MARY GRACE P TRIAS (NPI# 1043861313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043861313 |
| Entity Type | Individual |
| Full Name | MARY GRACE P TRIAS |
| Credential | PHARMACY TECHNICIAN |
| Practice Address |
31485 Mandy Ct Lake Elsinore CA 92530-5124 |
| Practice Telephone | 9514599017 |
| Practice Fax Number | 9512458862 |
| Mailing Telephone | 9514599017 |
| Mailing Fax Number | 9512458862 |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2019-09-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 376G00000X | Nursing Home Administrator | 6048231740 | CA | Nursing Service Related Providers |
| Street Address |
31485 MANDY CT |
| City | LAKE ELSINORE |
| State | CA |
| Zip Code | 92530-5124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841801479 | Mercedes Samantha Hamilton | Licensed Psychiatric Technician | 18465 Grand Ave, Lake Elsinore, CA 92530 | 2020-08-17 |
| 1700423779 | Karrene Louise Stanard | Peer Specialist | 31764 Casino Drive, Suite 300, Lake Elsinore, CA 92530 | 2019-12-09 |
| 1972149961 | Danielle Cravalho | Student in an Organized Health Care Education/Training Program | 31964 Mission Trail, Suite B, Lake Elsinore, CA 92530 | 2019-11-25 |
| 1952825648 | R.e. Levi Dental Corporation | Dentist | 32235 Mission Trail # 8, Lake Elsinore, CA 92530 | 2017-08-03 |
| 1144760729 | Alfred Metwashla | Pharmacist | 18269 Collier Ave, Lake Elsinore, CA 92530 | 2017-03-02 |
| 1750788733 | Roxanne Martinez | Case Manager/Care Coordinator | 31764 Casino Drive, Lake Elsinore, CA 92530 | 2014-11-19 |
| 1871870907 | Bryan Tuan Tran | Pharmacist | 160 Diamond Drive, Lake Elsinore, CA 92530 | 2011-11-03 |
| 1043590821 | Katherynn Elizabeth Williams | Marriage & Family Therapist | 600 Central Ave Ste 201, Lake Elsinore, CA 92530 | 2011-08-24 |
| 1861771677 | Judy Kelly | Marriage & Family Therapist | 224 West Graham Ave, Lake Elsinore, CA 92530 | 2011-08-10 |
| 1427343813 | Patrick Chern | Pharmacist | 18287 Collier Ave., Lake Elsinore, CA 92530 | 2011-06-14 |
| Find all providers in zip 92530 | ||||
| Taxonomy Code | 376G00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Nursing Home Administrator |
| An individual, often licensed by the state, who is responsible for the management of a nursing home. |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations, and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL, 1994, p. 552. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508231341 | Rona Juliano | Nursing Home Administrator | 30002 N Lake Dr, Lake Elsinore, CA 92530-1227 | 2015-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538760210 | Vanessa Nunez | Nursing Home Administrator | 1697 Donax Ave, San Diego, CA 92154-1004 | 2020-11-08 |
| 1225637622 | Elizabeth Memoracion | Nursing Home Administrator | 2140 Ceres Ave, Chico, CA 95926-1403 | 2020-10-19 |
| 1659903037 | Noelia Garcia | Nursing Home Administrator | 2755 Thacker Dr, Corona, CA 92881-3634 | 2020-02-04 |
| 1164054557 | Romulo L Garcia | Nursing Home Administrator | 1540 Heartland Way, Corona, CA 92881-4179 | 2020-02-04 |
| 1902436058 | Musarrat Khan | Nursing Home Administrator | 14736 Willow Grove Pl, Moreno Valley, CA 92555-5746 | 2020-01-16 |
| 1295378818 | Yaninee Asawadilokchai | Nursing Home Administrator | 8191 Lambert Dr, Huntington Beach, CA 92647-4816 | 2019-10-27 |
| 1982250635 | Lilibeth Mesa | Nursing Home Administrator | 8890 Harlow Ct, Elk Grove, CA 95624-3225 | 2019-08-16 |
| 1295380467 | Riverside Elite Advantage Care Home LLC | Nursing Home Administrator | 17085 Birch Hill Rd, Riverside, CA 92504-8823 | 2019-08-05 |
| 1275194284 | Kathy J Maghbouleh | Nursing Home Administrator | 26545 Avenida Deseo, Mission Viejo, CA 92691-3303 | 2019-06-21 |
| 1104388867 | Victoria Rehg | Nursing Home Administrator | 15535 China Rapids Dr, Red Bluff, CA 96080-9641 | 2019-04-02 |
| Find all providers with the same taxonomy | ||||
| City | LAKE ELSINORE |
| Zip Code | 92530 |
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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.