CHARMAINE YOLANDA COLLINS-CEPEDA (NPI# 1801054820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801054820 |
| Entity Type | Individual |
| Full Name | CHARMAINE YOLANDA COLLINS-CEPEDA |
| Credential | PA-C |
| Practice Address |
1151 E Walnut St Ontario CA 91761-6155 |
| Mailing Address |
625 Fair Oaks Ave Ste 270 South Pasadena CA 91030-5801 |
| Practice Telephone | 9096207769 |
| Practice Fax Number | 8777788097 |
| Mailing Telephone | 6263462455 |
| Mailing Fax Number | 6266393005 |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2018-03-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA13542 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 03735 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | EFF: 02/20/13-MORENO | 05 | |
| CA | MEDI-CAL | PA13542 EFF: 6/4/12 | 01 |
| CA | 10/1/2012 - SAN BERN | 05 | |
| CA | EFF: 1/18/13-ONTARIO | 05 | |
| CA | EFF: 1/18/13-POMONA | 05 | |
| CA | RAILROAD MEDICARE | P01272679/DU4034 | 01 |
| CA | EFF:2/20/13-NORIVERS | 05 | |
| CA | EFF:2/20/13-ADELANTO | 05 |
| Street Address |
1151 E WALNUT ST |
| City | ONTARIO |
| State | CA |
| Zip Code | 91761-6155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841229655 | Nawal Kamel | Pediatrics | 1151 E Walnut St, Ontario, CA 91761-6155 | 2006-07-02 |
| 1215494257 | Unicare Community Health Center Inc | Clinic/Center | 1151 E Walnut St, Ontario, CA 91761-6155 | 2019-02-26 |
| 1710478177 | Joseph M Molina Md Professional Corporation - Southern California | Obstetrics & Gynecology | 1151 E Walnut St, Ontario, CA 91761 | 2018-05-22 |
| 1972968188 | Patricia Wangsadipura | Nurse Practitioner | 1151 E Walnut St, Ontario, CA 91761-6155 | 2015-12-15 |
| 1295138659 | Joseph M Molina Md Professional Corporation Southern California | Non-Pharmacy Dispensing Site | 1151 E Walnut St, Ontario, CA 91761-6155 | 2014-09-30 |
| 1568734267 | Joseph M Molina Md Professional Corporation-southern California | Pediatrics | 1151 E Walnut St, Ontario, CA 91761-6155 | 2012-01-27 |
| 1659486991 | Molina Healthcare of California | Internal Medicine | 1151 E Walnut St, Ontario, CA 91761-6155 | 2006-08-19 |
| 1669403168 | Urmila M Patel | Pediatrics | 1151 E Walnut St, Ontario, CA 91761-6155 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902418163 | Blue Oak Counseling Services, Inc. | Counselor | 3200 Guasti Rd #100, Ontario, CA 91761 | 2020-08-19 |
| 1578115986 | Hadel Awad | Behavior Technician | 1801 South Excise Ave, 116, Ontario, CA 91761 | 2019-07-15 |
| 1265902845 | Stephanie Escalante | Behavior Technician | 1801 S. Excise Ave. #116, Ontario, CA 91761 | 2018-11-27 |
| 1801395595 | Optimum Bio Lab Inc | Clinical Medical Laboratory | 1910 S Archibald Ave #d, Ontario, CA 91761 | 2018-02-07 |
| 1871010033 | Evelyn Esther Martinez | Case Manager/Care Coordinator | 1556 S. Sultana Ave., Ontario, CA 91761 | 2017-08-28 |
| 1750812525 | Building Bridges Christian Counseling | Marriage & Family Therapist | 3200 Guasti Road, Suite 100, Ontario, CA 91761 | 2017-03-23 |
| 1659829513 | Gregory J Musselman | Physician Assistant | 3550 E Philadelphia St Ste 150, Ontario, CA 91761 | 2016-09-20 |
| 1700332327 | Ramon Cardenas | Registered Nurse | 721 E. Banyan St., Ontario, CA 91761 | 2016-09-01 |
| 1023565660 | Breanna Gonzalez | Occupational Therapist | 3449 S. Wrangler Pl., Ontario, CA 91761 | 2016-09-01 |
| 1326491507 | Sasha Khawaja | Specialist/Technologist | 1500 So. Haven Ave, Ste 190, Ontario, CA 91761 | 2016-07-22 |
| Find all providers in zip 91761 | ||||
| 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 |
|---|---|---|---|---|
| 1104442391 | Steven Paul Orton | Physician Assistant | 551 E Riverside Dr Apt 26, Ontario, CA 91761-6767 | 2020-06-23 |
| 1326516717 | Ruel Decastro Ramirez Jr. | Physician Assistant | 1454 E 5th St Apt 6, Ontario, CA 91764-2105 | 2018-11-05 |
| 1639621824 | Incare Health Solutions, LLC | Physician Assistant | 375 N Lexington Springmill Rd, Ontario, OH 44906-3812 | 2016-11-04 |
| 1659738920 | Jesus Perea Ochoa | Physician Assistant | 4355 E Airport Dr Ste 100, Ontario, CA 91761-7812 | 2016-01-18 |
| 1073881793 | Russell G Mobley | Physician Assistant | 730 North Turner Ave, Apt 2, Ontario, CA 91764 | 2011-12-08 |
| 1487882015 | Erin Marie Pascale | Physician Assistant | 3200 Inland Empire Blvd Ste 100, Ontario, CA 91764-5569 | 2009-06-22 |
| 1003081415 | Rafael Larios | Physician Assistant | 525 N Laurel Ave, Ontario, CA 91762-3213 | 2008-04-25 |
| 1215119250 | Ronald James Pratt | Physician Assistant | 1910 S Archibald Ave Ste E2, Ontario, CA 91761-8503 | 2007-12-01 |
| 1023227220 | Catlin Kim Hong Nguyen | Physician Assistant | 653 E E St Ste 109, Ontario, CA 91764-4257 | 2007-05-22 |
| 1902816085 | Leon Alfred Santa Cruz | Physician Assistant | 3200 Inland Empire Blvd., Ontario, CA 91764 | 2006-08-09 |
| Find all providers in ONTARIO | ||||
Please comment or provide details below to improve the information on CHARMAINE YOLANDA COLLINS-CEPEDA.
| 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.