MICHAEL LEWIS LARSON (NPI# 1710905195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710905195 |
| Entity Type | Individual |
| Full Name | MICHAEL LEWIS LARSON |
| Credential | P.A. |
| Practice Address |
42575 Washington St Palm Desert CA 92211-8850 |
| Practice Telephone | 7603600333 |
| Practice Fax Number | 7603601053 |
| Mailing Telephone | 7603600333 |
| Mailing Fax Number | 7603601053 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2016-07-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA15632 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285015172 | Michael Larson | Optometrist | 8906 Bob White Dr, Houston, TX 77074-7528 | 2015-06-16 |
| 1316112477 | Michael John Larson | Hearing Instrument Specialist | 15612 Windrose Lane, #200, Hayward, WI 54843 | 2008-04-29 |
| 1093711848 | Michael Joe Larson | Dentist | 30940 Stagecoach Blvd, Ste E250, Evergreen, CO 80439-7984 | 2005-06-27 |
| 1518960087 | Michael J Larson | Orthopaedic Surgery | 360 East Main, Rexburg, ID 83440 | 2005-05-27 |
| 1235730292 | Michael Larson | Pharmacist | 2000 Orchard Rd, Montgomery, IL 60538-1028 | 2020-11-05 |
| 1902411903 | Michael S Larson | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2020-09-15 |
| 1104455294 | Michael Larson | Case Manager/Care Coordinator | 735 S 200 W Ste 1, Blanding, UT 84511-3923 | 2020-04-02 |
| 1801424544 | Michael J Larson | Student in an Organized Health Care Education/Training Program | 701 Park Ave, Minneapolis, MN 55415-1829 | 2020-03-30 |
| 1417452376 | Michael Odell Larson | Student in an Organized Health Care Education/Training Program | 600 Gresham Dr Ste 1100, Norfolk, VA 23507-1904 | 2018-03-23 |
| 1154829497 | Michael A Larson | Social Worker | 1212 E College Dr, Marshall, MN 56258-2010 | 2018-01-31 |
| Street Address |
42575 WASHINGTON ST |
| City | PALM DESERT |
| State | CA |
| Zip Code | 92211-8850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952377954 | Janet M Kerrigan | Family Medicine | 42575 Washington St, Palm Desert, CA 92211-8850 | 2006-02-28 |
| 1356875157 | Will Family Medical Group | Family Medicine | 42575 Washington St, Palm Desert, CA 92211-8850 | 2017-04-18 |
| 1700274354 | Daniela Agnew | Physician Assistant | 42575 Washington St, Palm Desert, CA 92211-8850 | 2015-01-06 |
| 1073876090 | Michael Lawrence Will | Family Medicine | 42575 Washington St, Palm Desert, CA 92211-8850 | 2012-06-25 |
| 1346374394 | James P Veen | Family Medicine | 42575 Washington St, Palm Desert, CA 92211-8850 | 2007-03-14 |
| 1699852616 | Denalee Eaton Valler | Physician Assistant | 42575 Washington St, # A, Palm Desert, CA 92211-8850 | 2006-11-01 |
| 1194822601 | Health Care Express Medical Corporation | Clinic/Center | 42575 Washington St, Palm Desert, CA 92211-8850 | 2006-09-19 |
| 1730155730 | Frank T Kerrigan | Family Medicine | 42575 Washington St, Palm Desert, CA 92211-8850 | 2006-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780293936 | Childnet Youth and Family Services, Inc. | Community/Behavioral Health | 42-600 Cook Street, Suite 100, Palm Desert, CA 92211 | 2020-07-23 |
| 1003457607 | Catherine Krumplitsch | Technician | 41430 Kansas Street, Palm Desert, CA 92211 | 2019-10-04 |
| 1942702055 | Executive Recovery Group, Inc | Clinic/Center | 77725 Enfield Ln # 100-200, Palm Desert, CA 92211 | 2018-03-05 |
