MS. JAYNE S SHODA (NPI# 1003817701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003817701 |
| Entity Type | Individual |
| Full Name | MS. JAYNE S SHODA |
| Credential | MSN, FNP-C |
| Practice Address |
1600 San Fernando Rd. San Fernando CA 91340 |
| Mailing Address |
915 W. Emma Ave Coeur D Alene ID 83814 |
| Practice Telephone | 8183658086 |
| Practice Fax Number | 8188984826 |
| Mailing Telephone | 2089640701 |
| Mailing Fax Number | 8183654031 |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2015-12-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | NP956A | ID | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1600 SAN FERNANDO RD. |
| City | SAN FERNANDO |
| State | CA |
| Zip Code | 91340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588665368 | Helen P Lai | Advanced Practice Midwife | 1600 San Fernando Rd., San Fernando, CA 91340 | 2005-08-03 |
| 1639271950 | Tara M. Patel | Registered Nurse | 1600 San Fernando Rd., San Fernando, CA 91340 | 2006-09-05 |
| 1619997871 | Alma Delia Guerrero | Pediatrics | 1600 San Fernando Rd., San Fernando, CA 91340 | 2006-07-20 |
| 1629004460 | Henry Rikkers | Pediatrics | 1600 San Fernando Rd., San Fernando, CA 91340 | 2006-06-23 |
| 1356387567 | Rashaye Kendria Freeman | Nurse Practitioner | 1600 San Fernando Rd., San Fernando, CA 91340 | 2006-06-22 |
| 1619910221 | Lidia Alonso Shadrick | Pediatrics | 1600 San Fernando Rd., San Fernando, CA 91340 | 2006-06-13 |
| 1972571982 | Sara Courtney Gelberman | Pediatrics | 1600 San Fernando Rd., San Fernando, CA 91340 | 2006-03-08 |
| 1114928819 | Mansour Raji | Obstetrics & Gynecology | 1600 San Fernando Rd., San Fernando, CA 91340 | 2005-08-03 |
| 1194726893 | Kathryn Roene Steffen | Nurse Practitioner | 1600 San Fernando Rd., San Fernando, CA 91340 | 2005-08-03 |
| 1811998511 | Maryann Zukin | Pediatrics | 1600 San Fernando Rd., San Fernando, CA 91340 | 2005-08-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043844301 | Atalla Dental Corp. | Clinic/Center | 557 N. Maclay Ave., San Fernando, CA 91340 | 2020-02-26 |
| 1235623190 | Kohan & Rodef Dental Corporation | Dentist | 500 San Fernardo Mission Blvd Suite #2, San Fernardo, CA 91340 | 2018-06-14 |
| 1700388766 | North Valley Diagnostics Services, Inc. | Electrodiagnostic Medicine | 670 San Fernando Mission Blvd, #d, San Fernando, CA 91340 | 2018-03-06 |
| 1750889531 | Garfield Beach Cvs, L.l.c | Durable Medical Equipment & Medical Supplies | 1204 San Fernando Rd, San Fernando, CA 91340 | 2018-01-26 |
| 1689118598 | Maira Yesenia Lopez | Counselor | 565 S. Brand Blvd, San Fernando, CA 91340 | 2016-12-12 |
| 1386042166 | Afsaneh Mazaheri-sichani | Dentist | 777 Turman St., Suite 107, San Fernando, CA 91340 | 2014-12-11 |
| 1396154167 | Lorena Tercero | Marriage & Family Therapist | 302 S. Brand Blvd, San Fernando, CA 91340 | 2014-08-06 |
| 1689082836 | Germine Aznavour | Pharmacist | 12920 Foothill Blvd, San Fernando, CA 91340 | 2014-07-31 |
| 1841605151 | Aswani Dental Corporation | Clinic/Center | 12940 Foothill Blvd Ste C, San Fernando, CA 91340 | 2014-06-25 |
| 1467705624 | Brenda Lira | Social Worker | 11565 Laurel Canyon Blvd., Suite 116, San Fernando, CA 91340 | 2012-10-24 |
| Find all providers in zip 91340 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801936489 | Adriana Cobian | Nurse Practitioner | 732 Mott St Ste 100-110, San Fernando, CA 91340-4237 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528817 | Gemekia Latrisha Morales | Nurse Practitioner | 1800 N. California, Stockton, CA 95952 | 2020-11-08 |
| 1447851324 | Anna Patricia Torres | Nurse Practitioner | 1158 Santa Lucia Dr, Pittsburg, CA 94565-7615 | 2020-11-05 |
| 1447851647 | Melanie Ganotisi | Nurse Practitioner | 11541 Blucher Ave Unit 125, Granada Hills, CA 91344-4362 | 2020-11-04 |
| 1659971729 | Raquel Y Mccarthy | Nurse Practitioner | 334 Via Vera Cruz Ste 257, San Marcos, CA 92078-2643 | 2020-10-28 |
| 1689274607 | Aleksandra Zaitseva | Nurse Practitioner | 6850 Sepulveda Blvd Ste 215, Van Nuys, CA 91405-4450 | 2020-10-28 |
| 1215537543 | Gereine Mae Condino Datan | Nurse Practitioner | 500 W 190 St, Gardena, CA 90248 | 2020-10-27 |
| 1861092355 | Vilma Estrada | Nurse Practitioner | 37945 28th St E, Palmdale, CA 93550-5521 | 2020-10-26 |
| 1871192492 | Folashade Jayeoba | Nurse Practitioner | 7453 Tucson Ln, Fontana, CA 92336-0712 | 2020-10-23 |
| 1467051391 | Careforyou LLC | Nurse Practitioner | 806 14th St, Modesto, CA 95354-1023 | 2020-10-21 |
| 1427657550 | Adriana Sarah Pettross | Nurse Practitioner | 35286 Vista De Todo, Capistrano Beach, CA 92624-1847 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
| City | SAN FERNANDO |
| Zip Code | 91340 |
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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.