Tabita Lozano Collins, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

16147 Issued in CA

Practice address

1274 N Rose Dr
Suite 122
Placentia, CA 92870

Phone

(714) 961-0808

Fax

(714) 961-0115

NPI assigned

Aug 5, 2008

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1217894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217894400000",
    "number": "1609032044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13121 SANDHURST PL",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927052136",
            "telephone_number": "714-913-3845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1274 N ROSE DR",
            "address_2": "SUITE 122",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "92870",
            "telephone_number": "714-961-0808",
            "fax_number": "714-961-0115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "TABITA",
        "middle_name": "LOZANO",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-05",
        "last_updated": "2008-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "16147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Omolara Coker
• Kathryn Anne Cole, MPT
• Maurine Elaine Cole, OT
• Robin R. Cole, M.D.
• Rita Marie Collins-Faulkner
• Colorado Cottage LLC (Belford Living)
• Community Chiropractic Center
• Complete Balance Chiropractic & Wellness
• Comprehensive Care, Inc (Comprehensive ER Care)
• Concentra Health Services, Inc.

• Medical Physician Assistant in Placentia, CA
• Providers in Placentia, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.