MARC K MASSEY (NPI# 1649680364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649680364 |
| Entity Type | Individual |
| Full Name | MARC K MASSEY |
| Practice Address |
1800 N California St, Stockton, Ca Stockton CA 95204 |
| Mailing Address |
8010 Pocket Rd Apt 296 Sacramento CA 95831-5750 |
| Practice Telephone | 2099432000 |
| Mailing Telephone | 2066042080 |
| Enumeration Date | 2014-05-02 |
| Last Update Date | 2020-02-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 57099 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1800 N CALIFORNIA ST, STOCKTON, CA |
| City | STOCKTON |
| State | CA |
| Zip Code | 95204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962027524 | Kariem Abdelwahed | Licensed Vocational Nurse | 1630 N. Edison St Stockton Ca, Stockton, CA 95204 | 2020-06-10 |
| 1831730555 | Ronnie C Murray | Counselor | 1947 North California Street, Stockton, CA 95204 | 2019-10-03 |
| 1235614116 | Michelle Ann Horn | Marriage & Family Therapist | 3666 Mission Rd, Stockton, CA 95204 | 2018-09-26 |
| 1356830947 | Stockton Pace | PACE Provider Organization | 582 E. Harding Way, Stockton, CA 95204 | 2018-05-09 |
| 1790228781 | Rebecca Phongsa | Counselor | 1947 North Calfornia Street, Suite B, Stockton, CA 95204 | 2016-11-23 |
| 1700332905 | Serim Kang | Driver | 4222 N Pershing Ave, Suite D2, Stockton, CA 95204 | 2016-08-28 |
| 1033565544 | Philip John Brereton | Orthotist | 466 E Harding Way, Stockton, CA 95204 | 2016-05-13 |
| 1932507522 | David Grayson | Counselor | 1621 Brookside Rd, Stockton, CA 95204 | 2014-12-12 |
| 1174934897 | Gurtej Malhi | Internal Medicine | 1901 N California Street, Stockton, CA 95204 | 2014-05-15 |
| 1396156170 | Rajesh Saini | Nurse Practitioner | 1805 N California St. Suite 102, Stockton, CA 95204 | 2014-05-14 |
| Find all providers in zip 95204 | ||||
| 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 |
|---|---|---|---|---|
| 1942633318 | Kimberly Ruiz Dizon | Physician Assistant | 1530 E Hammer Ln, Stockton, CA 95210 | 2013-08-20 |
| 1407143274 | Marcia -galbraith | Physician Assistant | 3449 Schooner Dr, Stockton, CA 95219-4520 | 2011-06-30 |
| 1023340379 | Anjali Agrawal | Physician Assistant | 2531 N California St, Stockton, CA 95204-5501 | 2010-02-10 |
| 1083867683 | Sandra Robles-bonham | Physician Assistant | 77 W. March Lane, Suite A, Stockton, CA 95207-5723 | 2008-10-28 |
| 1982878096 | Steven Glenn Byrne | Physician Assistant | 11600 Stark Rd, Stockton, UT 84071-9712 | 2008-04-18 |
| 1366636847 | Rachel Abella Sumaquial | Physician Assistant | 3601 Brookside Road, Stockton, CA 95211-0001 | 2007-08-28 |
| 1679694608 | Michael V Dixon | Physician Assistant | 420 W Acacia St Ste 2, Stockton, CA 95203-2441 | 2007-04-03 |
| 1275654238 | Ana Ross | Physician Assistant | 420 W Acacia St Ste 19, Stockton, CA 95203-2441 | 2007-04-03 |
| 1023097284 | Rose L Santos | Physician Assistant | 415 W Benjamin Holt Dr, Stockton, CA 95207-3958 | 2006-01-15 |
| 1972586642 | Gary Alan Falcetano | Physician Assistant | 4 Edna Horn Dr, Stockton, NJ 08559-1401 | 2005-11-27 |
| Find all providers in STOCKTON | ||||
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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.