MRS. JAZEL RUIVIVAR SAMBO (NPI# 1043860844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043860844 |
| Entity Type | Individual |
| Full Name | MRS. JAZEL RUIVIVAR SAMBO |
| Credential | NP |
| Practice Address |
2510 El Camino Real Carlsbad CA 92008-1273 |
| Practice Telephone | 7607298941 |
| Mailing Telephone | 6077298941 |
| Enumeration Date | 2019-09-13 |
| Last Update Date | 2020-11-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 95012694 | CA | Allopathic & Osteopathic Physicians |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95012694 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 13525 Midland Rd, Poway, CA 920644771 | 8584869100 |
| Street Address |
2510 EL CAMINO REAL |
| City | CARLSBAD |
| State | CA |
| Zip Code | 92008-1273 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366487266 | Garfield Beach Cvs LLC | Pharmacy | 2510 El Camino Real, Carlsbad, CA 92008-1273 | 2006-06-17 |
| 1326673633 | Bethany Smith | Nurse Practitioner | 2510 El Camino Real, Carlsbad, CA 92008-1273 | 2020-03-06 |
| 1245860501 | Minh Nhan | Pharmacist | 2510 El Camino Real, Carlsbad, CA 92008-1273 | 2020-01-24 |
| 1891346508 | Shelly Beck Benfield | Nurse Practitioner | 2510 El Camino Real, Carlsbad, CA 92008-1273 | 2019-09-24 |
| 1780233221 | Robert Roscoe Vaughan | Nurse Practitioner | 2510 El Camino Real, Carlsbad, CA 92008-1273 | 2019-09-07 |
| 1508337387 | Victoria Nga Tran | Nurse Practitioner | 2510 El Camino Real, Carlsbad, CA 92008-1273 | 2018-12-05 |
| 1386147056 | Elisse Kenty | Nurse Practitioner | 2510 El Camino Real, Carlsbad, CA 92008-1273 | 2018-03-08 |
| 1457893703 | Matthew Nguyen | Pharmacist | 2510 El Camino Real, Carlsbad, CA 92008-1273 | 2016-11-16 |
| 1619424959 | Emily Rorabaugh | Nurse Practitioner | 2510 El Camino Real, Carlsbad, CA 92008-1273 | 2016-09-03 |
| 1003289398 | James Goto | Pharmacist | 2510 El Camino Real, Carlsbad, CA 92008-1273 | 2015-11-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760029706 | Todd F Ovokaitys | Internal Medicine | 2260 Rutherford Road, Suite 101, C/o Gematria, Carlsbad, CA 92008 | 2019-12-10 |
| 1710548375 | San Diego Dental Anesthesia | Dentist | 1287 Carlsbad Village Drive, Carlsbad, CA 92008 | 2019-06-25 |
| 1972096717 | Toshiya Kawano | Chiropractor | 5650 El Camino Real Ste 285, Carlsbad, CA 92008 | 2018-06-06 |
| 1184111684 | Brittany Lauren Cheatham | Nurse Practitioner | 345 Walnut Ave, Carlsbad, CA 92008 | 2018-04-19 |
| 1770092843 | Michele Laporte Downey | Counselor | 2910 Jefferson St, Suite 100, Carsbad, CA 92008 | 2017-09-21 |
| 1225567142 | Shana Smith | Occupational Therapy Assistant | 5870 El Camino Real, Carlsbad, CA 92008 | 2017-06-05 |
| 1336690395 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 2559 Camino Real Rd, Carlsbad, CA 92008 | 2016-10-14 |
| 1093174849 | Nhi Thi Diem Nguyen | Pharmacist | 6850 Avenida Encinas, Carlsbad, CA 92008 | 2016-02-22 |
| 1912362112 | Brooke Ann Bellomio | Psychologist | 2558 Roosevelt St. Suite 203, Carlsbad, CA 92008 | 2015-12-15 |
| 1285005660 | Thanh-trinh Doan | Optometrist | 2322 Rutherford Rd., Carlsbad, CA 92008 | 2015-10-12 |
| Find all providers in zip 92008 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467092460 | Jennifer Anne Tupper | Nurse Practitioner | 2420 W Pierce St Ste 100, Carlsbad, NM 88220-3517 | 2020-01-08 |
| 1790333680 | Angela Houston | Nurse Practitioner | 202 W. Church Street, Carlsbad, NM 88220 | 2019-09-03 |
| 1891252318 | Stacy Thompson | Nurse Practitioner | 3610 Village Dr Apt A, Carlsbad, CA 92008-3362 | 2019-02-21 |
| 1134691488 | Anne Meyers French | Nurse Practitioner | 6735 Palermi Place, Carlsbad, CA 92011 | 2018-12-27 |
| 1689145278 | Angela Bidlack | Nurse Practitioner | 6438 Opal Way, Carlsbad, CA 92011-1241 | 2018-12-08 |
| 1548744899 | Li Li | Nurse Practitioner | 2402 W Pierce St Ste 6a, Carlsbad, NM 88220-3566 | 2018-09-22 |
| 1083120760 | Shannon L Roper | Nurse Practitioner | 110 S Halagueno St Ste 8, Carlsbad, NM 88220-5748 | 2017-12-18 |
| 1396259172 | Masoud Nadi | Nurse Practitioner | 5938 Priestly Dr Ste 102a, Carlsbad, CA 92008-8847 | 2017-12-01 |
| 1285144642 | Reagan Shea Leyva | Nurse Practitioner | 2402 W Pierce St Ste 2a, Carlsbad, NM 88220-3568 | 2017-10-11 |
| 1184152753 | Rica Elizabeth Davis | Nurse Practitioner | 6260 El Camino Real Ste 204, Carlsbad, CA 92009-1609 | 2017-05-26 |
| Find all providers in CARLSBAD | ||||
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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.