ROSE HAVEA REGAN (NPI# 1588108526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588108526 |
| Entity Type | Individual |
| Full Name | ROSE HAVEA REGAN |
| Credential | PA-C |
| Practice Address |
1530 E Hammer Ln Stockton CA 95210-3149 |
| Practice Telephone | 2099543200 |
| Mailing Telephone | 2099543200 |
| Mailing Fax Number | 2099543250 |
| Enumeration Date | 2016-12-09 |
| Last Update Date | 2019-03-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA55528 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1530 E HAMMER LN |
| City | STOCKTON |
| State | CA |
| Zip Code | 95210-3149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942633318 | Kimberly Ruiz Dizon | Physician Assistant | 1530 E Hammer Ln, Stockton, CA 95210 | 2013-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063021970 | Leslie Jazmin Marin | Student in an Organized Health Care Education/Training Program | 7109 Danny Dr, Stockton, Stockton, CA 95210 | 2020-07-27 |
| 1043866692 | Alexis Thomasson | Behavior Technician | 7109 Danny Drive, Stockton, CA 95210 | 2019-08-09 |
| 1821651324 | Maria Guadalupe Toledo | Lactation Consultant, Non-RN | 7912 Hammer Lane, Stockton, CA 95210 | 2019-04-19 |
| 1508226440 | Active Life Adult Day Care, Inc. | Clinic/Center | 7209 Tam O'shanter Dr., Stockton, CA 95210 | 2016-03-04 |
| 1548631260 | Rachel Standley | Substance Abuse Rehabilitation Facility | 8017 El Cajon St, Stockton, CA 95210 | 2015-10-08 |
| 1225435308 | Active Life Medical Produtcs Inc | Durable Medical Equipment & Medical Supplies | 611 W Grider Way, Stockton, CA 95210 | 2014-12-04 |
| 1285920983 | Supplemental Health Care | Preferred Provider Organization | 8425 Kiltie Wy, Stockton, CA 95210 | 2011-06-22 |
| 1770807901 | Stockton Medical Weight Loss Center Inc | Internal Medicine | 1801 E. March Lane, Suite 400d, Stockton, CA 95210 | 2010-03-17 |
| 1699911412 | Pratap Krishna Anne | Pharmacist | 1801 E.march Ln, Suite:b280, Bjrx, Stockton, CA 95210 | 2008-12-29 |
| 1316116890 | Rami Georgies | Family Medicine | 8001 Lorraine Ave, Stockton, CA 95210 | 2008-02-28 |
| Find all providers in zip 95210 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952875957 | Michelle Rose Abraham | Physician Assistant | 2633 Pacific Ave # 1, Stockton, CA 95204-4429 | 2019-01-14 |
| 1235453150 | James F Patton | Physician Assistant | 913 South St, Stockton, MO 65785-9381 | 2010-03-22 |
| 1932434404 | Noel Lena Moreno | Physician Assistant | 2633 Pacific Ave, Stockton, CA 95204-4429 | 2009-10-16 |
| 1093987414 | Stanley Ray Cathey | Physician Assistant | 8719 Moreno Ct, Stockton, CA 95209-1843 | 2008-03-26 |
| 1881672517 | Melodee Lubag Millare | Physician Assistant | 73 W March Ln, Suite A, Stockton, CA 95207-5726 | 2006-01-04 |
| 1295264760 | Lisa Walterscheid | Physician Assistant | 1800 N California St, Stockton, CA 95204-6019 | 2017-06-08 |
| 1699131110 | Cmc | Physician Assistant | 1801 E March Ln Ste D470, Stockton, CA 95210-6677 | 2016-01-13 |
| 1194195875 | Christopher Wayne Morales-phan | Physician Assistant | 1782 W Hammer Ln, Stockton, CA 95209-2922 | 2015-10-07 |
| 1366812273 | Jamie Jay Bible | Physician Assistant | 525 W Acacia St, Stockton, CA 95203-2405 | 2015-10-05 |
| 1669755682 | Caroline D Andersen | Physician Assistant | 415 E Harding Way, Suite D, Stockton, CA 95204-6118 | 2011-09-26 |
| Find all providers in STOCKTON | ||||
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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.