RACQUEL DELA CRUZ DIZON-SAMSON


Address: 229 Bridgewater Circle, Suisun City, CA 94585
Phone: 7074271939

RACQUEL DELA CRUZ DIZON-SAMSON (NPI# 1154424190) 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) 1154424190
Entity Type Individual
Full Name RACQUEL DELA CRUZ DIZON-SAMSON
Other Name RAQUEL DIZON SAMSON
Credential R.N.
Practice Address 229 Bridgewater Circle
Suisun City
CA 94585
Practice Telephone 7074271939
Practice Fax Number 7074271939
Mailing Telephone 7074271939
Mailing Fax Number 7074271939
Enumeration Date 2006-09-06
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 163WC0200X Registered Nurse
Specialization: Critical Care Medicine
625156 CA Nursing Service Providers
X 163WH0200X Registered Nurse
Specialization: Home Health
625156 CA Nursing Service Providers

Office Location

Street Address 229 BRIDGEWATER CIRCLE
City SUISUN CITY
State CA
Zip Code 94585

Providers in the same zip code

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
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
1396157483 Linda Dangtran Pharmacist 270 Sunset Ave, Suisun City, CA 94585-1766 2014-05-23
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Taxonomy Information

Taxonomy Code 163WC0200X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Critical Care Medicine

Taxonomy Definition

Definition to come...

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Competitor

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City SUISUN CITY
Zip Code 94585

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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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