ZEKHARIAH INYASIO IDRO


Address: 82013 Dr Carreon Blvd, Suite G, Indio, CA 92201-4832
Phone: 7607759500

ZEKHARIAH INYASIO IDRO (NPI# 1922416023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922416023
Entity Type Individual
Full Name ZEKHARIAH INYASIO IDRO
Credential PA-C
Practice Address 82013 Dr Carreon Blvd
Suite G
Indio
CA 92201-4832
Practice Telephone 7607759500
Practice Fax Number 7607759500
Mailing Telephone 7607759500
Mailing Fax Number 7607759500
Enumeration Date 2014-08-01
Last Update Date 2016-01-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 52215 CA Physician Assistants & Advanced Practice Nursing Providers
N 363AM0700X Physician Assistant
Specialization: Medical
1842 NE Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 82013 DR CARREON BLVD
SUITE G
City INDIO
State CA
Zip Code 92201-4832

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093795320 Foot Ankle Associated of The Desert Podiatrist 82013 Dr Carreon Blvd, Indio, CA 92201-5832 2006-01-20
1104366913 Dulyawat Imraporn Physical Therapist 82013 Dr Carreon Blvd, Ste I, Indio, CA 92201-4832 2017-02-27
1790145217 Matthew Wilson Physical Therapist 82013 Dr Carreon Blvd, Ste I, Indio, CA 92201-4832 2016-02-25
1578923009 Cristina Valenzuela Physical Therapist 82013 Dr Carreon Blvd, Ste I, Indio, CA 92201-4832 2016-02-25
1972998763 Thomas Crosby Radiologic Technologist 82013 Dr Carreon Blvd, Suite G, Indio, CA 92201-4832 2015-03-30
1326438946 Wesley William Tolles Physician Assistant 82013 Dr Carreon Blvd, Suite G, Indio, CA 92201-4832 2015-02-03
1649604257 Darcy M Hlavin Physical Therapist 82013 Dr Carreon Blvd, Suite I, Indio, CA 92201-4832 2013-08-30
1902245343 24 Hour Urgent Care of The Desert Clinic/Center 82013 Dr Carreon Blvd, Suite #g, Indio, CA 92201-4832 2013-06-19
1700229101 Catherine C Kopko Physical Therapist 82013 Dr Carreon Blvd, Suite I, Indio, CA 92201-4832 2013-04-16
1811254741 Randy Chan Physical Therapist 82013 Dr Carreon Blvd, Ste I, Indio, CA 92201-4832 2012-04-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174151534 Kayla Marie Berry Licensed Vocational Nurse Telecare Riverside County Psychiatric Health Facility, Indio, CA 92201 2020-03-31
1699327353 Nawar Hadid Dentist 81735 Ca-111, Indio, CA 92201 2019-07-12
1427521889 Thanh Trang Thi Nguyen Md Inc Internal Medicine 44100 Jefferson St., #e507, Indio, CA 92201 2019-01-09
1306328315 Grant Nishimura Dentist 81-637, Suite 1, Ca-111, Indio, CA 92201 2018-09-06
1700363645 Desert Physical Medicine General Practice 81765 Highway 111, Ste #3, Indio, CA 92201 2018-07-24
1336668151 U & I Care Medical Transportation LLC Non-emergency Medical Transport (VAN) 44105 Jackson St Ste 204, Indio, CA 92201 2017-09-13
1154847234 Myung Kee Park Dentist 81106 Ca-111, #c, Indio, CA 92201 2017-08-21
1912434937 Mirage Home Health Home Health 82691 Miles Ave, Indio, CA 92201 2017-05-22
1497294821 Orthopedic and Physical Medicine Associates Inc Chiropractor 81765 Hwy 111, #3, Indio, CA 92201 2017-02-17
1497103758 Timothy Smith Contractor 81337 Avenida Romero, Indio, CA 92201 2016-05-27
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346851540 Ana Lilia Valdovinos Physician Assistant 43722 Pettirosso St, Indio, CA 92203-2728 2020-08-11
1407036536 Richard Byron Person Physician Assistant 47-923 Oasis Street, Indio, CA 92201 2007-11-06
1881611317 Mitchell David Claire Physician Assistant 81-709 Dr. Carreon Blvd, Ste C-5, Indio, CA 92201 2006-07-17
1043774144 Stefan Meers Estrada Physician Assistant 47111 Monroe St, Indio, CA 92201-6739 2019-01-23
1427575109 Kara Smith Physician Assistant 81719 Dr Carreon Blvd Ste A, Indio, CA 92201-5518 2017-08-24
1326438946 Wesley William Tolles Physician Assistant 82013 Dr Carreon Blvd, Suite G, Indio, CA 92201-4832 2015-02-03
1992109268 Janelle Colangelo Physician Assistant 81767 Dr Carreon Blvd, Suite 203, Indio, CA 92201-5597 2014-10-15
1023411949 Timothy Kent Evje Physician Assistant 47111 Monroe St, Indio, CA 92201-6739 2014-10-06
1003217605 Christine Guzon Pagunuran Physician Assistant 47111 Monroe St, Indio, CA 92201-6739 2014-09-15
1497018584 Manuel Tovar Physician Assistant 82013 Doctor Carreon Blvd, Suite M, Indio, CA 92201-4832 2012-06-22
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Competitor

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City INDIO
Zip Code 92201

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Dataset Information

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.

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