MATTHEW JEFFREY HAWKINS (NPI# 1578127114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578127114 |
| Entity Type | Individual |
| Full Name | MATTHEW JEFFREY HAWKINS |
| Credential | PA-C |
| Practice Address |
12417 Fair Oaks Blvd Ste 600 Fair Oaks CA 95628-2500 |
| Mailing Address |
4121 47th St Sacramento CA 95820-4032 |
| Practice Telephone | 9162462394 |
| Enumeration Date | 2019-04-29 |
| Last Update Date | 2019-06-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 56897 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043293673 | Matthew C Hawkins | Physician Assistant | 7373 France Ave S Ste 408, Edina, MN 55435-4549 | 2005-11-29 |
| 1891255022 | Matthew Steven Hawkins | Physician Assistant | 1912 Charlotte Ave, Nashville, TN 37203-2107 | 2019-03-22 |
| 1669954632 | Matthew Hawkins | Student in an Organized Health Care Education/Training Program | 117 Health Sciences Bldg 3640 Colonel Glenn Hwy, Dayton, OH 45435-0001 | 2018-09-05 |
| 1942745955 | Matthew Hawkins | Physical Therapist | 1101 Raintree Cir, Allen, TX 75013-4922 | 2016-12-29 |
| 1619203965 | Matthew Hawkins | Counselor | 4368 Lincoln Ave, Oakland, CA 94602-2529 | 2009-10-21 |
| 1124288337 | Matthew Hawkins | Orthopaedic Surgery | 16 Pelham Rd, Ste 1, Salem, NH 03079-2826 | 2008-06-11 |
| 1972621100 | Matthew Thomas Hawkins Jr. | Internal Medicine | 4800 Baseline Rd, E104-444, Boulder, CO 80303-2699 | 2007-03-26 |
| Street Address |
12417 FAIR OAKS BLVD STE 600 |
| City | FAIR OAKS |
| State | CA |
| Zip Code | 95628-2500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821000266 | Roland Baluyot Mawis | Family Medicine | 12417 Fair Oaks Blvd Ste 600, Fair Oaks, CA 95628-2500 | 2006-08-13 |
| 1225559883 | Tracey E Mercer-benson | Nurse Practitioner | 12417 Fair Oaks Blvd Ste 600, Fair Oaks, CA 95628-2500 | 2017-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184103590 | Nora's Home Care, Inc | Assisted Living Facility | 5813 Kenneth Ave, Fair Oaks, CA 95628 | 2018-08-08 |
| 1124545512 | Shelby Matthews | Behavior Technician | 7712 Magnolia Ave, Fair Oaks, CA 95628 | 2017-08-25 |
| 1386166908 | Harcourt Bridges, LLC | Counselor | 4112 Crestline Ave Ste. B, Fair Oaks, CA 95628 | 2017-07-14 |
| 1063934867 | Harcourt Bridges, LLC | Counselor | 4112 Crestline Ave Ste. A, Fair Oaks, CA 95628 | 2017-07-13 |
| 1467986075 | Shelby Bryeans | Behavior Technician | 7949 California Ave Ste 15, Fair Oaks, CA 95628 | 2017-04-20 |
| 1942698790 | Life Span Home, Inc | Home Health | 4041 Bridge Street, Fair Oaks, CA 95628 | 2015-01-02 |
| 1861808008 | Edward John Olson | Social Worker | 5213 Vista Del Oro Way, Fair Oaks, CA 95628 | 2014-07-09 |
| 1073924643 | Frank Gontarski | Dentist | 4363 Hazel Avenue, Suite 6, Fair Oaks, CA 95628 | 2014-05-16 |
| 1801232921 | Lisa Hitomi | Community Health Worker | 9915 Fair Oaks Blvd, Fair Oaks, CA 95628 | 2013-05-15 |
| 1972842375 | Nicole Diana Cable | Marriage & Family Therapist | 10217 Fair Oaks Blvd, Suite A, Fair Oaks, CA 95628 | 2013-02-05 |
| Find all providers in zip 95628 | ||||
| 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 |
|---|---|---|---|---|
| 1720640915 | Corinne Petterson | Physician Assistant | 8525 Madison Ave, Fair Oaks, CA 95628-3854 | 2019-07-08 |
| 1235670613 | Danielle Rene Sepehri | Physician Assistant | 4000 Pennsylvania Ave, Fair Oaks, CA 95628-7420 | 2017-03-17 |
| 1558387936 | Michelle Lynn Habets | Physician Assistant | 8067 Hidden View Cir, Fair Oaks, CA 95628-5965 | 2006-07-15 |
| 1376540203 | Robert Webster Scott | Physician Assistant | 7988 California Ave, Fair Oaks, CA 95628-7140 | 2005-07-07 |
| 1225526395 | Oluwatosin Abina | Physician Assistant | 4948 San Juan Ave, Fair Oaks, CA 95628-4606 | 2018-04-24 |
| 1174827190 | Kristen J Waggoner | Physician Assistant | 4944 Sunrise Blvd Ste H, Fair Oaks, CA 95628-4941 | 2011-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407679 | Samantha Sidney Spinner | Physician Assistant | 1385 Shattuck Ave Apt 201, Berkeley, CA 94709-1468 | 2020-11-08 |
| 1134720972 | Alessandra Porfido | Physician Assistant | 733 Filbert St Apt 1, San Francisco, CA 94133-2767 | 2020-11-06 |
| 1992306872 | Kelsey Oberg | Physician Assistant | 1817 Oldfield Ct, El Cajon, CA 92019-4233 | 2020-11-05 |
| 1609477504 | Julia Claire Stiefel | Physician Assistant | 369 Orange St Apt A, Oakland, CA 94610-2979 | 2020-11-05 |
| 1164023347 | Wendy P Lewis | Physician Assistant | 10447 Highdale St, Bellflower, CA 90706-4122 | 2020-11-04 |
| 1245830181 | Lauren Bennett | Physician Assistant | 3360 Horizon St, Corona, CA 92881-0728 | 2020-10-29 |
| 1538769062 | Revital Ahl | Physician Assistant | 18141 Medley Dr, Encino, CA 91316-4447 | 2020-10-26 |
| 1922607423 | Emily Halla | Physician Assistant | 7473 Gresham Ct, San Jose, CA 95139-1424 | 2020-10-26 |
| 1386243889 | Ilaitia Lecia Namatasere | Physician Assistant | 614 Sycamore Ln Apt 225, Davis, CA 95616-7901 | 2020-10-26 |
| 1083213706 | Courtney Kathryn Hopp | Physician Assistant | 4060 Fourth Ave Ste 209, San Diego, CA 92103-2120 | 2020-10-23 |
| Find all providers with the same taxonomy | ||||
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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.