APAMA K CHILDERS P.A. NPI 1609870047

NPI Information

NPI: 1609870047
Provider Name: APAMA K CHILDERS, P.A.
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
900 N HERITAGE DR STE E
RIDGECREST, CA
ZIP 93555
Phone: (760) 446-8281
Get Directions

Apama K Childers, P.A. is a medical physician assistant in Ridgecrest, CA. Apama K Childers, P.A. NPI is 1609870047. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

900 N HERITAGE DR STE E
RIDGECREST, CA
ZIP 93555-537
Phone: (760) 446-8281
Fax: (760) 446-0970

The NPI 1609870047 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/13/2005 and was last updated on 9/2/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA10602	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	010032908	OTHER		RAILROAD MEDICARE
2	0PA106020	OTHER		BLUE SHIELD
3	00G570660	MEDICAID	CALIFORNIA
4	00G570660	OTHER		COMMERCIAL
5	CA0103	OTHER		JOHN DEERE
6	G57066	OTHER		IMG
7	154460165	OTHER		PALMETTO
8	688278	OTHER		AHI HEALTHLINK
9	0616650001	OTHER		DME
10	0PA106020	MEDICARE ID-TYPE UNSPECIFIED
11	00G570660	OTHER		BLUE CROSS
12	93555B033	OTHER		WPS TRICARE
13	R22417	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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