SADIE WILT KLENA (NPI# 1821623158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821623158 |
Entity Type | Individual |
Full Name | SADIE WILT KLENA |
Other Name | SADIE WILT CLIFFORD |
Credential | PA |
Practice Address |
23 Upper Ragsdale Dr Monterey CA 93940-7849 |
Mailing Address |
235 Alder St Pacific Grove CA 93950-3125 |
Practice Telephone | 8313753577 |
Enumeration Date | 2020-03-06 |
Last Update Date | 2020-03-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
57934 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
23 UPPER RAGSDALE DR |
City | MONTEREY |
State | CA |
Zip Code | 93940-7849 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790786002 | Daniel Gregory Luba | Internal Medicine | 23 Upper Ragsdale Dr, Suite 200, Monterey, CA 93940-5771 | 2005-08-09 |
1538670716 | Dalaine Regatalio Resurreccion | Nurse Practitioner | 23 Upper Ragsdale Dr, Monterey, CA 93940 | 2017-10-16 |
1427586189 | Silvia F Giachetti | Nurse Practitioner | 23 Upper Ragsdale Dr, Monterey, CA 93940-7849 | 2017-05-25 |
1427382985 | Michael Sang Le | Internal Medicine | 23 Upper Ragsdale Dr, Monterey, CA 93940-7849 | 2009-09-30 |
1174688956 | Cynthia Ellen Russell-mcclain | Nurse Practitioner | 23 Upper Ragsdale Dr, Suite 200, Monterey, CA 93940-7849 | 2006-12-22 |
1902989668 | Michael Joel Mendoza | Internal Medicine | 23 Upper Ragsdale Dr, Monterey, CA 93940-7849 | 2006-10-23 |
1639189459 | Kathryn A Swanson | Internal Medicine | 23 Upper Ragsdale Dr, Suite 200, Monterey, CA 93940-5771 | 2006-08-08 |
1841200565 | Lloyd R Garren | Internal Medicine | 23 Upper Ragsdale Dr, Suite 200, Monterey, CA 93940-5771 | 2006-08-08 |
1114937927 | Richard Walter Hell | Internal Medicine | 23 Upper Ragsdale Dr, Suite 200, Monterey, CA 93940-5771 | 2006-08-08 |
1801806567 | Mary L Garren | Internal Medicine | 23 Upper Ragsdale Dr, Suite 200, Monterey, CA 93940-5771 | 2006-08-08 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770145682 | Mogo Urgent Care | Clinic/Center | 2020 Del Monte Avenue, Suite B, Monterey, CA 93940 | 2019-07-01 |
1023537883 | Drais and Chow Dental Corporation | Dentist | 21 Upper Ragsdale Suite 160, Monterey, CA 93940 | 2017-09-13 |
1639697048 | Neil Northey | Counselor | 343 Dela Vina Ave., Monterey, CA 93940 | 2017-09-06 |
1316469075 | Ashley Nicole Walden | Counselor | 1010 Cass St Ste C, Monterey, CA 93940 | 2017-07-13 |
1801317524 | Aubrey Nicole Trammell | Behavior Technician | 140 W Franklin St., Unit 202, Monterey, CA 93940 | 2017-07-03 |
1366971764 | Marlene Schwaighofer | Behavior Technician | 140 W Franklin Street, Ste. #202, Monterey, CA 93940 | 2017-06-08 |
1235668500 | Rochelle Lyrae Winsted | Licensed Psychiatric Technician | Drake House 399 Drake St, Monterey, CA 93940 | 2017-06-08 |
1447783386 | Interim Incorporated | Community Based Residential Treatment Facility, Mental Illness | 321 Hawthorne St, Apt B, Monterey, CA 93940 | 2017-04-07 |
1851841076 | Joy Dean | Counselor | 343 Dela Vina, Monterey, CA 93940 | 2016-10-12 |
1629426416 | Interim Inc | Community Based Residential Treatment Facility, Mental Illness | 604 Pearl St., Monterey, CA 93940 | 2016-06-02 |
Find all providers in zip 93940 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447332259 | Larry M Rose | Physician Assistant | 2 Upper Ragsdale Dr Ste B240, Monterey, CA 93940-7848 | 2006-10-20 |
1750799359 | Timothy Rafferty | Physician Assistant | 473 Cabrillo St Bldg 422, Monterey, CA 93944-3201 | 2014-07-27 |
1417100769 | Katherine Jimenez | Physician Assistant | 12 Upper Ragsdale Dr, Monterey, CA 93940 | 2008-10-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760089437 | Karine Harutyunyan | Physician Assistant | 500 E Colorado St Ste 101, Glendale, CA 91205-1607 | 2020-10-06 |
1437756228 | Kale Burket | Physician Assistant | Bldg 523, S 8th St, El Centro, CA 92243 | 2020-10-05 |
1548867666 | Heba Marzouk Al-shoubaki | Physician Assistant | 633 S Pepper St, Anaheim, CA 92802-1459 | 2020-10-01 |
1275140550 | Lisa Lynn Passalacqua | Physician Assistant | 431 7th St, Norco, CA 92860-1671 | 2020-09-30 |
1144833989 | Trisha Taylor | Physician Assistant | 10399 Tivoli Way, Yucaipa, CA 92399-6017 | 2020-08-30 |
1457963944 | Harlan William Monahan | Physician Assistant | 5210 Del Rio Rd, Sacramento, CA 95822-2519 | 2020-08-18 |
1275144313 | Sofia Carmen Bustillo | Physician Assistant | 1709 Coral Pl, Seal Beach, CA 90740-5712 | 2020-08-12 |
1124638663 | Gayaneh Gharakhani | Physician Assistant | 1323 E Broadway Apt 110, Glendale, CA 91205-4018 | 2020-08-07 |
1144830183 | Loc Bao Tran | Physician Assistant | 8937 Emerson Pl, Rosemead, CA 91770-2813 | 2020-08-04 |
1558997957 | Sarah Lubinsky | Physician Assistant | 1511 Montana Ave, Santa Monica, CA 90403-1891 | 2020-03-17 |
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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.