Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICKOYAN NAKITA POOLE, PA-C
Active Sole ProprietorMICKOYAN NAKITA POOLE, PA-C is a Physician Assistant healthcare provider located in RIALTO, California. NPI 1316201734 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · RIALTO, CA
Registration Details
- NPI Number
- 1316201734
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 29, 2012 (14.084692281956 yrs)
- Last Updated
- Feb 7, 2022
- License
-
15766 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
425 E FOOTHILL BLVDRIALTO, CA, 923765153Browse CA providers · Browse ZIP 92376
- Phone
- 9095461005
- Fax
- 9095461061
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in RIALTO, CA
| Name | Credential | NPI |
|---|---|---|
| GRACE A BUONAVITA | PAC | 1396805479 |
| MR. DIEGO H SEVILLA | PHYSICIAN ASSISTANT | 1316008972 |
| MRS. WARIAM KAUR WILLIAM | PA-C | 1396868964 |
| MRS. MARTHA EVANGELINE COLUNGA | PA-C | 1588787055 |
| MRS. HILDA MANCILLA | PA-C | 1932310067 |
| MR. ADAIR RUTHERFORD BUCKNER I | PHYSICIAN ASSISTANT | 1912198201 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.