MRS. CHARINA GELLACO QUIAMBAO


Address: 1510 Florida Ave, Modesto, CA 95350-4437
Phone: 2094927150

MRS. CHARINA GELLACO QUIAMBAO (NPI# 1174021521) 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) 1174021521
Entity Type Individual
Full Name MRS. CHARINA GELLACO QUIAMBAO
Credential FNP
Practice Address 1510 Florida Ave
Modesto
CA 95350-4437
Mailing Address 1910 Customer Care Way
Atwater
CA 95301-5167
Practice Telephone 2094927150
Mailing Telephone 2093846488
Enumeration Date 2018-01-30
Last Update Date 2018-03-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
95008419 CA Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1932 Misone St, Manteca, CA 953378497 2098721128

Office Location

Street Address 1510 FLORIDA AVE
City MODESTO
State CA
Zip Code 95350-4437

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306828868 Eunice M. Baluyot Family Medicine 1510 Florida Ave, H, Modesto, CA 95350-4437 2005-11-18
1326601568 Monique Bertulfo Registered Nurse 1510 Florida Ave, Modesto, CA 95350-4437 2019-04-14
1922577154 Anna Elizabeth Donovan Registered Nurse 1510 Florida Ave, Modesto, CA 95350-4437 2018-11-16
1821563073 Amaechi George Ozor Registered Nurse 1510 Florida Ave, Modesto, CA 95350-4437 2018-10-03
1063877561 Angelina Yolanda Santillan Social Worker 1510 Florida Ave, Modesto, CA 95350-4437 2015-12-28
1437527348 Sushma Indukuri Pediatrics 1510 Florida Ave, Modesto, CA 95350-4437 2015-09-09
1609251925 Pratibha Patil Pediatrics 1510 Florida Ave, Modesto, CA 95350 2015-07-28
1093133035 Heather Lee Pediatrics 1510 Florida Ave, Modesto, CA 95350-4437 2014-04-05
1982037271 Conalu Liwag Bernardino Pediatrics 1510 Florida Ave, Modesto, CA 95350-4437 2013-08-09
1689014821 Aparna Yadatore Pediatrics 1510 Florida Ave, Modesto, CA 95350-4437 2013-07-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164020459 Karina Montes Rodriguez Case Manager/Care Coordinator Cip 1540 Florida Ave, Suite 212, Modesto, CA 95350 2020-10-09
1134737315 Dr. Jeffrey A. Saladin, Dental Corporation Dentist 2057 Tully Road, Suite A, Modesto, CA 95350 2020-07-14
1588211254 Karla Junuen Toscano Licensed Vocational Nurse 1235 Mchenry Ave. Suites A&b, Modesto, CA 95350 2019-08-19
1831694769 Loretta Myers-weber Nurse Practitioner 1510 Florida Ave Ste A, Modesto, CA 95350 2018-03-23
1720599632 Coral Alejandra Amador Counselor 1700 Mchenry Village Way, Suite 11b, Modesto, CA 95350 2017-10-18
1053820522 Pannu and Henne Dental Corp. Dentist 3219 Mc Henry Ave, Suite E, Modesto, CA 95350 2017-09-27
1346779709 Kevin Sotelo Behavior Technician 2630 W Rumble Road, Modesto, CA 95350 2017-06-08
1255869566 Hoa Xuan Phan Family Medicine 1441 Florida Ave Ste 200, Modesto, CA 95350 2017-05-31
1356881163 Brady S Marshall Dentist 201 E. Orangeburg Avenue, Suite C, Modesto, CA 95350 2017-02-27
1750755476 Caremore Health Plan Nurse Practitioner 1234 Mchenry Avenue, Modesto, CA 95350 2015-11-18
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083227797 Beverly M Hodges Advanced Practice Registered Nursing Inc Nurse Practitioner 814 14th St Ste E, Modesto, CA 95354-1028 2020-08-24
1417575747 Jyotishna Narayan Nurse Practitioner 1801 H St Ste C, Modesto, CA 95354-1221 2020-07-13
1134746019 Michael They Nurse Practitioner 802 14th St Ste N, Modesto, CA 95354-1029 2020-06-26
1528604543 Kristy Leann Fullard Nurse Practitioner 2012 Kendall Ave, Modesto, CA 95355-3280 2019-11-25
1831694769 Loretta Myers-weber Nurse Practitioner 1510 Florida Ave Ste A, Modesto, CA 95350 2018-03-23
1699288993 Advance Nursing Practice Medical Group Inc Nurse Practitioner 1409 Lecourbe Ct, Modesto, CA 95356-8905 2017-11-08
1154830842 Maria Christina Romasanta Quintana Nurse Practitioner 2416 La Playa Ln, Modesto, CA 95355-7952 2017-09-25
1538690607 Myla Urbano Nurse Practitioner 2800 Floyd Ave Apt 27, Modesto, CA 95355-9464 2017-03-21
1467808758 Prakriti Prashanta Janz-navarro Nurse Practitioner 1524 Mchenry Ave Ste 135, Modesto, CA 95350-4569 2016-05-05
1750755476 Caremore Health Plan Nurse Practitioner 1234 Mchenry Avenue, Modesto, CA 95350 2015-11-18
Find all providers in MODESTO

Competitor

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City MODESTO
Zip Code 95350

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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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