MICHAEL JAY RENDLE (NPI# 1255945200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255945200 |
| Entity Type | Individual |
| Full Name | MICHAEL JAY RENDLE |
| Credential | NP-C |
| Practice Address |
12032 Champlain St Moreno Valley CA 92557-7713 |
| Practice Telephone | 9512037865 |
| Mailing Telephone | 9512037865 |
| Enumeration Date | 2020-09-06 |
| Last Update Date | 2020-09-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95014922 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
12032 CHAMPLAIN ST |
| City | MORENO VALLEY |
| State | CA |
| Zip Code | 92557-7713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598314577 | Knight Rider Transport Inc | Private Vehicle | 21334 Ocasey Ct, Moreno Valley, CA 92557 | 2019-09-11 |
| 1679041495 | Shaping Pathways | Community/Behavioral Health | 11627 Mccully Court, Moreno Valley, CA 92557 | 2018-11-09 |
| 1710485644 | Torie Curiel | Behavior Technician | 12125 Day St E301, Moreno Valley, CA 92557 | 2018-01-25 |
| 1164949921 | Phyllis Yvonne Miller | Behavioral Analyst | 15450 Casa Grande St, Moreno Valley, CA 92557 | 2017-08-23 |
| 1255855912 | Natalie Maria-vega Cortinas | Specialist/Technologist | 12348 Kasota Ct., Moreno Valley, CA 92557 | 2017-08-03 |
| 1942720263 | Shenna Pontier Brown | Licensed Vocational Nurse | 12031 Poutous Ct, Moreno Valley, CA 92557 | 2017-06-27 |
| 1104209733 | Saira Medrano | Counselor | 11966 Villa Hermosa, Moreno Valley, CA 92557 | 2015-07-01 |
| 1295071405 | Maura Sauls | Counselor | 9963 Paseo Corralito, Moreno Valley, CA 92557 | 2012-12-14 |
| 1992919583 | Jody Willetts | Technician, Other | 11480 Tiffany Lane, Moreno Valley, CA 92557 | 2007-05-10 |
| 1457564841 | Derrick Trigenza Smith | Dental Hygienist | 23569 Sunnymead Ranch Parkway, Moreno Valley, CA 92557 | 2007-05-08 |
| Find all providers in zip 92557 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851999718 | La Creasure White | Nurse Practitioner | 10271 Prospector Ln, Moreno Valley, CA 92557-4238 | 2020-10-13 |
| 1013553064 | Natasha Mirella Ramirez | Nurse Practitioner | 22575 Cobble Creek Dr, Moreno Valley, CA 92557-2617 | 2019-11-25 |
| 1730721861 | Roseline Igho Enobakhare | Nurse Practitioner | 13431 Nottingham Ave, Moreno Valley, CA 92555-8413 | 2019-10-10 |
| 1225690449 | Jeremiah Umeh | Nurse Practitioner | 13072 Day St # A301, Moreno Valley, CA 92553-7334 | 2019-07-09 |
| 1679044093 | Reni Zachariah | Nurse Practitioner | 24318 Hemlock Ave Ste E1, Moreno Valley, CA 92557-7225 | 2018-12-11 |
| 1336647742 | Sherle Glenn Rubin | Nurse Practitioner | 13845 Roderick Dr, Moreno Valley, CA 92555-6117 | 2018-01-31 |
| 1689186975 | Linda Yvette Perez | Nurse Practitioner | 22635 Alessandro Blvd Ste A, Moreno Valley, CA 92553-8550 | 2017-10-26 |
| 1063938603 | Anthony I Odimegwu | Nurse Practitioner | 26062 Bercaw Ct, Moreno Valley, CA 92555 | 2017-08-16 |
| 1386195212 | Myla Lara Natividad | Nurse Practitioner | 26323 Old Anvil Ln, Moreno Valley, CA 92555-2935 | 2016-10-14 |
| 1518311190 | Ryan Macavinta | Nurse Practitioner | 22765 Alessandro Blvd., Moreno Valley, CA 92553 | 2016-04-20 |
| Find all providers in MORENO VALLEY | ||||
| City | MORENO VALLEY |
| Zip Code | 92557 |
Please comment or provide details below to improve the information on MICHAEL JAY RENDLE.
| 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.