MS. JEAN HUYNH (NPI# 1821493230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821493230 |
| Entity Type | Individual |
| Full Name | MS. JEAN HUYNH |
| Credential | PA-C |
| Practice Address |
11725 State Ave. Suite 100 Riverside CA 92505 |
| Mailing Address |
11725 State Avenue 100 Riverside CA 92505 |
| Practice Telephone | 9513521700 |
| Practice Fax Number | 9513529117 |
| Mailing Telephone | 9513521700 |
| Mailing Fax Number | 9513529117 |
| Enumeration Date | 2014-10-28 |
| Last Update Date | 2016-11-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
53716 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
5614 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
11725 STATE AVE. SUITE 100 |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205458460 | Mark Anthony Vargas | Behavioral Analyst | 94193 Flat Rock Dr Ste 220, Riverside, CA 92505 | 2020-05-11 |
| 1568099976 | Victoria Lee | Student in an Organized Health Care Education/Training Program | Riverside Family Medicine Residency, 10800 Magnolia Avenue, Riverside, CA 92505 | 2020-03-25 |
| 1588222087 | A Homecare Services, Inc | In Home Supportive Care | 4193 Flat Rock Road, Building 200 Suite 206, Riverside, CA 92505 | 2019-05-31 |
| 1609302397 | Tap Pharmacy, Inc. | Pharmacy | 4270 Riverwalk Pkwy Ste 102, Riverside, CA 92505 | 2017-05-02 |
| 1467998658 | Onofre Gascon | Behavior Technician | 11711 Collett Ave, #1614, Riverside, CA 92505 | 2017-01-11 |
| 1780038505 | Nash David Martinez | Emergency Medicine | 10800 Magnolia Ave Dept of Emergency Medicine, Kaiser Permanente Hospital, Riverside, CA 92505 | 2016-04-18 |
| 1447639901 | Jose Joel Manalese Dds Inc | Dentist | 3950 Pierce St., Suite L., Riverside, CA 92505 | 2015-05-29 |
| 1003160649 | Elaf Farahat | Dietitian, Registered | 10800 Magnolia Avenue., Riverside, CA 92505 | 2012-11-05 |
| 1730458217 | Tammy Lynn Gilmore | Non-emergency Medical Transport (VAN) | 10770 Hole Avenue, 106, Riverside, CA 92505 | 2011-12-29 |
| 1174810196 | Np Care, Inc | Nurse Practitioner | 11081 Pierce St., Suite 249, Riverside, CA 92505 | 2011-06-29 |
| Find all providers in zip 92505 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487136123 | Amy Cortez | Physician Assistant | 3838 Sherman Dr Ste 203, Riverside, CA 92503-4060 | 2018-08-29 |
| 1003265117 | Travis William Cruz | Physician Assistant | 9525 Los Amigos Court, Riverside, CA 92508 | 2016-06-09 |
| 1619325875 | Johnny Morales | Physician Assistant | 9065 Limecrest Dr, Riverside, CA 92508-6418 | 2016-05-28 |
| 1003273707 | Kevin Morris | Physician Assistant | 7101 Magnolia Ave Ste A, Riverside, CA 92504-3843 | 2016-01-26 |
| 1386014132 | Tariq Parwani | Physician Assistant | 7450 Northrop Dr, #261, Riverside, CA 92508-5002 | 2015-10-05 |
| 1962808477 | Erika Lee Amthor | Physician Assistant | 7095 Indiana Ave Ste 210, Riverside, CA 92506-4159 | 2014-11-11 |
| 1831505080 | Samantha Miller | Physician Assistant | 4646 Brockton Ave Ste 101, Riverside, CA 92506-0103 | 2014-07-09 |
| 1679870695 | Maria E. Lopez | Physician Assistant | 6200 Van Buren Blvd, Riverside, CA 92503-2098 | 2011-02-28 |
| 1811207632 | Bekele T Haimanot | Physician Assistant | 9528 Los Coches Court, Riverside, CA 92508 | 2010-10-14 |
| 1174853907 | Meaza Z Kidane | Physician Assistant | 8309 Clover Creek Rd, Riverside, CA 92508-3513 | 2009-12-29 |
| Find all providers in RIVERSIDE | ||||
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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.