| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ZADE NEIL BATARSEH | 1306493267 | 2019-08-23 |
Zade Neil Batarseh [M] graduated in 2019 and primarily specializes in Physician Assistant.
Zade Neil Batarseh is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1306493267. Registration indicates Zade Neil Batarseh is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant, ) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (All Other Specialties & Provider Types, ) (Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers)
| PECOS ID | 446684344 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Zade Neil Batarseh PA-C |
| Practice Office Address | 2525 ERRINGER RD SIMI VALLEY, CA US |
| Practice Office Telephone | 8055271404 |
| Practice Office Fax | 8055275246 |
| Mailing Address | 5720 RALSTON ST STE 200 VENTURA, CA 930037844 US |
| Business Telephone | 8058044168 |
| Business Fax | 8058301177 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 28078 Baxter Rd Ste And340 | Murrieta, CA 925631402 | 9516772157 |
| Carequality [C-CDA] | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) Southern California Permanente Medical Group |
| CONNECT URL [] | https://venturaortho.com/ | |
| CONNECT URL [] | https://www.ctoamg.com/ |
| Code | Practice | License No State |
|---|---|---|
| 363A00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant All Other Specialties & Provider Types Physician Assistant Physician Assistants & Advanced Practice Nursing Providers | 56971
CA |
| 56971 | OTHER | CA | STATE LICENSE |