SAM KHOO (NPI# 1891815080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891815080 |
| Entity Type | Individual |
| Full Name | SAM KHOO |
| Credential | P.A. |
| Practice Address |
476 E. Washington Street Earlimart CA 93219 |
| Mailing Address |
Po Box 790 650 Zediker Ave. Parlier CA 93648-0790 |
| Practice Telephone | 6618492638 |
| Practice Fax Number | 6618495719 |
| Mailing Telephone | 5596466618 |
| Mailing Fax Number | 5596466614 |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA13943 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CA PA LIC# | PA13943 | 01 |
| Street Address |
476 E. WASHINGTON STREET |
| City | EARLIMART |
| State | CA |
| Zip Code | 93219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699620 | Reedley Community Hospital | Clinic/Center | 398 S Church Road, Earlimart, CA 93219 | 2020-11-06 |
| 1124643598 | Valley Healthcare Centers | Clinic/Center | 369 N Church Rd, Earlimart, CA 93219 | 2020-06-11 |
| 1962770065 | Earlimart Elementary School District | Local Education Agency (LEA) | 785 East Center Ave, Earlimart, CA 93219 | 2011-12-05 |
| 1629309042 | Preeti Prakash | Dentist | 476 E Washington Ave, Earlimart, CA 93219 | 2010-01-25 |
| 1316174162 | Jose Antonio Torres | Dentist | 476 E Washinton Avenue, Earlimart, CA 93219 | 2009-06-19 |
| 1093851966 | Gary Dominick Schouest | Dentist | 476 E. Washington Ave., Earlimart, CA 93219 | 2007-01-29 |
| 1417939968 | United Health Centers of The San Joaquin Valley | Clinic/Center | 476 E Washington, Earlimart, CA 93219 | 2005-11-18 |
| 1255983409 | Blanca Mejia | Psychologist | 476 E Washington Ave, Earlimart, CA 93219 | 2019-07-09 |
| 1316294598 | Imgrx Sj Valley | Pharmacy | 476 E Washington Ave, Earlimart, CA 93219 | 2012-08-07 |
| 1679784698 | United Health Centers of The San Joaquin Valley | Clinic/Center | 476 E Washington, Earlimart, CA 93219 | 2007-05-24 |
| Find all providers in zip 93219 | ||||
| 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 |
|---|---|---|---|---|
| 1902407679 | Samantha Sidney Spinner | Physician Assistant | 1385 Shattuck Ave Apt 201, Berkeley, CA 94709-1468 | 2020-11-08 |
| 1134720972 | Alessandra Porfido | Physician Assistant | 733 Filbert St Apt 1, San Francisco, CA 94133-2767 | 2020-11-06 |
| 1992306872 | Kelsey Oberg | Physician Assistant | 1817 Oldfield Ct, El Cajon, CA 92019-4233 | 2020-11-05 |
| 1609477504 | Julia Claire Stiefel | Physician Assistant | 369 Orange St Apt A, Oakland, CA 94610-2979 | 2020-11-05 |
| 1164023347 | Wendy P Lewis | Physician Assistant | 10447 Highdale St, Bellflower, CA 90706-4122 | 2020-11-04 |
| 1245830181 | Lauren Bennett | Physician Assistant | 3360 Horizon St, Corona, CA 92881-0728 | 2020-10-29 |
| 1538769062 | Revital Ahl | Physician Assistant | 18141 Medley Dr, Encino, CA 91316-4447 | 2020-10-26 |
| 1922607423 | Emily Halla | Physician Assistant | 7473 Gresham Ct, San Jose, CA 95139-1424 | 2020-10-26 |
| 1386243889 | Ilaitia Lecia Namatasere | Physician Assistant | 614 Sycamore Ln Apt 225, Davis, CA 95616-7901 | 2020-10-26 |
| 1083213706 | Courtney Kathryn Hopp | Physician Assistant | 4060 Fourth Ave Ste 209, San Diego, CA 92103-2120 | 2020-10-23 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SAM KHOO.
| 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.