TOBIN SCOTT DUISENBERG (NPI# 1417298225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417298225 |
| Entity Type | Individual |
| Full Name | TOBIN SCOTT DUISENBERG |
| Credential | PA-C |
| Practice Address |
155 Solano St Corning CA 96021-3511 |
| Mailing Address |
1450 Treat Blvd # 300 Walnut Creek CA 94597-2168 |
| Practice Telephone | 5308244663 |
| Practice Fax Number | 5308242959 |
| Mailing Telephone | 9252969000 |
| Enumeration Date | 2013-03-05 |
| Last Update Date | 2019-06-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA22867 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE LICENSE | PA22867 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1450 Treat Blvd # 160, Walnut Creek, CA 945972168 | 9252969000 |
| Street Address |
155 SOLANO ST |
| City | CORNING |
| State | CA |
| Zip Code | 96021-3511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598756942 | James Richard Pearson Jr. | Physician Assistant | 155 Solano St, Corning Medical Associates Inc, Corning, CA 96021-3511 | 2005-11-03 |
| 1568027472 | Adventist Health Physicians Network | Podiatrist | 155 Solano St, Corning, CA 96021-3511 | 2019-05-06 |
| 1861880122 | Aurelia Veronica Lake | Nurse Practitioner | 155 Solano St, Corning, CA 96021-3511 | 2015-01-08 |
| 1285054106 | Adventist Health Clearlake Hospital Inc. | Clinic/Center | 155 Solano St, Corning, CA 96021-3511 | 2014-04-17 |
| 1992135339 | Oroville Hospital | Clinic/Center | 155 Solano St, Corning, CA 96021-3511 | 2013-11-21 |
| 1124313093 | Edward O'hara | Surgery | 155 Solano St, Corning, CA 96021-3511 | 2011-06-18 |
| 1518291467 | Sofia B Elahi | Family Medicine | 155 Solano St, Corning, CA 96021-3511 | 2009-09-24 |
| 1972751790 | Tracy L Rychtera | Physician Assistant | 155 Solano St, Corning, CA 96021-3511 | 2008-09-04 |
| 1356464572 | Corning Medical Associates, Inc | Family Medicine | 155 Solano St, Corning, CA 96021-3511 | 2007-04-10 |
| 1255454476 | Corning Medical Associates, Inc | Family Medicine | 155 Solano St, Corning, CA 96021-3511 | 2007-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083228308 | Guevarra Dental Group | Clinic/Center | 980 Solano St, Corning, CA 96021 | 2020-09-03 |
| 1205227246 | Tin Rx The Independent Network, Inc. | Pharmacy | 1322 Solano Street, Corning, CA 96021 | 2015-02-12 |
| 1013056910 | Lassen Medical Group | Family Medicine | 702 Solano Street, Corning, CA 96021 | 2007-02-06 |
| 1003971292 | Sally M Eisinger | Massage Therapist | 1513-b Solano St., Corning, CA 96021 | 2006-12-27 |
| 1164596714 | Corning Union Elementary School District | Local Education Agency (LEA) | 1590 South Street, Corning, CA 96021 | 2006-11-17 |
| 1144272766 | Darlene M Androus Junk | Physician Assistant | 2126 Solano Street, Corning, CA 96021 | 2006-05-16 |
| 1043214661 | David Bryan Coutin | Allergy & Immunology | 2126 Solano St, Corning, CA 96021 | 2005-06-10 |
| 1134177744 | Carla J Pharris | Internal Medicine | 740 Solano St, Corning, CA 96021 | 2006-05-05 |
| 1518393248 | Corning Union High School District | Local Education Agency (LEA) | 643 Blackburn Ave, Corning, CA 96021-2216 | 2013-09-26 |
| 1568903706 | River Cities Counseling & Consulting Inc | Community/Behavioral Health | 643 Blackburn Ave, Corning, CA 96021-2216 | 2017-03-20 |
| Find all providers in zip 96021 | ||||
| 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 |
|---|---|---|---|---|
| 1104482447 | Victoria Blaker | Physician Assistant | 10834 Ridgeview Acres Rd, Corning, NY 14830-9535 | 2019-05-13 |
| 1356615272 | Allison Marie Wetzel | Physician Assistant | 700 Davis Ave, Corning, IA 50841-1419 | 2012-02-24 |
| 1023203247 | Suzan S Fenstermacher | Physician Assistant | 88 Tioga Ave., Suite 102, Corning, NY 14830 | 2007-09-11 |
| 1144272766 | Darlene M Androus Junk | Physician Assistant | 2126 Solano Street, Corning, CA 96021 | 2006-05-16 |
| 1831158351 | John David Gordon | Physician Assistant | 88 E Tioga Ave Ste 102, 88 Tioga Avenue, Ste 102, Corning, NY 14830-2858 | 2006-03-22 |
| 1790755775 | Robin Lynne Kent | Physician Assistant | Corning Hospital, 176 Denison Parkway East, Corning, NY 14830 | 2006-01-24 |
| 1225008352 | Sarah Cooper Boyle | Physician Assistant | 176 Denison Parkway, East Corning Hospital, Corning, NY 14830 | 2006-01-23 |
| 1003807736 | Diane I Legendre | Physician Assistant | 144 E 1st St, Corning, NY 14830-2711 | 2005-11-02 |
| 1285186320 | Jacqueline Czwojdak | Physician Assistant | 88 E Tioga Ave Ste 102, Corning, NY 14830-2882 | 2016-10-25 |
| 1215330709 | Talia Calabro | Physician Assistant | 130 Center Way, Corning, NY 14830-2255 | 2014-09-29 |
| Find all providers in CORNING | ||||
Please comment or provide details below to improve the information on TOBIN SCOTT DUISENBERG.
| 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.