VASCO D KIDD (NPI# 1396804019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396804019 |
| Entity Type | Individual |
| Full Name | VASCO D KIDD |
| Credential | PA |
| Practice Address |
1901 W Lugonia Ave Ste 120 Redlands CA 92374-9704 |
| Practice Telephone | 9095571600 |
| Mailing Telephone | 9095571600 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2015-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA16188 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1901 W LUGONIA AVE STE 120 |
| City | REDLANDS |
| State | CA |
| Zip Code | 92374-9704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871532960 | Paul D Burton | Orthopaedic Surgery | 1901 W Lugonia Ave Ste 120, Redlands, CA 92374-9704 | 2006-06-05 |
| 1891200887 | Krystian Szczesik | Physician Assistant | 1901 W Lugonia Ave Ste 120, Redlands, CA 92374-9704 | 2017-12-12 |
| 1578911376 | Jibong Lei | Podiatrist | 1901 W Lugonia Ave Ste 120, Redlands, CA 92374-9704 | 2016-06-02 |
| 1023487006 | Andrew Vincent Rives | Physician Assistant | 1901 W Lugonia Ave Ste 120, Redlands, CA 92374-9704 | 2015-09-18 |
| 1730571159 | Melody Crisp | Physician Assistant | 1901 W Lugonia Ave Ste 120, Redlands, CA 92374-9704 | 2015-02-22 |
| 1477972651 | Robert Vercio | Orthopaedic Surgery | 1901 W Lugonia Ave Ste 120, Redlands, CA 92374-9704 | 2014-04-15 |
| 1326363557 | Daniel J Patton | Orthopaedic Surgery | 1901 W Lugonia Ave Ste 120, Redlands, CA 92374-9704 | 2010-03-31 |
| 1629281845 | Peter Elsissy | Orthopaedic Surgery | 1901 W Lugonia Ave Ste 120, Redlands, CA 92374-9704 | 2007-05-07 |
| 1902817463 | Anthony Giannini Smith II | Physician Assistant | 1901 W Lugonia Ave Ste 120, Redlands, CA 92374-9704 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053802652 | V Rana Dds Inc | Clinic/Center | 1748 E Lugonia Ave Ste 126, Redlands, CA 92374 | 2018-05-21 |
| 1467979393 | Brianna Ashley Torres | Behavioral Analyst | 1467 Stillman Ave, Redlands, CA 92374 | 2017-08-22 |
| 1851821953 | Veronica Esqueda | Social Worker | 21 Crafton Ct, Redlands, CA 92374 | 2017-06-13 |
| 1053855783 | Caroline Daravi | Psychologist | 1706 Plum Lane #110, Redland, CA 92374 | 2016-12-14 |
| 1487092722 | Kathryn Wheeler | Speech-Language Pathologist | 112 Eleventh Street, Redlands, CA 92374 | 2013-06-10 |
| 1275979254 | Lifecare Solutions Inc | Durable Medical Equipment & Medical Supplies | 1220 Research Dr, Redlands, CA 92374 | 2013-05-16 |
| 1639515125 | Shantrice Nicole Burton | Speech-Language Pathologist | 1323 W Colton Ave Ste 105, Redlands, CA 92374 | 2013-05-11 |
| 1275898314 | Hrishikesh C Gogineni | Orthopaedic Surgery | 1801 Orange Tree Ln Ste 200, Redlands, CA 92374 | 2012-07-04 |
| 1609168897 | Mina Youssef | Psychiatry & Neurology | 26325 Snowden Ave, Redlands, CA 92374 | 2011-05-06 |
| 1902106545 | Jerrold Edward Hammer | Pharmacist | 422 N Orange St., Redlands, CA 92374 | 2010-10-29 |
| Find all providers in zip 92374 | ||||
| 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 |
|---|---|---|---|---|
| 1104434893 | Riley Pyne Warner | Physician Assistant | 92 Kansas St Apt F23, Redlands, CA 92373-5429 | 2020-07-19 |
| 1710543194 | Tiffany Darlene Mendoza | Physician Assistant | 93 Kansas St Apt 605, Redlands, CA 92373-1476 | 2019-05-11 |
| 1750861951 | Jordan David Giesler | Physician Assistant | 75 Price St Apt A, Redlands, CA 92373-1426 | 2018-08-16 |
| 1952889800 | Megan Straw | Physician Assistant | 1754 Somerset Ln, Redlands, CA 92374-5561 | 2018-08-02 |
| 1497260772 | Annie Wai-chee Li | Physician Assistant | 255 Terracina Blvd Ste 101a, Redlands, CA 92373-4870 | 2017-12-07 |
| 1174079347 | Student | Physician Assistant | 1640 Juanita Ln, Redlands, CA 92373-7142 | 2016-08-28 |
| 1942655303 | Jeff Del Real | Physician Assistant | 118 E Cypress Ave, Redlands, CA 92373-6035 | 2016-05-03 |
| 1639540131 | Travis Taggart | Physician Assistant | 808 Rachel Ct, Redlands, CA 92373-4563 | 2015-10-09 |
| 1740659994 | Aurora Casas Ledezma | Physician Assistant | 1969 Orange Tree Ln Ste B, Redlands, CA 92374-0114 | 2015-09-17 |
| 1629499322 | Pamela Denese Moore | Physician Assistant | 1716 Allison Way, Redlands, CA 92373-7436 | 2013-12-23 |
| Find all providers in REDLANDS | ||||
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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.