COREY TREMBLAY (NPI# 1598264103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
55317 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
817 COFFEE RD STE B |
City | MODESTO |
State | CA |
Zip Code | 95355-4241 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679936090 | Benjamin Schanker | Internal Medicine | 817 Coffee Rd Ste B, Modesto, CA 95355-4241 | 2016-04-02 |
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 Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
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 |
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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.