| 1992248918 | West Coast Surgery Inc | Orthopaedic Surgery | 36915 Cook Street, Suite 103 B, Palm Desert, CA 92211 | 2016-11-22 |
| 1063963098 | Therese Tudor | Physical Therapist | 77-682 Country Club Drive, Suite G, Palm Desert, CA 92211 | 2016-10-14 |
| 1609249663 | John D Rasmussen | Anesthesiology | 160 Running Spring Drive, Palm Desert, CA 92211 | 2015-11-12 |
| 1033580113 | Executive Recovery Group, Inc | Substance Abuse Rehabilitation Facility | 35450 Pegasus Ct, Palm Desert, CA 92211 | 2015-10-14 |
| 1861862146 | Artur Sarkisyan | Dentist | 34-460 Monterey Ave Ste 100, Palm Desert, CA 92211 | 2015-09-30 |
| 1649686833 | Annamaria Valenzuela | Licensed Vocational Nurse | 77-777 Country Club Drive, Apt 235, Palm Desert, CA 92211 | 2014-07-08 |
| 1265876759 | Guardian Angel Home Care, Inc. | Home Health | 41865 Boardwalk, Suite 215, Palm Desert, CA 92211 | 2013-04-26 |
| Find all providers in zip 92211 | ||||
| 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 |
|---|---|---|---|---|
| 1760845382 | Joella Martinez | Physician Assistant | 42575 Washington Street, Palm Desert, CA 92211-8850 | 2016-03-31 |
| 1689924581 | James Datson Herndon | Physician Assistant | 72980 Fred Waring Dr Ste C, Palm Desert, CA 92260-2898 | 2012-09-18 |
| 1639244288 | Steven Jerome Klompus | Physician Assistant | 74990 Country Club Dr Ste 310, Palm Desert, CA 92260-1991 | 2006-11-21 |
| 1174587372 | Christina Elizabeth Sloan | Physician Assistant | 44139 Monterey Ave Ste A102, Palm Desert, CA 92260-8700 | 2006-04-14 |
| 1053934729 | Antonio Sandoval | Physician Assistant | 73211 Fred Waring Dr Ste 101, Palm Desert, CA 92260-2888 | 2020-05-28 |
| 1255535282 | Lolita Bruch Reyes-montoya | Physician Assistant | 73211 Fred Waring Dr, Suite 100, Palm Desert, CA 92260-2871 | 2007-06-13 |
| 1093839169 | Robert Ciarloni | Physician Assistant | 73211 Fred Waring Dr, Suite 100, Palm Desert, CA 92260-2871 | 2007-03-16 |
| 1699852616 | Denalee Eaton Valler | Physician Assistant | 42575 Washington St, # A, Palm Desert, CA 92211-8850 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407679 | Samantha Sidney Spinner | Physician Assistant | 1385 Shattuck Ave Apt 201, Berkeley, CA 94709-1468 | 2020-11-08 |
| 1134720972 | Alessandra Porfido | Physician Assistant | 733 Filbert St Apt 1, San Francisco, CA 94133-2767 | 2020-11-06 |
| 1992306872 | Kelsey Oberg | Physician Assistant | 1817 Oldfield Ct, El Cajon, CA 92019-4233 | 2020-11-05 |
| 1609477504 | Julia Claire Stiefel | Physician Assistant | 369 Orange St Apt A, Oakland, CA 94610-2979 | 2020-11-05 |
| 1164023347 | Wendy P Lewis | Physician Assistant | 10447 Highdale St, Bellflower, CA 90706-4122 | 2020-11-04 |
| 1245830181 | Lauren Bennett | Physician Assistant | 3360 Horizon St, Corona, CA 92881-0728 | 2020-10-29 |
| 1538769062 | Revital Ahl | Physician Assistant | 18141 Medley Dr, Encino, CA 91316-4447 | 2020-10-26 |
| 1922607423 | Emily Halla | Physician Assistant | 7473 Gresham Ct, San Jose, CA 95139-1424 | 2020-10-26 |
| 1386243889 | Ilaitia Lecia Namatasere | Physician Assistant | 614 Sycamore Ln Apt 225, Davis, CA 95616-7901 | 2020-10-26 |
| 1083213706 | Courtney Kathryn Hopp | Physician Assistant | 4060 Fourth Ave Ste 209, San Diego, CA 92103-2120 | 2020-10-23 |
| Find all providers with the same taxonomy | ||||
| City | PALM DESERT |
| Zip Code | 92211 |
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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.