CARRIE MICHELLE FAMATID SANDICO (NPI# 1215297916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215297916 |
| Entity Type | Individual |
| Full Name | CARRIE MICHELLE FAMATID SANDICO |
| Credential | L.V.N |
| Practice Address |
6551 Alyssa Dr San Jose CA 95138-1309 |
| Practice Telephone | 4089048288 |
| Mailing Telephone | 4089048288 |
| Enumeration Date | 2012-05-29 |
| Last Update Date | 2012-08-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | VN 248115 | CA | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CSANDICO13 | 05 |
| Street Address |
6551 ALYSSA DR |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95138-1309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023623865 | Nguyen and Tran Dental Corporation | Dentist | 6130 Hellyer Avenue, San Jose, CA 95138 | 2020-09-09 |
| 1821564485 | Indian Health Center of Santa Clara Valley | Clinic/Center | 9501 Malech Rd, San Jose, CA 95138 | 2018-10-22 |
| 1548690324 | Megan Chang | Occupational Therapist | 5900, Pistoia Way, San Jose, CA 95138 | 2013-11-15 |
| 1720428410 | Cristina Duenas | Social Worker | 5855 Silver Creek Valley Pl, San Jose, CA 95138 | 2013-06-27 |
| 1174967079 | Guardian Sleep Clinic, LLC | Clinical Medical Laboratory | 315 Piercy Rd, San Jose, CA 95138 | 2013-04-22 |
| 1871847889 | Rebecca Kerry Van Sickle | Counselor | 9500 Malech Rd, San Jose, CA 95138 | 2012-10-30 |
| 1366720906 | Ariosa Diagnostics, Inc. | Clinical Medical Laboratory | 5945 Optical Court, San Jose, CA 95138 | 2011-08-01 |
| 1043406713 | Umaru Fofana | Counselor | 455 Silicon Valley Blvd, San Jose, CA 95138 | 2007-09-17 |
| 1316140569 | Dickman & Bourla Chiropractic Inc | Chiropractor | 2311 Silver Breeze Ct, San Jose, CA 95138 | 2007-06-06 |
| 1508983032 | Traci Pickett | Counselor | 9500 Malech Road, San Jose, CA 95138 | 2007-03-22 |
| Find all providers in zip 95138 | ||||
| Taxonomy Code | 164X00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Vocational Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053919084 | Tamra Ellen St John | Licensed Vocational Nurse | 171 Balboa Ave, San Jose, CA 95116-1310 | 2020-10-12 |
| 1982230728 | Elizabeth Socorro Guerra | Licensed Vocational Nurse | 2418 Hecate Pl, San Jose, CA 95124-3311 | 2020-03-12 |
| 1487173878 | Eliza Garma Daquioag | Licensed Vocational Nurse | 3640 Heathcot Ct, San Jose, CA 95121-1442 | 2017-09-17 |
| 1427598259 | Ngoc Hua | Licensed Vocational Nurse | 2130 Chisin St, San Jose, CA 95121-3230 | 2017-02-27 |
| 1669918264 | Oliva Torrestorija-santillan | Licensed Vocational Nurse | 2080 Southwest Expy, 77, San Jose, CA 95126-4672 | 2017-01-06 |
| 1104299874 | Daniel Austin | Licensed Vocational Nurse | 5502 Camden Ave Apt B5, San Jose, CA 95124-6405 | 2015-11-03 |
| 1851760763 | Sisamouth Sipaseuth Thomure | Licensed Vocational Nurse | 650 S 5th St, San Jose, CA 95112-5636 | 2015-09-21 |
| 1154709871 | Amber Enlow | Licensed Vocational Nurse | 102 Lammerhaven Ct, San Jose, CA 95111-3715 | 2015-05-14 |
| 1437543568 | Jenetta Marie Wysinger | Licensed Vocational Nurse | 3467 Tully Rd, San Jose, CA 95148-2152 | 2015-03-26 |
| 1548652290 | My-linh Le | Licensed Vocational Nurse | 1890 Schulte Dr, 103, San Jose, CA 95133-2158 | 2015-03-04 |
| Find all providers in SAN JOSE | ||||
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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.