MON TRISTAN ATANACIO (NPI# 1184174492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184174492 |
| Entity Type | Individual |
| Full Name | MON TRISTAN ATANACIO |
| Credential | NP-C |
| Practice Address |
500 W San Bernardino Rd Suite B Covina CA 91722-3797 |
| Practice Telephone | 6269602326 |
| Practice Fax Number | 6269609796 |
| Mailing Telephone | 6269602326 |
| Mailing Fax Number | 6269609796 |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2016-10-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F06162596 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
500 W SAN BERNARDINO RD SUITE B |
| City | COVINA |
| State | CA |
| Zip Code | 91722-3797 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073740825 | Anne Violet Quismorio | Internal Medicine | 500 W San Bernardino Rd, Suite A, Covina, CA 91722-3797 | 2009-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083072607 | Lauren Rae Ramos | Dental Assistant | 1406 N Azuza Ave, Sute C, Covina, CA 91722 | 2016-02-10 |
| 1841674983 | John Catania | Case Manager/Care Coordinator | 4670 North Hollenbeck Ave, Covina, CA 91722 | 2015-07-18 |
| 1255615522 | Abbassi Johnson Professional Corporation | Dentist | 558 W Badillo St, Covina, CA 91722 | 2011-10-05 |
| 1528207982 | Adriana Luna | Dental Assistant | 1406 N. Azusa Ave., Suite C, Covina, CA 91722 | 2009-02-09 |
| 1295984805 | Sima Khavaran | Dentist | 546 W. Badillo St., Suite C, Covina, CA 91722 | 2008-09-18 |
| 1538361753 | Adriana Inez Camargo-fernandez | Psychologist | 599 S. Baranca, Suitel104, Covina, CA 91722 | 2007-06-01 |
| 1740498591 | Yolanda Bulaon Dycoco-esguerra | Dentist | 546 West Badillo Street, Suite E, Covina, CA 91722 | 2007-05-17 |
| 1225150543 | Michael C Huang | Dentist | 520 West Badillo Street, Covina, CA 91722 | 2007-04-06 |
| 1801914874 | Harry Humphreys Dds Inc | Dentist | 558 West Badillo, Covina, CA 91722 | 2007-03-27 |
| 1881755411 | Helen Louise Taylor | Physician Assistant | 1433 N. Hollenbeck Avenue, Suite 200, Covina, CA 91722 | 2006-12-13 |
| Find all providers in zip 91722 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922658426 | Kevin Koh | Nurse Practitioner | 560 E Algrove St, Covina, CA 91723-2812 | 2019-09-17 |
| 1144781691 | Bethany Shavon Sims | Nurse Practitioner | 500 W San Bernardino Rd Ste B, Covina, CA 91722-3797 | 2019-03-27 |
| 1265901870 | Travis David Boyer | Nurse Practitioner | 1343 N Grand Ave Ste 206, Covina, CA 91724-4043 | 2018-11-13 |
| 1528547544 | Jessica Trung Le | Nurse Practitioner | 662 E Navilla Pl, Covina, CA 91723-3238 | 2018-08-09 |
| 1306352596 | Ayesha Haq | Nurse Practitioner | 315 N Third St Suite 207, Covina, CA 91723-3492 | 2017-12-25 |
| 1295116887 | Marcella Sobalvarro | Nurse Practitioner | 154 Shoppers Ln, Covina, CA 91723-3535 | 2015-06-09 |
| 1487260113 | Janet C Cruz | Nurse Practitioner | 210 W San Bernardino Rd, Covina, CA 91723-1515 | 2020-09-17 |
| 1134750474 | Benjamin Herrick | Nurse Practitioner | 210 W San Bernardino Rd, Covina, CA 91723-1515 | 2020-01-27 |
| 1336649060 | Kristine Grace Lee Dizon | Nurse Practitioner | 110 N 4th Ave, Covina, CA 91723-1825 | 2018-02-19 |
| 1801301718 | Surbhi Udeshi | Nurse Practitioner | 211 W Badillo St, Covina, CA 91723-1907 | 2017-12-14 |
| Find all providers in COVINA | ||||
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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.