HENDERSON SURGICAL PHYSICIAN ASSISTANT


Address: 4445 Magnolia Ave, Riverside, CA 92501-4135
Phone: 9514439606

HENDERSON SURGICAL PHYSICIAN ASSISTANT (NPI# 1982129342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982129342
Entity Type Organization
Organization Name HENDERSON SURGICAL PHYSICIAN ASSISTANT
Practice Address 4445 Magnolia Ave
Riverside
CA 92501-4135
Mailing Address 12625 Frederick St # I5215
Moreno Valley
CA 92553-5216
Practice Telephone 9514439606
Mailing Telephone 9514439606
Enumeration Date 2017-08-07
Last Update Date 2017-08-07
Authorized Official Name SOFIA HENDERSON (PRESIDENT)
Authorized Official Telephone 9514439606
Authorized Official Credential PHYSCIAN ASSISTA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
51407 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 4445 MAGNOLIA AVE
City RIVERSIDE
State CA
Zip Code 92501-4135

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801897731 Donald R Massee Radiology 4445 Magnolia Ave, Riverside, CA 92501-4135 2005-08-02
1215538392 Nicole Barnard Nurse Practitioner 4445 Magnolia Ave, Riverside, CA 92501-4199 2020-11-04
1942808811 Nelson Javier Maravilla Nurse Anesthetist, Certified Registered 4445 Magnolia Ave, Riverside, CA 92501-4135 2020-10-13
1801494026 Clinton William Hart Nurse Practitioner 4445 Magnolia Ave, Riverside, CA 92501-4199 2020-10-09
1578179677 Dallas Mckinley Bessette Nurse Anesthetist, Certified Registered 4445 Magnolia Ave, Riverside, CA 92501-4199 2020-09-23
1124641444 Emely Rebekah Garcia Anesthesiology 4445 Magnolia Ave, Riverside, CA 92501-4199 2020-05-20
1447872429 Seena Khosravi Student in an Organized Health Care Education/Training Program 4445 Magnolia Ave, Riverside, CA 92501-4135 2020-05-12
1336761519 Alexandra May Bock Nurse Anesthetist, Certified Registered 4445 Magnolia Ave, Riverside, CA 92501-4199 2020-05-11
1568084747 Courtney Lynn Hipkin Nurse Anesthetist, Certified Registered 4445 Magnolia Ave, Riverside, CA 92501-4135 2020-05-11
1003438193 Shalini Sunil Shah Student in an Organized Health Care Education/Training Program 4445 Magnolia Ave, Riverside, CA 92501-4135 2020-05-11
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700437605 Mary Horvatin Technician 1811 Rivera Strret, Riverside, CA 92501 2019-09-23
1366905473 Timothy Daniel Collins Student in an Organized Health Care Education/Training Program Riverside Community Hospital, 4445 Magnolia Ave., Gme, Office, Riverside, CA 92501 2019-04-08
1346709672 Lourdes Adame Student in an Organized Health Care Education/Training Program 4445 Magnolia Ave - Gme Office, Riverside, CA 92501 2019-03-16
1740759067 Kristina Ferris-celosse Counselor 2452 Wilshire St., Riverside, CA 92501 2018-11-15
1750888095 Arunmozhi Aravagiri Student in an Organized Health Care Education/Training Program Riverside Community Hospital, Gme Office, 4445 Magnolia Ave., Riverside, CA 92501 2018-04-12
1720585847 Alan Huynh Student in an Organized Health Care Education/Training Program 4445 Magnolia Avenue., Gme Office, Riverside, CA 92501 2018-04-06
1538664834 Wilson Paul Frasca Student in an Organized Health Care Education/Training Program 4445 Magnolia Avenue, Riverside, CA 92501 2018-03-28
1851896575 Geethu Gopinathan Nair Student in an Organized Health Care Education/Training Program Riverside Community Hospital, 4445 Magnolia Ave., Gme Office, Riverside, CA 92501 2018-03-26
1316465560 Thilini Anne Abeygunaratne Marriage & Family Therapist 1950 Market Street, Riverside, CA 92501 2017-09-07
1194257410 Melissa Chitwood Assistant Behavior Analyst 3078 Cedar St., Riverside, CA 92501 2017-03-28
Find all providers in zip 92501

Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023500592 Pamela Lambert Pa-c, Inc. Physician Assistant 16105 Mariposa Ave, Riverside, CA 92504-8730 2018-05-31
1265716302 Allen Y. Iloreta Physician Assistant 10600 Magnolia Ave Ste I, Riverside, CA 92505-1819 2011-10-07
1457300436 Mission Surgical Clinic, Inc. Physician Assistant 3660 Park Sierra Dr, Suite 105, Riverside, CA 92505-3071 2006-05-08
1023079183 Haider Spine Center Medical Group Physician Assistant 6276 River Crest Dr, Riverside, CA 92507-0754 2006-03-29
1851755128 Anthony Cramer Physician Assistant 6276 River Crest Dr, Riverside, CA 92507-0783 2016-04-12
1912307448 Jennifer Kang Physician Assistant 353 E Burlington St, Suite 100, Riverside, IL 60546-2189 2014-09-03
1750533618 Kayleeta Evonne Robinson Physician Assistant 4445 Magnolia Ave, Riverside, CA 92501-4135 2008-10-22
1588750152 Monica Falcon Physician Assistant 3660 Park Sierra Dr, Suite 105, Riverside, CA 92505-3071 2006-10-04
1417058934 Alan D Moses Physician Assistant 353 E Burlington St, Suite 100, Riverside, IL 60546-2189 2006-09-26

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1649894403 Kathlyn Larco Physician Assistant 1233 W Randall Way, West Covina, CA 91790-4747 2020-06-07
1487126421 Eliza Hughes Physician Assistant 860 Oak Park Blvd Ste 101, Arroyo Grande, CA 93420-1800 2018-12-31
1508333873 Andrew Cantos Malit Physician Assistant 409 Bristol Way, Corona, CA 92879-6156 2018-10-25
1578049458 Ida Jelveh Physician Assistant 28096 Edelweiss Ct, Laguna Niguel, CA 92677-7006 2018-07-13
1356833578 Michael James Gonzalez Physician Assistant 1500 E Chevy Chase Dr # 401a401b, Glendale, CA 91206-4152 2018-06-04
1225532385 Folsom Physicain Assistant First Assist, Inc Physician Assistant Nina Vasiliev Pa-c, 15407 Muller Rd, Plymouth, CA 95669-9770 2018-03-22
1275040008 Gm Surgical Assistant Inc Physician Assistant 15615 Turnberry St, Moreno Valley, CA 92555-4901 2018-01-02
1902311186 Or Solutions Inc Physician Assistant 1501 Secret Ravine Pkwy Unit 527, Roseville, CA 95661-6005 2017-12-09
1184143828 Alaa Abdalla Daghlas Physician Assistant 1100 S Eliseo Dr Ste A, Greenbrae, CA 94904-2017 2017-09-13
1891227823 Julieta A. Murillo Physician Assistant 1 Quality Dr Ste B36, Vacaville, CA 95688-9494 2017-03-29
Find all providers with the same taxonomy

Competitor

Search similar providers

City RIVERSIDE
Zip Code 92501

Improve Information

Please comment or provide details below to improve the information on HENDERSON SURGICAL PHYSICIAN ASSISTANT.

Dataset Information

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.

Trending Searches