JENNIFER DELA VEGA ICASIANO (NPI# 1063889830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063889830 |
| Entity Type | Individual |
| Full Name | JENNIFER DELA VEGA ICASIANO |
| Credential | RVS, BS |
| Practice Address |
333 Sunset Ave Ste 140 Suisun City CA 94585-2054 |
| Practice Telephone | 7073341704 |
| Mailing Telephone | 7073341704 |
| Enumeration Date | 2015-08-28 |
| Last Update Date | 2015-08-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2471V0105X |
Radiologic Technologist Specialization: Vascular Sonography |
00092881 | CA | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
333 SUNSET AVE STE 140 |
| City | SUISUN CITY |
| State | CA |
| Zip Code | 94585-2054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033588017 | Access Laser & Vein Clinic, Inc. | Specialist | 333 Sunset Ave Ste 140, Suisun City, CA 94585-2054 | 2015-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417491945 | Amber Harczak | Behavioral Analyst | 792 Sunset Avenue 12, Suisun City, CA 94585 | 2016-12-19 |
| 1427151919 | Bejan A Pazdel | Chiropractor | 258i Sunset Ave, Suisun, CA 94585 | 2006-09-07 |
| 1154424190 | Racquel Dela Cruz Dizon-samson | Registered Nurse | 229 Bridgewater Circle, Suisun City, CA 94585 | 2006-09-06 |
| 1346350667 | Pazdel Chiropractic Inc | Chiropractor | 258 Sunset Ave, Ste I, Suisan, CA 94585 | 2006-08-30 |
| 1275682122 | James Eddie Austin | Counselor | 159 Sunshine St, Suisun City, CA 94585-1301 | 2007-01-09 |
| 1710518667 | Jasmine J Evans | Behavioral Analyst | 206 Railroad Ave Apt 1205, Suisun City, CA 94585-1304 | 2020-01-29 |
| 1912518879 | Anna Paulina P Valdeavilla | Licensed Vocational Nurse | 88 Mosswood Dr, Suisun City, CA 94585-1718 | 2020-08-13 |
| 1215576723 | Nikki Rose Lavares | Behavior Technician | 61 Terry Ln, Suisun City, CA 94585-1732 | 2019-12-31 |
| 1770713927 | Lorraine Cornell | Occupational Therapist | 1604 Hickam Cir, Suisun City, CA 94585-1744 | 2009-07-22 |
| 1346865540 | Yulissa Leon | Technician | 78 Rodondo Ave, Suisun City, CA 94585-1745 | 2020-06-12 |
| Find all providers in zip 94585 | ||||
| Taxonomy Code | 2471V0105X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Vascular Sonography |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396219168 | Mirkko Galdo Vasquez | Radiologic Technologist | 25000 Avenue Stanford Ste 171, Valencia, CA 91355-1224 | 2019-01-15 |
| 1770001992 | Ams Mobile Health Diagnostics | Radiologic Technologist | 1750 Vallejo St Apt 601, San Francisco, CA 94123-5001 | 2017-09-08 |
| 1487051132 | Amgad Salem | Radiologic Technologist | 12092 Movius Dr, Garden Grove, CA 92840-2930 | 2014-11-24 |
| 1801237730 | Palm Medical Imaging LLC | Radiologic Technologist | 333 N Palm Canyon Dr Ste 113a, Palm Springs, CA 92262-5697 | 2013-07-08 |
| 1336487305 | Denis Soldatenko | Radiologic Technologist | 1902 Westwood Blvd, 207, Los Angeles, CA 90025-4670 | 2013-01-24 |
| 1952648909 | A&n Diagnostic | Radiologic Technologist | 5300 Santa Monica Blvd Ste 200, Los Angeles, CA 90029-1258 | 2013-01-10 |
| 1902173248 | Ultrasound Laboratories Inc | Radiologic Technologist | 305 South Drive, 7, Mountain View, CA 94040-4207 | 2011-11-30 |
| 1013295963 | Creative Ultrasound Imaging Inc. | Radiologic Technologist | 47 San Miguel Ave, Ste. 4, Salinas, CA 93901-3058 | 2011-07-26 |
| 1699003756 | Rose Maestas | Radiologic Technologist | 1527 19th St Ste 402, Bakersfield, CA 93301-4440 | 2009-12-01 |
| 1558540047 | Roger Marquez Tovar | Radiologic Technologist | 5944 Pennswood Ave, Lakewood, CA 90712-1231 | 2007-10-31 |
| Find all providers with the same taxonomy | ||||
| City | SUISUN CITY |
| Zip Code | 94585 |
Please comment or provide details below to improve the information on JENNIFER DELA VEGA ICASIANO.
| 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.