GREGORY J MUSSELMAN (NPI# 1659829513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659829513 |
| Entity Type | Individual |
| Full Name | GREGORY J MUSSELMAN |
| Credential | PA-C |
| Practice Address |
3550 E Philadelphia St Ste 150 Ontario CA 91761 |
| Mailing Address |
3550 E Philadelphia St Ste 150 Ontario CA 91761-2963 |
| Practice Telephone | 9097730022 |
| Mailing Telephone | 9097816015 |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2018-09-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9471 Haven Ave Ste 140, Rancho Cucamonga, CA 917305818 | 9094742333 |
| Street Address |
3550 E PHILADELPHIA ST STE 150 |
| City | ONTARIO |
| State | CA |
| Zip Code | 91761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902418163 | Blue Oak Counseling Services, Inc. | Counselor | 3200 Guasti Rd #100, Ontario, CA 91761 | 2020-08-19 |
| 1578115986 | Hadel Awad | Behavior Technician | 1801 South Excise Ave, 116, Ontario, CA 91761 | 2019-07-15 |
| 1265902845 | Stephanie Escalante | Behavior Technician | 1801 S. Excise Ave. #116, Ontario, CA 91761 | 2018-11-27 |
| 1801395595 | Optimum Bio Lab Inc | Clinical Medical Laboratory | 1910 S Archibald Ave #d, Ontario, CA 91761 | 2018-02-07 |
| 1871010033 | Evelyn Esther Martinez | Case Manager/Care Coordinator | 1556 S. Sultana Ave., Ontario, CA 91761 | 2017-08-28 |
| 1750812525 | Building Bridges Christian Counseling | Marriage & Family Therapist | 3200 Guasti Road, Suite 100, Ontario, CA 91761 | 2017-03-23 |
| 1700332327 | Ramon Cardenas | Registered Nurse | 721 E. Banyan St., Ontario, CA 91761 | 2016-09-01 |
| 1023565660 | Breanna Gonzalez | Occupational Therapist | 3449 S. Wrangler Pl., Ontario, CA 91761 | 2016-09-01 |
| 1326491507 | Sasha Khawaja | Specialist/Technologist | 1500 So. Haven Ave, Ste 190, Ontario, CA 91761 | 2016-07-22 |
| 1790157337 | Nancy Maina | Registered Nurse | 2800 E. Riverside Dr., Ontario, CA 91761 | 2015-10-22 |
| Find all providers in zip 91761 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154805729 | Ronald William Strohmeyer | Physician Assistant | 2327 S.w. 4th Ave, Ontario, OR 97914 | 2018-09-19 |
| 1093024994 | Stephen Styadi | Physician Assistant | 1760 E Flora St, Ontario, CA 91764-4458 | 2010-09-27 |
| 1801127170 | Rafael Romero | Physician Assistant | 521 E Park St, Ontario, CA 91761-1724 | 2010-01-26 |
| 1306175021 | Lilian Y Chou | Physician Assistant | 1440 E Cedar St, Ontario, CA 91761-8300 | 2009-12-08 |
| 1215160510 | Kacey L Andreasen | Physician Assistant | 1050 Sw 3rd Ave Ste 1200, Ontario, OR 97914-4550 | 2009-09-02 |
| 1235206483 | Leah Rose Zalsman | Physician Assistant | 1520 N. Moutain Ave Bldg F Suite 128, Ontario, CA 91762 | 2006-11-30 |
| 1518577394 | Matea Berria | Physician Assistant | 840 Sw 4th Ave, Ontario, OR 97914-2633 | 2020-08-05 |
| 1154971174 | Emily Grace Bond Russell | Physician Assistant | 2327 Sw 4th Ave, Ontario, OR 97914-1851 | 2019-09-12 |
| 1053740290 | Courtney M Combe | Physician Assistant | 702 Sunset Dr, Ontario, OR 97914-3121 | 2013-11-07 |
| 1588907802 | Jennifer Shin Yim | Physician Assistant | 1650 S Euclid Ave, Ontario, CA 91762-5824 | 2013-04-04 |
| Find all providers in ONTARIO | ||||
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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.