TONY REID (NPI# 1518004308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518004308 |
Entity Type | Individual |
Full Name | TONY REID |
Credential | P.A.-C |
Practice Address |
255 W Bullard Ave Ste 109 Clovis CA 93612-0861 |
Practice Telephone | 5592977563 |
Practice Fax Number | 5592975374 |
Mailing Telephone | 5592977563 |
Mailing Fax Number | 5592975374 |
Enumeration Date | 2007-01-31 |
Last Update Date | 2007-07-09 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | 1034105 | CA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | LIC# | 1034105 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346323904 | Tony R Reid | Internal Medicine | 3855 Health Sciences Drive, Mail Code 0987, La Jolla, CA 92093-0987 | 2006-10-24 |
Street Address |
255 W BULLARD AVE STE 109 |
City | CLOVIS |
State | CA |
Zip Code | 93612-0861 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639306863 | Michael Richard Nay | General Practice | 255 W Bullard Ave Ste 109, Clovis, CA 93612-0861 | 2009-06-15 |
1831365014 | James R Tinio | Family Medicine | 255 W Bullard Ave Ste 109, Clovis, CA 93612-0861 | 2008-05-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235778002 | Prieto Dental Corporation | Dentist | 2320 Clovis Avenue, Suite 102, Clovis, CA 93612 | 2019-12-27 |
1285190827 | Natividad Casillas | Behavior Technician | 20 N Dewitt, Clovis, CA 93612 | 2019-02-19 |
1922578988 | Benjamin Harold Davis Jr. | Behavior Technician | Swans Consulting, 20 N Dewitt Ave, Clovis, CA 93612 | 2018-12-03 |
1134620651 | Innovative Development & Living Solutions of California | Assisted Living Facility | 32 West Sierra Ave, Clovis, CA 93612 | 2018-02-21 |
1427578616 | Mariamajane Sengsiri | Licensed Vocational Nurse | 1244 Estabrook Ave., Clovis, CA 93612 | 2017-06-20 |
1417482464 | Tiffanie Guy | Pharmacist | 2810 Willow Ave Apt 206, Clovis, CA 93612 | 2017-04-27 |
1194271833 | Daniel Salinas | Specialist/Technologist | 1712 Harvard Ave., Clovis, CA 93612 | 2016-09-01 |
1386071447 | Darra Hirsh | Psychologist | 334 Shaw Ave Ste 100, Clovis, CA 93612 | 2013-10-03 |
1437400793 | Bashful Elephant | Counselor | 3097 Willow Suite 4, Clovis, CA 93612 | 2012-09-27 |
1588930432 | Nghiem Gia Vu | Pharmacist | 695 W Herdn Ave, Clovis, CA 93612 | 2012-03-26 |
Find all providers in zip 93612 |
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 |
---|---|---|---|---|
1225678543 | Charla Marie Dunn | Physician Assistant | 701 Arizona St Ste A, Clovis, NM 88101-2110 | 2020-01-14 |
1689110066 | Tasha R Cockrum | Physician Assistant | 729 N Medical Center Dr W Ste 101, Clovis, CA 93611-6880 | 2017-01-10 |
1356778302 | Jonathan Crosby | Physician Assistant | 729 N Medical Center Drive West Suite 101, Clovis, CA 93611 | 2013-10-07 |
1851739106 | Jennifer Anne Dobrinen | Physician Assistant | 964 N Bush Ave, Clovis, CA 93611-7125 | 2013-06-10 |
1184871113 | Jessica Rodriguez Ohanesian | Physician Assistant | 2755 Herndon Ave., Clovis, CA 93611-0000 | 2008-08-21 |
1407965478 | Patricia Lynn Bartel | Physician Assistant | 221 W Fir Ave Ste 101, Clovis, CA 93611 | 2006-08-30 |
1255375903 | Charles Daniel Otero | Physician Assistant | 701 Arizona St, Suite A, Clovis, NM 88101-2110 | 2006-06-15 |
1902865066 | Rajib Das | Physician Assistant | 1934 N Whiteash Ave, Clovis, CA 93619-9509 | 2006-03-18 |
1891309688 | Kyrian C Obidiegwu | Physician Assistant | 2021 Herndon Ave # 101, Clovis, CA 93611-6316 | 2020-08-31 |
1477178184 | Morgan Brooke Kelly | Physician Assistant | 604 N Magnolia Ave Ste 100, Clovis, CA 93611-9205 | 2020-06-09 |
Find all providers in CLOVIS |
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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.