JESUS J CORRAL (NPI# 1558536003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558536003 |
| Entity Type | Individual |
| Full Name | JESUS J CORRAL |
| Credential | PA |
| Practice Address |
1140 Main St Livingston CA 95334-1257 |
| Practice Telephone | 2093947913 |
| Practice Fax Number | 2093943660 |
| Mailing Telephone | 2093947913 |
| Mailing Fax Number | 2093943660 |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2015-01-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA18245 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003460825 | Jesus P Corral | Counselor | 5020 Alta Dr Ste B, Las Vegas, NV 89107-3940 | 2019-07-30 |
| Street Address |
1140 MAIN ST |
| City | LIVINGSTON |
| State | CA |
| Zip Code | 95334-1257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780611509 | Ofelia G Ortiz | Specialist | 1140 Main St, Livingston, CA 95334 | 2006-06-27 |
| 1528532926 | Rosa Maria Pavey | Licensed Vocational Nurse | 1140 Main St, Livingston, CA 95334-1257 | 2019-01-18 |
| 1174097570 | Liliana Zaragoza | Health Educator | 1140 Main St, Livingston, CA 95334-1257 | 2019-01-18 |
| 1154895589 | Ivan M Prado | Health Educator | 1140 Main St, Livingston, CA 95334-1257 | 2019-01-18 |
| 1437621315 | Rebeca Mendez | Dental Hygienist | 1140 Main St, Livingston, CA 95334-1257 | 2018-12-17 |
| 1639663248 | Amandeep Kaur Johal | Registered Nurse | 1140 Main St, Livingston, CA 95334 | 2018-06-18 |
| 1528559515 | Priyanka Bassi | Dental Hygienist | 1140 Main St, Livingston, CA 95334-1257 | 2018-05-24 |
| 1083147730 | Stephanie Holmes | Nurse Practitioner | 1140 Main St, Livingston, CA 95334-1257 | 2017-04-10 |
| 1730557596 | Melinda Edmondson | Nurse Practitioner | 1140 Main St, Livingston, CA 95334-1257 | 2015-09-10 |
| 1154717213 | Rohit Arora | Internal Medicine | 1140 Main St, Livingston, CA 95334 | 2015-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205311941 | Kevin Maurice Mcgauley | Nurse Practitioner | Livingston Community Health, 1140 Main Street, Livingston, CA 95334 | 2018-09-28 |
| 1225568801 | Jetinder Singh | Licensed Vocational Nurse | 1820 Sun Valley Ave, Livingston, CA 95334 | 2017-06-15 |
| 1114318821 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 474 Winton Pkwy, Livingston, CA 95334 | 2015-02-17 |
| 1780015677 | Mark Kallini | Community Health Worker | 1201 Campbell Boulevard, Livingston, CA - CALIFORNIA 95334 | 2013-12-03 |
| 1508340613 | Nareeta Sharma | Pharmacist | 500 Main St, Livingston, CA 95334 | 2018-09-24 |
| 1548790314 | Lakhbir Bikramjit Singh Sodhi | Nurse Practitioner | 2275 F St Ste 1&2, Livingston, CA 95334 | 2017-06-14 |
| 1154529949 | Jeffrey Michael Carter | Dentist | 1112 Main St, Livingston, CA 95334 | 2007-07-03 |
| 1043417090 | Sirina S Aguilar | Dentist | 1112 Main Street, Livington, CA 95334 | 2007-07-02 |
| 1629192307 | Livingston Union Elementary | Local Education Agency (LEA) | 922 B St, Livingston, CA 95334-1150 | 2007-03-19 |
| 1770747545 | Ruth Elizabeth Cabral-teixeira | Dentist | 1112 Main St, Livingston, CA 95334-1213 | 2008-07-10 |
| Find all providers in zip 95334 | ||||
| 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 |
|---|---|---|---|---|
| 1578172573 | Gurleen Kaur Atwal | Physician Assistant | 930 Misty Harbor Dr, Livingston, CA 95334-9212 | 2020-07-24 |
| 1255992178 | Olesya Solouk | Physician Assistant | 200 S Orange Ave Ste 295, Livingston, NJ 07039-5817 | 2019-06-21 |
| 1215446869 | Kiera Keller | Physician Assistant | 200 S Orange Ave Ste 170, Livingston, NJ 07039-5817 | 2017-09-27 |
| 1023399698 | Antonieta Silvia Acosta | Physician Assistant | 1106 5th St, Livingston, CA 95334-1228 | 2011-09-08 |
| 1477597144 | Neal Mageean | Physician Assistant | Old Short Hills Road, Saint Barnabas Medical Center, Livingston, NJ 07039 | 2006-06-15 |
| 1649214438 | Kevin Walsh | Physician Assistant | Saint Barnabas Medical Center, Old Short Hills Road, Livingston, NJ 07039 | 2006-06-15 |
| 1679513907 | Jennifer R Livingston | Physician Assistant | 309 Hwy 59 S. Loop, Livingston, TX 77351 | 2006-06-07 |
| 1679576045 | Sekhar Gopalan Iyer | Physician Assistant | 94 Old Short Hills Rd Rm 4225, Livingston, NJ 07039-5672 | 2005-05-31 |
| 1609482272 | Laura Alban | Physician Assistant | 94 Old Short Hills Rd, Livingston, NJ 07039-5672 | 2020-09-19 |
| 1881218907 | Victoria Anne Latella | Physician Assistant | 94 Old Short Hills Rd, Livingston, NJ 07039-5672 | 2020-06-04 |
| Find all providers in LIVINGSTON | ||||
| City | LIVINGSTON |
| Zip Code | 95334 |
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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.