LOIS ANN BACON (NPI# 1285285023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285285023 |
| Entity Type | Individual |
| Full Name | LOIS ANN BACON |
| Practice Address |
3608 Kodiak Way Antelope CA 95843-2304 |
| Practice Telephone | 9166275426 |
| Mailing Telephone | 9166275426 |
| Enumeration Date | 2019-09-23 |
| Last Update Date | 2019-09-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
| Street Address |
3608 KODIAK WAY |
| City | ANTELOPE |
| State | CA |
| Zip Code | 95843-2304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881196350 | Attayla Marnyce Bell | Behavior Technician | 8438 Cedar Hill Ct, Antelope, CA 95843 | 2018-03-01 |
| 1699297259 | Alexej Iovita | Nursing Home Administrator | 4136 Singing Tree Way, Antelope, CA 95843 | 2017-07-14 |
| 1447386362 | Rescare California, Inc. | Intermediate Care Facility, Mentally Retarded | 8141 Chimango Way, Antelope, CA 95843 | 2007-02-26 |
| 1144373838 | Cynthia Louise Simpson | Dental Hygienist | 8124 Sheehan Way, Antelope, CA 95843 | 2007-01-18 |
| 1750471140 | Dental Corporation of Ghazal Buehler Rodgers | Dentist | 8008 Walerga Rd, Ste. 100, Antelope, CA 95843 | 2006-10-13 |
| 1235245168 | Vimal Amral Dulabh | Dentist | 3535 Elverta Rd, Suite E, Antelope, CA 95843 | 2006-08-22 |
| 1073987269 | Rex Anthony Gamoke | Pharmacist | 4331 Antelope Rd, Antelope, CA 95843 | 2015-11-25 |
| 1134302524 | Firstsight Vision Services, Inc. | Optometrist | 5821 Antelope North Rd, Antelope, CA 95843 | 2007-12-10 |
| 1386116630 | Juliya Sitaruk | Behavior Technician | 3015 Scotland Dr, Antelope, CA 95843-1928 | 2018-12-27 |
| 1861672057 | Firstsight Vision Services, Inc. | Optometrist | 7901 Watt Ave, Antelope, CA 95843-2000 | 2007-11-06 |
| Find all providers in zip 95843 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
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| 1750991667 | Natalie Mari Norman | Technician | 5013 Englewood Dr, San Jose, CA 95129-4232 | 2020-08-05 |
| Find all providers with the same taxonomy | ||||
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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.