MICHELLE ROSE ABRAHAM (NPI# 1952875957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952875957 |
| Entity Type | Individual |
| Full Name | MICHELLE ROSE ABRAHAM |
| Practice Address |
2633 Pacific Ave # 1 Stockton CA 95204-4429 |
| Mailing Address |
6009 Falling Rain Ct Elk Grove CA 95757-8338 |
| Practice Telephone | 2099445530 |
| Mailing Telephone | 9167648258 |
| Enumeration Date | 2019-01-14 |
| Last Update Date | 2019-01-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA56451 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053959775 | Michelle Amy Abraham | Social Worker | 325 W 15th St, New York, NY 10011-5903 | 2019-12-12 |
| 1275896755 | Michelle Abraham | Social Worker | 3350 Main St, Buffalo, NY 14214-1316 | 2012-06-20 |
| 1851677280 | Michelle Lynn Abraham | Nurse Practitioner | 2501 W 22nd St, Sioux Falls, SD 57105-1305 | 2011-10-31 |
| Street Address |
2633 PACIFIC AVE # 1 |
| City | STOCKTON |
| State | CA |
| Zip Code | 95204-4429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962027524 | Kariem Abdelwahed | Licensed Vocational Nurse | 1630 N. Edison St Stockton Ca, Stockton, CA 95204 | 2020-06-10 |
| 1831730555 | Ronnie C Murray | Counselor | 1947 North California Street, Stockton, CA 95204 | 2019-10-03 |
| 1235614116 | Michelle Ann Horn | Marriage & Family Therapist | 3666 Mission Rd, Stockton, CA 95204 | 2018-09-26 |
| 1356830947 | Stockton Pace | PACE Provider Organization | 582 E. Harding Way, Stockton, CA 95204 | 2018-05-09 |
| 1790228781 | Rebecca Phongsa | Counselor | 1947 North Calfornia Street, Suite B, Stockton, CA 95204 | 2016-11-23 |
| 1700332905 | Serim Kang | Driver | 4222 N Pershing Ave, Suite D2, Stockton, CA 95204 | 2016-08-28 |
| 1033565544 | Philip John Brereton | Orthotist | 466 E Harding Way, Stockton, CA 95204 | 2016-05-13 |
| 1932507522 | David Grayson | Counselor | 1621 Brookside Rd, Stockton, CA 95204 | 2014-12-12 |
| 1174934897 | Gurtej Malhi | Internal Medicine | 1901 N California Street, Stockton, CA 95204 | 2014-05-15 |
| 1396156170 | Rajesh Saini | Nurse Practitioner | 1805 N California St. Suite 102, Stockton, CA 95204 | 2014-05-14 |
| Find all providers in zip 95204 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235453150 | James F Patton | Physician Assistant | 913 South St, Stockton, MO 65785-9381 | 2010-03-22 |
| 1932434404 | Noel Lena Moreno | Physician Assistant | 2633 Pacific Ave, Stockton, CA 95204-4429 | 2009-10-16 |
| 1093987414 | Stanley Ray Cathey | Physician Assistant | 8719 Moreno Ct, Stockton, CA 95209-1843 | 2008-03-26 |
| 1881672517 | Melodee Lubag Millare | Physician Assistant | 73 W March Ln, Suite A, Stockton, CA 95207-5726 | 2006-01-04 |
| 1295264760 | Lisa Walterscheid | Physician Assistant | 1800 N California St, Stockton, CA 95204-6019 | 2017-06-08 |
| 1588108526 | Rose Havea Regan | Physician Assistant | 1530 E Hammer Ln, Stockton, CA 95210-3149 | 2016-12-09 |
| 1699131110 | Cmc | Physician Assistant | 1801 E March Ln Ste D470, Stockton, CA 95210-6677 | 2016-01-13 |
| 1194195875 | Christopher Wayne Morales-phan | Physician Assistant | 1782 W Hammer Ln, Stockton, CA 95209-2922 | 2015-10-07 |
| 1366812273 | Jamie Jay Bible | Physician Assistant | 525 W Acacia St, Stockton, CA 95203-2405 | 2015-10-05 |
| 1669755682 | Caroline D Andersen | Physician Assistant | 415 E Harding Way, Suite D, Stockton, CA 95204-6118 | 2011-09-26 |
| 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.