MRS. MARTHA EVANGELINE COLUNGA (NPI# 1588787055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588787055 |
| Entity Type | Individual |
| Full Name | MRS. MARTHA EVANGELINE COLUNGA |
| Credential | PA-C |
| Practice Address |
280 N Riverside Ave Rialto CA 92376-5924 |
| Practice Telephone | 9094212121 |
| Practice Fax Number | 9094210491 |
| Mailing Telephone | 9094212121 |
| Mailing Fax Number | 9094210491 |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA 18185 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CA PA-C LICENSE NUMBER | PA 18185 | 01 |
| CA | CA DEA NUMBER | MC1398494 | 01 |
| Street Address |
280 N RIVERSIDE AVE |
| City | RIALTO |
| State | CA |
| Zip Code | 92376-5924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396868964 | Wariam Kaur William | Physician Assistant | 280 N Riverside Ave, Rialto, CA 92376-5924 | 2007-04-09 |
| 1275656761 | R S Bir Md Inc | Family Medicine | 280 N Riverside Ave, Rialto, CA 92376-5924 | 2007-04-09 |
| 1689797235 | Norman Yuh Wei Chow | Family Medicine | 280 N Riverside Ave, Rialto, CA 92376-5924 | 2007-04-09 |
| 1861515405 | Raghbir Singh Bir | Family Medicine | 280 N Riverside Ave, Rialto, CA 92376-5924 | 2007-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780141812 | Sochun Operation, Inc. | Assisted Living Facility | 1441 S. Riverside Ave., Rialto, CA 92376 | 2019-02-25 |
| 1487138244 | National Vision Inc | Technician/Technologist | 1175 Renaissance Parkway, Suite 1050, Rialto, CA 92376 | 2018-09-18 |
| 1942780853 | Pakravan, Manavi & Cohen Dental Corporation | Dentist | 1205 W Renaissance Pkwy, Suite 240, Rialto, CA 92376 | 2018-08-20 |
| 1114430238 | Li Watkins | Nurse Practitioner | 280 N Riverside Avenue, Rialto, CA 92376 | 2017-11-10 |
| 1346767837 | Imelda Jazmin Ceja Nunez | Behavioral Analyst | 462 E Wilson St, Rialto, CA 92376 | 2017-08-24 |
| 1720505662 | Taylor Sandoval | Behavioral Analyst | 2935 Cardamon St, Rialto, CA 92376 | 2017-08-22 |
| 1427572510 | Danielle Mccree | Physical Therapy Assistant | 1470 N Filmore Ave, Rialto, CA 92376 | 2017-07-31 |
| 1639699952 | Albert Anthony Torres | Specialist/Technologist | 1008 N. Pampas Ave., Rialto, CA 92376 | 2017-06-27 |
| 1124407358 | Miesha Warren | Peer Specialist | 850 East Foothill Bld, Rialto, CA 92376 | 2015-05-20 |
| 1205233483 | Albert Archuleta | Counselor | 1501 Riverside Ave, Rialto, CA 92376 | 2014-12-03 |
| Find all providers in zip 92376 | ||||
| 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 |
|---|---|---|---|---|
| 1942670856 | Shannon Michelle Meza | Physician Assistant | 750 N Yucca Ave, Rialto, CA 92376-4857 | 2015-10-05 |
| 1912198201 | Adair Rutherford Buckner I | Physician Assistant | 775 W Heather St, Rialto, CA 92376-2677 | 2007-08-05 |
| 1396868964 | Wariam Kaur William | Physician Assistant | 280 N Riverside Ave, Rialto, CA 92376-5924 | 2007-04-09 |
| 1477194553 | Tonya Darghali | Physician Assistant | 2006 N Riverside Ave, Rialto, CA 92377-4696 | 2019-09-30 |
| 1275034258 | Amanda Siegel | Physician Assistant | 2006 N Riverside Ave, Rialto, CA 92377-4696 | 2018-02-23 |
| 1932310067 | Hilda Mancilla | Physician Assistant | 1850 N Riverside Ave, Suite 180, Rialto, CA 92376-8071 | 2007-05-24 |
| 1316008972 | Diego H Sevilla | Physician Assistant | 436 S Riverside Ave, Rialto, CA 92376-6523 | 2006-12-13 |
| 1396805479 | Grace A Buonavita | Physician Assistant | 436 S Riverside Ave, Rialto, CA 92376-6523 | 2006-12-11 |
| 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.