Provider Demographics
NPI:1033793013
Name:MOLINARI, JAMES
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:MOLINARI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8042 SINGLETERRY WAY
Mailing Address - Street 2:
Mailing Address - City:ANTELOPE
Mailing Address - State:CA
Mailing Address - Zip Code:95843-4537
Mailing Address - Country:US
Mailing Address - Phone:707-775-7659
Mailing Address - Fax:
Practice Address - Street 1:8042 SINGLETERRY WAY
Practice Address - Street 2:
Practice Address - City:ANTELOPE
Practice Address - State:CA
Practice Address - Zip Code:95843-4537
Practice Address - Country:US
Practice Address - Phone:707-775-7659
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-06
Last Update Date:2022-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant