MRS. LETICIA L BURDUMY (NPI# 1306022132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306022132 |
| Entity Type | Individual |
| Full Name | MRS. LETICIA L BURDUMY |
| Credential | R..N |
| Practice Address |
117 W Bunny Ave Santa Maria CA 93458-2805 |
| Mailing Address |
791 Price St # 192 Pismo Beach CA 93449-2529 |
| Practice Telephone | 8057393890 |
| Mailing Telephone | 8057734818 |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2008-01-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
318745 | CA | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | R.N. LICENSE | 318745 | 01 |
| Street Address |
117 W BUNNY AVE |
| City | SANTA MARIA |
| State | CA |
| Zip Code | 93458-2805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063496651 | Pacific Central Coast Health Centers | Clinic/Center | 117 W Bunny Ave, Santa Maria, CA 93458-2805 | 2005-12-06 |
| 1699323386 | Elizabeth Mikus | Nurse Practitioner | 117 W Bunny Ave, Santa Maria, CA 93458-2805 | 2019-08-27 |
| 1003347808 | Jaime Acosta Berrios | Family Medicine | 117 W Bunny Ave, Santa Maria, CA 93458-2805 | 2017-03-23 |
| 1912301730 | Pacific Central Coast Health Centers | Family Medicine | 117 W Bunny Ave, Santa Maria, CA 93458-2805 | 2014-10-22 |
| 1205141926 | Shelley Anne Wheeler | Dietitian, Registered | 117 W Bunny Ave, Santa Maria, CA 93458-2805 | 2010-08-18 |
| 1689854044 | Jeremy John Espino | Physician Assistant | 117 W Bunny Ave, Santa Maria, CA 93458-2805 | 2007-11-13 |
| 1013949791 | Paul A Lussier | Internal Medicine | 117 W Bunny Ave, Santa Maria, CA 93458-2805 | 2006-07-06 |
| 1154353829 | Mohamed Fekry Al-sadek | Internal Medicine | 117 W Bunny Ave, Santa Maria, CA 93458-2805 | 2006-07-06 |
| 1811929516 | Joseph Stephen Yorke | Internal Medicine | 117 W Bunny Ave, Santa Maria, CA 93458-2805 | 2006-07-06 |
| 1194757880 | Mark Atarius Sandquist | Family Medicine | 117 W Bunny Ave, Santa Maria, CA 93458-2805 | 2006-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790206761 | Recovery Point Acute Care | Family Medicine | 104b W Morrison Ave, Santa Maria, CA 93458 | 2017-06-29 |
| 1669912986 | Terry Jauregui | Behavior Technician | 1908 Vallet Vista, Santa Maria, CA 93458 | 2017-03-06 |
| 1770960692 | Anka Behavioral Health Incorporated | Community Based Residential Treatment Facility, Mental Illness | 212 West Carmen Lane, Santa Maria, CA 93458 | 2015-04-29 |
| 1447663299 | Dan Reynolds | Case Manager/Care Coordinator | 117 W. Tunnel Street, Santa Maria, CA 93458 | 2014-06-10 |
| 1043640824 | Good Samaritan Shelter | Counselor | 403 W Morrison Ave, Santa Maria, CA 93458 | 2013-11-15 |
| 1114281003 | Angelica Guadalupe Enriquez | Counselor | 1908 N. Western Ave, Santa Maria, CA 93458 | 2012-06-26 |
| 1225307036 | Krista Nicole Delia | Counselor | 2443 Ebony St., Santa Maria, CA 93458 | 2011-12-22 |
| 1528374774 | Jeff Robert Jeffery | Counselor | 117 S. Benwiley Avenue, Santa Maria, CA 93458 | 2010-08-25 |
| 1528295367 | Dena Marshelle Reed | Counselor | 401-b W. Morrison Ave., Santa Maria, CA 93458 | 2009-06-19 |
| 1114177326 | Suzanne Brooke Vierling | Counselor | 7321 S. Lincoln, Santa Maria, CA 93458 | 2008-09-24 |
| Find all providers in zip 93458 | ||||
| Taxonomy Code | 163WD0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Diabetes Educator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134740244 | Tamara Sue Stanic | Registered Nurse | 215 N. Fresno Street, Suite 370, Fresno, CA 93701 | 2020-04-29 |
| 1104447515 | Nourished Fox, LLC | Registered Nurse | 101 E Coso Ave # 656, Ridgecrest, CA 93555-3655 | 2020-04-27 |
| 1184253924 | Patricia Calderon | Registered Nurse | 215 N. Fresno Street, Suite 230, Fresno, CA 93701 | 2020-04-03 |
| 1922637032 | Leticia Lopez | Registered Nurse | 215 N. Fresno Street, Suite 230, Fresno, CA 93701 | 2020-04-02 |
| 1134767593 | Crystal Melody Loucel | Registered Nurse | 1801 21st Ave Apt 102, San Francisco, CA 94122-4448 | 2019-12-17 |
| 1841848314 | Gayle Curto | Registered Nurse | 1450 Treat Blvd # 130, Walnut Creek, CA 94597-2168 | 2019-08-28 |
| 1225682925 | Chau Ngoc Thanh Phan | Registered Nurse | 9191 Westminster Ave Ste 108, Garden Grove, CA 92844-2751 | 2019-07-31 |
| 1457915167 | Janice Marie Vevoda-aguero | Registered Nurse | 31233 Skyline Drive, Temecula, CA 92591 | 2019-04-29 |
| 1548745409 | Krystal Linn Hutcheson | Registered Nurse | 29294 Nectarine St, Menifee, CA 92584-7285 | 2018-09-26 |
| 1184101420 | Terri J Roos | Registered Nurse | 1580 Valencia St Ste 802, San Francisco, CA 94110-4415 | 2018-07-19 |
| Find all providers with the same taxonomy | ||||
| City | SANTA MARIA |
| Zip Code | 93458 |
Please comment or provide details below to improve the information on MRS. LETICIA L BURDUMY.
| 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.