PAUL VISCOGLIOSI (NPI# 1538662937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538662937 |
| Entity Type | Individual |
| Full Name | PAUL VISCOGLIOSI |
| Credential | PA |
| Practice Address |
3883 Airway Dr Ste 165 Santa Rosa CA 95403-1675 |
| Mailing Address |
213 Chris St Windsor CA 95492-8631 |
| Practice Telephone | 7075217799 |
| Practice Fax Number | 7075735431 |
| Mailing Telephone | 9253813790 |
| Enumeration Date | 2018-03-12 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
55373 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
55373 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 30 Mark West Springs Rd, Santa Rosa, CA 954031436 | 7075764000 |
| Street Address |
3883 AIRWAY DR STE 165 |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95403-1675 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376797803 | Nancy Goebel Evans | Nurse Practitioner | 3883 Airway Dr Ste 165, Suite 3, Santa Rosa, CA 95403-1675 | 2008-11-11 |
| 1881830743 | Kimberley Ann Schorr | Nurse Practitioner | 3883 Airway Dr Ste 165, Santa Rosa, CA 95403 | 2008-12-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912549841 | Abundance Acupuncture Healing Clinic | Acupuncturist | 3410 Mendocino Avenue, Santa Rosa, CA 95403 | 2019-10-11 |
| 1982161337 | Crystal J Ward | Registered Nurse | 2350 Mendocino Ave, Ste A4, Santa Rosa, CA 95403 | 2019-02-21 |
| 1033674379 | George Edward Griese | Respiratory Therapist, Registered | 501 Bicentennial Way, Santa Rosa, CA 95403 | 2019-01-31 |
| 1508320672 | East-west Natural Medicine Inc. | Acupuncturist | 2200 Range Ave #207, Santa Rosa, CA 95403 | 2019-01-23 |
| 1316410640 | Lionel C Cooper | Counselor | 315 Mark West Springs Road, Santa Rosa, CA 95403 | 2019-01-09 |
| 1326519182 | Jkb Solutions Inc. | In Home Supportive Care | 3554 Round Barn Boulevard, Suite 311, Santa Rosa, CA 95403 | 2018-12-05 |
| 1487121265 | Catholic Charities of The Diocese of Santa Rosa | Clinic/Center | 987 Airway Ct, Santa Rosa, CA 95403 | 2018-10-30 |
| 1447746524 | Lisa Jean Quang | Optometrist | 3925 Old Redwood, Medical Office Building 4, Suite 141, Santa Rosa, CA 95403 | 2018-07-02 |
| 1598253353 | Jennifer Renee Lummus | Community Health Worker | 3614 Condo Court, Santa Rosa, CA 95403 | 2018-04-27 |
| 1871042366 | Sadie Thuet | Marriage & Family Therapist | 3434 A Mendocino Ave, Santa Rosa, CA 95403 | 2016-09-26 |
| Find all providers in zip 95403 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467096149 | Brittany Griffin | Physician Assistant | 208 Concourse Blvd # 1, Santa Rosa, CA 95403-8210 | 2019-11-05 |
| 1922301522 | Alexandra Maya Mcspadden | Physician Assistant | 3333 Mendocino Avenue Suite 130, Kaiser Permanente Cosmetic Services, Santa Rosa, CA 95403 | 2010-12-21 |
| 1821058140 | Patty Lynn Tucker | Physician Assistant | 585 W College Ave, Santa Rosa, CA 95401-5000 | 2006-03-23 |
| 1760089635 | Christopher Andrew Rhule | Physician Assistant | 1551 Pacific Ave, Santa Rosa, CA 95404-3568 | 2020-10-05 |
| 1619404431 | Atoosa Molanazadeh | Physician Assistant | 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 | 2017-05-11 |
| 1467889451 | Angela Merrisa Wetmore | Physician Assistant | 585 W College Ave Ste A, Santa Rosa, CA 95401-5060 | 2013-10-04 |
| 1255696910 | Jody Lynn Pennycook | Physician Assistant | 4740 Hoen Ave, Santa Rosa, CA 95405-7824 | 2012-07-09 |
| 1104101401 | Luis E Garcia | Physician Assistant | 208 Concourse Blvd, Santa Rosa, CA 95403-8210 | 2011-10-18 |
| 1316176712 | Lesley M Field | Physician Assistant | 121 Sotoyome St, Santa Rosa, CA 95405-4823 | 2009-07-07 |
| 1417172495 | Jill R. Ringer | Physician Assistant | 34 Mark West Springs Rd Fl 2, Santa Rosa, CA 95403 | 2007-04-16 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95403 |
Please comment or provide details below to improve the information on PAUL VISCOGLIOSI.
| 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.