MS. CHRISTINA LYNN FANTOZZI (NPI# 1699050385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699050385 |
| Entity Type | Individual |
| Full Name | MS. CHRISTINA LYNN FANTOZZI |
| Other Name | TINA FANTOZZI |
| Credential | PA-C |
| Practice Address |
6511 Coyle Ave 2nd Floor Carmichael CA 95608-0306 |
| Mailing Address |
3400 Data Dr Physician Support Services Rancho Cordova CA 95670-7956 |
| Practice Telephone | 9165363665 |
| Practice Fax Number | 9165363593 |
| Enumeration Date | 2011-10-13 |
| Last Update Date | 2017-01-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 21745 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6511 COYLE AVE 2ND FLOOR |
| City | CARMICHAEL |
| State | CA |
| Zip Code | 95608-0306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518964642 | Roger Mills Gilbert | Radiology | 6511 Coyle Ave, Carmichael, CA 95608-0306 | 2005-07-05 |
| 1770090508 | Amanda Peoples | Nurse Practitioner | 6511 Coyle Ave, Carmichael, CA 95608-0306 | 2018-01-02 |
| 1467714782 | Abdul Malik Dredar | Radiology | 6511 Coyle Ave, Carmichael, CA 95608-0306 | 2012-06-12 |
| 1861777195 | Stephen Scott Henrichon | Radiology | 6511 Coyle Ave, Carmichael, CA 95608-0306 | 2011-10-18 |
| 1659514701 | Matthew Dean Wheatley | Radiology | 6511 Coyle Ave, Carmichael, CA 95608-0306 | 2009-04-18 |
| 1316143902 | Hanh La | Internal Medicine | 6511 Coyle Ave, Carmichael, CA 95608-0306 | 2007-06-21 |
| 1558342667 | Radiological Associates of Sacramento Medical Group | Radiology | 6511 Coyle Ave, Carmichael, CA 95608-0306 | 2005-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538776042 | Amari Home Health Care Inc. | Home Health | 6722 Fair Oaks Blvd., Suite 203, Carmichael, CA 95608 | 2020-09-29 |
| 1891333621 | Sonya Michelle Hernandez | Durable Medical Equipment & Medical Supplies | 5110 Ramona Vista Way, Carmichael, CA 95608 | 2019-12-11 |
| 1922640903 | Sacramento County Office of Education | Clinic/Center | Barrett Middle School/san Juan Unified School District, 4243 Barrett Road, School Counseling Office, Carmichael, CA 95608 | 2019-10-11 |
| 1558868927 | Gps Physician Group of California PC | Internal Medicine | American River Center, 3900 Garfield Ave, Carmichael, CA 95608 | 2018-04-11 |
| 1124534920 | Svitlana Plaschke | Nurse Practitioner | 5740 Windmill Way Ste 5, Carmichael, CA 95608 | 2017-12-17 |
| 1144770256 | Sacramento Foot and Ankle Center, Inc | Podiatrist | 5120 Manzanita Ave, Suite 100, Carmichael, CA 95608 | 2016-10-12 |
| 1457725202 | Sarah Beshay | Pharmacist | 4960 Heatherdale Ln, Carmichael, CA 95608 | 2015-11-17 |
| 1568835981 | Shivam Nand | Dentist | 2447 Mission Ave Ste B, Carmichael, CA 95608 | 2015-11-06 |
| 1487063434 | Alejandro Saropdas Mendoza | Pathology | Mercy San Juan Medical Center, 6501 Coyle Avenue, Carmichael, CA 95608 | 2014-08-04 |
| 1689014243 | Atkinson Youth Services, Inc. | Community/Behavioral Health | 4718 Engle Road, Carmichael, CA 95608 | 2013-06-27 |
| Find all providers in zip 95608 | ||||
| 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 |
|---|---|---|---|---|
| 1952662595 | Chelsea Nichols | Physician Assistant | 6600 Coyle Ave Ste 1, Carmichael, CA 95608-6344 | 2012-05-30 |
| 1437453883 | Cheryl Mitchell | Physician Assistant | 4156 Manzanita Ave Ste 100, Carmichael, CA 95608-1496 | 2010-12-28 |
| 1972505998 | James R Cotton | Physician Assistant | 6403 Coyle Ave, Suite 170, Carmichael, CA 95608-0311 | 2005-08-10 |
| 1316949332 | Michael S Denton | Physician Assistant | 6620 Coyle Ave Ste 202, Carmichael, CA 95608-6337 | 2005-08-10 |
| 1952900532 | Patricia Tsai | Physician Assistant | 6815 Fair Oaks Blvd, Carmichael, CA 95608-3868 | 2020-10-23 |
| 1164048450 | Jennifer Saephanh | Physician Assistant | 6501 Coyle Ave, Carmichael, CA 95608-0306 | 2020-06-22 |
| 1780208603 | Maryam Jeiroodi | Physician Assistant | 6600 Coyle Ave Ste 1, Carmichael, CA 95608-6344 | 2020-06-05 |
| 1265074553 | Joshua Pruitt | Physician Assistant | 6815 Fair Oaks Blvd, Carmichael, CA 95608-3868 | 2019-10-08 |
| 1457912784 | Sukhjit Kaur Gosal | Physician Assistant | 4156 Manzanita Ave, Carmichael, CA 95608-1496 | 2019-06-26 |
| 1316506629 | Maryam Moslemi | Physician Assistant | 5900 Coyle Ave Ste A, Carmichael, CA 95608-0400 | 2019-06-10 |
| Find all providers in CARMICHAEL | ||||
| City | CARMICHAEL |
| Zip Code | 95608 |
Please comment or provide details below to improve the information on MS. CHRISTINA LYNN FANTOZZI.
| 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.