TOBIN SCOTT DUISENBERG


Address: 155 Solano St, Corning, CA 96021-3511
Phone: 5308244663

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA22867 CA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA STATE LICENSE PA22867 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
1450 Treat Blvd # 160, Walnut Creek, CA 945972168 9252969000

Office Location

Street Address 155 SOLANO ST
City CORNING
State CA
Zip Code 96021-3511

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City CORNING
Zip Code 96021

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Dataset Information

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.

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