MONEMALA PHILAVONG-DANH (NPI# 1093228926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093228926 |
| Entity Type | Individual |
| Full Name | MONEMALA PHILAVONG-DANH |
| Credential | NP-C |
| Practice Address |
330 W Ramsey St Banning CA 92220-4823 |
| Mailing Address |
10590 Town Center Dr Ste 170 Rancho Cucamonga CA 91730-0361 |
| Practice Telephone | 9518491950 |
| Mailing Telephone | 9094830000 |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2019-11-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
NP95008033 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
F08170474 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10590 Town Center Dr Ste 170, Rancho Cucamonga, CA 91730 | 9094830000 |
| Street Address |
330 W RAMSEY ST |
| City | BANNING |
| State | CA |
| Zip Code | 92220-4823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063591915 | Michael Raymund Oliverio Jr. | Family Medicine | 330 W Ramsey St, Banning, CA 92220-4823 | 2006-11-03 |
| 1669954269 | Kelsey Lynn Koon | Physician Assistant | 330 W Ramsey St, Banning, CA 92220-4823 | 2018-08-30 |
| 1710415492 | Oliverio Medical Corporation | Family Medicine | 330 W Ramsey St, Banning, CA 92220-4823 | 2017-05-25 |
| 1902134539 | Sandra Velazquez Perkins | Physician Assistant | 330 W Ramsey St, Banning, CA 92220-4823 | 2009-11-19 |
| 1144403676 | Long Thanh Tran | Physician Assistant | 330 W Ramsey St, Banning, CA 92220 | 2007-12-06 |
| 1053530295 | New Millenium Medical Associates | Family Medicine | 330 W Ramsey St, Banning, CA 92220-4823 | 2007-04-25 |
| 1215052873 | Michael Tan Oliverio | Internal Medicine | 330 W Ramsey St, Banning, CA 92220-4823 | 2007-03-20 |
| 1578618088 | Oliverio Medical Group | Internal Medicine | 330 W Ramsey St, Banning, CA 92220-4823 | 2007-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962056523 | Golden View Guest Home, Inc. | Assisted Living Facility | 5466 West Wilson, Banning, CA 92220 | 2019-07-31 |
| 1780246157 | Fjs Hearing Professionals | Hearing Instrument Specialist | 3559 W Ramsey Ave Suit C-2, Banning, CA 92220 | 2019-07-05 |
| 1790237832 | Jennifer De Geus | Counselor | 1627 Hargrave St., Banning, CA 92220 | 2016-10-25 |
| 1427447507 | Dalonna Blackwell | Counselor | 2781 W. Ramsey St., Banning, CA 92220 | 2015-01-13 |
| 1639575962 | Eunjung J. Jung Choi | Dentist | 300 S Highland Springs Ave Ste 2l, Banning, CA 92220 | 2014-11-13 |
| 1861810244 | Genevra Diana Glenn | Counselor | 2781 W Ramsey, Suite 1, Banning, CA 92220 | 2014-04-02 |
| 1841617420 | Kristen Lew | Internal Medicine | 6109 W.ramsey Street, Banning, CA 92220 | 2014-03-21 |
| 1588917884 | Jamison William Murphy | Military Health Care Provider | Uss Howard Ddg 83, Fpo, AP 92220 | 2012-10-24 |
| 1972871390 | John Hong | Pharmacist | 60 N Highlandsprings, Beaumont, CA 92220 | 2011-12-13 |
| 1679855936 | Lydia Session | Marriage & Family Therapist | 1627 S. Hargrave, Banning, CA 92220 | 2011-09-13 |
| Find all providers in zip 92220 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376194605 | Rebecca Duran | Nurse Practitioner | 264 N Highland Springs Ave Ste 1a, Banning, CA 92220-3045 | 2019-09-27 |
| 1932712239 | Krizzette Mendoza Tanwangco Barker | Nurse Practitioner | 264 N Highland Springs Ave Ste 1a, Banning, CA 92220-3045 | 2020-08-26 |
| 1740796358 | Carlene Willis | Nurse Practitioner | 264 N Highland Springs Ave Ste 4, Banning, CA 92220-3082 | 2017-12-19 |
| 1942751540 | Elsie Valencia | Nurse Practitioner | 264 N Highland Springs Ave, Building 1a, Banning, CA 92220-3082 | 2016-10-18 |
| 1487085403 | Janet Cooper | Nurse Practitioner | 5957 W Ramsey St, Banning, CA 92220-3058 | 2013-12-01 |
| 1912335225 | Michelle Joyce Duffy-reneau | Nurse Practitioner | 264 N Highland Springs Ave, Suite 1-a & 1-b, Banning, CA 92220-3082 | 2013-10-23 |
| 1922432640 | Christine Nneka Emenike- Anierobi | Nurse Practitioner | 3055 W Ramsey St, Banning, CA 92220-3781 | 2013-08-29 |
| 1962834499 | Stephanie Salazar | Nurse Practitioner | 6109 W Ramsey St, Banning, CA 92220-3051 | 2013-08-07 |
| 1326356908 | Kelly Marie Stormes | Nurse Practitioner | 6109 W Ramsey St, Banning, CA 92220-3051 | 2010-09-17 |
| 1952577520 | Jayce Liang | Nurse Practitioner | 11555 1/2 Potrero Rd, Banning, CA 92220-6946 | 2008-05-05 |
| Find all providers in BANNING | ||||
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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.