Provider Demographics
NPI:1326293895
Name:STONE, AMERICA TENISHA (PA)
Entity Type:Individual
Prefix:MS
First Name:AMERICA
Middle Name:TENISHA
Last Name:STONE
Suffix:
Gender:F
Credentials:PA
Other - Prefix:MRS
Other - First Name:AMERICA
Other - Middle Name:TENISHA
Other - Last Name:QUINTANA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHYSICIAN ASSISTANT
Mailing Address - Street 1:10769 CHAMPAGNE RD
Mailing Address - Street 2:
Mailing Address - City:ALTA LOMA
Mailing Address - State:CA
Mailing Address - Zip Code:91737-6971
Mailing Address - Country:US
Mailing Address - Phone:951-203-1619
Mailing Address - Fax:
Practice Address - Street 1:10769 CHAMPAGNE RD
Practice Address - Street 2:
Practice Address - City:ALTA LOMA
Practice Address - State:CA
Practice Address - Zip Code:91737-6971
Practice Address - Country:US
Practice Address - Phone:951-203-1619
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-24
Last Update Date:2021-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPA20051363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical