JACQUELINE SURRENCY LLC (NPI# 1639582612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639582612 |
| Entity Type | Organization |
| Organization Name | JACQUELINE SURRENCY LLC |
| Practice Address |
10131 Memphis Ave Whittier CA 90603-2024 |
| Practice Telephone | 5623059222 |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2014-06-06 |
| Authorized Official Name | JACQUELINE SURRENCY (CEO) |
| Authorized Official Telephone | 5623059222 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
10131 MEMPHIS AVE |
| City | WHITTIER |
| State | CA |
| Zip Code | 90603-2024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811512858 | In2vison Programs LLC | Health Educator | 16131 Whittier Blvd, Suite 100, Whittier, CA 90603 | 2020-06-16 |
| 1255972717 | Omid Hamid Barkhordar Dental, Inc | Clinic/Center | 16461 Whittier Blvd., Whittier, CA 90603 | 2019-10-04 |
| 1124441746 | Nami H. Jun | Pharmacist | 9436 Portada Drive, Whitter, CA 90603 | 2014-02-03 |
| 1730520024 | Jamshid Azizzadeh | Dentist | 15030 Whittier Blvd. #106, Whittier, CA 90603 | 2013-07-15 |
| 1518239730 | Melissa Mejia | Physical Therapist | 16405 Whittier Boulevard, Whittier, CA 90603 | 2012-02-03 |
| 1053696005 | Will Max | Counselor | 10155 Colima Road, Whittier, CA 90603 | 2011-10-20 |
| 1215168588 | R.e. Mayer, D.d.s., P.C. | Dentist | 15141 E. Whittier Blvd., Suite 255, Whittier, CA 90603 | 2009-08-04 |
| 1487784096 | Cynthia Lee Schroder | Counselor | 10155 Colima Rd., Whittier, CA 90603 | 2007-03-06 |
| 1275679524 | Bach Trong Le | Dentist | 16157 E. Whittier Blvd, Whittier, CA 90603 | 2007-01-30 |
| 1710032958 | Brian Carroll Chung | Oral & Maxillofacial Surgery | 16315 E Whittier Blvd, #201, Whittier, CA 90603 | 2007-01-25 |
| Find all providers in zip 90603 | ||||
| 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 |
|---|---|---|---|---|
| 1265070023 | Jae Woo Seo | Physician Assistant | 13718 Russell St, Whittier, CA 90602-3149 | 2019-12-11 |
| 1346886538 | Alexander John Velarde | Physician Assistant | 10913 Bogardus Ave, Whittier, CA 90603-3153 | 2019-11-21 |
| 1710522941 | Jeffrey Jagiello | Physician Assistant | 12329 Breezewood Dr Apt 4, Whittier, CA 90604-3816 | 2019-11-12 |
| 1477194215 | Armando Aguiniga | Physician Assistant | 12291 Washington Blvd Ste 302, Whittier, CA 90606-2549 | 2019-10-02 |
| 1174183388 | Alexis Burciaga | Physician Assistant | 16503 Windsor Ave, Whittier, CA 90603-3077 | 2019-06-19 |
| 1386134542 | Melissa Lopez | Physician Assistant | 9209 Colima Rd Ste 2000b, Whittier, CA 90605-1816 | 2018-05-14 |
| 1376043133 | Allesa Rachelle Bumgardner | Physician Assistant | 12401 Washington Blvd Ste 400, Whittier, CA 90602-1006 | 2018-02-19 |
| 1518474816 | Sakshi Madan | Physician Assistant | 14442 Whittier Blvd Ste 105, Whittier, CA 90605 | 2018-01-08 |
| 1134538721 | Jeremy Jay Romaine | Physician Assistant | 6501 Greenleaf Ave, Whittier, CA 90601-4108 | 2014-08-07 |
| 1831527506 | Angelina Flores | Physician Assistant | Pih Health Family Medicine, 15725 E. Whittier Blvd., #400, Whittier, CA 90603-2338 | 2013-10-16 |
| Find all providers in WHITTIER | ||||
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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.