KIMBERLY RUIZ DIZON (NPI# 1942633318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942633318 |
| Entity Type | Individual |
| Full Name | KIMBERLY RUIZ DIZON |
| Other Name | KIMBERLY FLORES RUIZ |
| Credential | MHS, PA-C |
| Practice Address |
1530 E Hammer Ln Stockton CA 95210 |
| Mailing Address |
1530 E Hammer Ln Stockton CA 95210-3149 |
| Practice Telephone | 2099543200 |
| Mailing Telephone | 0995432002 |
| Enumeration Date | 2013-08-20 |
| Last Update Date | 2019-09-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 56200 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1530 E Hammer Ln, Stockton, CA 95210 | 2099543200 | |
| 9516 Coney Island Cir, Elk Grove, CA 957583646 | 5103754778 |
| Street Address |
1530 E HAMMER LN |
| City | STOCKTON |
| State | CA |
| Zip Code | 95210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588108526 | Rose Havea Regan | Physician Assistant | 1530 E Hammer Ln, Stockton, CA 95210-3149 | 2016-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063021970 | Leslie Jazmin Marin | Student in an Organized Health Care Education/Training Program | 7109 Danny Dr, Stockton, Stockton, CA 95210 | 2020-07-27 |
| 1043866692 | Alexis Thomasson | Behavior Technician | 7109 Danny Drive, Stockton, CA 95210 | 2019-08-09 |
| 1821651324 | Maria Guadalupe Toledo | Lactation Consultant, Non-RN | 7912 Hammer Lane, Stockton, CA 95210 | 2019-04-19 |
| 1508226440 | Active Life Adult Day Care, Inc. | Clinic/Center | 7209 Tam O'shanter Dr., Stockton, CA 95210 | 2016-03-04 |
| 1548631260 | Rachel Standley | Substance Abuse Rehabilitation Facility | 8017 El Cajon St, Stockton, CA 95210 | 2015-10-08 |
| 1225435308 | Active Life Medical Produtcs Inc | Durable Medical Equipment & Medical Supplies | 611 W Grider Way, Stockton, CA 95210 | 2014-12-04 |
| 1285920983 | Supplemental Health Care | Preferred Provider Organization | 8425 Kiltie Wy, Stockton, CA 95210 | 2011-06-22 |
| 1770807901 | Stockton Medical Weight Loss Center Inc | Internal Medicine | 1801 E. March Lane, Suite 400d, Stockton, CA 95210 | 2010-03-17 |
| 1699911412 | Pratap Krishna Anne | Pharmacist | 1801 E.march Ln, Suite:b280, Bjrx, Stockton, CA 95210 | 2008-12-29 |
| 1316116890 | Rami Georgies | Family Medicine | 8001 Lorraine Ave, Stockton, CA 95210 | 2008-02-28 |
| Find all providers in zip 95210 | ||||
| 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 |
|---|---|---|---|---|
| 1649680364 | Marc K Massey | Physician Assistant | 1800 N California St, Stockton, Ca, Stockton, CA 95204 | 2014-05-02 |
| 1407143274 | Marcia -galbraith | Physician Assistant | 3449 Schooner Dr, Stockton, CA 95219-4520 | 2011-06-30 |
| 1023340379 | Anjali Agrawal | Physician Assistant | 2531 N California St, Stockton, CA 95204-5501 | 2010-02-10 |
| 1083867683 | Sandra Robles-bonham | Physician Assistant | 77 W. March Lane, Suite A, Stockton, CA 95207-5723 | 2008-10-28 |
| 1982878096 | Steven Glenn Byrne | Physician Assistant | 11600 Stark Rd, Stockton, UT 84071-9712 | 2008-04-18 |
| 1366636847 | Rachel Abella Sumaquial | Physician Assistant | 3601 Brookside Road, Stockton, CA 95211-0001 | 2007-08-28 |
| 1679694608 | Michael V Dixon | Physician Assistant | 420 W Acacia St Ste 2, Stockton, CA 95203-2441 | 2007-04-03 |
| 1275654238 | Ana Ross | Physician Assistant | 420 W Acacia St Ste 19, Stockton, CA 95203-2441 | 2007-04-03 |
| 1023097284 | Rose L Santos | Physician Assistant | 415 W Benjamin Holt Dr, Stockton, CA 95207-3958 | 2006-01-15 |
| 1972586642 | Gary Alan Falcetano | Physician Assistant | 4 Edna Horn Dr, Stockton, NJ 08559-1401 | 2005-11-27 |
| Find all providers in STOCKTON | ||||
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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.