JOHN RAYMOND SWEENEY P.A. NPI 1790886786

NPI Information

NPI: 1790886786
Provider Name: JOHN RAYMOND SWEENEY, P.A.
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
39000 BOB HOPE DR
HARRY & DIANE RINKER BUILDING
RANCHO MIRAGE, CA
ZIP 92270
Phone: (760) 568-2684
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John Raymond Sweeney, P.A. is a medical physician assistant in Rancho Mirage, CA. John Raymond Sweeney, P.A. NPI is 1790886786. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

39000 BOB HOPE DR
HARRY & DIANE RINKER BUILDING
RANCHO MIRAGE, CA
ZIP 92270-221
Phone: (760) 568-2684
Fax: (760) 837-2264

The enumeration date for this NPI number is 9/25/2006 and was last updated on 5/13/2008.

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	363AS0400X	Physician Assistant	Surgical	PA20271	CALIFORNIA	No
2	363AM0700X	Physician Assistant	Medical	PA20271	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	S17302	MEDICARE UPIN	CALIFORNIA
2	0PA202710	MEDICARE PIN	CALIFORNIA
3	PA20271	OTHER	CALIFORNIA	CA LICENSE #

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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