DARRELL TIMOTHY WILKINS (NPI# 1740463165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740463165 |
| Entity Type | Individual |
| Full Name | DARRELL TIMOTHY WILKINS |
| Credential | P.A. |
| Practice Address |
341 Magnolia Ave Suite 101 Corona CA 92879-3330 |
| Practice Telephone | 9517356060 |
| Practice Fax Number | 9517354510 |
| Mailing Telephone | 9517356060 |
| Mailing Fax Number | 9517354510 |
| Enumeration Date | 2007-12-07 |
| Last Update Date | 2017-03-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA16458 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DEA | MW0880535 | 01 |
| Street Address |
341 MAGNOLIA AVE SUITE 101 |
| City | CORONA |
| State | CA |
| Zip Code | 92879-3330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578532545 | Paul Richard Reiman | Orthopaedic Surgery | 341 Magnolia Ave, Suite 101, Corona, CA 92879-3330 | 2006-03-14 |
| 1699215087 | Takuma Richard Shito | Physical Medicine & Rehabilitation | 341 Magnolia Ave, Suite 103, Corona, CA 92879-3330 | 2017-03-03 |
| 1043670680 | Uc Irvine Health - Corona (urology) | Clinic/Center | 341 Magnolia Ave, Corona, CA 92879-3330 | 2016-02-24 |
| 1639539265 | Uc Irvine Health- Corona (neurology) | Clinic/Center | 341 Magnolia Ave, Corona, CA 92879-3330 | 2016-02-24 |
| 1992165534 | Uc Irvine Health- Corona (obgyn) | Clinic/Center | 341 Magnolia Ave, Corona, CA 92879-3330 | 2016-02-24 |
| 1033579743 | Uc Irvine Health- Corona (emergency Medicine) | Clinic/Center | 341 Magnolia Ave, Corona, CA 92879-3330 | 2016-02-24 |
| 1912362104 | Kaylee Smith | Physical Therapist | 341 Magnolia Ave, Suite 101, Corona, CA 92879-3330 | 2015-12-15 |
| 1124496773 | Uc Irvine Health - Corona (medicine) | Clinic/Center | 341 Magnolia Ave, Suite 205, Corona, CA 92879-3330 | 2015-09-11 |
| 1467837716 | Andrew W. Shaw | Physician Assistant | 341 Magnolia Ave, Suite 101, Corona, CA 92879-3330 | 2015-07-28 |
| 1508283664 | Ralph Gozun | Physical Therapist | 341 Magnolia Ave, Suite 101, Corona, CA 92879-3330 | 2014-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475722 | Tahmea Henderson | Behavior Technician | 225 Rincon St. #219, Corona, CA 92879 | 2020-10-20 |
| 1669084828 | Kimberly O Harris | Behavioral Analyst | 225 E. Rincon St., Suite 219, Corona, CA 92879 | 2020-08-19 |
| 1962014381 | Mario Javier Herrera | Nurse Practitioner | 2130 High Pointe Dr, Apt 108, Corona, CA 92879 | 2020-08-18 |
| 1841659117 | Sleep & Cpap Center Inc | Clinical Medical Laboratory | 800 Magnolia Avenue, Suite 101, Corona, CA 92879 | 2016-02-16 |
| 1497151203 | Rafik Riad | Dentist | 817 Villa Montes Cir., Corona, CA 92879 | 2014-11-06 |
| 1326441551 | Ying Zhang Howe | Acupuncturist | 720 Magnolia Ave. #b3, Corona, CA 92879 | 2014-10-02 |
| 1164823233 | Piyush Sakhareliya | Pharmacist | 2230 Treemont Pl, Apt#207, Corona, CA 92879 | 2014-09-09 |
| 1053711739 | Brandice Medical Associates Inc | Clinical Medical Laboratory | 13575 Jasper Loop, Corona, CA 92879 | 2014-08-29 |
| 1982956058 | Nja Therapy Services, Inc. | Day Training, Developmentally Disabled Services | 1655 E 6th St Suite 204, Corona, CA 92879 | 2012-10-12 |
| 1356616064 | Corona Surgical LLC | Clinic/Center | 2370 Anselmo Drive, Corona, CA 92879 | 2012-03-13 |
| Find all providers in zip 92879 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043677859 | Erika Crystal Reyes | Physician Assistant | 127 N Mckinley St Ste 101, Corona, CA 92879-6563 | 2016-01-25 |
| 1255710240 | Griselle Villar Ledesma | Physician Assistant | 10427 Corona Ave, Corona, NY 11368-2979 | 2015-05-22 |
| 1558668772 | Jenna Lalas Eugenio | Physician Assistant | 2097 Compton Ave Ste 103, Corona, CA 92881 | 2011-02-24 |
| 1457660359 | Rudy Manuel Ramirez | Physician Assistant | 13355 Green Mountain Dr, Corona, CA 92883-6229 | 2010-09-27 |
| 1720311012 | Hugh Kling Berkley | Physician Assistant | 760 Washburn Ave Ste 5/6, Corona, CA 92882-3303 | 2009-09-17 |
| 1740420918 | Sean David Totten | Physician Assistant | 1492 Fairmont Dr, Corona, CA 92882 | 2009-03-02 |
| 1477745768 | Rose M Ruiz-flores | Physician Assistant | 1530 W 6th St Ste 109, Corona, CA 92882-2784 | 2007-08-10 |
| 1902097926 | Lansdale John Peters | Physician Assistant | 1231 Kendrick Ct, Corona, CA 92881-8226 | 2007-08-06 |
| 1891865747 | Phuong Anh Thi La | Physician Assistant | 2071 Compton Ave, Suite 102, Corona, CA 92881-7278 | 2006-11-08 |
| 1366525461 | Carina Julie-ann Moscoso | Physician Assistant | 2250 S. Main St., Suite 201, Corona, CA 92882-2536 | 2006-10-23 |
| Find all providers in CORONA | ||||
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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.