JOE ANTHONY TABAREZ (NPI# 1992980270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992980270 |
Entity Type | Individual |
Full Name | JOE ANTHONY TABAREZ |
Credential | PA |
Practice Address |
88775 Avenue 76, Ste. 1 Thermal CA 92274-9407 |
Mailing Address |
196 W Legion Rd Brawley CA 92227-7713 |
Practice Telephone | 7603972501 |
Mailing Telephone | 7603449093 |
Mailing Fax Number | 7603444309 |
Enumeration Date | 2008-01-04 |
Last Update Date | 2015-05-22 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA17350 | CA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 00A667010 | 05 |
Street Address |
88775 AVENUE 76, STE. 1 |
City | THERMAL |
State | CA |
Zip Code | 92274-9407 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235211731 | Sergio H Barajas | Physician Assistant | 88775 Avenue 76, Ste. 1, Thermal, CA 92274-9407 | 2006-10-20 |
1548580624 | Perpemelo Balasta IIi | Family Medicine | 88775 Avenue 76, Ste. 1, Thermal, CA 92274-9407 | 2010-06-11 |
1861726093 | Daniela Cervantes-elia | Nurse Practitioner | 88775 Avenue 76, Ste. 1, Thermal, CA 92274-9407 | 2009-09-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184997520 | Riverside County Latino Commission On Alcohol and Drug Abuse Services | Clinic/Center | 86150 Ave. 66, Thermal, CA 92274 | 2012-02-15 |
1275753691 | Coachella Valley Unified School District | Local Education Agency (LEA) | 87225 Church Street, Thermal, CA 92274 | 2007-04-26 |
1255490819 | Borrego Community Health Foundation | Family Medicine | 88775 Avenue 76, Ste. 1, Thermal, CA 92274 | 2006-12-08 |
1699089938 | Alan Murray Kuehn | Dentist | 55557 Campus Road, Thermal, CA 92274-0000 | 2010-07-28 |
1669967097 | Maria Gutierrez-bauer | Behavioral Analyst | 2898 Dione Dr, Thermal, CA 92274-6454 | 2018-06-27 |
1750442190 | West Shore Ambulance Service, Inc | Ambulance | 83 Desert Shores Dr, Thermal, CA 92274-7196 | 2006-12-12 |
1841789559 | Michelle Salgado | Behavior Technician | 54596 Shady Ln Spc 26, Thermal, CA 92274-8726 | 2018-05-08 |
1053896241 | Imperial County Behavioral Health Services | Clinic/Center | 1209 Van Buren Ave., Ste 1, Thermal, CA 92274-8800 | 2018-10-03 |
1043363641 | Riverside-san Bernardino County Indian Health, Inc. | Clinic/Center | 66735 Martinez Rd, Thermal, CA 92274-9007 | 2007-01-19 |
1548345473 | Nathan Williams | Family Medicine | 66735 Martinez St, Thermal, CA 92274-9007 | 2006-10-26 |
Find all providers in zip 92274 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
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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 |
1023500592 | Pamela Lambert Pa-c, Inc. | Physician Assistant | 16105 Mariposa Ave, Riverside, CA 92504-8730 | 2018-05-31 |
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 |
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.