KASEY SWAFFORD (NPI# 1962485060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962485060 |
| Entity Type | Individual |
| Full Name | KASEY SWAFFORD |
| Credential | PA-C |
| Practice Address |
2021 Herndon Ave Ste. 101 Clovis CA 93611-6101 |
| Practice Telephone | 5597974315 |
| Practice Fax Number | 5597971651 |
| Mailing Telephone | 5597974315 |
| Mailing Fax Number | 5597971651 |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2017-04-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA18002 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | NCCPA CERT # | 1068754 | 01 |
| CA | DEA CERT | MS131864 | 01 |
| CA | RN LICENSE | 559415 | 01 |
| Street Address |
2021 HERNDON AVE STE. 101 |
| City | CLOVIS |
| State | CA |
| Zip Code | 93611-6101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588659049 | James Lee Minton | Family Medicine | 2021 Herndon Ave, Ste. 101, Clovis, CA 93611-6101 | 2005-09-12 |
| 1851764492 | Premium Urgent Care, Inc | Clinic/Center | 2021 Herndon Ave, Suite 101, Clovis, CA 93611-6101 | 2015-11-04 |
| 1619344348 | Maricelle Lopez Gamad | Nurse Practitioner | 2021 Herndon Ave, Suite101, Clovis, CA 93611-6101 | 2015-08-28 |
| 1801272992 | Premium Physical Therapy Inc | Clinic/Center | 2021 Herndon Ave, Ste. 102, Clovis, CA 93611-6101 | 2015-07-30 |
| 1619354248 | Baz Allergy, Asthma & Sinus Center, Inc. | Allergy & Immunology | 2021 Herndon Ave, Suite 101, Clovis, CA 93611-6101 | 2015-05-04 |
| 1952744070 | Premium Urgent Care, Inc. | Clinic/Center | 2021 Herndon Ave, Suite 101, Clovis, CA 93611-6101 | 2013-04-08 |
| 1336441153 | Sandra L Turnbull | Nurse Practitioner | 2021 Herndon Ave, Ste. 101, Clovis, CA 93611-6101 | 2010-11-30 |
| 1154521102 | Anthony Michael Fraser | Physician Assistant | 2021 Herndon Ave, Ste. 101, Clovis, CA 93611-6101 | 2007-07-18 |
| 1669511028 | Russell S Biggers | Physical Therapist | 2021 Herndon Ave, Ste. 102, Clovis, CA 93611-6101 | 2007-02-05 |
| 1417968173 | Douglas P Kerr | Emergency Medicine | 2021 Herndon Ave, # 101, Clovis, CA 93611-6101 | 2006-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033773122 | Mao Thao | Pharmacist | 2133 Shaw Avenue, Clovis, CA 93611 | 2019-04-24 |
| 1326506098 | Lauren Moriah Horsley | Speech-Language Pathologist | 650 W. Alluvial Ave., Clovis, CA 93611 | 2019-03-12 |
| 1780171223 | Alamos Care | Skilled Nursing Facility | 2193 Alamos Ave, Clovis, CA 93611 | 2018-04-19 |
| 1346612215 | Aimee Rasch | Occupational Therapy Assistant | 650 West Alluvial Avenue, Clovis, CA 93611 | 2015-10-30 |
| 1356778302 | Jonathan Crosby | Physician Assistant | 729 N Medical Center Drive West Suite 101, Clovis, CA 93611 | 2013-10-07 |
| 1093142697 | Stacey Melissa Montes | Nurse Practitioner | 729 N Medical Ctr Dr West, Suite 205, Clovis, CA 93611 | 2013-09-27 |
| 1538594163 | Carly Bren Lepp | Physician Assistant | 2006 Shaw Avenue, Clovis, CA 93611 | 2013-09-13 |
| 1811246150 | Vishal Arya | Pharmacist | 2518 Austin Ave, Clovis, CA 93611 | 2012-08-31 |
| 1669757209 | Kiran V Atwal | Pharmacist | 1815 Herndon Ave--walgreens, Clovis, CA 93611 | 2011-10-14 |
| 1952615957 | Weight Away | Nutritionist | 1895 Herndon Ave, Suite 105, Clovis, CA 93611 | 2010-08-02 |
| Find all providers in zip 93611 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942746144 | Lindsay Weller | Physician Assistant | 604 N Magnolia Ave, Clovis, CA 93611-9204 | 2017-01-11 |
| 1538594163 | Carly Bren Lepp | Physician Assistant | 2006 Shaw Avenue, Clovis, CA 93611 | 2013-09-13 |
| 1194716563 | Jennifer Kristin Nay | Physician Assistant | 275 W Herndon Ave, Clovis, CA 93612-0204 | 2005-11-03 |
| 1134766868 | Caroline Theresa Urbanek | Physician Assistant | 604 N Magnolia Ave Ste 100, Clovis, CA 93611-9205 | 2019-12-02 |
| 1982101598 | Kara Rose Pratt | Physician Assistant | 2755 Herndon Ave, Clovis, CA 93611-6800 | 2018-04-10 |
| 1629571740 | Melissa Maduell | Physician Assistant | 2755 Herndon Ave, Clovis, CA 93611-6800 | 2018-03-15 |
| 1033655238 | Joshua May | Physician Assistant | 604 N Magnolia Ave Ste 100, Clovis, CA 93611-9205 | 2017-01-11 |
| 1144639808 | Dry Creek Medical Group | Physician Assistant | 2151 Herndon Ave Ste 105, Clovis, CA 93611-6307 | 2014-08-07 |
| 1518118249 | Trina M Donohew | Physician Assistant | 2301 N Dr Martin Luther King Jr Blvd, Clovis, NM 88101-9401 | 2008-09-30 |
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|---|---|---|---|---|
| 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 |
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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.