KHERIYA BERHAN MOHAMMED


Address: 655 Park Center Dr, Santee, CA 92071-6957
Phone: 6195965500

KHERIYA BERHAN MOHAMMED (NPI# 1235626854) 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) 1235626854
Entity Type Individual
Full Name KHERIYA BERHAN MOHAMMED
Credential RN
Practice Address 655 Park Center Dr
Santee
CA 92071-6957
Mailing Address 3853 Rosecrans St
San Diego
CA 92110-3115
Practice Telephone 6195965500
Mailing Telephone 6195424060
Enumeration Date 2018-04-19
Last Update Date 2019-06-14
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 95173019 CA Nursing Service Providers
Y 164X00000X Licensed Vocational Nurse VN259770 CA Nursing Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
3853 Rosecrans St, San Diego, CA 921103115 6195424060

Office Location

Street Address 655 PARK CENTER DR
City SANTEE
State CA
Zip Code 92071-6957

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396748646 Katherine Trintchouk Internal Medicine 655 Park Center Dr, Santee, CA 92071-6957 2005-05-31
1003423682 Tenny Kussat Dietitian, Registered 655 Park Center Dr, Santee, CA 92071-3094 2020-09-28
1164045217 Emmanuel Gonzales Tanay Registered Nurse 655 Park Center Dr, Santee, CA 92071-6957 2020-05-23
1699397521 Mini Joseph Registered Nurse 655 Park Center Dr, Santee, CA 92071-6957 2020-05-14
1164044970 Remy Rafols Munda Registered Nurse 655 Park Center Dr, Santee, CA 92071-6957 2020-05-14
1912529918 Wendy Yonghong Liu Registered Nurse 655 Park Center Dr, Santee, CA 92071-6957 2020-05-12
1013548791 Ma. Criselda Bayalan Ferrer Registered Nurse 655 Park Center Dr, Santee, CA 92071-6957 2020-01-30
1003467192 Paulina Giba Dietitian, Registered 655 Park Center Dr, Santee, CA 92071-6957 2019-09-20
1073162418 Minerva Ballesteros Dietitian, Registered 655 Park Center Dr, Santee, CA 92071-6957 2019-09-09
1790252385 Carla Abigail Rumbaoa Tayag Registered Nurse 655 Park Center Dr, Santee, CA 92071-6957 2018-11-01
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487277307 Sjc Management and Consulting Corp Pharmacy 300 Lantern Crest Way Ste A, Santee, CA 92071 2020-05-27
1225662596 Sharp Healthcare Pharmacy 8701 Cuyamaca Street, Santee, CA 92071 2020-02-26
1962975920 Santee Community Pharmacy, Inc. Pharmacy 9836 Magnolia Ave., Santee, CA 92071 2019-01-02
1073095428 Rohshana Plunkett Dental Assistant 9717 Mission Gorge Rd, Santee, CA 92071 2018-09-02
1285144071 Victoria Koci Behavioral Analyst 10636 Queen Jessica Ln, Santee, CA 92071 2017-10-05
1699214478 Glenn C. Ashmore Dds, Inc. Dentist 9480 Cuyamaca Street, San Diego, CA 92071 2017-02-14
1609328517 Daniel Burciaga Specialist/Technologist 9915 N Magnolia Ave, Santee, CA 92071 2016-10-26
1861940355 Carlos Garcia Jr. Technician, Other 10445 Mast Blvd # 11, Santee, CA 92071 2016-09-14
1962855205 Universal Medical Solutions LLC Durable Medical Equipment & Medical Supplies 10020 Prospect Ave Ste A1, Santee, CA 92071 2016-07-22
1568871861 Mark Adam Frens Physical Therapist 9236 Lapeer Ct, Santee, CA 92071 2014-08-12
Find all providers in zip 92071

Taxonomy Information

Taxonomy Code 164X00000X
Grouping Nursing Service Providers
Classification Licensed Vocational Nurse

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710499058 Nicole Holmes Licensed Vocational Nurse 8731 Graves Ave Unit 45, Santee, CA 92071-5161 2017-10-26
1467865998 Ann M Burkett Licensed Vocational Nurse 9364 Whispering Leaves Ln, Santee, CA 92071-2254 2014-06-02
1124391958 Karen Jayne Hosford Licensed Vocational Nurse 10262 Princess Joann Rd, Santee, CA 92071-1296 2012-02-09
1053563692 Robin Lynn Schaffer Licensed Vocational Nurse 10442 Nate Way, Santee, CA 92071-4925 2008-10-14
1003035874 Raymond Garcia Licensed Vocational Nurse 9813 Caspi Gardens Dr, # 1, Santee, CA 92071-1805 2007-04-24
1275051062 Maria Inez Domingo Aquitania Licensed Vocational Nurse 655 Park Center Dr, Santee, CA 92071-6957 2017-08-31
1548616022 Jess Mejia Licensed Vocational Nurse 655 Park Center Dr, Santee, CA 92071-6957 2016-05-13
1508293564 Jose Manuel Arellano Licensed Vocational Nurse 655 Park Center Dr, Santee, CA 92071-6957 2013-10-04
1467712752 Shadette Oljol Licensed Vocational Nurse 655 Park Center Dr, Santee, CA 92071-6957 2012-05-21
1164753364 Annette Thanh Hauser Licensed Vocational Nurse 655 Park Center Dr, Santee, CA 92071-6957 2010-01-27
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Competitor

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City SANTEE
Zip Code 92071

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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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