MR. ROGER TORRANCE BELLAMY (NPI# 1699968826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699968826 |
Entity Type | Individual |
Full Name | MR. ROGER TORRANCE BELLAMY |
Credential | PA |
Practice Address |
31720 S. Temeula Parkway. Ste. 203 Temecula CA 92592 |
Mailing Address |
2285 Corporate Circle Ste. 200 Henderson NV 89074-7759 |
Practice Telephone | 9513036900 |
Mailing Telephone | 7028537451 |
Mailing Fax Number | 9497832880 |
Enumeration Date | 2007-08-21 |
Last Update Date | 2015-08-18 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA18486 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
31720 S. TEMEULA PARKWAY. STE. 203 |
City | TEMECULA |
State | CA |
Zip Code | 92592 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366051625 | Huey Q Tran, Dds, Inc. | Dentist | 33321 Temecula Parkway Ste 104, Temecula, CA 92592 | 2020-07-23 |
1902425465 | Isak Elkayam | Student in an Organized Health Care Education/Training Program | 31700 Temecula Parkway, Parkway Suites # 2- Gme, Temecula, CA 92592 | 2020-04-14 |
1033738737 | Jordan Buckley | Student in an Organized Health Care Education/Training Program | Uhs Socal Medical Education Consortium, 31700 Temecula Parkway Parkway Suites # 2- Gme, Temecula, CA 92592 | 2020-04-13 |
1366071052 | Areg Hovsepyan | Internal Medicine | 31700 Temecula Parkway Parkway Suites # 2- Gme, Temecula, CA 92592 | 2020-04-03 |
1558906982 | Session Sync, Inc. | Point of Service | 44262 Marcelina Court, Temecula, CA 92592 | 2019-11-08 |
1962964718 | Krishna Theja Reddy Venkatamuni Reddy | Student in an Organized Health Care Education/Training Program | Uhs Socal Medical Education Consortium, 31700 Temecula Parkway, Parkway Suites # 2- Gme, Temecula, CA 92592 | 2019-04-02 |
1598220246 | Shanay Lamont Moore | Behavior Technician | 30660 Milky Way Dr., V174, Temecula, CA 92592 | 2019-02-07 |
1477029502 | Tibbitts Temecula Dental Group | Clinic/Center | 32909 Temecula Parkway Ste 102, Temecula, CA 92592 | 2018-10-16 |
1720563364 | Nicole Louise Hernandez | Behavioral Analyst | 32144 Camino Nunez, Temecula, CA 92592 | 2018-09-29 |
1174010664 | Kiet Chau | Pharmacist | 32228 Highway 79 South, Temecula, CA 92592 | 2018-04-19 |
Find all providers in zip 92592 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437581774 | Ricardo Rivas | Physician Assistant | 27699 Jefferson Ave Ste 312, Temecula, CA 92590-2697 | 2013-08-08 |
1942552914 | Sakshi Monga Patel | Physician Assistant | 31720 S Temecula Pkwy, Ste 200, Temecula, CA 92592 | 2012-10-15 |
1962697821 | Daniel D. Velasquez | Physician Assistant | 28991 Old Town Front St Ste 104, Temecula, CA 92590-2858 | 2007-09-12 |
1750425690 | Carrie King | Physician Assistant | 27699 Jefferson Ave Ste 201, Temecula, CA 92590-2697 | 2007-02-16 |
1841362837 | Mary Gausepohl | Physician Assistant | 27555 Ynez Rd Ste 350, Temecula, CA 92591-4688 | 2006-11-14 |
1831198704 | Thomas Brett Davis | Physician Assistant | 31720 Temecula Pkwy Ste 200, Temecula, CA 92592-5895 | 2005-07-21 |
1326599192 | Mariah Brooke Horvath | Physician Assistant | 41715 Winchester Rd, Suite #101, Temecula, CA 92590-4808 | 2016-10-17 |
1801256920 | Lindsey Alkema | Physician Assistant | 41789 Nicole Ln, B3, Temecula, CA 92591-3871 | 2016-03-02 |
1922471192 | Krista Russo | Physician Assistant | 41715 Winchester Rd, 101, Temecula, CA 92590-4808 | 2015-11-09 |
1629447602 | Lindsey Adele Mcatee | Physician Assistant | 41715 Winchester Rd, Temecula, CA 92590-4808 | 2015-09-19 |
Find all providers in TEMECULA |
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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.