JILLIANNE QUINN (NPI# 1740833565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740833565 |
| Entity Type | Individual |
| Full Name | JILLIANNE QUINN |
| Practice Address |
150 Tejas Pl Nipomo CA 93444-9123 |
| Mailing Address |
2050 S Blosser Rd Santa Maria CA 93458-7310 |
| Practice Telephone | 8059293211 |
| Practice Fax Number | 8059296359 |
| Mailing Telephone | 8053618028 |
| Mailing Fax Number | 8053618097 |
| Enumeration Date | 2019-07-21 |
| Last Update Date | 2020-06-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
150 TEJAS PL |
| City | NIPOMO |
| State | CA |
| Zip Code | 93444-9123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952390254 | Community Health Centers of The Central Coast, Inc | Clinic/Center | 150 Tejas Pl, Nipomo, CA 93444-9123 | 2005-10-19 |
| 1295355865 | Alberta Vega | Dental Hygienist | 150 Tejas Pl, Nipomo, CA 93444-9123 | 2020-04-23 |
| 1891331641 | Alice Wong | Optometrist | 150 Tejas Pl, Nipomo, CA 93444-9123 | 2019-11-26 |
| 1629613146 | Erica Arkiszewski | Optometrist | 150 Tejas Pl, Nipomo, CA 93444-9123 | 2019-11-07 |
| 1316509193 | Kyle Cohen | Physician Assistant | 150 Tejas Pl, Nipomo, CA 93444-9123 | 2019-07-02 |
| 1972081511 | Efren Jose Almeida | Dentist | 150 Tejas Pl, Nipomo, CA 93444-9123 | 2018-08-06 |
| 1457838658 | Jennifer Phuong Chung | Dentist | 150 Tejas Pl, Nipomo, CA 93444-9123 | 2018-07-20 |
| 1609319045 | Elizabeth Castillejo | Dietitian, Registered | 150 Tejas Pl, Nipomo, CA 93444-9123 | 2016-12-01 |
| 1043768336 | Robert Alan Reed | Pharmacist | 150 Tejas Pl, Nipomo, CA 93444-9123 | 2016-09-14 |
| 1760840680 | Franco Jason Castrejon | Optometrist | 150 Tejas Pl, Nipomo, CA 93444-9123 | 2016-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417555061 | Pacific Central Coast Health Centers | Clinic/Center | 1560 Mesa Rd, Ste 101, Nipomo, CA 93444 | 2020-10-15 |
| 1679109995 | Community Health Clinical Laboratory LLC | Clinical Medical Laboratory | 150 Tejas Place, Bldg. B Suite A, Nipomo, CA 93444 | 2020-03-18 |
| 1134500770 | Dena Lou Smith | Surgery | 615 Black Ridge Lane, Nipomo, CA 93444 | 2015-06-09 |
| 1487070637 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 1151 La Loma Drive, Nipomo, CA 93444 | 2014-03-12 |
| 1619393220 | Anka Behavioral Health Inc. | Community/Behavioral Health | 340 Pablo Ln, Nipomo, CA 93444 | 2014-03-07 |
| 1417382052 | Hannah Song Evans | Counselor | 117 E. Knotts St., Nipomo, CA 93444 | 2013-09-12 |
| 1457615817 | Haylie Jenna Pennachio | Counselor | 508 Angelina Court, Nipomo, CA 93444 | 2012-06-30 |
| 1144513557 | Owen Charles Martin | Counselor | 860 Camino Caballo, Nipomo, CA 93444 | 2011-05-18 |
| 1124273701 | Tanya Susan Mccaffrey | Specialist | 255 North Willson, Suite C, Nipomo, CA 93444 | 2008-11-24 |
| 1548431117 | Andrew J Young | Dentist | 255 North Wilson St, Suite D, Nipomo, CA 93444 | 2008-03-21 |
| Find all providers in zip 93444 | ||||
| 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 |
|---|---|---|---|---|
| 1588655617 | Valerie Jenine Reilly | Physician Assistant | 699 W Tefft St, Suite A, Nipomo, CA 93444-9289 | 2005-10-28 |
| 1316509193 | Kyle Cohen | Physician Assistant | 150 Tejas Pl, Nipomo, CA 93444-9123 | 2019-07-02 |
| 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 |
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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.