice Telephone | 6615891200 |
| Practice Fax Number | 6615897200 |
| Mailing Telephone | 6615891200 |
| Mailing Fax Number | 6615897200 |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2019-07-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
51531 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ANTHEM | 910-21527 | 01 |
| Street Address |
3409 CALLOWAY DR UNIT 601 |
| City | BAKERSFIELD |
| State | CA |
| Zip Code | 93312-2534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114128006 | Michael W Reed | Physician Assistant | 3409 Calloway Dr Unit 601, Bakersfield, CA 93312 | 2007-05-30 |
| 1598363855 | Gagandeep Kaur | Nurse Practitioner | 3409 Calloway Dr Unit 601, Bakersfield, CA 93312-2534 | 2020-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114574225 | Arielle San Antonio | Behavior Technician | 8302 Expresso Drive, Suite 100, Bakersfield, CA 93312 | 2019-08-22 |
| 1295391258 | Sierra Sandra-faye Myers-caldarella | Behavioral Analyst | 8302 Expresso Dr., Suite 100, Bakersfield, CA 93312 | 2019-05-15 |
| 1396286670 | Kern Medical | General Acute Care Hospital | 12716 Sable Point Drive, Bakersfield, CA 93312 | 2017-03-20 |
| 1629511886 | Prime Pulmonary & Sleep Medicine Center, Inc | Clinic/Center | 8305 Brimhall Rd. #1601, Bakersfield, CA 93312 | 2016-11-21 |
| 1427424563 | Jieun Park | Dentist | 4201 Jewetta Ave. A5, Bakersfield, CA 93312 | 2015-08-12 |
| 1710366083 | Monique Cleveland | Counselor | 9830 Brimhall Rd Unit 100, Bakersfield, CA 93312 | 2015-05-20 |
| 1063800985 | Global Non Medical Transportatin,llc | Non-emergency Medical Transport (VAN) | 5204 Sand Castle Ct, Bakersfield, CA 93312 | 2014-12-30 |
| 1508270083 | Joe Y Vuong | Pharmacist | 339 E Pine St ., Lodi, CA 93312 | 2014-06-12 |
| 1992054092 | H. Norman Wright | Counselor | 12200 April Ann Ave, Bakersfield, CA 93312 | 2012-09-05 |
| 1154682987 | Bakersfield Community Hospice, Inc. | Home Health | 3400 Calloway Drive, Suite #100, Bakersfield, CA 93312 | 2012-06-07 |
| Find all providers in zip 93312 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194074948 | Braden Michael Bowles | Physician Assistant | 8327 Brimhall Rd Ste 702, Bakersfield, CA 93312-4051 | 2012-09-06 |
| 1477852424 | Aide Brito-nadjmabadi | Physician Assistant | 10300 Finchley Dr, Bakersfield, CA 93311-3506 | 2011-03-16 |
| 1073825519 | Jason Arthington | Physician Assistant | 701 Francis St, Bakersfield, CA 93308-2803 | 2010-07-13 |
| 1447483318 | Stephanie Ann Foe | Physician Assistant | 5900 Alfred Harrell Hwy, Bakersfield, CA 93308-9651 | 2009-08-26 |
| 1194980920 | Amandeep Kaur | Physician Assistant | 3940 San Dimas St, Bakersfield, CA 93301-1458 | 2008-07-21 |
| 1174657514 | Eural E. Gordon | Physician Assistant | 7400 District Blvd Ste C, Bakersfield, CA 93313-4818 | 2007-03-16 |
| 1043245418 | Rebecca Jane Jett | Physician Assistant | 9001 S H St, Bakersfield, CA 93307-5948 | 2006-07-12 |
| 1790710655 | Stephen H Hanson | Physician Assistant | 9530 Hageman Rd B-204, California Pa Staffing Inc, Bakersfield, CA 93312-3959 | 2006-07-11 |
| 1376576256 | Robert Nori Brennan | Physician Assistant | 2400 Bahamas Dr, Bakersfield, CA 93309-0745 | 2006-07-07 |
| 1306819552 | Mukesh Patel | Physician Assistant | 3008 Sillect Ave Ste 100, Bakersfield, CA 93308-6360 | 2006-02-08 |
| Find all providers in BAKERSFIELD | ||||
| City | BAKERSFIELD |
| Zip Code | 93312 |
Please comment or provide details below to improve the information on SUNEENA POKKAMTHANAM.
| 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.