MRS. TRACI RENEE VARGAS (NPI# 1255456620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255456620 |
| Entity Type | Individual |
| Full Name | MRS. TRACI RENEE VARGAS |
| Other Name | MISS TRACI RENEE GORMAN |
| Credential | NP |
| Practice Address |
10418 Valley Blvd El Monte CA 91731-3600 |
| Practice Telephone | 6264538466 |
| Practice Fax Number | 6264538465 |
| Mailing Telephone | 6264538466 |
| Mailing Fax Number | 6264538465 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2012-06-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 462956 | CA | Nursing Service Providers |
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
16153 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BOARD OF NURSING CA | NP16153 | 01 |
| CA | BOARD OF NURSING CA | RN462956 | 01 |
| Street Address |
10418 VALLEY BLVD |
| City | EL MONTE |
| State | CA |
| Zip Code | 91731-3600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699856625 | Cristian Rico | Family Medicine | 10418 Valley Blvd, Suite B, El Monte, CA 91731-3600 | 2006-10-17 |
| 1184280992 | Marisela Elizabeth Garcia | Licensed Vocational Nurse | 10418 Valley Blvd, El Monte, CA 91731-3600 | 2019-05-16 |
| 1619434297 | Juan Carlos Leyva | Case Manager/Care Coordinator | 10418 Valley Blvd, El Monte, CA 91731-3600 | 2019-03-01 |
| 1679037477 | Salvador Castillo | Dietitian, Registered | 10418 Valley Blvd, El Monte, CA 91731-3600 | 2019-01-25 |
| 1396218442 | Celine Cheng | Dietitian, Registered | 10418 Valley Blvd, El Monte, CA 91731-3600 | 2019-01-10 |
| 1285105338 | Jazmin Anahi Landeros | Case Manager/Care Coordinator | 10418 Valley Blvd, El Monte, CA 91731-3600 | 2018-12-16 |
| 1356844674 | Yesenia Reyes | Nurse Practitioner | 10418 Valley Blvd, El Monte, CA 91731-3600 | 2018-03-13 |
| 1881193555 | Jasmine Tuyet Dinh | Nurse Practitioner | 10418 Valley Blvd, El Monte, CA 91731-3600 | 2018-02-07 |
| 1811401557 | Madeleine Matilde Ayllon | Nurse Practitioner | 10418 Valley Blvd, El Monte, CA 91731-3600 | 2017-11-16 |
| 1912424144 | Miriam Rios | Social Worker | 10418 Valley Blvd, El Monte, CA 91731 | 2017-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154965994 | Anahi Mora | Case Manager/Care Coordinator | 3629 Santa Anita Ave, El Monte, CA 91731 | 2019-11-05 |
| 1346882321 | Rosemary Pespisa | Technician | 10558 Emery St., El Monte, CA 91731 | 2019-10-11 |
| 1962058123 | Maria Jesusa Gabriel | Licensed Vocational Nurse | 11041 E. Valley Blvd., El Monte, CA 91731 | 2019-08-14 |
| 1346720679 | Ivan Bustamante | Counselor | 11429 Valley Boulevard, El Monte, Ca 91731, El Monte, CA 91731 | 2018-08-16 |
| 1891213229 | Abbye Williams | Counselor | 11100 Valley Blvd Suite 116, El Monte, CA 91731 | 2017-09-06 |
| 1215467279 | All Health Alliance Medical Group, Inc. | Physical Medicine & Rehabilitation | 10505 Valley Boulevard, #238, El Monte, CA 91731 | 2017-06-13 |
| 1427416486 | Mai Le | Counselor | 11041 E. Valley Blvd, El Monte, CA 91731 | 2016-02-05 |
| 1235526724 | Kristine Malana | Social Worker | 10418 E. Valley Blvd., Suite A, El Monte, CA 91731 | 2015-04-22 |
| 1376980250 | Aura Hernandez | Rehabilitation Practitioner | 9865 Baldwin Pl., El Monte, CA 91731 | 2013-05-31 |
| 1639411754 | Roxana Yaneth De Paz | Nurse's Aide | 10481 Valley Blvd., El Monte, CA 91731 | 2013-03-27 |
| Find all providers in zip 91731 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114093481 | Tracy Janese Wampler | Nurse Practitioner | 10454 Valley Blvd, El Monte, CA 91731-2444 | 2006-11-28 |
| 1184847105 | Glenda A Loya | Nurse Practitioner | 10953 Ramona Blvd, Rm 116, El Monte, AL 91731-2629 | 2007-04-10 |
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|---|---|---|---|---|
| 1578162806 | Joan Elizabeth Kailany | Nurse Practitioner | 3344 Bartlett Ave, Rosemead, CA 91770-2773 | 2020-10-19 |
| 1447864541 | Lauren Sanchez | Nurse Practitioner | 145 Mission Ranch Blvd Ste 115, Chico, CA 95926-2296 | 2020-09-04 |
| 1417569526 | Katherine Jeanne Stafford | Nurse Practitioner | 34952 Gail Ave, Yucaipa, CA 92399-2830 | 2020-08-19 |
| 1497376875 | Monica Kistler | Nurse Practitioner | 65 N Hockett St, Porterville, CA 93257 | 2020-04-27 |
| 1942832894 | Bryonna Mathews | Nurse Practitioner | 362 Euclid Ave Apt 304, Oakland, CA 94610-3217 | 2020-02-09 |
| 1881224533 | Brittany Justine Ayala-patlan | Nurse Practitioner | 4034 S Carneros Ave, Ontario, CA 91761-3821 | 2020-01-22 |
| 1013547090 | Erin Elizabeth Murdock | Nurse Practitioner | 1986 Hummingbird Dr, Fairfield, CA 94534-6694 | 2020-01-18 |
| 1053950287 | Caitlin Rota | Nurse Practitioner | 432 S Pacific Coast Hwy, Redondo Beach, CA 90277-3735 | 2020-01-06 |
| 1578109302 | Ariel Rankin Mcdonald | Nurse Practitioner | 8920 Wilshire Blvd Ste 511, Beverly Hills, CA 90211-1949 | 2019-11-27 |
| 1093371478 | Fion Tai | Nurse Practitioner | 279 Tustin Field Dr, Tustin, CA 92782-6523 | 2019-05-12 |
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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.