Jeremy John Espino in Santa Maria - Physician Assistant

Jeremy John Espino - NPI 1689854044

Jeremy John Espino is a Physician Assistant in Santa Maria, California. Jeremy John Espino practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jeremy John Espino is 1689854044. The last update date is 2016-04-19.

Jeremy John Espino's current location address is 117 W Bunny Ave, Santa Maria, California. You can contact this provider via phone number 8057393890 and fax number 8056145932. The mailing address for Jeremy John Espino is 117 W Bunny Ave, Santa Maria, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeremy John Espino
Address 117 W Bunny Ave, Santa Maria, California
Phone Number 8057393890
Fax Number 8056145932
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1689854044
Provider Enumeration Date 2007-11-13
Last Updated Date 2016-04-19

Provider Mailing Address Detail

Address 117 W Bunny Ave
City Santa Maria
State California (CA)
Post Code 934582805
Phone Number 8057393890
Fax Number 8056145932

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA18190
Definition:
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 perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
PA18190 CA PA LICENSE

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FAQs about Jeremy John Espino

What is the unique identifier code issued to Jeremy John Espino by the Centers for Medicare & Medicaid Services?

The Jeremy John Espino has been assigned the NPI (National Provider Identifier) 1689854044. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Jeremy John Espino is physically located?

The Jeremy John Espino is physically situated at the following address: 117 W Bunny Ave, Santa Maria, CA, 934582805.

What is the Jeremy John Espino's specialty and taxonomy code?

The Jeremy John Espino's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1689854044 to Jeremy John Espino?

The Centers for Medicare & Medicaid Services assigned the 1689854044 to Jeremy John Espino on 2007-11-13.

When was the Jeremy John Espino's information last updated?

The Jeremy John Espino's information was last updated on 2016-04-19.

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