FREEMAN MAMBO


Address: 47915 Oasis St, Indio, CA 92201-6950
Phone: 7608638600

FREEMAN MAMBO (NPI# 1083009435) 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) 1083009435
Entity Type Individual
Full Name FREEMAN MAMBO
Practice Address 47915 Oasis St
Indio
CA 92201-6950
Practice Telephone 7608638600
Mailing Telephone 7608638600
Enumeration Date 2015-04-02
Last Update Date 2015-04-02
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 164X00000X Licensed Vocational Nurse VN238361 CA Nursing Service Providers

Office Location

Street Address 47915 OASIS ST
City INDIO
State CA
Zip Code 92201-6950

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033212139 Suzanne Lucretia Garrison Social Worker 47915 Oasis St, Indio, CA 92201-6950 2006-09-06
1942800164 Isaiah Hubbard Counselor 47915 Oasis St, Indio, CA 92201-6950 2020-10-27
1609475177 Clarev Jade Torres Specialist 47915 Oasis St, Indio, CA 92201-6950 2020-10-25
1447868146 Maila Tolentino Patubo Registered Nurse 47915 Oasis St, Indio, CA 92201-6950 2020-07-20
1124654298 Tiffany Hamm Psychiatric Unit 47915 Oasis St, Indio, CA 92201-6950 2020-03-20
1356976716 Monica Clark Licensed Vocational Nurse 47915 Oasis St, Indio, CA 92201-6950 2020-03-05
1114552775 Dave Charles Pearson Social Worker 47915 Oasis St, Indio, CA 92201-6950 2020-03-04
1699309765 Yarabhi Guadalupe Arce Case Manager/Care Coordinator 47915 Oasis St, Indio, CA 92201-6950 2020-02-27
1457983991 Milagros Kojo Licensed Vocational Nurse 47915 Oasis St, Indio, CA 92201-6950 2020-02-11
1477183929 Brianna Nicole Limongelli Specialist 47915 Oasis St, Indio, CA 92201-6950 2020-01-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174151534 Kayla Marie Berry Licensed Vocational Nurse Telecare Riverside County Psychiatric Health Facility, Indio, CA 92201 2020-03-31
1699327353 Nawar Hadid Dentist 81735 Ca-111, Indio, CA 92201 2019-07-12
1427521889 Thanh Trang Thi Nguyen Md Inc Internal Medicine 44100 Jefferson St., #e507, Indio, CA 92201 2019-01-09
1306328315 Grant Nishimura Dentist 81-637, Suite 1, Ca-111, Indio, CA 92201 2018-09-06
1700363645 Desert Physical Medicine General Practice 81765 Highway 111, Ste #3, Indio, CA 92201 2018-07-24
1336668151 U & I Care Medical Transportation LLC Non-emergency Medical Transport (VAN) 44105 Jackson St Ste 204, Indio, CA 92201 2017-09-13
1154847234 Myung Kee Park Dentist 81106 Ca-111, #c, Indio, CA 92201 2017-08-21
1912434937 Mirage Home Health Home Health 82691 Miles Ave, Indio, CA 92201 2017-05-22
1497294821 Orthopedic and Physical Medicine Associates Inc Chiropractor 81765 Hwy 111, #3, Indio, CA 92201 2017-02-17
1497103758 Timothy Smith Contractor 81337 Avenida Romero, Indio, CA 92201 2016-05-27
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Taxonomy Information

Taxonomy Code 164X00000X
Grouping Nursing Service Providers
Classification Licensed Vocational Nurse

Taxonomy Definition

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174151534 Kayla Marie Berry Licensed Vocational Nurse Telecare Riverside County Psychiatric Health Facility, Indio, CA 92201 2020-03-31
1982166799 Melissa Jimenez Licensed Vocational Nurse 82293 Miles Ave, Indio, CA 92201-4116 2019-04-01
1194283432 Amanda Yin Licensed Vocational Nurse 81820 Shadow Palm Ave Apt 67, Indio, CA 92201-4026 2019-03-06
1780074906 Alejandro Velazquez Jr. Licensed Vocational Nurse 83806 Mojave Dr, Indio, CA 92203-2697 2015-01-26
1992952618 Tammylee Pilialoha Quick Licensed Vocational Nurse 82077 Sunset Ct, Indio, CA 92201-6840 2008-08-25
1013139138 Aurelia E Lopez II Licensed Vocational Nurse 82297 Miles Ave, Indio, CA 92201-4116 2007-05-02
1811010010 Elisa Urrea Licensed Vocational Nurse 83-912 Ave 45, Suite 8, Indio, CA 92201-3338 2007-04-10
1316060320 Charisse Ann Dennis Licensed Vocational Nurse 83-912 Avenue 45, Suite 8, Indio, CA 92201-3338 2007-04-06
1861518300 Robbi Dawn Wilkinson Licensed Vocational Nurse 80788 Megan Ct, Indio, CA 92201-8461 2007-03-22
1467578047 Mellani Mallari Lara Licensed Vocational Nurse 81557 Dr Carreon Blvd Ste C9, Indio, CA 92201-5562 2007-03-22
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Competitor

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City INDIO
Zip Code 92201

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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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