MR. ALEXANDROS JOHN PAVLIDES (NPI# 1497103485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497103485 |
Entity Type | Individual |
Full Name | MR. ALEXANDROS JOHN PAVLIDES |
Other Name | ALEXANDROS JOHN PAVLIDES |
Practice Address |
6204 Oak Ave Angelus Oaks CA 92305 |
Mailing Address |
Po Box 235 Angelus Oaks CA 92305-0235 |
Practice Telephone | 9093897256 |
Mailing Telephone | 9093897256 |
Enumeration Date | 2016-05-31 |
Last Update Date | 2016-12-20 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
6204 OAK AVE |
City | ANGELUS OAKS |
State | CA |
Zip Code | 92305 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730627050 | Integrated Elder Care Inc. | Lodging | 5850 Manzanita Ave., Angelus Oaks, CA 92305 | 2017-02-07 |
1780247536 | Kristina Mercado | Student in an Organized Health Care Education/Training Program | Loma Linda University Health- Obstetrics & Gynecology, 11234 Anderson Street, Loma Linda, CA 92305-2804 | 2019-04-17 |
1255528550 | Kathy Jaffe | Social Worker | 6002 Lake Drive, Angelus Oaks, CA 92305-9230 | 2007-10-01 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
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1548867666 | Heba Marzouk Al-shoubaki | Physician Assistant | 633 S Pepper St, Anaheim, CA 92802-1459 | 2020-10-01 |
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1457963944 | Harlan William Monahan | Physician Assistant | 5210 Del Rio Rd, Sacramento, CA 95822-2519 | 2020-08-18 |
1275144313 | Sofia Carmen Bustillo | Physician Assistant | 1709 Coral Pl, Seal Beach, CA 90740-5712 | 2020-08-12 |
1124638663 | Gayaneh Gharakhani | Physician Assistant | 1323 E Broadway Apt 110, Glendale, CA 91205-4018 | 2020-08-07 |
1144830183 | Loc Bao Tran | Physician Assistant | 8937 Emerson Pl, Rosemead, CA 91770-2813 | 2020-08-04 |
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Find all providers with the same taxonomy |
City | ANGELUS OAKS |
Zip Code | 92305 |
Please comment or provide details below to improve the information on MR. ALEXANDROS JOHN PAVLIDES.
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.