ANGIE NAM (NPI# 1912466269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912466269 |
| Entity Type | Individual |
| Full Name | ANGIE NAM |
| Practice Address |
1107 W Poplar Ave Porterville CA 93257-5839 |
| Mailing Address |
187 Fairgrounds Dr Sacramento CA 95817-2407 |
| Practice Telephone | 8779603426 |
| Mailing Telephone | 9097020083 |
| Enumeration Date | 2019-03-17 |
| Last Update Date | 2019-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
56581 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1107 W POPLAR AVE |
| City | PORTERVILLE |
| State | CA |
| Zip Code | 93257-5839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083611156 | Family Healthcare Network | Clinic/Center | 1107 W Poplar Ave, Porterville, CA 93257-5839 | 2005-07-05 |
| 1154942209 | Rachel Altman | Nurse Practitioner | 1107 W Poplar Ave, Porterville, CA 93257-5839 | 2020-04-29 |
| 1477186849 | Amy Pitigliano | Social Worker | 1107 W Poplar Ave, Porterville, CA 93257-5839 | 2020-02-13 |
| 1306487061 | Silvia Nereida Bedolla | Nurse Practitioner | 1107 W Poplar Ave, Porterville, CA 93257-5839 | 2019-10-03 |
| 1013483882 | Roman Esteban Mayek | Family Medicine | 1107 W Poplar Ave, Porterville, CA 93257-5839 | 2018-10-19 |
| 1346716016 | Eric Craig Bickmore | Family Medicine | 1107 W Poplar Ave, Porterville, CA 93257-5839 | 2018-10-19 |
| 1316433469 | Maricela Ledezma | Physician Assistant | 1107 W Poplar Ave, Porterville, CA 93257-5839 | 2018-07-02 |
| 1740772870 | Deborah Young | Nurse Practitioner | 1107 W Poplar Ave, Porterville, CA 93257-5839 | 2018-06-04 |
| 1346738721 | Wendmnew Achenef Ayalew | Physician Assistant | 1107 W Poplar Ave, Porterville, CA 93257-5839 | 2018-05-01 |
| 1356862791 | Ashley Casillas | Nurse Practitioner | 1107 W Poplar Ave, Porterville, CA 93257-5839 | 2017-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140727 | Marilu Lemos | Student in an Organized Health Care Education/Training Program | 1055 W. Henderson Ave, Suite 2, Porterville, CA 93257 | 2020-06-30 |
| 1497376875 | Monica Kistler | Nurse Practitioner | 65 N Hockett St, Porterville, CA 93257 | 2020-04-27 |
| 1639704182 | Ria Mehta | Occupational Therapist | Sierra Valley Rehab Center, 301 W Putnam Avenue, Porterville, CA 93257 | 2020-03-05 |
| 1659928653 | Jennifer Ramirez | Technician | 1166 San Carlos St, Porterville, CA 93257 | 2019-08-23 |
| 1053875484 | Family Healthcare Network | Clinic/Center | 65 N. Hockett St., Porterville, CA 93257 | 2019-01-30 |
| 1679065189 | William Vanlandingham | Health Educator | 333 W Henderson Ave, Porterville, CA 93257 | 2018-05-31 |
| 1982111209 | Samantha Kaitlyn Crowley | Counselor | 117 W Henderson Ave Ste 1, Porterville, CA 93257 | 2018-01-08 |
| 1538688023 | Jason Reyes | Physician Assistant | 305 E Poplar Ave, Porterville, CA 93257 | 2017-09-15 |
| 1790223790 | Adrian Zamora | Psychiatric Hospital | 1569 Michael Place, Porterville, CA 93257 | 2017-02-09 |
| 1467998849 | Justine Hallas | Nurse Practitioner | 590 Putnam Ave, Porterville, CA 93257 | 2017-01-10 |
| Find all providers in zip 93257 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902016611 | Douglas Kent Smith | Physician Assistant | 1354 N Newcomb St, Porterville, CA 93257-9588 | 2007-05-23 |
| 1922032499 | Aaron Scott Currie | Physician Assistant | 222 West Henderson Ave, Porterville, CA 93257 | 2006-07-10 |
| 1326347428 | Erika Ann Doria | Physician Assistant | 585 W Putnam Ave, Porterville, CA 93257-3270 | 2011-03-15 |
| 1174859730 | Spencer Dayton Packer | Physician Assistant | 1107 W Poplar Ave, C/o Family Healthcare Network, Porterville, CA 93257-5839 | 2009-11-02 |
| 1093049140 | Darla Jean Splawn | Physician Assistant | 1107 West Poplar Ave., Porterville, CA 93257-5839 | 2009-09-22 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | PORTERVILLE |
| Zip Code | 93257 |
Please comment or provide details below to improve the information on ANGIE NAM.
| 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.