Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMANTHA BALTAZAR, PA
Active Sole ProprietorSAMANTHA BALTAZAR, PA is a Medical Physician Assistant healthcare provider located in SAN BERNARDINO, California. NPI 1578176475 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · SAN BERNARDINO, CA
Registration Details
- NPI Number
- 1578176475
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 28, 2020 (5.9569845753265 yrs)
- Last Updated
- Nov 14, 2024
- Licenses
-
PA3107 (NV)PA58722 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
197 E CAROLINE ST STE 1400SAN BERNARDINO, CA, 924083731Browse CA providers · Browse ZIP 92408
- Phone
- 0995583636
- Fax
- 9095583754
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Medical Physician Assistant
- Additional Specialty
- Medical Physician Assistant
Other Medical Physician Assistant Providers in SAN BERNARDINO, CA
| Name | Credential | NPI |
|---|---|---|
| RAQUEL MARIE HENDERSON | PA-C | 1770597809 |
| MR. EZEQUIEL MARTINEZ | P.A. | 1497822142 |
| MARIA ELENA TERRAZAS | PA | 1972651289 |
| MRS. LOU MIZELLE DELACRUZ TANWANGCO | PA-C | 1609993708 |
| CORY AMADOR | PA-C | 1801082946 |
| MISS CATHERINE DOMINGO OMS | RN, PAC | 1982880795 |
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.