BECKY LYNN GORHAM (NPI# 1912037201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912037201 |
| Entity Type | Individual |
| Full Name | BECKY LYNN GORHAM |
| Credential | PA-C |
| Practice Address |
391 N San Jacinto St Ste A Hemet CA 92543 |
| Mailing Address |
391 N San Jacinto St Ste A Hemet CA 92543-3118 |
| Practice Telephone | 9519296003 |
| Mailing Telephone | 9519296003 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2018-10-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 085001731 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | LICENSE | PA10525 | 01 |
| CA | LICENSE | PA56173 | 01 |
| IL | LICENSE | 085001731 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 408 S Main St, Lewistown, IL 615421563 | 3095479700 | 3096496880 |
| Street Address |
391 N SAN JACINTO ST STE A |
| City | HEMET |
| State | CA |
| Zip Code | 92543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114565801 | Ada Maria P Benson | In Home Supportive Care | 235 S. Lyon, Hemet, CA 92543 | 2019-12-13 |
| 1336790963 | Lorilea Paige Williams | Family Medicine | Apex Medical Group, 890 West Stetson Ave # B, Hemet, CA 92543 | 2019-09-25 |
| 1760954291 | Pacifica Sl Hemet LLC | Alzheimer Center (Dementia Center) | 1177 South Palm Avenue, Hemet, CA 92543 | 2018-12-21 |
| 1902381080 | Quan Uyen Truong | Counselor | 1105 E. Florida Ave, Hemet, CA 92543 | 2018-09-25 |
| 1013404318 | Kyle Ransom | Student in an Organized Health Care Education/Training Program | Hemet Valley Medical Center, 1117 East Devonshire Ave, Hemet, CA 92543 | 2018-04-23 |
| 1851838817 | New Hope Christian Counseling Foundation, Inc | Community/Behavioral Health | 464 S Palm Ave Ste C-d, Hemet, CA 92543 | 2017-01-27 |
| 1154873909 | Aliuddin Khaja, Md., Inc | Psychiatry & Neurology | 1300 W. Florida Ave, Suite - C, Hemet, CA 92543 | 2016-10-27 |
| 1891140265 | Roshan Razavi | Family Medicine | 1117 Devonshire Ave, Attn: Carol Wood, Gme Office, Hemet Valley Medical Cent, Hemet, CA 92543 | 2016-05-04 |
| 1699177048 | Douglas Trent Jepson | Dentist | 810 Saint John Place, Suite C, Hemet, CA 92543 | 2014-09-17 |
| 1205244837 | Hemet Dental Clinic | Clinic/Center | 940 E Morton Pl, Hemet, CA 92543 | 2014-07-28 |
| Find all providers in zip 92543 | ||||
| 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 |
|---|---|---|---|---|
| 1104436732 | Henna Mohammad | Physician Assistant | 409 E Thornton Ave Apt H202, Hemet, CA 92543-7652 | 2020-08-07 |
| 1780912014 | Zulema Carrillo | Physician Assistant | 1003 N State St, Hemet, CA 92543-1474 | 2009-11-24 |
| 1922253814 | Hilda Vigil | Physician Assistant | 3853 W Stetson Ave Ste 100, Hemet, CA 92545-9675 | 2008-11-19 |
| 1174534838 | Allan Bedashi | Physician Assistant | 1525 W Florida Ave, Hemet, CA 92543-3825 | 2006-08-10 |
| 1679584445 | Linda Carol Broussard | Physician Assistant | 1701 E Florida Ave, Hemet, CA 92544-4632 | 2006-08-10 |
| 1871595017 | Rachel Anne Mcduffie | Physician Assistant | 1264 E Latham Ave, Hemet, CA 92543-4445 | 2005-06-01 |
| 1972061729 | Patricia Mary Korszyk | Physician Assistant | 162 N Santa Fe St, Hemet, CA 92543-4451 | 2019-03-11 |
| 1659848414 | Lindsey Char | Physician Assistant | 3853 W Stetson Ave, Hemet, CA 92545-9674 | 2018-10-30 |
| 1194242461 | Nicolas Antonio Corvini | Physician Assistant | 903 E Devonshire Ave Ste D, Hemet, CA 92543-3097 | 2017-08-27 |
| 1265883649 | Kathleen Ann Linke | Physician Assistant | 1003 E Florida Ave, Suite 101, Hemet, CA 92543-4510 | 2016-06-27 |
| Find all providers in HEMET | ||||
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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.