DAVID BENJAMIN DEMATTEI (NPI# 1750737763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750737763 |
| Entity Type | Individual |
| Full Name | DAVID BENJAMIN DEMATTEI |
| Credential | PA |
| Practice Address |
18144 Seco St Jamestown CA 95327-9498 |
| Mailing Address |
Po Box 535 Jamestown CA 95327-0535 |
| Practice Telephone | 2099844820 |
| Practice Fax Number | 2099844825 |
| Mailing Telephone | 2099844820 |
| Mailing Fax Number | 2099844825 |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2016-05-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA53382 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
18144 SECO ST |
| City | JAMESTOWN |
| State | CA |
| Zip Code | 95327-9498 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073714937 | Haku Kevin Kahoano | Family Medicine | 18144 Seco St, Mathiesen Memorial Health Clinic, Jamestown, CA 95327-9737 | 2007-05-29 |
| 1548813017 | Kara Sigler | Registered Nurse | 18144 Seco St, Jamestown, CA 95327-9498 | 2019-07-23 |
| 1881179372 | Alexandra Maria Faria | Physician Assistant | 18144 Seco St, Jamestown, CA 95327-9498 | 2018-10-01 |
| 1952856502 | Weiya Douglas Lu | Registered Nurse | 18144 Seco St, Jamestown, CA 95327-9498 | 2016-08-23 |
| 1578961736 | Melissa Ann Ronneburg | Nurse Practitioner | 18144 Seco St, Jamestown, CA 95327-9498 | 2014-12-19 |
| 1235578311 | Dayna Decristoferi | Marriage & Family Therapist | 18144 Seco St, Jamestown, CA 95327-9737 | 2013-06-21 |
| 1497075790 | Ann Radford | Nurse Practitioner | 18144 Seco St, Jamestown, CA 95327-9737 | 2010-06-09 |
| 1255595484 | Mathiesen Memorial Health Clinic | Clinic/Center | 18144 Seco St, Jamestown, CA 95327-9737 | 2008-07-16 |
| 1336337484 | Gina M Valente-moore | Nurse Practitioner | 18144 Seco St, Jamestown, CA 95327-9737 | 2007-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386985794 | Minou Alexander | Psychologist | 5100 O'byrner Ferry Rd., Sierra Conservation Center, Jamestown, CA 95327 | 2013-03-11 |
| 1871898304 | Corrections and Rehabilitation | Pharmacy | 5100 O'byrnes Ferry Road, Attn: Pharmacy, Jamestown, CA 95327 | 2011-01-13 |
| 1760709935 | Nicole R Stevenson | Dental Assistant | 17922 Shell Road, Jamestown Road, CA 95327 | 2010-04-28 |
| 1326020710 | Russell Dean Park | Psychologist | 5100 O'byrnes Ferry Rd., Jamestown, CA 95327 | 2005-11-19 |
| 1831625102 | Richard Perry Halliburton | Psychologist | 5100 Obyrnes Ferry Rd, Jamestown, CA 95327 | 2017-05-05 |
| 1770690968 | Margaret L. Smith | Registered Nurse | 18189 Seco St., Jamestown, CA 95327-0950 | 2006-08-24 |
| 1932268646 | Michael A Backlund | Psychologist | 5100 O Brynes Ferry Rd, Jamestown, CA 95327-9102 | 2006-12-08 |
| 1255302022 | Blong Roger Ly | Dentist | 5100 Obyrnes Ferry Rd, Jamestown, CA 95327-9102 | 2006-01-30 |
| 1710427778 | Sierra Conservation Center | Clinic/Center | 5100 Obyrnes Ferry Rd, Jamestown, CA 95327-9102 | 2017-02-24 |
| 1659628287 | Gary Collinsworth | Pharmacist | 5100 Obyrnes Ferry Rd, Jamestown, CA 95327-9102 | 2012-08-14 |
| Find all providers in zip 95327 | ||||
| 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 |
|---|---|---|---|---|
| 1659914646 | Jessica Jankowiak | Physician Assistant | 15 S Main St Ste 170, Jamestown, NY 14701-6627 | 2019-10-22 |
| 1750865200 | Shawna Ann Alonge | Physician Assistant | 103 Allen St, Jamestown, NY 14701-6968 | 2018-09-20 |
| 1619301231 | Donna Jean Drosinis | Physician Assistant | 604 W. Main Street, Jamestown, NC 27282 | 2013-08-30 |
| 1780780080 | Marianne T Schroeder | Physician Assistant | Wca Hospital, 207 Foote Ave, Jamestown, NY 14701 | 2006-09-15 |
| 1285738427 | Angela M Volk | Physician Assistant | 721 1st Ave S Ste A, Jamestown, ND 58401 | 2006-09-08 |
| 1215942057 | Jody Saltern Tanner | Physician Assistant | 721 1st Ave S Unit A, Jamestown, ND 58401-4723 | 2006-07-30 |
| 1811988801 | Gust P Verleni | Physician Assistant | 890 E Second St, Jamestown, NY 14701 | 2005-10-31 |
| 1306447214 | Josiah Blanchard | Physician Assistant | 207 Foote Ave, Jamestown, NY 14701-7077 | 2020-11-06 |
| 1861028623 | Leda Marie Marangoni | Physician Assistant | 1684 Foote Avenue Ext, Jamestown, NY 14701-9385 | 2020-03-12 |
| 1659841542 | Jessica Whitney Ingemansen | Physician Assistant | 2430 20th St Sw, Jamestown, ND 58401-6201 | 2018-12-04 |
| Find all providers in JAMESTOWN | ||||
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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.