CLAYTON LADERER (NPI# 1740664184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740664184 |
| Entity Type | Individual |
| Full Name | CLAYTON LADERER |
| Credential | PA-C |
| Practice Address |
1450 Treat Blvd Ste 160 Walnut Creek CA 94597-2168 |
| Mailing Address |
1450 Treat Blvd Ste 300 Walnut Creek CA 94597-2168 |
| Practice Telephone | 9252969000 |
| Mailing Telephone | 9259522888 |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2018-02-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 52569 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1450 TREAT BLVD STE 160 |
| City | WALNUT CREEK |
| State | CA |
| Zip Code | 94597-2168 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285720409 | Elizabeth Cannon Davis | Physician Assistant | 1450 Treat Blvd Ste 160, Walnut Creek, CA 94597-2168 | 2006-10-05 |
| 1376071803 | Bethanie Lynn Semple | Nurse Practitioner | 1450 Treat Blvd Ste 160, Walnut Creek, CA 94597-2168 | 2017-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851892459 | Baychildren's Physicians | Obstetrics & Gynecology | 2970 Camino Diablo Ste 210, Walnut Creek, CA 94597 | 2018-02-28 |
| 1447643853 | Bright Heart Health, Inc. | Clinic/Center | 2960 Camino Diablo Ste 105, Walnut Creek, CA 94597 | 2015-03-09 |
| 1629315296 | Angelica Maria Thompson | Marriage & Family Therapist | 1255 Treat Blvd Ste 300, Walnut Creek, CA 94597 | 2013-01-15 |
| 1992067938 | Ron Wexler | Internal Medicine | 1450 Treat Blvd # 220b, Walnut Creek, CA 94597 | 2012-06-14 |
| 1003178641 | Gillian Reierson | Psychiatry & Neurology | 2970 Camino Diablo Fl 1, Walnut Creek, CA 94597 | 2012-06-11 |
| 1336427939 | Salvador Gallardo Guevara | Surgery | 3003 Oak Rd Ste 104, Walnut Creek, CA 94597 | 2011-07-30 |
| 1659673705 | Jean Sy Lim | Registered Nurse | 2815 Eccleaton Ave., Walnut Creek, CA 94597 | 2010-11-23 |
| 1699005421 | Christiona Star Cameron | Contractor | 3130 Oak Rd, #219, Walnut Creek, CA 94597 | 2009-12-29 |
| 1790984730 | Wilfred M M Rico | Emergency Medicine | 7000 Sunne Lane, Apt. 601, Walnut Creek, CA 94597 | 2007-07-11 |
| 1104039064 | Julie Ilene Scheinman | Marriage & Family Therapist | 21 Midvale Ct, Walnut Creek, CA 94597 | 2007-05-08 |
| Find all providers in zip 94597 | ||||
| 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 |
|---|---|---|---|---|
| 1649897455 | Zoryana Dougan | Physician Assistant | 125 Near Ct Apt 641, Walnut Creek, CA 94596-5665 | 2020-06-26 |
| 1366077612 | Devi Satish Sharma | Physician Assistant | 1755 Trinity Ave Apt 23, Walnut Creek, CA 94596-4019 | 2020-03-06 |
| 1558846063 | Alfredo Cortez Melendez | Physician Assistant | 1461 Creekside Dr Apt 3015, Walnut Creek, CA 94596-5646 | 2018-10-01 |
| 1508340514 | Leah Benner | Physician Assistant | 370 N Wiget Ln Ste 125, Walnut Creek, CA 94598-2546 | 2018-09-17 |
| 1275046492 | Drew Sachwitz | Physician Assistant | 601 Cesar Ct, Walnut Creek, CA 94598-2208 | 2017-11-09 |
| 1801268164 | Clifford Porter | Physician Assistant | 1791 Castle Hill Rd, Walnut Creek, CA 94595-2312 | 2015-10-27 |
| 1629411145 | Janibel Melendez Mandap | Physician Assistant | 2255 Ygnacio Valley Rd Ste G, Walnut Creek, CA 94598-3335 | 2013-04-15 |
| 1356598403 | Elizabeth Maria Oconnor | Physician Assistant | 1601 Ygnacio Valley Rd., John Muir Medical Center, Walnut Creek, Walnut Creek, CA 94598 | 2008-08-20 |
| 1609085760 | Karen A Hauser | Physician Assistant | 1990 N. Calfornia Blvd., Suite 400, Walnut Creek, CA 94596-7249 | 2007-05-22 |
| 1083755862 | Patricia K Loo | Physician Assistant | 106 La Casa Via Ste 240, Walnut Creek, CA 94598-3012 | 2007-02-12 |
| Find all providers in WALNUT CREEK | ||||
| City | WALNUT CREEK |
| Zip Code | 94597 |
Please comment or provide details below to improve the information on CLAYTON LADERER.
| 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.