JOEL GALLANO OMBAO


Address: 2880 Hulen Pl, Riverside, CA 92507-2606
Phone: 9515954444

JOEL GALLANO OMBAO (NPI# 1275870628) 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) 1275870628
Entity Type Individual
Full Name JOEL GALLANO OMBAO
Credential NP-C
Practice Address 2880 Hulen Pl
Riverside
CA 92507-2606
Practice Telephone 9515954444
Practice Fax Number 9514621034
Mailing Telephone 9515954444
Mailing Fax Number 9514621034
Enumeration Date 2013-01-04
Last Update Date 2018-03-17
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
22676 CA Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
596 N Lake Ave, 203, Pasadena, CA 911011455 6264050449 8889221252

Office Location

Street Address 2880 HULEN PL
City RIVERSIDE
State CA
Zip Code 92507-2606

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629257373 Cassandra L Black Social Worker 2880 Hulen Pl, Riverside, CA 92507-2606 2007-10-30
1184153124 Lindsey Allison Cunanan Nurse Practitioner 2880 Hulen Pl, Riverside, CA 92507-2606 2017-06-04
1194256651 James Perry Perkins Jr. Chiropractor 2880 Hulen Pl, Riverside, CA 92507-2606 2017-03-24
1811438740 Cynthia Leticia Lopez Family Medicine 2880 Hulen Pl, Riverside, CA 92507-2606 2017-03-11
1285029462 Urban Community Action Projects Clinic/Center 2880 Hulen Pl, Riverside, CA 92507-2606 2015-04-03
1548678881 Jeffrey Hensley Nurse Practitioner 2880 Hulen Pl, Riverside, CA 92507-2606 2014-07-30
1043641822 David Anthony Konzem Physician Assistant 2880 Hulen Pl, Riverside, CA 92507-2606 2013-12-04
1063845972 Lawrence B Sandberg Family Medicine 2880 Hulen Pl, Riverside, CA 92507-2606 2013-08-14
1336492974 Devadas Moses Clinic/Center 2880 Hulen Pl, Riverside, CA 92507-2606 2012-10-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205448917 Rachel Nielson Counselor 1450 Spruce St, Suite A, Riverside, CA 92507 2020-08-24
1437769742 Pakravan, Manavi & Cohen Dental Corporation Dentist 2862 Unit B Canyon Springs Parkway, Riverside, CA 92507 2020-08-03
1518577972 Michael Vincent Laureola Dds Inc Dentist 2862 Unit A Canyon Springs Parkway, Riverside, CA 92507 2020-07-31
1164067567 Audrey Gruen Social Worker Canyon Crest Mental Health, 5225 Canyon Crest Drive #100, Riverside, CA 92507 2019-11-10
1518432962 Antonio Mixon Specialist 1405 Spruce Street, Suite A, Riverside, CA 92507 2018-10-11
1811479793 New Day Counseling Services Counselor 20363 Harvard Way, Riverside, CA 92507 2018-09-06
1780176875 Miriam Martinez Case Manager/Care Coordinator 2085 Rustin Ave., Riverside, CA 92507 2018-06-04
1518478874 Lisa Manuel Counselor 2058 Rustin Ave, Riverside, CA 92507 2017-10-13
1497272942 Yajaira Placensia Behavioral Analyst 1486 Everton Place, Riverside, CA 92507 2017-08-25
1841717691 Stephanie Teuchert Behavioral Analyst 1080 Spruce Street Apartment 7c, Riverside, CA 92507 2017-08-23
Find all providers in zip 92507

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801425145 Alpha Shanika Gonzalez Nurse Practitioner 5750 Division St Ste 204, Riverside, CA 92506-3260 2020-04-08
1184264517 Michael Josiah Nurse Practitioner 16254 Bridgton Cir, Riverside, CA 92503-5978 2020-01-14
1346885738 Rose Jionna Newton Nurse Practitioner 750 Via Pueblo Apt 201, Riverside, CA 92507-6376 2019-11-09
1952957375 April Blum Nurse Practitioner 14200 Meridian Parkway, # 101, Riverside, CA 92518 2019-08-12
1487209326 Glecy Kristine Tan Lua Nurse Practitioner 7992 Wood Rd, Riverside, CA 92508-6605 2019-08-07
1386119725 Eugene Santos Nurse Practitioner 3600 Lime St Ste 516, Riverside, CA 92501-0944 2018-10-12
1407356918 Reyna Acela Reynaga-vargas Nurse Practitioner 5430 Arlington Ave # Na, Riverside, CA 92504-2505 2018-02-20
1174021646 Mary Anne Brown Nurse Practitioner 10895 Magnolia Ave, Riverside, CA 92505-3057 2018-01-30
1295249167 Emily Fernandez Nurse Practitioner 9444 Alta Cresta Ave, Riverside, CA 92508-8032 2017-11-29
1124538152 Clara Nnadi Nurse Practitioner 18445 Pinecone Ln, Riverside, CA 92504-9420 2017-10-04
Find all providers in RIVERSIDE

Competitor

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City RIVERSIDE
Zip Code 92507

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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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