MR. PHORS YIN (NPI# 1437201514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437201514 |
| Entity Type | Individual |
| Full Name | MR. PHORS YIN |
| Credential | CRNA |
| Practice Address |
5837 Fred Russo Dr Stockton CA 95212-2895 |
| Practice Telephone | 2099815782 |
| Mailing Telephone | 2099815782 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 647020 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5837 FRED RUSSO DR |
| City | STOCKTON |
| State | CA |
| Zip Code | 95212-2895 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962046524 | Randy Sarnillo Morelos | Residential Treatment Facility, Physical Disabilities | 9152 Chianti Circle, Stockton, CA 95212 | 2019-11-06 |
| 1316494339 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 9555 Priscilla Ln, Stockton, CA 95212 | 2016-09-07 |
| 1487058848 | Faith Isiderio | Physical Therapy Assistant | 5650 Patti Lynn Way, Stockton, CA 95212 | 2014-10-14 |
| 1124173448 | George T Lin | Dentist | 3459 Matterhorn Drive, Stockton, CA 95212 | 2007-01-25 |
| 1851395131 | Eric Chapa | Family Medicine | 5040 E Morada Ln, Stockton, CA 95212 | 2005-06-02 |
| 1114530250 | Heather Elizabeth Phillips | Licensed Psychiatric Technician | 4900 N Highway 99 Unit 68, Stockton, CA 95212-1007 | 2020-08-28 |
| 1396281507 | Kaitlend Tatiana Smith | Behavioral Analyst | 4899 Hildreth Ln, Stockton, CA 95212-1408 | 2017-01-11 |
| 1629489315 | Charles Vansicklen | Student in an Organized Health Care Education/Training Program | 8619 Emanuel Way, Stockton, CA 95212-1423 | 2014-05-15 |
| 1891853826 | Raleys | Pharmacy | 4255 E Morada Ln, Stockton, CA 95212-1600 | 2006-12-04 |
| 1881006351 | Phillip H Shin | Pharmacist | 4255 E Morada Ln, Stockton, CA 95212-1600 | 2014-06-02 |
| Find all providers in zip 95212 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972040756 | Romel Castro | Nurse Anesthetist, Certified Registered | 5928 Poppy Shores Way, Stockton, CA 95219-7264 | 2017-01-31 |
| 1043773070 | Grant David Kephart | Nurse Anesthetist, Certified Registered | St. Joseph's Medical Center, 1800 N. California St., Stockton, CA 95204 | 2019-04-08 |
| 1043795370 | Terren Courtney Wortham | Nurse Anesthetist, Certified Registered | 1800 N California St, Stockton, CA 95204-6019 | 2018-10-02 |
| 1649779042 | Todd Carl Wright | Nurse Anesthetist, Certified Registered | 1800 N California St, Stockton, CA 95204-6019 | 2018-02-12 |
| 1356879423 | Letitia Hedges | Nurse Anesthetist, Certified Registered | 1800 N California St, Stockton, CA 95204-6019 | 2017-06-01 |
| 1639606296 | Valerie Shapiro | Nurse Anesthetist, Certified Registered | 1800 N California St, Stockton, CA 95204-6019 | 2017-05-15 |
| 1275073306 | Jessica Chang | Nurse Anesthetist, Certified Registered | 1800 N California St, Stockton, CA 95204 | 2017-03-08 |
| 1538528518 | Jovan Vernon Trent | Nurse Anesthetist, Certified Registered | 1800 N California St, Stockton, CA 95204 | 2016-02-18 |
| 1306205489 | Navjot Sanghera | Nurse Anesthetist, Certified Registered | 1800 N California St, Stockton, CA 95204-6019 | 2016-02-17 |
| 1528450442 | Jason Crosby | Nurse Anesthetist, Certified Registered | 1800 N California St, Stockton, CA 95204-6019 | 2015-03-02 |
| Find all providers in STOCKTON | ||||
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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.