ANN GIELYN KONZEM (NPI# 1467800649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467800649 |
| Entity Type | Individual |
| Full Name | ANN GIELYN KONZEM |
| Practice Address |
17301 Palm Rd Riverside CA 92503-7501 |
| Practice Telephone | 9512376506 |
| Mailing Telephone | 9512376506 |
| Enumeration Date | 2016-05-29 |
| Last Update Date | 2016-05-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
17301 PALM RD |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92503-7501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255953618 | Mohammad Abul-fielat Dds Inc | Dentist | 3825 Tyler St, Riverside, CA 92503 | 2020-05-08 |
| 1205396488 | Francisco Aguayo | Behavioral Analyst | 3345 Jackson St, Riverside, CA 92503 | 2019-03-22 |
| 1073071684 | Racheal Ego Aneke | Nurse Practitioner | 9890 County Farm Rd., Building 2, Riverside, CA 92503 | 2019-03-04 |
| 1073070264 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 3500 Tyler Mall, Riverside, CA 92503 | 2019-02-25 |
| 1053893271 | Tsibel Dental Practice Inc. | Dentist | 10181 Magnolia Ave, Riverside, CA 92503 | 2018-09-04 |
| 1508344714 | Patricia Marraine Redondo | Counselor | 1625 14th St, Riverside, CA 92503 | 2018-07-31 |
| 1740766146 | Robles Rodef & Yaghoubi Dental Corporation | Dentist | 5628 Van Buren Blvd Suite #a, Riverside, CA 92503 | 2018-07-18 |
| 1467961755 | Daniela Popa | Assisted Living Facility | 10820 Calle Bella, Riverside, CA 92503 | 2017-09-29 |
| 1457860306 | Leah Dreany | Peer Specialist | 2085 Rustin Avenue Building #3, Riverside, CA 92503 | 2017-09-22 |
| 1710400445 | Christopher John Guting | Peer Specialist | 10230 Indiana Avenue, Riverside, CA 92503 | 2017-07-25 |
| Find all providers in zip 92503 | ||||
| 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 |
|---|---|---|---|---|
| 1598307274 | Adriana Romo | Physician Assistant | 4100 Central Ave Ste 102, Riverside, CA 92506-2930 | 2019-10-14 |
| 1861059784 | Sean Jackson | Physician Assistant | 16851 Tava Ln, Riverside, CA 92504-5809 | 2019-05-27 |
| 1518449503 | Morgan Pilar Goodson | Physician Assistant | 7278 Westport St, Riverside, CA 92506-6163 | 2018-09-05 |
| 1194230334 | Helen Zhu | Physician Assistant | 7158 Foxcroft St, Riverside, CA 92506-6125 | 2017-12-11 |
| 1164933750 | Stephanie Jane Oertel | Physician Assistant | 1285 E Putnam Ave, Riverside, CT 06878 | 2017-10-23 |
| 1396108189 | Chelsea Hardesty | Physician Assistant | 4646 Brockton Ave Ste 302, Riverside, CA 92506-0172 | 2016-03-30 |
| 1093191504 | Brian Montgomery | Physician Assistant | 5976 Omega St, Riverside, CA 92506-4744 | 2015-08-06 |
| 1851770721 | Safarini Njambi Nyaggah | Physician Assistant | 8439 Manuel Rd, Riverside, CA 92508-2928 | 2015-05-26 |
| 1124457015 | Tiffany Peraino | Physician Assistant | 5225 Canyon Crest Dr # 71-221, Riverside, CA 92507-6301 | 2013-11-01 |
| 1902175623 | Lisa Antoinette Asfahani | Physician Assistant | 21832 Cactus Ave., Riverside, CA 92518 | 2011-12-27 |
| Find all providers in RIVERSIDE | ||||
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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.