DAMIANO IMPASTATO JR. (NPI# 1003224320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003224320 |
| Entity Type | Individual |
| Full Name | DAMIANO IMPASTATO JR. |
| Practice Address |
1750 S Lewis Rd Camarillo CA 93012-8520 |
| Mailing Address |
28915 Thousand Oaks Blvd Unit 285 Agoura Hills CA 91301-2136 |
| Practice Telephone | 8057659050 |
| Enumeration Date | 2014-07-30 |
| Last Update Date | 2014-07-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1750 S LEWIS RD |
| City | CAMARILLO |
| State | CA |
| Zip Code | 93012-8520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326124579 | Telecare Corporation | Community Based Residential Treatment Facility, Mental Illness | 1750 S Lewis Rd, Camarillo, CA 93012-8520 | 2006-10-31 |
| 1871107078 | Cosbi Katrina Defensor Villesis | Licensed Vocational Nurse | 1750 S Lewis Rd, Camarillo, CA 93012-8520 | 2020-09-04 |
| 1376190835 | Julia Rebecca Carrington | Licensed Vocational Nurse | 1750 S Lewis Rd, Camarillo, CA 93012-8520 | 2019-08-20 |
| 1124671573 | Randolph Ramirez Jr. | Licensed Vocational Nurse | 1750 S Lewis Rd, Camarillo, CA 93012-8520 | 2019-07-23 |
| 1992275515 | Michael Corrigan Mishou | Registered Nurse | 1750 S Lewis Rd, Camarillo, CA 93012 | 2018-11-26 |
| 1417312513 | Homer Pascua | Licensed Vocational Nurse | 1750 S Lewis Rd, Camarillo, CA 93012-8520 | 2015-12-16 |
| 1912375437 | Brianna Medley | Counselor | 1750 S Lewis Rd, Camarillo, CA 93012-8520 | 2015-09-15 |
| 1043692957 | Elaine Hernandez Doctor | Counselor | 1750 S Lewis Rd, Camarillo, CA 93012-8520 | 2015-06-26 |
| 1386057404 | Rafael Stoneman | Counselor | 1750 S Lewis Rd, Camarillo, CA 93012-8520 | 2014-06-05 |
| 1750628525 | Michael Mcgill I | Licensed Vocational Nurse | 1750 S Lewis Rd, A, Camarillo, CA 93012-8520 | 2013-01-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992322895 | Natasha Nichole Johnson | Licensed Vocational Nurse | 1750 A S Lewis Rs, Camarillo, CA 93012 | 2020-06-26 |
| 1609392604 | Dain Emmanuel Acevedo | Counselor | 5284 Adolfo Road Suite 100, Camarillo, CA 93012 | 2017-08-21 |
| 1679093751 | Emily Sophia Rodriguez | Counselor | 5284 Adolfo Rd. Suite 100, Camarillo, CA 93012 | 2017-06-21 |
| 1164952750 | Valerie Marie Inez Rivera | Counselor | 5284 Adolfo Rd #100, Camarillo, CA 93012 | 2017-06-15 |
| 1457890709 | Constance Walsh | Prosthetic/Orthotic Supplier | 795 Camarillo Springs Rd, Suite C, Carmarillo, CA 93012 | 2017-02-20 |
| 1902349020 | Ferdinand Fortune Cuico | Registered Nurse | 421 Brister Park Ct, Camarillo, CA 93012 | 2016-11-21 |
| 1699226795 | Lauren Streiter | Counselor | 1750b S Lewis Rd, Camarillo, CA 93012 | 2016-10-24 |
| 1972955649 | Evolve Growth Initiatives, LLC | Community Based Residential Treatment Facility, Mental Illness | 799 Camarillo Springs Road, Ventura, CA 93012 | 2016-07-06 |
| 1083075089 | Justin Rodriguez Urbano | Dental Hygienist | 4422 Corte Arbusto, Camarillo, CA 93012 | 2016-03-18 |
| 1578924619 | Leslie Winn | Counselor | 291 Camino Leon, Camarillo, CA 93012 | 2016-03-17 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861979890 | Makenzie Stancliff | Student in an Organized Health Care Education/Training Program | 862 Fairchild Ave, Camarillo, CA 93010-4619 | 2018-07-23 |
| 1326424037 | John Timothy Francis | Student in an Organized Health Care Education/Training Program | 1857 Del Ciervo Pl, Camarillo, CA 93012-4066 | 2015-08-04 |
| 1114300118 | Kendra Christine Sutherland | Student in an Organized Health Care Education/Training Program | 560 Calle La Roda, Apt. 226, Camarillo, CA 93010-2774 | 2015-07-08 |
| 1942687553 | Ian Seth Mannarino | Student in an Organized Health Care Education/Training Program | 2570 Temple Ave, Camarillo, CA 93010-2230 | 2015-05-04 |
| 1770992133 | Lauren Marie Wagner | Student in an Organized Health Care Education/Training Program | 4947 Paseo Montelena, Camarillo, CA 93012-5264 | 2014-08-10 |
| 1477960029 | Katherine Brooks | Student in an Organized Health Care Education/Training Program | 805 Paseo Camarillo, #530, Camarillo, CA 93010-0889 | 2014-07-15 |
| 1295084036 | Anneka Busse | Student in an Organized Health Care Education/Training Program | 4258 Stonetree, Camarillo, CA 93012 | 2012-09-07 |
| 1902010325 | Meghan Bridget Ozment | Student in an Organized Health Care Education/Training Program | 1305 Del Norte Blvd, Camarillo, CA 93010 | 2007-05-09 |
| 1538381348 | Chanel Ramona Lopez | Student in an Organized Health Care Education/Training Program | 1305 Del Norte Road, Suite 130, Camarillo, CA 93010-8366 | 2007-05-02 |
| 1568986750 | Cesar David Iraheta Urbina | Student in an Organized Health Care Education/Training Program | 500 Airport Way, Camarillo, CA 93010-8500 | 2017-07-28 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.