WILLIAM AUGUST DIEZ JR. (NPI# 1780054858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780054858 |
| Entity Type | Individual |
| Full Name | WILLIAM AUGUST DIEZ JR. |
| Credential | PA-C |
| Practice Address |
400 N Pepper Ave Ste 107 Colton CA 92324-1801 |
| Mailing Address |
18099 John F Kennedy Dr Riverside CA 92508-8954 |
| Practice Telephone | 9095804289 |
| Mailing Telephone | 9097478353 |
| Enumeration Date | 2015-10-01 |
| Last Update Date | 2015-10-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
400 N PEPPER AVE STE 107 |
| City | COLTON |
| State | CA |
| Zip Code | 92324-1801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053323923 | Vikram Raj | Emergency Medicine | 400 N Pepper Ave Ste 107, Colton, CA 92324 | 2006-08-12 |
| 1851910665 | Hovhannes Ghazaryan | Student in an Organized Health Care Education/Training Program | 400 N Pepper Ave Ste 107, Colton, CA 92324-1819 | 2020-04-11 |
| 1174142004 | Quinn Piibe | Student in an Organized Health Care Education/Training Program | 400 N Pepper Ave Ste 107, Colton, CA 92324-1801 | 2020-04-10 |
| 1750900635 | Cuong Duc Tran | Student in an Organized Health Care Education/Training Program | 400 N Pepper Ave Ste 107, Colton, CA 92324-1819 | 2020-04-10 |
| 1851940423 | Daniel Asher Dubrow | Physician Assistant | 400 N Pepper Ave Ste 107, Colton, CA 92324-1819 | 2019-09-06 |
| 1114580651 | Jordan Storkersen | Student in an Organized Health Care Education/Training Program | 400 N Pepper Ave Ste 107, Colton, CA 92324-1819 | 2019-04-19 |
| 1316402282 | Vishalee Patel | Physician Assistant | 400 N Pepper Ave Ste 107, Colton, CA 92324-1819 | 2019-02-05 |
| 1447725114 | Chloe Noula Pappas | Physician Assistant | 400 N Pepper Ave Ste 107, Colton, CA 92324-1819 | 2018-10-09 |
| 1538648233 | Jeanette Teresa Searby | Physician Assistant | 400 N Pepper Ave Ste 107, Colton, CA 92324-1819 | 2018-08-13 |
| 1700316221 | Alexandra Nicole Steinmann | Physician Assistant | 400 N Pepper Ave Ste 107, Colton, CA 92324-1801 | 2017-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134739949 | Ava Vascular | Radiology | 1281 W. C. Street, Suite 200, Colton, CA 92324 | 2020-08-06 |
| 1063042851 | Making A Difference Association, Inc. | Psychologist | 1430 E Cooley Drive, Ste 111, Colton, CA 92324 | 2020-01-21 |
| 1326685488 | Allstar Medical Respite and Recuperative Care | Case Management | 450 N Sperry Drive, Colton, CA 92324 | 2019-12-06 |
| 1558916379 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 1010 North Pepper Ave, Colton, CA 92324 | 2019-08-08 |
| 1326692633 | Kadi Lyn Pearce | Licensed Practical Nurse | 970 N. Latham St, Colton, CA 92324 | 2019-07-25 |
| 1184281966 | Steven Andrew Cardoza | Physician Assistant | Armc, 400 N. Pepper Ave, Colton, CA 92324 | 2019-05-28 |
| 1528540952 | Daniel Tochukwu Umah-mgborogwu | Physician Assistant | 400 N Pepper Ave, Ste 107, Coton, CA 92324 | 2018-09-01 |
| 1255826038 | Cal Med Vascular Center LLC | Clinic/Center | 1281 W C St, Colton, CA 92324 | 2018-06-25 |
| 1891288072 | A. Arroyo Lourenco Dds, Inc | Dentist | 827 W Valley Blvd., Colton, CA 92324 | 2018-06-12 |
| 1700396165 | Emily Covington | Registered Nurse | 1550 E. Washington St., Ste 101, Colton, CA 92324 | 2017-10-11 |
| Find all providers in zip 92324 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629171970 | Udofot Philip Ntia | Physician Assistant | 415 W Valley Blvd Ste 5, Colton, CA 92324-2268 | 2006-09-05 |
| 1225670607 | Rose Margaret Carlson | Physician Assistant | 400 N Pepper Ave, Colton, CA 92324-1819 | 2019-10-17 |
| 1053782920 | Ryan Scott Cates | Physician Assistant | 400 N Pepper Ave Ste 107, Colton, CA 92324-1801 | 2015-10-16 |
| 1235534108 | Megan Holt | Physician Assistant | 400 N Pepper Ave, Colton, CA 92324-1801 | 2014-11-04 |
| 1366843831 | Ashley M Tavarez | Physician Assistant | 400 N Pepper Ave, Emergency Department, Colton, CA 92324-1801 | 2014-09-15 |
| 1578962049 | Richard Martin Grandquist IIi | Physician Assistant | 400 N Pepper Ave Ste 107, Colton, CA 92324-1801 | 2014-08-20 |
| 1821406018 | Alicia Jones | Physician Assistant | 8 Gulf Rd, Colton, NY 13625-3257 | 2014-07-31 |
| 1750711305 | Scott Luis Martin | Physician Assistant | 400 N Pepper Ave, Colton, CA 92324-1801 | 2013-11-18 |
| 1356770606 | Diane Schoendienst | Physician Assistant | 400 N Pepper Ave Ste 1m107, Colton, CA 92324-1801 | 2013-11-07 |
| 1063859783 | Ashley Ryan Glenn-mcdowell | Physician Assistant | 400 N Pepper Ave, Mob Suite 107, Colton, CA 92324-1801 | 2013-06-04 |
| Find all providers in COLTON | ||||
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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.