STEPHAN LEO BALITAO (NPI# 1023666310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023666310 |
| Entity Type | Individual |
| Full Name | STEPHAN LEO BALITAO |
| Practice Address |
4258 Telegraph Rd Ventura CA 93003-3706 |
| Practice Telephone | 8054775700 |
| Mailing Telephone | 8054775700 |
| Enumeration Date | 2019-08-29 |
| Last Update Date | 2019-08-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
95160434 | CA | Nursing Service Providers |
| Street Address |
4258 TELEGRAPH RD |
| City | VENTURA |
| State | CA |
| Zip Code | 93003-3706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689710618 | Corazon Fernandez Corpus-elliott | Psychiatry & Neurology | 4258 Telegraph Rd, Ventura, CA 93003-3706 | 2007-01-29 |
| 1740887512 | Dinah Galaviz Cota | Case Manager/Care Coordinator | 4258 Telegraph Rd, Ventura, CA 93003-3706 | 2020-10-05 |
| 1881254928 | Annette Carrisoza Lopez | Behavior Technician | 4258 Telegraph Rd, Ventura, CA 93003-3706 | 2019-06-20 |
| 1710456058 | Irene Fabiola Galicia | Social Worker | 4258 Telegraph Rd, Ventura, CA 93003-3706 | 2018-11-15 |
| 1982196549 | Joshua Lorimer | Student in an Organized Health Care Education/Training Program | 4258 Telegraph Rd, Ventura, CA 93003-3706 | 2018-05-30 |
| 1174042469 | Lauren Serrano | Counselor | 4258 Telegraph Rd, Ventura, CA 93003-3706 | 2017-09-18 |
| 1952820318 | Betty Carherine Roos | Counselor | 4258 Telegraph Rd, Ventura, CA 93003-3706 | 2017-09-16 |
| 1295256881 | Vanessa Desantis | Marriage & Family Therapist | 4258 Telegraph Rd, Ventura, CA 93003-3706 | 2017-07-05 |
| 1679009948 | Eric Calderon Arroyo | Case Manager/Care Coordinator | 4258 Telegraph Rd, Ventura, CA 93003-3706 | 2017-05-05 |
| 1295260487 | Margaret Gaura | Registered Nurse | 4258 Telegraph Rd, Ventura, CA 93003-3706 | 2017-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124645924 | Community Memorial Health System | Pharmacy | 2790 Loma Vista Road, Ventura, CA 93003 | 2020-06-29 |
| 1730702952 | Sarah Manon Begert | Student in an Organized Health Care Education/Training Program | 300 Hillmont Ave., Bldg 340, Ste 201, Ventura, CA 93003 | 2020-05-21 |
| 1033763677 | Ashley Danielle Aguilar | Counselor | 5740 Ralston Suite 100, Ventura, CA 93003 | 2019-08-01 |
| 1730747239 | Azadeh Ellsworth | Nurse Practitioner | 1752 S Victoria Ave Ste 250, Ventura, CA 93003 | 2019-05-31 |
| 1992275556 | Melissa Marie Cole | Social Worker | 4949 Market St, Ventura, CA 93003 | 2018-11-27 |
| 1851868400 | Weldon Acupuncture Professional Corporation | Acupuncturist | 3737 Telegraph Road, Suite F, Ventura, CA 93003 | 2018-10-31 |
| 1952876468 | Isabella Florencia Gallegos | Specialist/Technologist | 1857 Knoll Dr., Ventura, CA 93003 | 2018-10-11 |
| 1437645421 | Jill Huang Wong | Psychologist | 3585 Maple St Ste 248, Ventura, CA 93003 | 2018-07-02 |
| 1346735156 | Lisa Ngoc Thi Nguyen | Student in an Organized Health Care Education/Training Program | 147 N. Brent Street, Ventura, CA 93003 | 2018-06-25 |
| 1457845331 | Khloe Frank | Student in an Organized Health Care Education/Training Program | 300 Hillmont Ave, Bldg 340, Suite 201, Ventura, CA 93003 | 2018-06-14 |
| Find all providers in zip 93003 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023206893 | Maya Winwood | Registered Nurse | 2033 Ayala St, Ventura, CA 93001-3712 | 2007-10-05 |
| 1740899145 | Ruth Bannatz | Registered Nurse | 300 Hillmont Ave, Ventura, CA 93003-1651 | 2020-07-31 |
| 1952953408 | Miranda Naish | Registered Nurse | 200 Hillmont Ave, Ventura, CA 93003-1647 | 2019-07-15 |
| 1356993364 | Jennifer Marie Radford | Registered Nurse | 200 Hillmont Ave, Ventura, CA 93003-1647 | 2019-07-10 |
| 1366911109 | Terrie Lynn Mason | Registered Nurse | 200 Hillmont Ave, Ventura, CA 93003-1647 | 2018-11-22 |
| 1316459589 | Cindy L De Jesus | Registered Nurse | 200 Hillmont Ave, Ventura, CA 93003-1647 | 2017-10-28 |
| 1720470768 | Julia Parker | Registered Nurse | 5810 Ralston St Fl 2, Ventura, CA 93003-5908 | 2015-02-27 |
| 1851728851 | Brandon Hall | Registered Nurse | 200 Hillmont Ave, Ventura, CA 93003-1647 | 2013-10-04 |
| 1427397579 | Susan Ann Roberts | Registered Nurse | 200 Hillmont Ave, Ventura, CA 93003-1647 | 2013-02-10 |
| 1740527639 | Roni M Cabrera | Registered Nurse | 200 Hillmont Ave, Ventura, CA 93003-1647 | 2013-01-11 |
| Find all providers in VENTURA | ||||
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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.