MS. LI WATKINS (NPI# 1114430238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114430238 |
| Entity Type | Individual |
| Full Name | MS. LI WATKINS |
| Credential | FNP-BC |
| Practice Address |
280 N Riverside Avenue Rialto CA 92376 |
| Mailing Address |
Po Box 1608 Rialto CA 92377-1608 |
| Practice Telephone | 9094212121 |
| Practice Fax Number | 9094210491 |
| Mailing Telephone | 9094212121 |
| Mailing Fax Number | 9094210491 |
| Enumeration Date | 2017-11-10 |
| Last Update Date | 2019-02-20 |
| NPI Deactivation Date | 02/14/2018 |
| NPI Reactivation Date | 2019-02-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95006406 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
280 N RIVERSIDE AVENUE |
| City | RIALTO |
| State | CA |
| Zip Code | 92376 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780141812 | Sochun Operation, Inc. | Assisted Living Facility | 1441 S. Riverside Ave., Rialto, CA 92376 | 2019-02-25 |
| 1487138244 | National Vision Inc | Technician/Technologist | 1175 Renaissance Parkway, Suite 1050, Rialto, CA 92376 | 2018-09-18 |
| 1942780853 | Pakravan, Manavi & Cohen Dental Corporation | Dentist | 1205 W Renaissance Pkwy, Suite 240, Rialto, CA 92376 | 2018-08-20 |
| 1346767837 | Imelda Jazmin Ceja Nunez | Behavioral Analyst | 462 E Wilson St, Rialto, CA 92376 | 2017-08-24 |
| 1720505662 | Taylor Sandoval | Behavioral Analyst | 2935 Cardamon St, Rialto, CA 92376 | 2017-08-22 |
| 1427572510 | Danielle Mccree | Physical Therapy Assistant | 1470 N Filmore Ave, Rialto, CA 92376 | 2017-07-31 |
| 1639699952 | Albert Anthony Torres | Specialist/Technologist | 1008 N. Pampas Ave., Rialto, CA 92376 | 2017-06-27 |
| 1124407358 | Miesha Warren | Peer Specialist | 850 East Foothill Bld, Rialto, CA 92376 | 2015-05-20 |
| 1205233483 | Albert Archuleta | Counselor | 1501 Riverside Ave, Rialto, CA 92376 | 2014-12-03 |
| 1043638752 | Luisa Limon | Marriage & Family Therapist | 850 E. Foothill Ave., Rialto, CA 92376 | 2014-03-31 |
| Find all providers in zip 92376 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518359892 | Almi Kristine Del Villar | Nurse Practitioner | 133 S Machala Pl, Rialto, CA 92376-1000 | 2015-02-24 |
| 1275807703 | Ingrid Mitchell | Nurse Practitioner | 1850 N Riverside Ave Ste 240, Rialto, CA 92376-8082 | 2012-03-01 |
| 1093014839 | Terrye Annette Anderson | Nurse Practitioner | 1180 N Glenwood Ave, Rialto, Rialto, CA 92376-3989 | 2011-03-18 |
| 1194833525 | Roxanna Jacqueline Lucero | Nurse Practitioner | 6662 Yucca Ave, Rialto, CA 92376-2631 | 2006-08-27 |
| 1003474321 | Jesus Omar Valenzuela | Nurse Practitioner | 436 S Riverside Ave, Rialto, CA 92376-6523 | 2019-06-01 |
| 1013425818 | Susan Suen | Nurse Practitioner | 416 W Foothill Blvd, Rialto, CA 92376-4953 | 2018-01-14 |
| 1417461294 | Esmeralda Castillo Rubi | Nurse Practitioner | 436 S Riverside Ave, Rialto, CA 92376-6523 | 2017-11-30 |
| 1649797846 | Cristina Valdivia | Nurse Practitioner | 1851 N Riverside Ave, Rialto, CA 92376-8069 | 2017-08-28 |
| 1255870739 | Vannessa Marlene Hill | Nurse Practitioner | 1851 N Riverside Ave, Rialto, CA 92376-8069 | 2017-02-17 |
| 1902353451 | Brittany Lang | Nurse Practitioner | 1850 N Riverside Ave, Suite 180, Rialto, CA 92376-8071 | 2016-09-01 |
| Find all providers in RIALTO | ||||
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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.