JUDITH GIACONA


Address: 11711 Sand Canyon Rd, Yucaipa, CA 92399-1742
Phone: 9093893272

JUDITH GIACONA (NPI# 1033418108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033418108
Entity Type Individual
Full Name JUDITH GIACONA
Credential RN, PHN, MA
Practice Address 11711 Sand Canyon Rd
Yucaipa
CA 92399-1742
Mailing Address 35080 Buena Mesa Dr
Calimesa
CA 92320-1904
Practice Telephone 9093893272
Practice Fax Number 9093890772
Mailing Telephone 9093893272
Mailing Fax Number 9093890772
Enumeration Date 2011-03-15
Last Update Date 2011-03-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WC1400X Registered Nurse
Specialization: College Health
242096 CA Nursing Service Providers

Office Location

Street Address 11711 SAND CANYON RD
City YUCAIPA
State CA
Zip Code 92399-1742

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457420945 Hannah P Sandy Nurse Practitioner 11711 Sand Canyon Rd, Yucaipa, CA 92399-1742 2006-11-07
1407385149 Gilbert Agyemang-boakye Nurse Practitioner 11711 Sand Canyon Rd, Yucaipa, CA 92399-1742 2017-06-07
1356726509 Maria Garcia Registered Nurse 11711 Sand Canyon Rd, Yucaipa, CA 92399-1742 2015-07-29
1861791923 Laura Estrada Registered Nurse 11711 Sand Canyon Rd, Yucaipa, CA 92399-1742 2011-03-15
1578690111 Crafton Hills College Clinic/Center 11711 Sand Canyon Rd, Ssb 101, Yucaipa, CA 92399-1742 2007-02-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891301941 Emily Ambrosi Occupational Therapist 12257 Tulip Ln, Yucaipa, CA 92399 2020-09-23
1952943524 Terrence Williams Behavioral Analyst 13768 Meadow View Lane, Yucaipa, CA 92399 2019-10-15
1235795097 Han Acu&herbs, Inc Acupuncturist 32387 Yucaipa Blvd, Ste, F, Yucaipa, CA 92399 2019-05-16
1366926784 David Gene Satre Psychologist 31752 Dove Ct, Yucaipa, CA 92399 2018-09-21
1336659861 Titianna Little Physical Therapist 32819 Yucaipa Boulevard #3, Yucaipa, CA 92399 2017-10-11
1174043467 Sharon Lee Pendola Licensed Vocational Nurse 11885 4th St, Yucaipa, CA 92399 2017-06-27
1073033072 Juniper Manor, LLC Skilled Nursing Facility 35223 Juniper Avenue, Yucaipa, CA 92399 2017-06-21
1952858417 Rafael Arias Non-emergency Medical Transport (VAN) 12386 17th St, Yucaipa, CA 92399 2016-09-01
1578906467 Joyce I Bandele Durable Medical Equipment & Medical Supplies 34664 County Line Rd Suite 14, Yucaipa, CA 92399 2013-04-10
1033475108 Loleta Michelle Gustafson Marriage & Family Therapist 34455 Yucaipa Blvd Ste 206, Yucaipa, CA 92399 2012-04-03
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Taxonomy Information

Taxonomy Code 163WC1400X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization College Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356726509 Maria Garcia Registered Nurse 11711 Sand Canyon Rd, Yucaipa, CA 92399-1742 2015-07-29
1861791923 Laura Estrada Registered Nurse 11711 Sand Canyon Rd, Yucaipa, CA 92399-1742 2011-03-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1831729938 Alyson Wycoff Registered Nurse Student Health Service Mc7002, University of California Building 588, Santa Barbara, CA 91036-7002 2020-01-17
1952959447 Sarah Ann Haugh Registered Nurse Student Health Service University of California, Santa Barbara, CA 93106-0001 2019-08-28
1104380732 Jeremy Thio Registered Nurse 4800 Magnolia Ave Dept 1293, Riverside, CA 92506-1293 2019-01-28
1669674065 Carol A Hill Registered Nurse 501 E Peltason, Irvine, CA 92697-0001 2007-06-05
1689740722 Susan Hillary Mykita Registered Nurse 4700 College Oak Dr, American River College, Sacramento, CA 95841-4217 2006-11-28
1760093074 Denise Palecek Registered Nurse 1 University Cir, Building 29, Turlock, CA 95382-3200 2020-08-11
1568072585 Lisa Thomas Registered Nurse 757 N College Way, Claremont, CA 91711-3944 2020-08-04
1598382095 Briana April Miller Registered Nurse 301 Victoria St, Costa Mesa, CA 92627-7131 2020-06-30
1629617139 Nico Jay Gamayon Camia Registered Nurse 301 Victoria St, Costa Mesa, CA 92627-1995 2019-12-31
1295396927 Robin Rafael Registered Nurse 221 Westwood Plaza, Los Angeles, CA 90095-0001 2019-06-24
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Competitor

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City YUCAIPA
Zip Code 92399

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Dataset Information

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.

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