DANIEL E. WELBURN (NPI# 1578704623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578704623 |
| Entity Type | Individual |
| Full Name | DANIEL E. WELBURN |
| Credential | PA-C |
| Practice Address |
833 W Whittier Blvd Montebello CA 90640-4735 |
| Practice Telephone | 3237124811 |
| Practice Fax Number | 3235446488 |
| Mailing Telephone | 3237124811 |
| Mailing Fax Number | 3235446488 |
| Enumeration Date | 2009-03-19 |
| Last Update Date | 2019-06-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | PA20234 | CA | Allopathic & Osteopathic Physicians |
| Y | 363A00000X | Physician Assistant | PA20234 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CA LICENSE - PHYSICIAN ASSISTANT | PA20234 | 01 |
| CA | CA LICENSE - REGISTERED NURSE | RN527054 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 403 W F St, Ontario, CA 917623207 | 9099883288 | 9099886767 |
| 436 S Riverside Ave, Rialto, CA 923766523 | 9098778868 | 9098770008 |
| Street Address |
833 W WHITTIER BLVD |
| City | MONTEBELLO |
| State | CA |
| Zip Code | 90640-4735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245261023 | R. Ruiz, M.d., A Professional Corporation | Dentist | 833 W Whittier Blvd, Montebello, CA 90640-4735 | 2006-07-06 |
| 1023654779 | Joanne Abuyuan Guerrero | Nurse Practitioner | 833 W Whittier Blvd, Montebello, CA 90640-4735 | 2019-11-18 |
| 1356812689 | Oh Jae Kwon Dental Corporation | Dentist | 833 W Whittier Blvd, Montebello, CA 90640-4735 | 2018-12-16 |
| 1477998870 | Ferrin Katarina Ruiz | Specialist | 833 W Whittier Blvd, Montebello, CA 90640-4735 | 2013-04-30 |
| 1558588566 | Dentalville | Dentist | 833 W Whittier Blvd, Montebello, CA 90640-4735 | 2007-04-19 |
| 1568527760 | Trinh Bui | Dentist | 833 W Whittier Blvd, Montebello, CA 90640-4735 | 2006-12-27 |
| 1033272596 | Diana Jane Simbol | Dentist | 833 W Whittier Blvd, Montebello, CA 90640-4735 | 2006-12-18 |
| 1114080694 | Robert Anh Hoang | Dentist | 833 W Whittier Blvd, Montebello, CA 90640-4735 | 2006-12-18 |
| 1053420216 | Leonid Glosman | Dentist | 833 W Whittier Blvd, Montebello, CA 90640-4735 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242901 | Marie-christine Wiltord | Marriage & Family Therapist | 1447 W. Beverly Blvd., Montebello, CA 90640 | 2020-07-08 |
| 1366093668 | Ana Lesly Tavira-nava | Student in an Organized Health Care Education/Training Program | 3316 W. Beverly Blvd., Montebello, CA 90640 | 2019-09-27 |
| 1952803256 | America Alaniz | Marriage & Family Therapist | 3524 1/4 W. Beverly Blvd., Montebello, CA 90640 | 2018-03-02 |
| 1669987913 | Tender Loving Hospice Care, Inc. | Hospice Care, Community Based | 3528 W Beverly Blvd, Suite D, Montebello, CA 90640 | 2017-12-08 |
| 1518472869 | Healing Angels Nursing Services, Inc. | Home Health | 3538 W Beverly Blvd, Suite C, Montebello, CA 90640 | 2017-12-08 |
| 1427579143 | Paul Gonzales | Specialist/Technologist | 1525 Via Palermo, Montebello, CA 90640 | 2017-07-03 |
| 1942720859 | Rachel Lu | Pharmacist | 800 W. Whittier Blvd., Montebello, CA 90640 | 2017-06-21 |
| 1194254508 | Jill Tanigawa | Pharmacist | 2525 W Via Campo, Montebello, CA 90640 | 2017-06-08 |
| 1619406121 | Nutrition Care Consulting | Dietitian, Registered | 2605 Beverly Blvd, Montebello, CA 90640 | 2017-06-08 |
| 1992165815 | Hope Artificial Limb & Brace,llc | Prosthetic/Orthotic Supplier | 2609 W. Beverly Blvd #3, Montebello, CA 90640 | 2016-03-04 |
| Find all providers in zip 90640 | ||||
| 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 |
|---|---|---|---|---|
| 1629359864 | California Emergency Physician Medical Group | Physician Assistant | 615 W Lincoln Ave, Montebello, CA 90640-3528 | 2011-09-01 |
| 1548590649 | Jesus Antonio Molina | Physician Assistant | 904 N 2nd St, Montebello, CA 90640-2605 | 2010-01-12 |
| 1891932083 | Jesus Zepeda | Physician Assistant | 2205 W. Beverly Blvd, Montebello, CA 90640 | 2009-01-09 |
| 1629009121 | Jose R Acevedo | Physician Assistant | 308 N Vail Ave, Montebello, CA 90640-3959 | 2006-07-05 |
| 1235190299 | Edward Paul Estrada | Physician Assistant | 2205 W. Beverly Boulevard, Montebello, CA 90640 | 2006-03-30 |
| 1710475462 | Matthew Tan | Physician Assistant | 309 W Beverly Blvd, Montebello, CA 90640 | 2018-04-27 |
| 1164930228 | Michelle Niku Bensoussan | Physician Assistant | 309 W Beverly Blvd, Montebello, CA 90640-4308 | 2018-01-11 |
| 1982056669 | Celina Salgado | Physician Assistant | 2300 W Beverly Blvd, Montebello, CA 90640-2379 | 2016-07-06 |
| 1326411349 | Wendy Tran Lin | Physician Assistant | 309 W Beverly Blvd, Montebello, CA 90640-4308 | 2015-11-13 |
| 1912280173 | Elvia Ramirez | Physician Assistant | 815 Washington Blvd, Montebello, CA 90640-6123 | 2011-09-23 |
| Find all providers in MONTEBELLO | ||||
| City | MONTEBELLO |
| Zip Code | 90640 |
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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.