LARA AVEDIAN (NPI# 1972072528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972072528 |
| Entity Type | Individual |
| Full Name | LARA AVEDIAN |
| Practice Address |
520 W. Street Los Banos CA 93635 |
| Mailing Address |
4146 W Ellery Way Fresno CA 93722-3557 |
| Practice Telephone | 2098260591 |
| Enumeration Date | 2018-11-13 |
| Last Update Date | 2018-11-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 55986 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
520 W. STREET |
| City | LOS BANOS |
| State | CA |
| Zip Code | 93635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356973234 | Salina Sheoli Romero | Peer Specialist | 40 West G Street Ste. B, Los Banos, CA 93635 | 2020-02-07 |
| 1871095349 | Amy Villada Cabrera | Behavior Technician | 138 Beajolais Ct, Los Banos, CA 93635 | 2018-03-01 |
| 1699107045 | Sonia Vasconcelos | Licensed Vocational Nurse | 14950 Badger Flat Rd., Los Banos, CA 93635 | 2013-08-07 |
| 1275804981 | West Eye Incorporated | Optometrist | 1030 West I Street, Los Banos, CA 93635 | 2012-01-26 |
| 1932418282 | Aspiranet | Community/Behavioral Health | 285 Mercey Springs Road, Suite E, Los Banos, CA 93635 | 2010-10-05 |
| 1669781241 | Benjamin J. Seaton Dds | Dentist | 816 Second St., Los Banos, CA 93635 | 2010-09-30 |
| 1124291711 | Do and Huh, Dds Inc | Dentist | 1989 East Pacheco Blvd, #j, Los Banos, CA 93635 | 2008-04-04 |
| 1831369057 | A. Lujan Recovery Programs Inc. | Substance Abuse Rehabilitation Facility | 80 G. St. Bld. 3, Suite B, Los Banos, CA 93635 | 2008-03-04 |
| 1184807125 | Oscar F Lopez | Specialist | 1791 Mills Dr, Mobile Massage, Los Banos, CA 93635 | 2007-12-13 |
| 1194938134 | Raymond Bradley Dunne | Physical Therapist | 285 Mercey Springs Rd, Suite A, Los Banos, CA 93635 | 2007-05-07 |
| Find all providers in zip 93635 | ||||
| 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 |
|---|---|---|---|---|
| 1497868657 | Linda Dianne Morford | Physician Assistant | 1045 5th St, Los Banos, CA 93635-4204 | 2006-08-15 |
| 1336699065 | Apinya Smothers | Physician Assistant | 1045 5th St, Los Banos, CA 93635-4204 | 2016-10-05 |
| 1821498817 | Rohit Kadambi | Physician Assistant | 520 W I St, Los Banos, CA 93635-3419 | 2014-08-27 |
| 1174856603 | Rick Gerald Beronilla | Physician Assistant | 821 Texas Ave, Los Banos, CA 93635-3453 | 2009-09-16 |
| 1225196884 | Juliette E Tamagni | Physician Assistant | 311 W I St, Los Banos, CA 93635-3479 | 2006-12-05 |
| 1821188269 | Lety Elizabeth Costa | Physician Assistant | 821 Texas Ave, Los Banos, CA 93635 | 2006-10-14 |
| 1578652855 | Joseph Godbout | Physician Assistant | 285 Mercey Springs Rd, Ste A, Los Banos, CA 93635-3878 | 2006-10-12 |
| 1801825195 | Daniel L Eustace | Physician Assistant | 311 W I St, Los Banos, CA 93635 | 2006-07-01 |
| 1952347502 | Vance S Angeles | Physician Assistant | 311 W I St, Los Banos, CA 93635 | 2006-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407679 | Samantha Sidney Spinner | Physician Assistant | 1385 Shattuck Ave Apt 201, Berkeley, CA 94709-1468 | 2020-11-08 |
| 1134720972 | Alessandra Porfido | Physician Assistant | 733 Filbert St Apt 1, San Francisco, CA 94133-2767 | 2020-11-06 |
| 1992306872 | Kelsey Oberg | Physician Assistant | 1817 Oldfield Ct, El Cajon, CA 92019-4233 | 2020-11-05 |
| 1609477504 | Julia Claire Stiefel | Physician Assistant | 369 Orange St Apt A, Oakland, CA 94610-2979 | 2020-11-05 |
| 1164023347 | Wendy P Lewis | Physician Assistant | 10447 Highdale St, Bellflower, CA 90706-4122 | 2020-11-04 |
| 1245830181 | Lauren Bennett | Physician Assistant | 3360 Horizon St, Corona, CA 92881-0728 | 2020-10-29 |
| 1538769062 | Revital Ahl | Physician Assistant | 18141 Medley Dr, Encino, CA 91316-4447 | 2020-10-26 |
| 1922607423 | Emily Halla | Physician Assistant | 7473 Gresham Ct, San Jose, CA 95139-1424 | 2020-10-26 |
| 1386243889 | Ilaitia Lecia Namatasere | Physician Assistant | 614 Sycamore Ln Apt 225, Davis, CA 95616-7901 | 2020-10-26 |
| 1083213706 | Courtney Kathryn Hopp | Physician Assistant | 4060 Fourth Ave Ste 209, San Diego, CA 92103-2120 | 2020-10-23 |
| Find all providers with the same taxonomy | ||||
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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.