MS. YVONNE DEJESUS ENRIQUEZ (NPI# 1225557747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225557747 |
| Entity Type | Individual |
| Full Name | MS. YVONNE DEJESUS ENRIQUEZ |
| Credential | NP |
| Practice Address |
300 S Highland Springs Ave Banning CA 92220-6504 |
| Practice Telephone | (951) 797-6547 |
| Practice Fax Number | 9517690202 |
| Mailing Telephone | 9517976547 |
| Mailing Fax Number | 9517690202 |
| Enumeration Date | 2017-09-15 |
| Last Update Date | 2017-09-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WN1003X |
Registered Nurse Specialization: Nutrition Support |
601853 | CA | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95006670 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912023060 | Yvonne Enriquez | Social Worker | 3630 E Imperial Hwy, Lynwood, CA 90262-2609 | 2007-03-21 |
| Street Address |
300 S HIGHLAND SPRINGS AVE |
| City | BANNING |
| State | CA |
| Zip Code | 92220-6504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376693531 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 300 S Highland Springs Ave, Banning, CA 92220-6504 | 2007-01-11 |
| 1790029205 | Pinnacle Medical Group, Inc. | Emergency Medicine | 300 S Highland Springs Ave, Suite 2d, Banning, CA 92220-6504 | 2012-11-21 |
| 1184981565 | Myeekyung Kang | Pharmacist | 300 S Highland Springs Ave, Suite 9, Banning, CA 92220-6504 | 2012-04-23 |
| 1659682391 | Lonnie Laroy Brown | Pharmacist | 300 S Highland Springs Ave, Banning, CA 92220-6504 | 2010-06-28 |
| 1851611081 | Okie Lee Dubose Jr. | Pharmacist | 300 S Highland Springs Ave, Banning, CA 92220-6504 | 2010-06-10 |
| 1588898431 | Amsavani Kandaswamy | Family Medicine | 300 S Highland Springs Ave, Banning, CA 92220-6504 | 2009-05-06 |
| 1063551414 | James Richard Lloyd | Dentist | 300 S Highland Springs Ave, Suite 2l, Banning, CA 92220-6500 | 2007-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962056523 | Golden View Guest Home, Inc. | Assisted Living Facility | 5466 West Wilson, Banning, CA 92220 | 2019-07-31 |
| 1780246157 | Fjs Hearing Professionals | Hearing Instrument Specialist | 3559 W Ramsey Ave Suit C-2, Banning, CA 92220 | 2019-07-05 |
| 1790237832 | Jennifer De Geus | Counselor | 1627 Hargrave St., Banning, CA 92220 | 2016-10-25 |
| 1427447507 | Dalonna Blackwell | Counselor | 2781 W. Ramsey St., Banning, CA 92220 | 2015-01-13 |
| 1639575962 | Eunjung J. Jung Choi | Dentist | 300 S Highland Springs Ave Ste 2l, Banning, CA 92220 | 2014-11-13 |
| 1861810244 | Genevra Diana Glenn | Counselor | 2781 W Ramsey, Suite 1, Banning, CA 92220 | 2014-04-02 |
| 1841617420 | Kristen Lew | Internal Medicine | 6109 W.ramsey Street, Banning, CA 92220 | 2014-03-21 |
| 1588917884 | Jamison William Murphy | Military Health Care Provider | Uss Howard Ddg 83, Fpo, AP 92220 | 2012-10-24 |
| 1972871390 | John Hong | Pharmacist | 60 N Highlandsprings, Beaumont, CA 92220 | 2011-12-13 |
| 1679855936 | Lydia Session | Marriage & Family Therapist | 1627 S. Hargrave, Banning, CA 92220 | 2011-09-13 |
| Find all providers in zip 92220 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376194605 | Rebecca Duran | Nurse Practitioner | 264 N Highland Springs Ave Ste 1a, Banning, CA 92220-3045 | 2019-09-27 |
| 1932712239 | Krizzette Mendoza Tanwangco Barker | Nurse Practitioner | 264 N Highland Springs Ave Ste 1a, Banning, CA 92220-3045 | 2020-08-26 |
| 1740796358 | Carlene Willis | Nurse Practitioner | 264 N Highland Springs Ave Ste 4, Banning, CA 92220-3082 | 2017-12-19 |
| 1093228926 | Monemala Philavong-danh | Nurse Practitioner | 330 W Ramsey St, Banning, CA 92220-4823 | 2017-11-14 |
| 1942751540 | Elsie Valencia | Nurse Practitioner | 264 N Highland Springs Ave, Building 1a, Banning, CA 92220-3082 | 2016-10-18 |
| 1487085403 | Janet Cooper | Nurse Practitioner | 5957 W Ramsey St, Banning, CA 92220-3058 | 2013-12-01 |
| 1912335225 | Michelle Joyce Duffy-reneau | Nurse Practitioner | 264 N Highland Springs Ave, Suite 1-a & 1-b, Banning, CA 92220-3082 | 2013-10-23 |
| 1922432640 | Christine Nneka Emenike- Anierobi | Nurse Practitioner | 3055 W Ramsey St, Banning, CA 92220-3781 | 2013-08-29 |
| 1962834499 | Stephanie Salazar | Nurse Practitioner | 6109 W Ramsey St, Banning, CA 92220-3051 | 2013-08-07 |
| 1326356908 | Kelly Marie Stormes | Nurse Practitioner | 6109 W Ramsey St, Banning, CA 92220-3051 | 2010-09-17 |
| Find all providers in BANNING | ||||
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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.