SAMANTHA BALTAZAR (NPI# 1578176475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578176475 |
| Entity Type | Individual |
| Full Name | SAMANTHA BALTAZAR |
| Credential | PA |
| Practice Address |
2255 Cahuilla St Apt 56 Colton CA 92324-4742 |
| Mailing Address |
Po Box 711 Loma Linda CA 92354-0711 |
| Practice Telephone | 9096333940 |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2020-08-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2255 CAHUILLA ST APT 56 |
| City | COLTON |
| State | CA |
| Zip Code | 92324-4742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134739949 | Ava Vascular | Radiology | 1281 W. C. Street, Suite 200, Colton, CA 92324 | 2020-08-06 |
| 1063042851 | Making A Difference Association, Inc. | Psychologist | 1430 E Cooley Drive, Ste 111, Colton, CA 92324 | 2020-01-21 |
| 1326685488 | Allstar Medical Respite and Recuperative Care | Case Management | 450 N Sperry Drive, Colton, CA 92324 | 2019-12-06 |
| 1558916379 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 1010 North Pepper Ave, Colton, CA 92324 | 2019-08-08 |
| 1326692633 | Kadi Lyn Pearce | Licensed Practical Nurse | 970 N. Latham St, Colton, CA 92324 | 2019-07-25 |
| 1184281966 | Steven Andrew Cardoza | Physician Assistant | Armc, 400 N. Pepper Ave, Colton, CA 92324 | 2019-05-28 |
| 1528540952 | Daniel Tochukwu Umah-mgborogwu | Physician Assistant | 400 N Pepper Ave, Ste 107, Coton, CA 92324 | 2018-09-01 |
| 1255826038 | Cal Med Vascular Center LLC | Clinic/Center | 1281 W C St, Colton, CA 92324 | 2018-06-25 |
| 1891288072 | A. Arroyo Lourenco Dds, Inc | Dentist | 827 W Valley Blvd., Colton, CA 92324 | 2018-06-12 |
| 1700396165 | Emily Covington | Registered Nurse | 1550 E. Washington St., Ste 101, Colton, CA 92324 | 2017-10-11 |
| Find all providers in zip 92324 | ||||
| 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 |
|---|---|---|---|---|
| 1669005054 | Pollyanna Wong | Physician Assistant | 900 E Washington St Ste 301, Colton, CA 92324-8182 | 2020-02-13 |
| 1184281966 | Steven Andrew Cardoza | Physician Assistant | Armc, 400 N. Pepper Ave, Colton, CA 92324 | 2019-05-28 |
| 1689136749 | Dinusha Indra Bandaranayake | Physician Assistant | 400 N Pepper Ave Ste 2m206, Colton, CA 92324-1801 | 2019-04-05 |
| 1659801975 | Mikell Angela Schlumpf | Physician Assistant | 400 N Pepper Ave Ste 2mob206, Colton, CA 92324-1801 | 2017-06-19 |
| 1942604236 | Ernest Newton | Physician Assistant | 400 N Pepper Ave, Suite 107, Colton, CA 92324 | 2014-10-15 |
| 1124430145 | Daniela Casas | Physician Assistant | 400 N Pepper Ave Ste M206, Colton, CA 92324-1801 | 2014-05-25 |
| 1275966095 | Peter Dumas | Physician Assistant | 400 N Pepper Ave Ste 1m107, Colton, CA 92324-1801 | 2013-08-15 |
| 1689912230 | Marco Serrano | Physician Assistant | 1306 Highland Ave, Colton, CA 92324-2415 | 2013-01-16 |
| 1063582435 | Stephanie Lynn Morales | Physician Assistant | 400 N Pepper Ave., Colton, CA 92324 | 2006-11-09 |
| 1033294079 | Edward V. Schelert | Physician Assistant | 400 North Pepper Ave, Arrowhead Regional Medical Center, Colton, CA 92324 | 2006-10-26 |
| Find all providers in COLTON | ||||
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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.