MR. JESSE PHELPS (NPI# 1447499975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447499975 |
| Entity Type | Individual |
| Full Name | MR. JESSE PHELPS |
| Credential | PA-C, L.A.C |
| Practice Address |
535 E Romie Ln Suite 12 Salinas CA 93901-4026 |
| Practice Telephone | 8317586990 |
| Practice Fax Number | 4084450875 |
| Mailing Telephone | 8317586990 |
| Mailing Fax Number | 4084450875 |
| Enumeration Date | 2009-02-06 |
| Last Update Date | 2015-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171100000X | Acupuncturist | 10921 | CA | Other Service Providers |
| Y | 363A00000X | Physician Assistant | 51289 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
535 E ROMIE LN SUITE 12 |
| City | SALINAS |
| State | CA |
| Zip Code | 93901-4026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134228984 | Robert Wlodarczyk, D.o., Inc | Internal Medicine | 535 E Romie Ln, # 6, Salinas, CA 93901-4026 | 2006-09-21 |
| 1013460070 | Rehabone Medical Group, Inc. | Physical Medicine & Rehabilitation | 535 E Romie Ln, Ste 12, Salinas, CA 93901-4026 | 2016-07-26 |
| 1326206392 | Keith Ryan Sardo | Orthotist | 535 E Romie Ln, Suite 3, Salinas, CA 93901-4026 | 2008-05-27 |
| 1750560124 | Coastal Sleep/wake Disorder Center Inc. | Clinic/Center | 535 E Romie Ln, Suite 14, Salinas, CA 93901-4026 | 2007-11-01 |
| 1548487408 | Frederick Ralph Miranda | Specialist | 535 E Romie Ln, Suite 5, Salinas, CA 93901-4026 | 2007-04-19 |
| 1134279532 | Lancelot O Alexander Md A Medical Corporation | Specialist | 535 E Romie Ln, 1, Salinas, CA 93901-4026 | 2007-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811482 | Ofelia Stephanie Gonzalez | Social Worker | 252 San Jose St. Upstairs Suite, Salinas, CA 93901 | 2020-11-03 |
| 1881222198 | Megan Emery | Occupational Therapist | Monterey County Office of Education, 901 Blanco Circle, Salinas, CA 93901 | 2020-03-31 |
| 1083171433 | Leeann Rose Gutierrez | Behavior Technician | 505 E Romie Lane, Suite E, Salinas, CA 93901 | 2019-02-21 |
| 1043784853 | Jeanne Miranda Gapac Brady | Pharmacy | 420 East Romie Lane, Salinas, CA 93901 | 2019-01-15 |
| 1164994422 | Epigmenio Vazquez | Behavior Technician | 505 E Romie Lane, Salinas, CA 93901 | 2018-12-27 |
| 1043709751 | Stephanie Gailo | Registered Nurse | Dept of Social Services, Family & Children's Services., 1000 S. Main St. Ste 205, Salinas, CA 93901 | 2018-05-08 |
| 1912405846 | Elizabeth Zaragoza | Counselor | 130 W. Gabilan Street, Salinas, CA 93901 | 2018-01-25 |
| 1144749540 | Shelby Lynn Hyosaka | Registered Nurse | 333 Abbott St. - United Ag Health and Wellness Center, Ste. A, Salinas, CA 93901 | 2017-09-17 |
| 1275058075 | Marisol Jacobo | Social Worker | 41 E San Luis St., Salinas, CA 93901 | 2017-08-14 |
| 1225484959 | Kristen Ryan Russell | Occupational Therapist | Windsor Gardens Center of Rehabilitation, 637 E Romie Ln, Salinas, CA 93901 | 2016-05-12 |
| Find all providers in zip 93901 | ||||
| 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 |
|---|---|---|---|---|
| 1972022192 | Allison Nichole Wheeler Dunivan | Physician Assistant | 1033 Los Palos Dr Ste A, Salinas, CA 93901-3916 | 2017-09-19 |
| 1811130453 | Anita Lavaisse | Physician Assistant | 1441 Constitution Blv., Blbg. 400, Suite 202, Salinas, CA 93906 | 2009-04-13 |
| 1871616045 | Dawn Rachele Hartsock | Physician Assistant | 1441 Constitution Blvd, Bldg 300, Salinas, CA 93912 | 2007-04-10 |
| 1235228594 | Eugene Guzman | Physician Assistant | 947 Blanco Cir, Ste A, Salinas, CA 93901-4461 | 2006-10-12 |
| 1295716629 | Mariselda Peralez | Physician Assistant | 387 Corral De Tierra Rd, Salinas, CA 93908-8917 | 2005-11-11 |
| 1548871486 | Shamaa Vora | Physician Assistant | 680 E Romie Ln Ste C, Salinas, CA 93901-4206 | 2020-08-13 |
| 1699312470 | Anh Quynh Phung | Physician Assistant | 1212 S Main St, Salinas, CA 93901-2260 | 2019-11-29 |
| 1346801388 | Breann Kinsey | Physician Assistant | 505 E Romie Ln Ste K, Salinas, CA 93901-4031 | 2019-06-20 |
| 1962065805 | Amanda Amy Diep | Physician Assistant | 611 Abbott St Ste 101, Salinas, CA 93901-4391 | 2019-04-16 |
| 1164987251 | Morgan Ann Markham | Physician Assistant | 1260 S Main St Ste 201, Salinas, CA 93901-2292 | 2019-02-04 |
| Find all providers in SALINAS | ||||
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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.