MR. MICHAEL MERCADO AMBAL (NPI# 1114210515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114210515 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL MERCADO AMBAL |
| Practice Address |
1689 Via Sevilla St Corona CA 92881-0778 |
| Practice Telephone | 9518377918 |
| Mailing Telephone | 9518377918 |
| Enumeration Date | 2011-05-18 |
| Last Update Date | 2011-05-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
NP20137 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1689 VIA SEVILLA ST |
| City | CORONA |
| State | CA |
| Zip Code | 92881-0778 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326682519 | Kadour and Hattar Inc | Pharmacy | 1973 Foothill Pkwy, Bldg F, Ste 106, Corona, CA 92881 | 2019-10-31 |
| 1861034944 | Jongguon Kim Dds Dental Corporation | Clinic/Center | 1973 Foothill Parkway, Suite 102, Corona, CA 92881 | 2019-10-10 |
| 1952874968 | Sasha M Dunn | Behavior Technician | 2144 Wembley Lane, Corona, Corona, CA 92881 | 2019-01-03 |
| 1053880450 | Tori Bissett Bowyer | Behavioral Analyst | 3439 White Sage St, Corona, CA 92881 | 2018-11-15 |
| 1104351097 | Victoria S. Brown | Family Medicine | 2071 Compton Ave #103, Corona, CA 92881 | 2017-04-27 |
| 1740695493 | Zoha Fazel | Counselor | 1240 E Ontario Ave Ste 102-182, Corona, CA 92881 | 2014-06-20 |
| 1720347222 | Neda Arjomandi | Podiatrist | 1881 California Ave Ste 102, Corona, CA 92881 | 2012-05-03 |
| 1891067864 | Valley Laparoscopic Surgical Associates, Inc. | Specialist | 2083 Compton Ave Ste 104, Corona, CA 92881 | 2012-02-06 |
| 1922396191 | Michelle Ann Mueller | Dietitian, Registered | 1800 Firethorne Plance, Apt. 108, Corona, CA 92881 | 2011-07-21 |
| 1558668772 | Jenna Lalas Eugenio | Physician Assistant | 2097 Compton Ave Ste 103, Corona, CA 92881 | 2011-02-24 |
| Find all providers in zip 92881 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770199788 | Diana Corea | Nurse Practitioner | 260 E Ontario Ave Ste 204, Corona, CA 92879-3507 | 2020-09-16 |
| 1780293332 | Brianne Marie Poff | Nurse Practitioner | 1843 Lexington Dr, Corona, CA 92880-1283 | 2020-07-29 |
| 1558909226 | Matthew Duff | Nurse Practitioner | 2165 Kiwi Cir, Corona, CA 92879-3146 | 2019-12-12 |
| 1710496815 | Onyinye Yvonne Johnson | Nurse Practitioner | 27223 Lasso Way, Corona, CA 92883 | 2017-09-21 |
| 1245769561 | Lornalyn Grace Jimenez Tongco | Nurse Practitioner | 6646 Whitewell Rd, Corona, CA 92880-9154 | 2017-06-08 |
| 1568906063 | Nu Dao | Nurse Practitioner | 801 South Main St, 201, Corona, CA 92881-3160 | 2016-12-19 |
| 1255784245 | Christina Hawkins | Nurse Practitioner | 13586 Dalton Dr, Corona, CA 92883-8905 | 2016-07-14 |
| 1154770949 | Sheri Barraza | Nurse Practitioner | 1065 Nighthawk Cir, Corona, CA 92881-8689 | 2016-06-13 |
| 1790172534 | Christina Ann Jimenez | Nurse Practitioner | 22305 Hayworth Ct, Corona, CA 92883-5903 | 2015-04-20 |
| 1306240999 | Christy Cotner | Nurse Practitioner | 928 Trovita Dr, Corona, CA 92881-8713 | 2014-10-10 |
| Find all providers in CORONA | ||||
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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.