ELDA ILIA (NPI# 1417259268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417259268 |
| Entity Type | Individual |
| Full Name | ELDA ILIA |
| Credential | PA |
| Practice Address |
1800 Medical Center Dr Ste 99 San Bernardino CA 92411-1232 |
| Practice Telephone | 9098806400 |
| Mailing Telephone | 9098806400 |
| Enumeration Date | 2010-11-30 |
| Last Update Date | 2013-09-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA21344 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1800 MEDICAL CENTER DR STE 99 |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92411-1232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619537016 | Shaunice Renee Cox | Case Manager/Care Coordinator | 1604 Pennsylvania Street, San Bernardino, CA 92411 | 2019-06-18 |
| 1104327543 | Wilson Gomer M.d. Professional Medical Corporation | Clinic/Center | 1800 Western Ave Ste 103, San Bernardino, CA 92411 | 2018-02-21 |
| 1467883504 | Pedro Lynn Hayes | Nurse Practitioner | 1800 Medical Center Dr. #99, San Bernardono, CA 92411 | 2013-11-27 |
| 1184973505 | Maria G Villasenor Perez | Social Worker | 1002 W 7th St, San Bernardino, CA 92411 | 2012-08-30 |
| 1003140948 | Joe Mawad | Obstetrics & Gynecology | 1800 Western Ave Ste 204, San Bernardino, CA 92411 | 2009-09-24 |
| 1124255146 | Angie Bagheri Cook | Pediatrics | 565 N. Mount Vernon Ave, San Bernardino, CA 92411 | 2009-06-17 |
| 1770637365 | Paul Anthony Tenette | Pharmacist | Delta Drugs, 1666 N Medical Center Drive, San Bernadino, CA 92411 | 2007-01-22 |
| 1225117328 | Vinod Kumar Kaura | Internal Medicine | 1800 N Western Ave #303, San Bernardino, CA 92411 | 2006-11-02 |
| 1861582314 | Cecilia Talpa Quinones | Physician Assistant | 565 N. Mount Vernon Ave., San Bernardino, CA 92411 | 2006-10-13 |
| 1710075247 | Bramara Arya | Pediatrics | 1505 W. 17th Street, San Bernardino, CA 92411 | 2006-10-10 |
| Find all providers in zip 92411 | ||||
| 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 |
|---|---|---|---|---|
| 1740849363 | Danniella Alexandra Murillo | Physician Assistant | 2101 North Waterman Ave, San Bernardino, CA 92404 | 2019-06-07 |
| 1265828370 | Tammy Darby | Physician Assistant | 1918 Business Center Dr Ste 110, San Bernardino, CA 92408-3471 | 2015-04-15 |
| 1275971079 | Brian K Jarman | Physician Assistant | 4905 N Berkeley Ave, San Bernardino, CA 92407-3015 | 2013-06-13 |
| 1437402765 | John Finley | Physician Assistant | 4378 Sepulveda Ave, Apt 11, San Bernardino, CA 92404-1274 | 2012-10-24 |
| 1275813370 | Daniel Kim | Physician Assistant | 1505 W. 17th St, San Bernardino, CA 92411-2661 | 2011-08-19 |
| 1336396548 | Brenitta Gilliam-udo | Physician Assistant | 351 N Mountain View Ave, San Bernardino, CA 92415-1018 | 2008-08-20 |
| 1285806794 | Miguel Trujillo | Physician Assistant | 685 Carnegie Dr Ste 230, San Bernardino, CA 92408-3583 | 2008-03-25 |
| 1629146881 | Lorelie Tolentino | Physician Assistant | 1873 Commercenter West, San Bernardino, CA 92408 | 2006-12-04 |
| 1861582314 | Cecilia Talpa Quinones | Physician Assistant | 565 N. Mount Vernon Ave., San Bernardino, CA 92411 | 2006-10-13 |
| 1245327766 | Trudie B Dean | Physician Assistant | 599 Inland Center Dr, Suite 105, San Bernardino, CA 92408-1819 | 2006-10-06 |
| Find all providers in SAN BERNARDINO | ||||
| City | SAN BERNARDINO |
| Zip Code | 92411 |
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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.