CARLA ALLISON MULL (NPI# 1982890042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982890042 |
Entity Type | Individual |
Full Name | CARLA ALLISON MULL |
Credential | PA-C |
Practice Address |
2660 E Main St Ste 100 Ventura CA 93003-2893 |
Practice Telephone | 6268488383 |
Mailing Telephone | 6268488383 |
Enumeration Date | 2007-09-21 |
Last Update Date | 2018-12-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA19160 | CA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | MEDICARE GROUP NUMBER | W12122A | 01 |
CA | GR0061200 | 05 | |
CA | MEDICARE GROUP NUMBER | W12122 | 01 |
CA | GR0061190 | 05 |
Street Address |
2660 E MAIN ST STE 100 |
City | VENTURA |
State | CA |
Zip Code | 93003-2893 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124645924 | Community Memorial Health System | Pharmacy | 2790 Loma Vista Road, Ventura, CA 93003 | 2020-06-29 |
1730702952 | Sarah Manon Begert | Student in an Organized Health Care Education/Training Program | 300 Hillmont Ave., Bldg 340, Ste 201, Ventura, CA 93003 | 2020-05-21 |
1033763677 | Ashley Danielle Aguilar | Counselor | 5740 Ralston Suite 100, Ventura, CA 93003 | 2019-08-01 |
1730747239 | Azadeh Ellsworth | Nurse Practitioner | 1752 S Victoria Ave Ste 250, Ventura, CA 93003 | 2019-05-31 |
1992275556 | Melissa Marie Cole | Social Worker | 4949 Market St, Ventura, CA 93003 | 2018-11-27 |
1851868400 | Weldon Acupuncture Professional Corporation | Acupuncturist | 3737 Telegraph Road, Suite F, Ventura, CA 93003 | 2018-10-31 |
1952876468 | Isabella Florencia Gallegos | Specialist/Technologist | 1857 Knoll Dr., Ventura, CA 93003 | 2018-10-11 |
1437645421 | Jill Huang Wong | Psychologist | 3585 Maple St Ste 248, Ventura, CA 93003 | 2018-07-02 |
1346735156 | Lisa Ngoc Thi Nguyen | Student in an Organized Health Care Education/Training Program | 147 N. Brent Street, Ventura, CA 93003 | 2018-06-25 |
1457845331 | Khloe Frank | Student in an Organized Health Care Education/Training Program | 300 Hillmont Ave, Bldg 340, Suite 201, Ventura, CA 93003 | 2018-06-14 |
Find all providers in zip 93003 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265434385 | Cathryn Diane Ingram | Physician Assistant | 138 W Main St, Suite E, F, G, Ventura, CA 93001-2584 | 2005-06-01 |
1457787467 | Vivian Thanh Nguyen | Physician Assistant | 200 S Wells Rd, Ventura, CA 93004-1377 | 2013-09-23 |
1578796926 | Jennifer Katherine Wallace | Physician Assistant | 2660 E Main St, Suite 204, Ventura, CA 93003-2893 | 2009-09-02 |
1174777536 | Elmira Mira Shishim | Physician Assistant | 200 S Wells Rd, Suite 200, Ventura, CA 93004-1377 | 2008-11-12 |
1346271277 | Cynthia Coggins | Physician Assistant | 888 S Hill Rd, Ventura, CA 93003-8400 | 2006-07-06 |
1659303394 | Jonathan Salire | Physician Assistant | 888 S Hill Rd, Ventura, CA 93003-8400 | 2006-07-06 |
1164454807 | James Noud | Physician Assistant | 888 S Hill Rd, Ventura, CA 93003-8400 | 2006-07-06 |
1851323596 | Jose Gomez | Physician Assistant | 888 S Hill Rd, Ventura, CA 93003-8400 | 2006-07-06 |
1548217292 | Jeanne Gilbert | Physician Assistant | 138 W Main St, Unit E, Ventura, CA 93001-2584 | 2006-05-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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.