JESSICA ANN GUILLEN (NPI# 1962929968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962929968 |
| Entity Type | Individual |
| Full Name | JESSICA ANN GUILLEN |
| Credential | PA-C |
| Practice Address |
900 E Washington St Ste 200 Colton CA 92324 |
| Mailing Address |
399 E 21st St San Bernardino CA 92404-4815 |
| Practice Telephone | 9098825867 |
| Practice Fax Number | 9095031913 |
| Mailing Telephone | 9095031283 |
| Mailing Fax Number | 9095031286 |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2019-03-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 54821 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 400 N Pepper Ave, Colton, CA 923241801 | 9095801378 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992108724 | Jessica Guillen | Social Worker | 3445 Atwater Ave, Los Angeles, CA 90039-1915 | 2014-10-07 |
| 1487171765 | Jessica Guillen | Case Manager/Care Coordinator | 344 E 100 S Ste 301, Salt Lake City, UT 84111-1727 | 2017-08-28 |
| 1588038244 | Jessica Guillen | Nurse Practitioner | 610 S Main St, 205, Los Angeles, CA 90014-2009 | 2015-11-18 |
| Street Address |
900 E WASHINGTON ST STE 200 |
| City | COLTON |
| State | CA |
| Zip Code | 92324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609887322 | Executive Medical & Surgical Assoc. Inc. | Specialist | 900 E Washington St Ste 200, Colton, CA 92324-4192 | 2006-08-10 |
| 1669016499 | Faculty Physicians and Surgeons of Llusm | Orthopaedic Surgery | 900 E Washington St Ste 200, Colton, CA 92324-4192 | 2019-11-05 |
| 1639522766 | Olivia Marie Marshall | Physician Assistant | 900 E Washington St Ste 200, Colton, CA 92324-4192 | 2016-07-13 |
| 1649366345 | Richard A Biama | Orthopaedic Surgery | 900 E Washington St Ste 200, Colton, CA 92324-4192 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134739949 | Ava Vascular | Radiology | 1281 W. C. Street, Suite 200, Colton, CA 92324 | 2020-08-06 |
| 1063042851 | Making A Difference Association, Inc. | Psychologist | 1430 E Cooley Drive, Ste 111, Colton, CA 92324 | 2020-01-21 |
| 1326685488 | Allstar Medical Respite and Recuperative Care | Case Management | 450 N Sperry Drive, Colton, CA 92324 | 2019-12-06 |
| 1558916379 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 1010 North Pepper Ave, Colton, CA 92324 | 2019-08-08 |
| 1326692633 | Kadi Lyn Pearce | Licensed Practical Nurse | 970 N. Latham St, Colton, CA 92324 | 2019-07-25 |
| 1184281966 | Steven Andrew Cardoza | Physician Assistant | Armc, 400 N. Pepper Ave, Colton, CA 92324 | 2019-05-28 |
| 1528540952 | Daniel Tochukwu Umah-mgborogwu | Physician Assistant | 400 N Pepper Ave, Ste 107, Coton, CA 92324 | 2018-09-01 |
| 1255826038 | Cal Med Vascular Center LLC | Clinic/Center | 1281 W C St, Colton, CA 92324 | 2018-06-25 |
| 1891288072 | A. Arroyo Lourenco Dds, Inc | Dentist | 827 W Valley Blvd., Colton, CA 92324 | 2018-06-12 |
| 1700396165 | Emily Covington | Registered Nurse | 1550 E. Washington St., Ste 101, Colton, CA 92324 | 2017-10-11 |
| Find all providers in zip 92324 | ||||
| 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 |
|---|---|---|---|---|
| 1578176475 | Samantha Baltazar | Physician Assistant | 2255 Cahuilla St Apt 56, Colton, CA 92324-4742 | 2020-08-28 |
| 1669005054 | Pollyanna Wong | Physician Assistant | 900 E Washington St Ste 301, Colton, CA 92324-8182 | 2020-02-13 |
| 1184281966 | Steven Andrew Cardoza | Physician Assistant | Armc, 400 N. Pepper Ave, Colton, CA 92324 | 2019-05-28 |
| 1689136749 | Dinusha Indra Bandaranayake | Physician Assistant | 400 N Pepper Ave Ste 2m206, Colton, CA 92324-1801 | 2019-04-05 |
| 1659801975 | Mikell Angela Schlumpf | Physician Assistant | 400 N Pepper Ave Ste 2mob206, Colton, CA 92324-1801 | 2017-06-19 |
| 1942604236 | Ernest Newton | Physician Assistant | 400 N Pepper Ave, Suite 107, Colton, CA 92324 | 2014-10-15 |
| 1124430145 | Daniela Casas | Physician Assistant | 400 N Pepper Ave Ste M206, Colton, CA 92324-1801 | 2014-05-25 |
| 1275966095 | Peter Dumas | Physician Assistant | 400 N Pepper Ave Ste 1m107, Colton, CA 92324-1801 | 2013-08-15 |
| 1689912230 | Marco Serrano | Physician Assistant | 1306 Highland Ave, Colton, CA 92324-2415 | 2013-01-16 |
| 1063582435 | Stephanie Lynn Morales | Physician Assistant | 400 N Pepper Ave., Colton, CA 92324 | 2006-11-09 |
| Find all providers in COLTON | ||||
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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.