TAWANNA J BRYANT (NPI# 1508035270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508035270 |
| Entity Type | Individual |
| Full Name | TAWANNA J BRYANT |
| Practice Address |
400 N Pepper Ave Dept.general Surgery Mod 3 Colton CA 92324-1801 |
| Mailing Address |
Po Box 670 Redlands CA 92373-0221 |
| Practice Telephone | 9095806210 |
| Practice Fax Number | 9095801363 |
| Mailing Telephone | 9095806210 |
| Mailing Fax Number | 9095801363 |
| Enumeration Date | 2008-02-26 |
| Last Update Date | 2008-02-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA19573 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0079700 | 05 |
| Street Address |
400 N PEPPER AVE DEPT.GENERAL SURGERY MOD 3 |
| City | COLTON |
| State | CA |
| Zip Code | 92324-1801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790781169 | Arrowhead Regional Medical Center | General Acute Care Hospital | 400 N Pepper Ave, Colton, CA 92324-1801 | 2005-06-21 |
| 1841891710 | Hlahla Myet Thwe | Nurse Practitioner | 400 N Pepper Ave, Colton, CA 92324-1819 | 2020-11-05 |
| 1184224164 | Tooyin A Owolabi | Registered Nurse | 400 N Pepper Ave, Colton, CA 92324-1801 | 2020-10-28 |
| 1154921138 | Danny Teng | Registered Nurse | 400 N Pepper Ave, Colton, CA 92324-1801 | 2020-10-28 |
| 1043818370 | Jeanne Emily Curtis | Registered Nurse | 400 N Pepper Ave, Colton, CA 92324-1801 | 2020-10-09 |
| 1891302071 | Mary Suzanne Delahanty | Registered Nurse | 400 N Pepper Ave, Colton, CA 92324-1801 | 2020-09-30 |
| 1851905301 | Magna Dyllis Ajube | Registered Nurse | 400 N Pepper Ave, Colton, CA 92324-1801 | 2020-09-02 |
| 1215540133 | Tiffany Marie Bunting | Registered Nurse | 400 N Pepper Ave, Colton, CA 92324-1801 | 2020-08-29 |
| 1033729157 | Radji Galang | Registered Nurse | 400 N Pepper Ave, Colton, CA 92324-1801 | 2020-08-04 |
| 1235747122 | Emily Nguyen Shimamoto | Physician Assistant | 400 N Pepper Ave, Colton, CA 92324-1801 | 2020-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134739949 | Ava Vascular | Radiology | 1281 W. C. Street, Suite 200, Colton, CA 92324 | 2020-08-06 |
| 1063042851 | Making A Difference Association, Inc. | Psychologist | 1430 E Cooley Drive, Ste 111, Colton, CA 92324 | 2020-01-21 |
| 1326685488 | Allstar Medical Respite and Recuperative Care | Case Management | 450 N Sperry Drive, Colton, CA 92324 | 2019-12-06 |
| 1558916379 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 1010 North Pepper Ave, Colton, CA 92324 | 2019-08-08 |
| 1326692633 | Kadi Lyn Pearce | Licensed Practical Nurse | 970 N. Latham St, Colton, CA 92324 | 2019-07-25 |
| 1184281966 | Steven Andrew Cardoza | Physician Assistant | Armc, 400 N. Pepper Ave, Colton, CA 92324 | 2019-05-28 |
| 1528540952 | Daniel Tochukwu Umah-mgborogwu | Physician Assistant | 400 N Pepper Ave, Ste 107, Coton, CA 92324 | 2018-09-01 |
| 1255826038 | Cal Med Vascular Center LLC | Clinic/Center | 1281 W C St, Colton, CA 92324 | 2018-06-25 |
| 1891288072 | A. Arroyo Lourenco Dds, Inc | Dentist | 827 W Valley Blvd., Colton, CA 92324 | 2018-06-12 |
| 1700396165 | Emily Covington | Registered Nurse | 1550 E. Washington St., Ste 101, Colton, CA 92324 | 2017-10-11 |
| Find all providers in zip 92324 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952919839 | Joel Michael Armbruster | Physician Assistant | 400 N Pepper Ave, Colton, CA 92324-1801 | 2020-07-16 |
| 1366951253 | Kelsey Marie Glidewell | Physician Assistant | 400 N Pepper Ave, Colton, CA 92324-1801 | 2017-09-24 |
| 1083031504 | William Kenworthey | Physician Assistant | 400 N Pepper Ave, Mob-suite 308 Surgery, Colton, CA 92324-1801 | 2014-03-21 |
| 1457540197 | Jennifer Lynn Hardy | Physician Assistant | 400 N Pepper Ave, Surgery Department, Colton, CA 92324-1801 | 2007-10-18 |
| 1043402324 | Azizi Rahman Bailey | Physician Assistant | 400 N Pepper Ave, 6th Floor South (dept of Orthopedic Surgery), Colton, CA 92324-1801 | 2007-08-10 |
| 1659562346 | Brett Adam Sojda | Physician Assistant | 400 N Pepper Ave, Colton, CA 92324-1801 | 2007-08-07 |
| 1992739833 | Donald Everett Hills | Physician Assistant | 900 E Washington St, Suite 100, Colton, CA 92324-7111 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649894403 | Kathlyn Larco | Physician Assistant | 1233 W Randall Way, West Covina, CA 91790-4747 | 2020-06-07 |
| 1487126421 | Eliza Hughes | Physician Assistant | 860 Oak Park Blvd Ste 101, Arroyo Grande, CA 93420-1800 | 2018-12-31 |
| 1508333873 | Andrew Cantos Malit | Physician Assistant | 409 Bristol Way, Corona, CA 92879-6156 | 2018-10-25 |
| 1578049458 | Ida Jelveh | Physician Assistant | 28096 Edelweiss Ct, Laguna Niguel, CA 92677-7006 | 2018-07-13 |
| 1356833578 | Michael James Gonzalez | Physician Assistant | 1500 E Chevy Chase Dr # 401a401b, Glendale, CA 91206-4152 | 2018-06-04 |
| 1023500592 | Pamela Lambert Pa-c, Inc. | Physician Assistant | 16105 Mariposa Ave, Riverside, CA 92504-8730 | 2018-05-31 |
| 1225532385 | Folsom Physicain Assistant First Assist, Inc | Physician Assistant | Nina Vasiliev Pa-c, 15407 Muller Rd, Plymouth, CA 95669-9770 | 2018-03-22 |
| 1275040008 | Gm Surgical Assistant Inc | Physician Assistant | 15615 Turnberry St, Moreno Valley, CA 92555-4901 | 2018-01-02 |
| 1902311186 | Or Solutions Inc | Physician Assistant | 1501 Secret Ravine Pkwy Unit 527, Roseville, CA 95661-6005 | 2017-12-09 |
| 1184143828 | Alaa Abdalla Daghlas | Physician Assistant | 1100 S Eliseo Dr Ste A, Greenbrae, CA 94904-2017 | 2017-09-13 |
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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.