WALTER EUGENE SHORES (NPI# 1952341927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952341927 |
| Entity Type | Individual |
| Full Name | WALTER EUGENE SHORES |
| Credential | P.A-C |
| Practice Address |
2425 Samaritan Drive San Jose CA 95124 |
| Mailing Address |
2100 Powell Street Ste 920 Emeryville CA 94608-1803 |
| Practice Telephone | 4085592011 |
| Mailing Telephone | 5103502777 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2007-11-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA12444 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2425 SAMARITAN DRIVE |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497700553 | Karen Lisa Pike | Emergency Medicine | 2425 Samaritan Drive, San Jose, CA 95124 | 2006-05-24 |
| 1629335146 | Daniel Kai-ming Kwan | Emergency Medicine | 2425 Samaritan Drive, San Jose, CA 92124-3908 | 2012-04-20 |
| 1568491934 | Alexander Crane Charters | Surgery | 2425 Samaritan Drive, Good Samaritan Hospital/ Clinicalresearch, San Jose, CA 95124 | 2006-06-30 |
| 1003850637 | Beth L. Bratt | Physician Assistant | 2425 Samaritan Drive, San Jose, CA 95124 | 2006-06-15 |
| 1881632149 | Cep America - California | Emergency Medicine | 2425 Samaritan Drive, San Jose, CA 95124-3985 | 2006-06-02 |
| 1235177502 | Joseph Jay Bistrain | Emergency Medicine | 2425 Samaritan Drive, San Jose, CA 95124 | 2006-06-02 |
| 1144268418 | Miles Robert Congress | Emergency Medicine | 2425 Samaritan Drive, San Jose, CA 95124 | 2006-06-02 |
| 1053359323 | Rhys Vincent Dapar | Emergency Medicine | 2425 Samaritan Drive, San Jose, CA 95124 | 2006-06-02 |
| 1760420038 | Helmut W Meisl | Emergency Medicine | 2425 Samaritan Drive, San Jose, CA 95124 | 2006-06-02 |
| 1679511943 | Andrew Thomas Mihalik | Emergency Medicine | 2425 Samaritan Drive, San Jose, CA 95124 | 2006-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720548894 | Talkawhile Child and Family Therapy Center PC | Marriage & Family Therapist | 2577 Samaritain Drive, Suite 715, San Jose, CA 95124 | 2019-03-23 |
| 1558847129 | Anne Marie Hamilton | Nurse Practitioner | 2851 Samaritan Dr., San Jose, CA 95124 | 2018-07-17 |
| 1619488665 | Vicky Nguyen | Dentist | 3994 S Bascom Ave # 5, San Jose, CA 95124 | 2017-10-17 |
| 1255840625 | Emmanuel Rohani | Pharmacist | 4623 Fallstone Court, San Jose, CA 95124 | 2017-09-28 |
| 1669928933 | Karlena Lara-otero | Genetic Counselor, MS | 2589 Samaritan Drive, Floor 3, Mail Code: 7532, San Jose, CA 95124 | 2016-08-28 |
| 1982081287 | Shraddha Patel | Dietitian, Registered | 3535 Ross Ave Ste 202, San Jose, CA 95124 | 2015-05-06 |
| 1679966576 | Andrew Francis | Marriage & Family Therapist | 1936 Camden Ave Ste 5a, San Jose, CA 95124 | 2015-03-17 |
| 1164835914 | Addiction Recovery Center | Clinic/Center | 3880 S. Bascom Ave #206, San Jose, CA 95124 | 2014-06-10 |
| 1780005199 | Swathi Balantrapu | Physical Therapist | 14587 Branham Ln, San Jose, CA 95124 | 2014-01-02 |
| 1033405196 | Rick Li Pan | Dentist | 3535 Ross Ave, #201, San Jose, CA 95124 | 2011-06-27 |
| Find all providers in zip 95124 | ||||
| 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 |
|---|---|---|---|---|
| 1922607423 | Emily Halla | Physician Assistant | 7473 Gresham Ct, San Jose, CA 95139-1424 | 2020-10-26 |
| 1881210029 | Jeremy Nathan Birch | Physician Assistant | 1287 San Moritz Dr, San Jose, CA 95132-2754 | 2020-06-23 |
| 1609491158 | Kaitlin Aquino | Physician Assistant | 1382 Bing Dr, San Jose, CA 95129-4703 | 2020-06-10 |
| 1275152282 | Heema K Bhagat | Physician Assistant | 6967 Sessions Dr, San Jose, CA 95119-1335 | 2020-04-09 |
| 1013557925 | Kassaundra Cervantes | Physician Assistant | 2114 Mckee Rd, San Jose, CA 95116-1427 | 2020-01-08 |
| 1508416207 | Shelley Brunkan | Physician Assistant | 227 Giddings Ct, San Jose, CA 95139-1421 | 2019-09-14 |
| 1053960724 | Caroline Luczak | Physician Assistant | 88 E San Fernando St, San Jose, CA 95113-2535 | 2019-09-05 |
| 1336704402 | Irene Rummel | Physician Assistant | 1227 Gehrig Ave, San Jose, CA 95132-2714 | 2019-05-04 |
| 1801350749 | Brenda H.t. Nguyen | Physician Assistant | 1102 Brooks Range Lndg, San Jose, CA 95131-3803 | 2019-01-24 |
| 1477021848 | Christina Ly | Physician Assistant | 1569 Lexann Ave Ste 206, San Jose, CA 95121-1795 | 2018-11-05 |
| Find all providers in SAN JOSE | ||||
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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.