MARKEASHA SHERRIE MOORE (NPI# 1285075770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285075770 |
| Entity Type | Individual |
| Full Name | MARKEASHA SHERRIE MOORE |
| Practice Address |
105 S Riverside Ave Station3 Rialto CA 92376-6413 |
| Mailing Address |
3981 N H St Apt A San Bernardino CA 92407-3427 |
| Practice Telephone | 9095712843 |
| Mailing Telephone | 9095712843 |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2016-02-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | KK533705 | CA | Other Service Providers |
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | KK533705 | CA | Suppliers |
| Street Address |
105 S RIVERSIDE AVE STATION3 |
| City | RIALTO |
| State | CA |
| Zip Code | 92376-6413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780141812 | Sochun Operation, Inc. | Assisted Living Facility | 1441 S. Riverside Ave., Rialto, CA 92376 | 2019-02-25 |
| 1487138244 | National Vision Inc | Technician/Technologist | 1175 Renaissance Parkway, Suite 1050, Rialto, CA 92376 | 2018-09-18 |
| 1942780853 | Pakravan, Manavi & Cohen Dental Corporation | Dentist | 1205 W Renaissance Pkwy, Suite 240, Rialto, CA 92376 | 2018-08-20 |
| 1114430238 | Li Watkins | Nurse Practitioner | 280 N Riverside Avenue, Rialto, CA 92376 | 2017-11-10 |
| 1346767837 | Imelda Jazmin Ceja Nunez | Behavioral Analyst | 462 E Wilson St, Rialto, CA 92376 | 2017-08-24 |
| 1720505662 | Taylor Sandoval | Behavioral Analyst | 2935 Cardamon St, Rialto, CA 92376 | 2017-08-22 |
| 1427572510 | Danielle Mccree | Physical Therapy Assistant | 1470 N Filmore Ave, Rialto, CA 92376 | 2017-07-31 |
| 1639699952 | Albert Anthony Torres | Specialist/Technologist | 1008 N. Pampas Ave., Rialto, CA 92376 | 2017-06-27 |
| 1124407358 | Miesha Warren | Peer Specialist | 850 East Foothill Bld, Rialto, CA 92376 | 2015-05-20 |
| 1205233483 | Albert Archuleta | Counselor | 1501 Riverside Ave, Rialto, CA 92376 | 2014-12-03 |
| Find all providers in zip 92376 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659705374 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 300 W Base Line Rd, Rialto, CA 92376-3347 | 2013-08-29 |
| 1932455979 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 918 E Foothill Blvd, Rialto, CA 92376-5366 | 2012-07-27 |
| 1952677643 | Raul A. Chavez | Durable Medical Equipment & Medical Supplies | 380 N. Linden Ave., 2204, Rialto, CA 92376 | 2012-03-27 |
| 1053626721 | Tender Touch Medical Supply | Durable Medical Equipment & Medical Supplies | 720 E Foothill Blvd, Rialto, CA 92376-5265 | 2010-08-18 |
| 1740416858 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 2011 N Riverside Ave., Rialto, CA 92377-4601 | 2009-06-03 |
| 1356561906 | Kobil Medical Supplies | Durable Medical Equipment & Medical Supplies | 444 E Foothill Blvd, Suite E, Rialto, CA 92376-5180 | 2007-04-26 |
| 1245353622 | Josephine A Oyewole | Durable Medical Equipment & Medical Supplies | 225 S Riverside Ave, Suite 4, Rialto, CA 92376-6458 | 2007-04-09 |
| 1770695769 | North Rialto Shopping Center Drug Inc | Durable Medical Equipment & Medical Supplies | 531 E Foothill Blvd, Rialto, CA 92376-5223 | 2006-08-31 |
| 1295844652 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 2020 North Riverside Avenue, Rialto, CA 92377-4600 | 2006-08-30 |
| 1609982891 | Maui Medical, Inc. | Durable Medical Equipment & Medical Supplies | 317 W Tullock St, Rialto, CA 92376-7702 | 2006-08-22 |
| Find all providers in RIALTO | ||||
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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.