MR. RAYMUND G GANTIOQUE (NPI# 1316121817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316121817 |
Entity Type | Individual |
Full Name | MR. RAYMUND G GANTIOQUE |
Credential | RNP |
Practice Address |
260 E Holt Ave Pomona CA 91767-5426 |
Mailing Address |
Po Box 210 Pomona CA 91769-0210 |
Practice Telephone | 9096343175 |
Mailing Telephone | 9096433175 |
Enumeration Date | 2007-12-20 |
Last Update Date | 2011-04-28 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 174400000X | Specialist | NP17259 | CA | Other Service Providers |
Y | 363L00000X | Nurse Practitioner | 17259 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
260 E HOLT AVE |
City | POMONA |
State | CA |
Zip Code | 91767-5426 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053784421 | Lijuan Zhao | Nurse Practitioner | 260 E Holt Ave, Pomona, CA 91767-5426 | 2015-11-07 |
1255702676 | Tedman Vuong | Nurse Practitioner | 260 E Holt Ave, Pomona, CA 91767-5426 | 2015-10-12 |
1669873584 | Merdina Mustedanagic | Physician Assistant | 260 E Holt Ave, Pomona, CA 91767-5426 | 2014-09-10 |
1255623542 | Kam Chak Wong | Physician Assistant | 260 E Holt Ave, Pomona, CA 91767-5426 | 2011-05-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942807979 | Ayed Hawatmeh Dds Inc | Dentist | 322 E Foothill Blvd, Pomona, CA 91767 | 2020-10-02 |
1780205302 | Melanie Crystal Ramirez | Counselor | 845 East Arrow Hwy, Pomona, CA 91767 | 2020-05-05 |
1780249029 | Jean Hang | Pharmacist | 775 East Foothill Blvd, Pomona, CA 91767 | 2019-05-02 |
1679043269 | Christy Bloss | Counselor | 16029 Arrow Hwy. Suite G, Irwindale, CA 91767 | 2018-11-27 |
1740758895 | Pomona Community Health Center | Dentist | 1448 E Holt Avenue, Pomona, CA 91767 | 2018-11-07 |
1245749878 | Continental Post Acute LLC | Skilled Nursing Facility | 1912 N.san Antonio, Pomona, CA 91767 | 2017-09-26 |
1083134373 | Virginia Thompson | Counselor | 845 E. Arrow Hwy., Pomona, CA 91767 | 2017-06-27 |
1215489000 | Boys Republic - Pomona Residence | Community/Behavioral Health | 733 N Garey Ave, Pomona, CA 91767 | 2016-10-27 |
1164870499 | Karthikeyan Bhuvaneswaran | Psychiatry & Neurology | 255 E Bonita Ave Bldg Suite103, Pomona, CA 91767 | 2016-05-26 |
1679936777 | Nex's Traditional Chinese Medicine | Acupuncturist | 1150 N Garey Ave, Pomona, CA 91767 | 2016-04-05 |
Find all providers in zip 91767 |
Taxonomy Code | 363L00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912493859 | Debbie Prickett | Nurse Practitioner | 2713 Lily St, Pomona, CA 91767-2280 | 2018-07-03 |
1750814919 | Judy Yi | Nurse Practitioner | 1361 Estel Dr, Pomona, CA 91768-2361 | 2017-04-05 |
1861890030 | Lynsey Louise Lakin | Nurse Practitioner | 2895 N. Towne Ave, Pomona, CA 91767 | 2014-12-19 |
1003230848 | Kirstiema Cowan | Nurse Practitioner | 24 Country Ridge Rd, Pomona, CA 91766-4815 | 2014-02-14 |
1215214325 | Christiana Chima Anisi | Nurse Practitioner | 2112 S. Garey Ave, Suite C, Pomona, CA 91766-5600 | 2011-11-03 |
1710034350 | Victor Manuel Campos | Nurse Practitioner | 2286 S Garey Ave, Pomona, CA 91766-5645 | 2007-01-05 |
1396805594 | Caroline M. Edwards | Nurse Practitioner | W. Jimmie Leeds Road, 101 Carnie Blvd., Pomona, NJ 08240-9104 | 2006-12-11 |
1649341561 | Teresa Enterlante | Nurse Practitioner | 61 W Jimmie Leeds Road, Pomona, NJ 08240-0723 | 2006-11-13 |
1417055807 | Deborah K. Scheuerell | Nurse Practitioner | 887 E. Second Street, Pomona, CA 91766-2009 | 2006-09-20 |
1194744177 | Sonia Y Tovar | Nurse Practitioner | 1019 E Holt Ave, Pomona, CA 91767-0000 | 2006-07-19 |
Find all providers in POMONA |
Please comment or provide details below to improve the information on MR. RAYMUND G GANTIOQUE.
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.