Provider Demographics
NPI:1023066768
Name:VINLUAN-FELIX, MARIA JOY (PA)
Entity type:Individual
Prefix:MS
First Name:MARIA
Middle Name:JOY
Last Name:VINLUAN-FELIX
Suffix:
Gender:F
Credentials:PA
Other - Prefix:MS
Other - First Name:MARIA
Other - Middle Name:JOY
Other - Last Name:VINLUAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:2615 CHESTER AVE
Mailing Address - Street 2:SURGERY DEPARTMENT
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-2014
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2615 CHESTER AVE
Practice Address - Street 2:SURGERY DEPARTMENT
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-2014
Practice Address - Country:US
Practice Address - Phone:661-395-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2014-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPA-277363A00000X
CAPA-19971363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
ARQ31103Medicare UPIN
AR5N191-P109Medicare ID - Type Unspecified