WHITNEY BRAZIL (NPI# 1861051377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861051377 |
Entity Type | Individual |
Full Name | WHITNEY BRAZIL |
Practice Address |
309 E 2nd St Pomona CA 91766-1854 |
Mailing Address |
2270 Cahuilla St Apt 163 Colton CA 92324-4766 |
Practice Telephone | 9096236116 |
Enumeration Date | 2019-06-08 |
Last Update Date | 2019-06-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
309 E 2ND ST |
City | POMONA |
State | CA |
Zip Code | 91766-1854 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801898069 | Roger S. Klotz | Pharmacist | 309 E 2nd St, Pomona, CA 91766-1854 | 2005-06-01 |
1003415167 | Brittney Tunon | Physician Assistant | 309 E 2nd St, Pomona, CA 91766-1854 | 2020-10-20 |
1972116812 | Derek Adu Sarpong | Student in an Organized Health Care Education/Training Program | 309 E 2nd St, Pomona, CA 91766-1854 | 2020-08-29 |
1427661321 | David Nathan Blatz | Physician Assistant | 309 E 2nd St, Pomona, CA 91766-1854 | 2020-08-28 |
1841802535 | Robert Thomas Ah Sue | Physician Assistant | 309 E 2nd St, Pomona, CA 91766-1854 | 2020-08-23 |
1609488493 | Simon Ball | Student in an Organized Health Care Education/Training Program | 309 E 2nd St, Pomona, CA 91766-1854 | 2020-08-21 |
1942812029 | Emma Christine Roznos | Physician Assistant | 309 E 2nd St, Pomona, CA 91766-1854 | 2020-08-19 |
1407467897 | Horia N Moroaica | Emergency Medicine | 309 E 2nd St, Pomona, CA 91766-1854 | 2020-08-11 |
1336758705 | Camille Renee Richardson | Physician Assistant | 309 E 2nd St, Pomona, CA 91766-1854 | 2020-07-30 |
1487272647 | Carlitos Chen | Student in an Organized Health Care Education/Training Program | 309 E 2nd St, Pomona, CA 91766-1854 | 2020-07-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851999494 | Justine Arce | Massage Therapist | 2063 Rancho Valley Drive Suite 320 #208, Pomona, CA 91766 | 2020-10-15 |
1699287938 | Monika Stephanie Wan | Pharmacist | 710 Rio Rancho Road, Pomona, CA 91766 | 2017-10-26 |
1306386966 | Teresa Le | Dentist | 1898 Wright St, Pomona, CA 91766 | 2017-03-02 |
1770971715 | Hanzel Mendez | Physical Therapist | 1080 Verbena Court, Pomona, CA 91766 | 2014-12-29 |
1902223589 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 3 Cottontail Dr, Pomona, CA 91766 | 2014-03-21 |
1487075578 | Fenix Health Medical Group, Inc. | Family Medicine | 716 East Mission Blvd., Pomona, CA 91766 | 2013-12-17 |
1134556012 | Imperial Hospice, Inc. | Hospice Care, Community Based | 363 S Park Ave Ste 105, Pomona, CA 91766 | 2013-10-08 |
1497196349 | Cohen Sedgh, Manavi & Pakravan Dental Corporation | Dentist | 763 Rio Rancho Road Suite120, Pomona, CA 91766 | 2013-07-08 |
1245573567 | Terry Chang | Acupuncturist | 3060 W. Temple Ave., Pomona, CA 91766 | 2013-04-04 |
1215271085 | Emmanuel Castro | Counselor | 4 Village Loop, Phillips Ranch, CA 91766 | 2012-11-19 |
Find all providers in zip 91766 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477924132 | John Long Hoang | Physician Assistant | 520 E. Foothill Ste C, Pomona, CA 91767-3031 | 2015-10-07 |
1760621890 | Brian Keith Hughes | Physician Assistant | 297 W Artesia St Ste A, Pomona, CA 91768-1808 | 2009-02-12 |
1063054641 | Aileen Pearl Jiras | Physician Assistant | 2740 N Garey Ave Ste 100, Pomona, CA 91767-1800 | 2019-10-15 |
1134760895 | Jesselyn Sara Fearing | Physician Assistant | 309 E 2nd St, Pomona, CA 91766-1854 | 2019-10-03 |
1790341238 | Taylor Nicole Boyd | Physician Assistant | 309 E 2nd St, Pomona, CA 91766-1854 | 2019-05-09 |
1881167781 | Adrianna Ruiz | Physician Assistant | 2180 Valley Blvd, Pomona, CA 91768-3325 | 2019-01-03 |
1447602461 | Benjamin Brenner | Physician Assistant | 1798 N Garey Ave, Pomona, CA 91767-2918 | 2016-07-02 |
1093176307 | Tuan Dang Huynh | Physician Assistant | 1798 N Garey Ave, Pomona, CA 91767-2918 | 2016-03-14 |
1013380336 | Joana Chan Lu | Physician Assistant | 160 E Artesia St Ste 310, Pomona, CA 91767-2922 | 2015-11-09 |
1053794115 | Dana Wightman | Physician Assistant | 65 W Jimmie Leeds Rd, Pomona, NJ 08240 | 2015-07-07 |
Find all providers in POMONA |
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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.