ANGELINA LAROCO LEIVA (NPI# 1063529592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063529592 |
| Entity Type | Individual |
| Full Name | ANGELINA LAROCO LEIVA |
| Credential | NP |
| Practice Address |
Mobile Medical & Nursing, Inc. 4161 West Kling Street, # 16 Burbank CA 91505 |
| Mailing Address |
1548 Noel Cir Simi Valley CA 93065-3752 |
| Practice Telephone | 8188435225 |
| Practice Fax Number | 8188435224 |
| Mailing Telephone | 8055835616 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | NP15295 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | NP LICENSE | NP15295 | 01 |
| Street Address |
MOBILE MEDICAL & NURSING, INC. 4161 WEST KLING STREET, # 16 |
| City | BURBANK |
| State | CA |
| Zip Code | 91505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023625035 | K and S Hospice Inc | Hospice Care, Community Based | 4100 W Alameda Ave Fl 3, Burbank, CA 91505 | 2020-09-24 |
| 1013542471 | Jami Stehlin | Nurse Practitioner | 501 S. Buena Vista St. 3ne, Burbank, CA 91505 | 2020-03-06 |
| 1497309033 | Ibrahim Lala | Pharmacist | 181 S. Buena Vista St, Burbank, CA 91505 | 2019-08-01 |
| 1720501240 | Jung H Li | Registered Nurse | Psjmc- Bariatric Wellness Center, 501 S Buena Vista St, Burbank, CA 91505 | 2017-07-18 |
| 1699204974 | Beth Ellen Izbotsky | Physical Medicine & Rehabilitation | 501 S Buena Vista Blvd, Burbank, CA 91505 | 2017-06-08 |
| 1205387446 | Fabiola Bachman | Dentist | 138 N Pass Ave, 2, Burbank, CA 91505 | 2016-10-24 |
| 1114478203 | Marianna Ghularyan D.d.s. Inc | Dentist | 1400 N. Edison Blvd., Burbank, CA 91505 | 2016-10-24 |
| 1962952127 | Landa Mizin Dental Partnership | Dentist | 2625 W Alameda Ave Ste 502, Burbank, CA 91505 | 2016-10-11 |
| 1285183376 | Amy Di Francia | Marriage & Family Therapist | 4421 W Riverside Dr Ste 210, Burbank, CA 91505 | 2016-09-29 |
| 1306238381 | Abigail Merrin | Physical Therapist | 2701 W Alameda Ave Ste 206, Burbank, CA 91505 | 2015-02-26 |
| Find all providers in zip 91505 | ||||
| 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 |
|---|---|---|---|---|
| 1942767330 | Varduhi Karapetyan | Nurse Practitioner | 7536 N Claybeck Ave, Burbank, CA 91505-1006 | 2019-02-21 |
| 1619335544 | Vic Padila Managuelod | Nurse Practitioner | 630 E Cypress Ave, Apt A, Burbank, CA 91501-3211 | 2016-02-06 |
| 1104221167 | Bach Duy Tran | Nurse Practitioner | 1311 N. San Fernando Blvd., Burbank, CA 91504-4605 | 2014-11-01 |
| 1992980106 | Therese Marie Golingay Donnelly | Nurse Practitioner | 2025 North Glenoaks Blvd, Suite 102, Burbank, CA 91504 | 2008-01-07 |
| 1396851333 | Dinakar Kotiyan | Nurse Practitioner | 4161 W Kling St, ,# 16, Burbank, CA 91505-3363 | 2006-08-22 |
| 1740395318 | Himaya Borja Zuniga | Nurse Practitioner | 4161 W Kling St Apt 16, Burbank, CA 91505-3318 | 2006-08-21 |
| 1831724871 | Brittany Vander Kooy | Nurse Practitioner | 2501 W Burbank Blvd Ste 200, Burbank, CA 91505-2347 | 2020-03-10 |
| 1558916106 | Yasamin Banihashemi | Nurse Practitioner | 501 S Buena Vista St, Burbank, CA 91505-4809 | 2019-08-09 |
| 1013423805 | Jennifer S Lee | Nurse Practitioner | 201 S Buena Vista St Ste 325, Burbank, CA 91505-4518 | 2017-12-16 |
| 1447638234 | Mariam Berberian | Nurse Practitioner | 1311 N San Fernando Blvd, Burbank, CA 91504-4236 | 2015-05-12 |
| Find all providers in BURBANK | ||||
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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.