MADELINE GOULD (NPI# 1457786121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457786121 |
Entity Type | Individual |
Full Name | MADELINE GOULD |
Practice Address |
565 N. Mount Vernon Ave San Bernardino CA 92411 |
Mailing Address |
565 N Mount Vernon Ave San Bernardino CA 92411-2661 |
Practice Telephone | 9098849091 |
Practice Fax Number | 9093837013 |
Mailing Telephone | 9098849091 |
Mailing Fax Number | 9093837013 |
Enumeration Date | 2013-09-12 |
Last Update Date | 2013-09-12 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA23151 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
565 N. MOUNT VERNON AVE |
City | SAN BERNARDINO |
State | CA |
Zip Code | 92411 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124255146 | Angie Bagheri Cook | Pediatrics | 565 N. Mount Vernon Ave, San Bernardino, CA 92411 | 2009-06-17 |
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 |
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 |
1982799276 | Hovsep Nargizyan | Dentist | 1655 N. Mount Vernon Ave., Unit B, San Bernardino, CA 92411 | 2006-10-04 |
Find all providers in zip 92411 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881183713 | Judy Hsieh | Physician Assistant | 284 E Highland Ave, San Bernardino, CA 92404-3706 | 2018-05-07 |
1124475280 | Steven Jess Heverly | Physician Assistant | 5801 Chiquita Ln, San Bernardino, CA 92404-3207 | 2016-05-18 |
1689045197 | Bryan Carter | Physician Assistant | 1455 E 3rd Street, San Bernardino, CA 92410 | 2015-10-09 |
1497176754 | Tunde Hrotko | Physician Assistant | 355 E 21st St Ste H, San Bernardino, CA 92404-4851 | 2014-01-03 |
1801082946 | Cory Amador | Physician Assistant | 197 East Caroline St., Suite 1400, San Bernardino, CA 92408 | 2007-09-21 |
1609993708 | Lou Mizelle Delacruz Tanwangco | Physician Assistant | 1906 Commercenter E Ste 100, San Bernardino, CA 92408-3423 | 2007-03-23 |
1497822142 | Ezequiel Martinez | Physician Assistant | 330 N D St Ste 300, San Bernardino, CA 92401-1522 | 2006-11-29 |
1750943668 | Benjamin Arthur Rinard | Physician Assistant | 2101 N Waterman Ave, San Bernardino, CA 92404-4836 | 2019-07-01 |
1154810679 | Luis A Santana | Physician Assistant | 665 N D St, San Bernardino, CA 92401-1109 | 2018-05-10 |
1316450885 | Joseph Krpalek | Physician Assistant | 1455 E 3rd St, San Bernardino, CA 92408 | 2017-11-07 |
Find all providers in SAN BERNARDINO |
City | SAN BERNARDINO |
Zip Code | 92411 |
Please comment or provide details below to improve the information on MADELINE GOULD.
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.