DANIEL ANTONIO VILLAGRAN-GONZALEZ


Address: 1401 Spanos Ct Ste 130, Modesto, CA 95355-2815
Phone: 2095504779

DANIEL ANTONIO VILLAGRAN-GONZALEZ (NPI# 1609330109) 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) 1609330109
Entity Type Individual
Full Name DANIEL ANTONIO VILLAGRAN-GONZALEZ
Other Name DANIEL ANTONIO VILLAGRAN
Credential PA-C
Practice Address 1401 Spanos Ct Ste 130
Modesto
CA 95355-2815
Mailing Address 3691 James W Smith Loop
Tracy
CA 95377-7014
Practice Telephone 2095504779
Mailing Telephone 2099148275
Enumeration Date 2019-01-29
Last Update Date 2020-03-31
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA56495 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1401 SPANOS CT STE 130
City MODESTO
State CA
Zip Code 95355-2815

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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
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255823191 Laura Lee Ruby Goen Physician Assistant 3105 Mchenry Ave Ste 10, Modesto, CA 95350-1439 2018-06-06
1679086755 Danielle B Deen Physician Assistant 1541 Florida Ave Ste 100, Modesto, CA 95350-4438 2017-11-10
1598292724 Todd Brooks Physician Assistant 1800 Coffee Rd Ste 30, Modesto, CA 95355-2700 2017-05-18
1205240660 David Zarate Rojas Physician Assistant 405 Mid Pines Way, Modesto, CA 95354-3378 2014-06-13
1194151704 Harinder Jhatu Physician Assistant 2218 W Whitmore Ave, Modesto, CA 95358-9497 2013-09-16
1902191489 Heather Marie Clayton-young Physician Assistant 3509 Coffee Rd Ste D3, Modesto, CA 95355-1357 2011-06-13
1457553885 Michael Tannenbaum Physician Assistant 1808 Scenic Dr, Apt 107, Modesto, CA 95355 2007-06-05
1013139054 Bounchanh Trysavath Physician Assistant 300 I St, Modesto, CA 95351 2007-05-02
1942378583 Karen Fields Physician Assistant Valley Wound Healing Center, 4335a Nstarway, Modesto, CA 95356 2006-12-01
1760594154 Stephen Andrew Fall Physician Assistant 1335 Coffee Rd Ste 100, Modesto, CA 95355-3192 2006-08-31
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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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