COREY TREMBLAY


Address: 817 Coffee Rd Ste B, Modesto, CA 95355-4241
Phone: 2092226061

COREY TREMBLAY (NPI# 1598264103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598264103
Entity Type Individual
Full Name COREY TREMBLAY
Credential PA-C
Practice Address 817 Coffee Rd Ste B
Modesto
CA 95355-4241
Mailing Address 1641 N Ripon Rd Apt 507
Ripon
CA 95366-9818
Practice Telephone 2092226061
Mailing Telephone 2486391373
Enumeration Date 2018-02-09
Last Update Date 2018-02-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
55317 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 817 COFFEE RD STE B
City MODESTO
State CA
Zip Code 95355-4241

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679936090 Benjamin Schanker Internal Medicine 817 Coffee Rd Ste B, Modesto, CA 95355-4241 2016-04-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982211793 I To I LLC Optometrist 3401 Oakdale Rd, Ste 525, Modesto, CA 95355 2020-09-25
1205443116 Altwal and Shelat Dds Inc Dentist 1317 Oakdale Road, Suite 310, Modesto, CA 95355 2020-09-24
1184255911 Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation Clinic/Center 3401 Oakdale Road, Suite 505, Modesto, CA 95355 2020-01-30
1487133856 Natalie Vargas Behavior Technician 1317 Oakdale Road Suite 610, Modesto, CA 95355 2018-08-07
1871079152 Jill H Fusia Dietitian, Registered 1404 Cordero Court, Modesto, CA 95355 2018-07-19
1043727514 Emily Lauren Schaefer Behavioral Analyst 3425 Coffee Rd Ste C2, Modesto, CA 95355 2018-01-05
1376083691 Hari Gnanasekeram, PC Technician, Cardiology 1303 Mable Avenu, Modesto, CA 95355 2017-03-06
1598139891 Encompass Health Rehabilitation Hospital of Modesto, LLC Rehabilitation Hospital 1303 Mable Avenue, Modesto, CA 95355 2015-11-24
1013387844 Diana Faith Kigenyi Social Worker 1225 Oakdale Road, Modesto, CA 95355 2015-10-06
1437530672 Tzu Yi Wei Acupuncturist 2209 Coffee Road, Suite A, Modesto, CA 95355 2015-06-12
Find all providers in zip 95355

Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992987259 Kristine Ann Rebiero Physician Assistant 1030 Scenic Dr, Modesto, CA 95350-6133 2007-11-28
1174606800 Delia Yanira Hernandez Physician Assistant 1317 Oakdale Rd Ste 440, Modesto, CA 95355 2006-10-24
1194821223 Linda Sue Phillips Physician Assistant 3400 Finch Rd, Parker-racor Healthstat Clinic, Modesto, CA 95354-4125 2006-09-16
1265415525 Natalie Angele Mattos Physician Assistant 1114 6th St, Modesto, CA 95354-2203 2005-11-21
1720592033 Jennifer Ann O'connor Physician Assistant 1114 6th St, Modesto, CA 95354-2203 2017-11-22
1275938748 Cleiban Hernan Vega Physician Assistant 1234 Mchenry Ave, Modesto, CA 95350-5373 2014-10-27
1861895278 David Ronald Boone Physician Assistant 1409 E Briggsmore Ave, Modesto, CA 95355-2707 2014-09-30
1730594078 Joshua Clements Physician Assistant 2101 Tenaya Dr, Modesto, CA 95354-3930 2014-06-25
1134473564 Sheena Latrac Allen Physician Assistant 1441 Florida Ave, Modesto, CA 95350-4404 2012-11-07
1083963805 Jessica Dahlin Physician Assistant 1700 Coffee Rd, Modesto, CA 95355-2803 2012-09-07
Find all providers in MODESTO

Competitor

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City MODESTO
Zip Code 95355

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Dataset Information

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.

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