CARRINGTON DAEVON HORTON (NPI# 1750416665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750416665 |
| Entity Type | Individual |
| Full Name | CARRINGTON DAEVON HORTON |
| Credential | PA-C |
| Practice Address |
2071 Compton Ave Ste 102 Corona CA 92881-7279 |
| Mailing Address |
Po Box 1245 Colton CA 92324-0822 |
| Practice Telephone | 9515490900 |
| Practice Fax Number | 9512782848 |
| Mailing Telephone | 9515490900 |
| Mailing Fax Number | 9512782848 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2020-04-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA 18753 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1750416665 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4130 Hallmark Pkwy, Suite C, San Bernardino, CA 924071877 | 9098872991 | 9098875694 |
| Street Address |
2071 COMPTON AVE STE 102 |
| City | CORONA |
| State | CA |
| Zip Code | 92881-7279 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326391368 | Shanoor Khan | Family Medicine | 2071 Compton Ave Ste 102, Corona, CA 92881-7279 | 2012-10-15 |
| 1447506779 | Preeti Vishal Kumar Adeshara | Family Medicine | 2071 Compton Ave Ste 102, Corona, CA 92881 | 2012-07-24 |
| 1184924144 | Maria Luisa Castillo | Physician Assistant | 2071 Compton Ave Ste 102, Corona, CA 92881-7279 | 2010-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326682519 | Kadour and Hattar Inc | Pharmacy | 1973 Foothill Pkwy, Bldg F, Ste 106, Corona, CA 92881 | 2019-10-31 |
| 1861034944 | Jongguon Kim Dds Dental Corporation | Clinic/Center | 1973 Foothill Parkway, Suite 102, Corona, CA 92881 | 2019-10-10 |
| 1952874968 | Sasha M Dunn | Behavior Technician | 2144 Wembley Lane, Corona, Corona, CA 92881 | 2019-01-03 |
| 1053880450 | Tori Bissett Bowyer | Behavioral Analyst | 3439 White Sage St, Corona, CA 92881 | 2018-11-15 |
| 1104351097 | Victoria S. Brown | Family Medicine | 2071 Compton Ave #103, Corona, CA 92881 | 2017-04-27 |
| 1740695493 | Zoha Fazel | Counselor | 1240 E Ontario Ave Ste 102-182, Corona, CA 92881 | 2014-06-20 |
| 1720347222 | Neda Arjomandi | Podiatrist | 1881 California Ave Ste 102, Corona, CA 92881 | 2012-05-03 |
| 1891067864 | Valley Laparoscopic Surgical Associates, Inc. | Specialist | 2083 Compton Ave Ste 104, Corona, CA 92881 | 2012-02-06 |
| 1922396191 | Michelle Ann Mueller | Dietitian, Registered | 1800 Firethorne Plance, Apt. 108, Corona, CA 92881 | 2011-07-21 |
| 1558668772 | Jenna Lalas Eugenio | Physician Assistant | 2097 Compton Ave Ste 103, Corona, CA 92881 | 2011-02-24 |
| Find all providers in zip 92881 | ||||
| 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 |
|---|---|---|---|---|
| 1245830181 | Lauren Bennett | Physician Assistant | 3360 Horizon St, Corona, CA 92881-0728 | 2020-10-29 |
| 1710520671 | Diba Izadyar | Physician Assistant | 4617 Temescal Canyon Rd Apt 208, Corona, CA 92883-4680 | 2019-10-23 |
| 1619534856 | Michael Christopher Charvis | Physician Assistant | 10411 Baldy Ct, Corona, CA 92883-9260 | 2019-05-23 |
| 1053882076 | Michael Eng | Physician Assistant | 760 Washburn Ave Ste 5, Corona, CA 92882-3303 | 2018-12-17 |
| 1740761154 | Rachael Renee Fulton | Physician Assistant | 651 Birchwood Ln, Corona, CA 92882-6127 | 2018-08-23 |
| 1972095693 | Eva Day | Physician Assistant | 1727 Gleason St, Corona, CA 92882-5634 | 2018-05-30 |
| 1477060499 | Shilpy Kanda | Physician Assistant | 2250 S Main St Ste 107, Corona, CA 92882 | 2017-12-29 |
| 1588090948 | Aprilyn Nadine Carl | Physician Assistant | 758 Highland View Dr, Corona, CA 92882-8679 | 2013-09-17 |
| 1003156449 | Ruoru Wong | Physician Assistant | 3717 111th St Apt 5e, Corona, NY 11368-2018 | 2013-02-21 |
| 1669718383 | Bushrah Patel | Physician Assistant | 915 Rimpau Ave, Apt 101, Corona, CA 92879-2354 | 2012-12-28 |
| 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.