SANDY PAULINE MORALES (NPI# 1508377789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508377789 |
| Entity Type | Individual |
| Full Name | SANDY PAULINE MORALES |
| Credential | PA-C |
| Practice Address |
616 E Southern Ave Ste 103 Mesa AZ 85204-4941 |
| Mailing Address |
1533 E Willetta St Phoenix AZ 85006-2935 |
| Practice Telephone | 6025693999 |
| Practice Fax Number | 6025693887 |
| Mailing Telephone | 6025693999 |
| Mailing Fax Number | 6025693887 |
| Enumeration Date | 2017-10-16 |
| Last Update Date | 2019-08-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
6917 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922379700 | Sandy G Morales | Rehabilitation Practitioner | 2116 Arlington Ave, Ste. 200, Los Angeles, CA 90018-1353 | 2012-01-25 |
| Street Address |
616 E SOUTHERN AVE STE 103 |
| City | MESA |
| State | AZ |
| Zip Code | 85204-4941 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306141213 | Freddy L Montenegro | Nurse Practitioner | 616 E Southern Ave Ste 103, Mesa, AZ 85204 | 2011-01-24 |
| 1104457621 | Erick Torres | Nurse Practitioner | 616 E Southern Ave Ste 103, Mesa, AZ 85204-4941 | 2020-02-03 |
| 1407337785 | Jennyfer Nayeli Willford | Nurse Practitioner | 616 E Southern Ave Ste 103, Mesa, AZ 85204-4941 | 2018-08-24 |
| 1740705961 | Liceett Pena | Registered Nurse | 616 E Southern Ave Ste 103, Mesa, AZ 85204 | 2017-08-09 |
| 1770019721 | Evelyn Lozoya | Nurse Practitioner | 616 E Southern Ave Ste 103, Mesa, AZ 85204-4941 | 2017-05-11 |
| 1558635045 | Alex Guzman Garcia | Physician Assistant | 616 E Southern Ave Ste 103, Mesa, AZ 85204-4941 | 2012-02-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194374819 | Luminations Healing Center, LLC | Social Worker | 1237 S. Val Vista Dr. #221, Mesa, AZ 85204 | 2019-09-05 |
| 1881160356 | Wanjiru Landers | Student in an Organized Health Care Education/Training Program | 550 S Linda Circle, Mesa, AZ 85204 | 2018-10-22 |
| 1649754235 | Adam Desnous | Specialist/Technologist | 751 S Daley, Mesa, AZ 85204 | 2018-09-19 |
| 1982128187 | Michael Anthony Jones | Counselor | 1107 North Gilbert Rd, Mesa, AZ 85204 | 2017-07-29 |
| 1295287225 | Scottsdale Healthcare Corp | Family Medicine | 2530 W. Southern Ave, Mesa, AZ 85204 | 2016-10-25 |
| 1427504158 | Richard White | Physician Assistant | 2345 E Southern Ave # 101, Mesa, AZ 85204 | 2016-09-01 |
| 1548716780 | Pain Stop Accident Injury LLC | Chiropractor | 425 E 11th Ave, Mesa, AZ 85204 | 2016-08-28 |
| 1154704252 | Glenn Taylor Lesueur | Dentist | 1056 S. Val Vista Dr., Suite 1, Mesa, AZ 85204 | 2015-07-07 |
| 1073932513 | Naomi Devine | Nurse Practitioner | 1840 South Stapley Drive, Suite 101, Mesa, AZ 85204 | 2014-04-14 |
| 1609292531 | John Kamau | Counselor | 1060 S Lobin Ln, Mesa, AZ 85204 | 2014-03-17 |
| Find all providers in zip 85204 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962986349 | Amber Lynn Maison | Physician Assistant | 4540 E Baseline Rd Ste 113, Mesa, AZ 85206-4617 | 2018-09-20 |
| 1821549619 | Briana Dawn Johnson | Physician Assistant | 455 N Mesa Dr Ste 16e, Mesa, AZ 85201-5995 | 2016-10-17 |
| 1659741031 | Jared Bevell | Physician Assistant | 844 E 7th Pl, Mesa, AZ 85203-6404 | 2015-09-29 |
| 1649507088 | Klint Layton Webb | Physician Assistant | 3130 E Baseline Rd Ste 103-104, Mesa, AZ 85204-7290 | 2009-11-05 |
| 1194961540 | Jeffrey R Smolin | Physician Assistant | 2034 S Alma School Rd Ste 2, Mesa, AZ 85210-4004 | 2009-01-06 |
| 1235389156 | Tessa M Tibben | Physician Assistant | 4855 E Brown Rd Ste 100, Mesa, AZ 85205-8007 | 2008-09-27 |
| 1639353808 | Brittany S Wheeler | Physician Assistant | 2310 E. Brown Rd, Mesa, AZ 85213 | 2007-12-24 |
| 1891995296 | Kellie M Earle P.a. | Physician Assistant | 4135 So. Power Rd, Suite 129, Mesa, AZ 85212 | 2007-07-23 |
| 1881778348 | Robert James Kalmbach | Physician Assistant | 4850 E Baseline #118, Mesa, AZ 85206 | 2006-10-24 |
| 1336255264 | Greenfield Family Medicine LLC | Physician Assistant | 1244 N. Greenfield Rd., Suite 104, Mesa, AZ 85205 | 2006-08-22 |
| Find all providers in MESA | ||||
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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.