MRS. KRISTINE ANN REBIERO (NPI# 1992987259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992987259 |
| Entity Type | Individual |
| Full Name | MRS. KRISTINE ANN REBIERO |
| Credential | PA-C |
| Practice Address |
1030 Scenic Dr Modesto CA 95350-6133 |
| Practice Telephone | 2095587698 |
| Mailing Telephone | 2095587698 |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2019-06-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
17922 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1992987259 | 05 | |
| CA | PA17922 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1990 N California Blvd, Ste 400, Walnut Creek, CA 945963742 | 9252255837 | 9254822834 |
| Street Address |
1030 SCENIC DR |
| City | MODESTO |
| State | CA |
| Zip Code | 95350-6133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020459 | Karina Montes Rodriguez | Case Manager/Care Coordinator | Cip 1540 Florida Ave, Suite 212, Modesto, CA 95350 | 2020-10-09 |
| 1134737315 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 2057 Tully Road, Suite A, Modesto, CA 95350 | 2020-07-14 |
| 1588211254 | Karla Junuen Toscano | Licensed Vocational Nurse | 1235 Mchenry Ave. Suites A&b, Modesto, CA 95350 | 2019-08-19 |
| 1831694769 | Loretta Myers-weber | Nurse Practitioner | 1510 Florida Ave Ste A, Modesto, CA 95350 | 2018-03-23 |
| 1720599632 | Coral Alejandra Amador | Counselor | 1700 Mchenry Village Way, Suite 11b, Modesto, CA 95350 | 2017-10-18 |
| 1053820522 | Pannu and Henne Dental Corp. | Dentist | 3219 Mc Henry Ave, Suite E, Modesto, CA 95350 | 2017-09-27 |
| 1346779709 | Kevin Sotelo | Behavior Technician | 2630 W Rumble Road, Modesto, CA 95350 | 2017-06-08 |
| 1255869566 | Hoa Xuan Phan | Family Medicine | 1441 Florida Ave Ste 200, Modesto, CA 95350 | 2017-05-31 |
| 1356881163 | Brady S Marshall | Dentist | 201 E. Orangeburg Avenue, Suite C, Modesto, CA 95350 | 2017-02-27 |
| 1750755476 | Caremore Health Plan | Nurse Practitioner | 1234 Mchenry Avenue, Modesto, CA 95350 | 2015-11-18 |
| Find all providers in zip 95350 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174606800 | Delia Yanira Hernandez | Physician Assistant | 1317 Oakdale Rd Ste 440, Modesto, CA 95355 | 2006-10-24 |
| 1194821223 | Linda Sue Phillips | Physician Assistant | 3400 Finch Rd, Parker-racor Healthstat Clinic, Modesto, CA 95354-4125 | 2006-09-16 |
| 1265415525 | Natalie Angele Mattos | Physician Assistant | 1114 6th St, Modesto, CA 95354-2203 | 2005-11-21 |
| 1598264103 | Corey Tremblay | Physician Assistant | 817 Coffee Rd Ste B, Modesto, CA 95355-4241 | 2018-02-09 |
| 1720592033 | Jennifer Ann O'connor | Physician Assistant | 1114 6th St, Modesto, CA 95354-2203 | 2017-11-22 |
| 1275938748 | Cleiban Hernan Vega | Physician Assistant | 1234 Mchenry Ave, Modesto, CA 95350-5373 | 2014-10-27 |
| 1861895278 | David Ronald Boone | Physician Assistant | 1409 E Briggsmore Ave, Modesto, CA 95355-2707 | 2014-09-30 |
| 1730594078 | Joshua Clements | Physician Assistant | 2101 Tenaya Dr, Modesto, CA 95354-3930 | 2014-06-25 |
| 1134473564 | Sheena Latrac Allen | Physician Assistant | 1441 Florida Ave, Modesto, CA 95350-4404 | 2012-11-07 |
| 1083963805 | Jessica Dahlin | Physician Assistant | 1700 Coffee Rd, Modesto, CA 95355-2803 | 2012-09-07 |
| Find all providers in MODESTO | ||||
Please comment or provide details below to improve the information on MRS. KRISTINE ANN REBIERO.
| 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.