LACEY MAY CARPENTER (NPI# 1639306749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639306749 |
| Entity Type | Individual |
| Full Name | LACEY MAY CARPENTER |
| Credential | P.A.C. |
| Practice Address |
17742 Beach Blvd Ste 240 Huntington Beach CA 92647-6835 |
| Practice Telephone | 7148420444 |
| Practice Fax Number | 7148428444 |
| Mailing Telephone | 7148420444 |
| Mailing Fax Number | 7148428444 |
| Enumeration Date | 2009-06-16 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA60097518 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2003083 | 05 | |
| OR | 500636969 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1615 Delaware St, Longview, WA 986322367 | 3604142385 | 3604142386 |
| Street Address |
17742 BEACH BLVD STE 240 |
| City | HUNTINGTON BEACH |
| State | CA |
| Zip Code | 92647-6835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417464231 | Patricia Michelle Ramsey | Counselor | 16761 Viewpoint Lane, Apt 386, Huntington Beach, CA 92647 | 2018-01-02 |
| 1780103390 | Luz Flores | Health Educator | 8041 Newman Avenue, Hungtington Beach, CA 92647 | 2017-09-14 |
| 1134649106 | Louise Polzel | Social Worker | 17111 Beach Blvd St 205, Huntington Beach, CA 92647 | 2017-06-21 |
| 1205364015 | Chi Hong Nguyen | Family Medicine | 8201 Newman Ave 101, Huntington, CA 92647 | 2017-05-24 |
| 1396281770 | Sandra Vera | Specialist/Technologist | 7812 Edinger Ave. #400, Huntington Beach, CA 92647 | 2017-01-10 |
| 1245773050 | Sherika Benjamin | Technician, Pathology | 8211 San Angelo Drive Suit #f2, Huntington Beach, CA 92647 | 2016-11-28 |
| 1306389440 | Nhi Pham Nguyen | Behavioral Analyst | 17732 Beach Blvd., Suite G, Huntington Beach, CA 92647 | 2016-11-21 |
| 1710345095 | Pacific Beach Medical Group, Inc. | Internal Medicine | 16111 Beach Blvd., Huntington Beach, CA 92647 | 2016-02-02 |
| 1699148494 | Daniel Bui | Dentist | 16900-a Goldenwest St, Huntington Beach, CA 92647 | 2015-11-03 |
| 1598132359 | Hayley Patricia Buchanan | Specialist/Technologist | 23441 S. Pointe Drive, Suite 245, Laguna Hills, ORANGE COUNTY 92647 | 2015-08-27 |
| Find all providers in zip 92647 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093815847 | Javad Javadi Khomami | Physician Assistant | 5541 Mossvale Cir, Huntington Beach, CA 92649-4824 | 2006-09-22 |
| 1467469940 | Michael Scott Burney | Physician Assistant | 5888 Edinger Ave, Huntington Beach, CA 92649-1705 | 2006-08-01 |
| 1497126007 | Rachel Kramer | Physician Assistant | 19582 Beach Blvd, 314, Huntington Beach, CA 92648-2996 | 2015-10-08 |
| 1740627934 | Yun Wang | Physician Assistant | 17822 Beach Blvd, Huntington Beach, CA 92647-7101 | 2013-05-28 |
| 1619243854 | Alice Chen | Physician Assistant | 18800 Main St, Suite108, Huntington Beach, CA 92648-1707 | 2012-03-30 |
| 1962702084 | Katherine L Vo-gonzalez | Physician Assistant | 17742 Beach Blvd, Ste 215, Huntington Beach, CA 92647-6818 | 2010-10-22 |
| 1215261771 | Matthew Kent Chandler | Physician Assistant | 19582 Beach Blvd, Huntington Beach, CA 92648-2996 | 2009-09-30 |
| 1720199326 | Esther J Chung-watanabe | Physician Assistant | 17752 Beach Blvd, Suite 203, Huntington Beach, CA 92647-6838 | 2006-08-31 |
| 1013912575 | Kathleen M Coffman | Physician Assistant | 19066 Magnolia St, Huntington Beach, CA 92646-2232 | 2005-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760089437 | Karine Harutyunyan | Physician Assistant | 500 E Colorado St Ste 101, Glendale, CA 91205-1607 | 2020-10-06 |
| 1437756228 | Kale Burket | Physician Assistant | Bldg 523, S 8th St, El Centro, CA 92243 | 2020-10-05 |
| 1548867666 | Heba Marzouk Al-shoubaki | Physician Assistant | 633 S Pepper St, Anaheim, CA 92802-1459 | 2020-10-01 |
| 1275140550 | Lisa Lynn Passalacqua | Physician Assistant | 431 7th St, Norco, CA 92860-1671 | 2020-09-30 |
| 1144833989 | Trisha Taylor | Physician Assistant | 10399 Tivoli Way, Yucaipa, CA 92399-6017 | 2020-08-30 |
| 1457963944 | Harlan William Monahan | Physician Assistant | 5210 Del Rio Rd, Sacramento, CA 95822-2519 | 2020-08-18 |
| 1275144313 | Sofia Carmen Bustillo | Physician Assistant | 1709 Coral Pl, Seal Beach, CA 90740-5712 | 2020-08-12 |
| 1124638663 | Gayaneh Gharakhani | Physician Assistant | 1323 E Broadway Apt 110, Glendale, CA 91205-4018 | 2020-08-07 |
| 1144830183 | Loc Bao Tran | Physician Assistant | 8937 Emerson Pl, Rosemead, CA 91770-2813 | 2020-08-04 |
| 1558997957 | Sarah Lubinsky | Physician Assistant | 1511 Montana Ave, Santa Monica, CA 90403-1891 | 2020-03-17 |
| Find all providers with the same taxonomy | ||||
| City | HUNTINGTON BEACH |
| Zip Code | 92647 |
Please comment or provide details below to improve the information on LACEY MAY CARPENTER.
| 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.