WILLIE BRENT ANDERSON (NPI# 1497864268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497864268 |
| Entity Type | Individual |
| Full Name | WILLIE BRENT ANDERSON |
| Credential | PA-C |
| Practice Address |
907 W Lancaster Blvd Lancaster CA 93534-2305 |
| Practice Telephone | 6617234829 |
| Practice Fax Number | 6617262638 |
| Mailing Telephone | 6617234829 |
| Mailing Fax Number | 6617262638 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA14400 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851448476 | Willie Thomas Anderson IIi | Psychiatry & Neurology | 125 Cool Springs Blvd. Ste #210, Franklin, TN 37067 | 2007-01-04 |
| 1649574559 | Willie Dwayne Anderson | Rehabilitation Practitioner | 7381 Prairie Falcon Rd, Las Vegas, NV 89128-0811 | 2011-01-06 |
| Street Address |
907 W LANCASTER BLVD |
| City | LANCASTER |
| State | CA |
| Zip Code | 93534-2305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104358399 | Lashan Jackson | Community Health Worker | 907 W Lancaster Blvd, Lancaster, CA 93534-2305 | 2017-03-28 |
| 1669884706 | Marc Simon | Counselor | 907 W Lancaster Blvd, Lancaster, CA 93534-2305 | 2014-05-23 |
| 1790040699 | Amber D Duplechan | Registered Nurse | 907 W Lancaster Blvd, Lancaster, CA 93534-2305 | 2012-07-07 |
| 1134494073 | Lajuana Derico | Registered Nurse | 907 W Lancaster Blvd, Lancaster, CA 93534-2305 | 2012-03-10 |
| 1538462999 | Jerome C Marcos | Nurse Practitioner | 907 W Lancaster Blvd, Lancaster, CA 93534-2305 | 2010-12-07 |
| 1083914451 | Alan Leroy Young | Counselor | 907 W Lancaster Blvd, Lancaster, CA 93534-2305 | 2010-11-01 |
| 1477884179 | Raquel Cataldo | Clinic/Center | 907 W Lancaster Blvd, Lancaster, CA 93534-2305 | 2010-01-19 |
| 1891942884 | Chijioke Ugochukwu | Counselor | 907 W Lancaster Blvd, Lancaster, CA 93534-2305 | 2008-08-21 |
| 1669643045 | Paul Martin Bradford | Counselor | 907 W Lancaster Blvd, Lancaster, CA 93534-2305 | 2008-03-13 |
| 1790906907 | Tarzanza Treatment Center | Community/Behavioral Health | 907 W Lancaster Blvd, Lancaster, CA 93534-2305 | 2007-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194346098 | Lori Ann Barlow Washington | Counselor | 921 W J Street, Lancaster, CA 93534 | 2020-05-01 |
| 1629698253 | Gisela Regalado Paredes | Surgery | Antelope Valley Hospital, 1600 West Ave J, Lancaster, CA 93534 | 2020-04-23 |
| 1124668470 | Latonya Jean Allen | Case Manager/Care Coordinator | 44443 10th St. West, Lancaster, CA 93534 | 2020-01-14 |
| 1629629746 | Korinna Fite | Occupational Therapy Assistant | 43860 10th St. W., Lancaster, CA 93534 | 2019-09-20 |
| 1114576105 | Victor Nemr Hass Md | Anesthesiology | Embassy Surgery Center, 42135 10th Street West 325, Lancaster, CA 93534 | 2019-09-11 |
| 1609421007 | Jaime A Mort | Nurse Practitioner | 43112 N 15st W, Lancaster, CA 93534 | 2019-08-03 |
| 1013560747 | Allyson Lods | Dietitian, Registered | 43115 15th Street West, Lancaster, CA 93534 | 2019-07-22 |
| 1144884123 | Nicole Breanne Palman | Speech-Language Pathologist | 43860 10th St. West, 1st Floor, Lancaster, CA 93534 | 2019-04-25 |
| 1841761475 | Vanessa Gonzalez | Case Manager/Care Coordinator | 44226 10th St West, Lancaster, CA 93534 | 2018-12-07 |
| 1760969265 | Marilyn Joy Pollack | Physical Therapy Assistant | 1306 W Avenue J Ste 2, Lancaster, CA 93534 | 2018-07-26 |
| Find all providers in zip 93534 | ||||
| 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 |
|---|---|---|---|---|
| 1881223022 | Shelly J Kasik | Physician Assistant | 1629 Cloverdale Dr, Lancaster, OH 43130-8109 | 2020-04-08 |
| 1043843550 | Caitlin Lee Evans | Physician Assistant | 618 Pleasantville Rd Ste 202, Lancaster, OH 43130-3346 | 2020-02-13 |
| 1932745999 | Laurice Dominick Ingram | Physician Assistant | 838 W Meeting St Ste H, Lancaster, SC 29720-6261 | 2019-11-25 |
| 1831731629 | Jenna Elizabeth Stover | Physician Assistant | 930 Red Rose Ct Ste 301, Lancaster, PA 17601-1981 | 2019-10-13 |
| 1750939021 | Kayla Nicole Smith | Physician Assistant | 838 W Meeting St Bldg 5, Lancaster, SC 29720-6233 | 2019-08-29 |
| 1548725666 | Simarjeet Singh Manocha | Physician Assistant | 44215 15th St W Ste 315, Lancaster, CA 93534-5505 | 2019-02-02 |
| 1134503782 | Lien B Trinh | Physician Assistant | 2600 W Pleasant Run Rd Ste 340, Lancaster, TX 75146-1114 | 2015-07-14 |
| 1821470659 | Emily Ann Norris | Physician Assistant | 1625 Oregon Pike Ste 102, Lancaster, PA 17601-4335 | 2015-06-29 |
| 1699171843 | Shanna Rutty Beyah | Physician Assistant | 44451 16th St W, Suite #101, Lancaster, CA 93534-2882 | 2014-11-17 |
| 1205236965 | Maria Taylor | Physician Assistant | 555 N Duke Street, Lghp Hospitalists, Lancaster, PA 17602 | 2014-09-01 |
| Find all providers in LANCASTER | ||||
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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.