MR. WILLIAM CHARLES PARENT (NPI# 1669461745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669461745 |
| Entity Type | Individual |
| Full Name | MR. WILLIAM CHARLES PARENT |
| Credential | P.A. |
| Practice Address |
23638 Sky Harbour Road Friant CA 93626 |
| Mailing Address |
28889 Crystal Cave Ct Coarsegold CA 93614-9696 |
| Practice Telephone | 5598223785 |
| Practice Fax Number | 5598222928 |
| Mailing Telephone | 5596416004 |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2007-09-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
11917 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
23638 SKY HARBOUR ROAD |
| City | FRIANT |
| State | CA |
| Zip Code | 93626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134297641 | Marilyn Olufs Benck | Internal Medicine | 23638 Sky Harbour Road, Friant, CA 93626 | 2006-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669023271 | Ronnie Elizabeth Potts | Nurse Practitioner | 23638 Sky Harbor Rd., Friant, CA 93626 | 2019-09-25 |
| 1992701528 | Nathaniel Gildersleeve Jr. | Radiology | 4664 Millerton Road, Friant, CA 93626 | 2005-06-28 |
| 1093983389 | Table Mountain Rancheria Medical Center | Internal Medicine | 23638 Sky Harbour Rd, Friant, CA 93626-0410 | 2008-02-20 |
| 1619371648 | Frederick Reschman Reschman Jr. | Registered Nurse | 21055 Ruscello Ln, Friant, CA 93626-1204 | 2014-10-20 |
| 1245783224 | Ben Joseph | Family Medicine | 21109 Lago Bello Ln, Friant, CA 93626-1209 | 2016-07-26 |
| 1114418829 | Amanda Lebda | Counselor | 21242 Tramonto Ln, Friant, CA 93626-1215 | 2018-05-29 |
| 1386910750 | Jenee Nicole Kautzer | Naturopath | 23638 Sky Harbour Rd, Friant, CA 93626-9733 | 2012-03-29 |
| 1992012439 | Mark A Adams | Behavioral Analyst | 6080 Millerton Rd, Friant, CA 93626-9736 | 2010-09-03 |
| 1649560954 | Bryan Peter Peters | Pharmacist | 21754 Eastmere Ln, Friant, CA 93626-9753 | 2011-04-08 |
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| 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 |
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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.