MS. AGNES CASTILLO MANOSCA (NPI# 1316217987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316217987 |
| Entity Type | Individual |
| Full Name | MS. AGNES CASTILLO MANOSCA |
| Credential | NP, RN |
| Practice Address |
5671 Santa Teresa Blvd 105 San Jose CA 95123-6512 |
| Mailing Address |
319 Halyard Ln Foster City CA 94404-3920 |
| Practice Telephone | 4082842280 |
| Practice Fax Number | 4082812857 |
| Mailing Telephone | 4157060944 |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2012-01-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 640686 | CA | Nursing Service Providers |
| Y | 164W00000X | Licensed Practical Nurse | 20976 | CA | Nursing Service Providers |
| Street Address |
5671 SANTA TERESA BLVD 105 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95123-6512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346380474 | David F Chicoine | Marriage & Family Therapist | 5671 Santa Teresa Blvd, 203, San Jose, CA 95123-6512 | 2007-02-07 |
| 1639680192 | Esmeralda Santana | Case Manager/Care Coordinator | 5671 Santa Teresa Blvd, San Jose, CA 95123-6512 | 2017-10-23 |
| 1366787772 | Amanda Nicole Delgado Heerboth | Registered Nurse | 5671 Santa Teresa Blvd, 105, San Jose, CA 95123-6512 | 2012-12-11 |
| 1518234327 | Leslie Erin Clark | Registered Nurse | 5671 Santa Teresa Blvd, 105, San Jose, CA 95123-6512 | 2011-11-22 |
| 1154651602 | Janet Lynn Martin | Counselor | 5671 Santa Teresa Blvd, San Jose, CA 95123-6512 | 2010-01-06 |
| 1194963280 | Michaela B Banagan | Clinic/Center | 5671 Santa Teresa Blvd, San Jose, San Jose, CA 95123-6512 | 2009-01-27 |
| 1184879165 | Billie Bolden | Clinic/Center | 5671 Santa Teresa Blvd, Suite 105, San Jose, CA 95123-6512 | 2008-11-18 |
| 1043470354 | Blanca Isela Tabares | Social Worker | 5671 Santa Teresa Blvd, Suite105, San Jose, CA 95123-6512 | 2008-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700441045 | Calvin Patrick Nell | Chiropractor | 5570 Sanchez Drive, Ste 100, San Jose, CA 95123 | 2019-05-02 |
| 1629557152 | Jia Tian | Dentist | 393 Blossom Hill Rd Ste 150, San Jose, CA 95123 | 2018-08-06 |
| 1003306176 | Western Dental Services, Inc. | Dentist | 451 Blossom Hill Rd Suite 20, San Jose, CA 95123 | 2018-05-15 |
| 1871004945 | Luxottica of America Inc | Eyewear Supplier (Equipment, not the service) | 5411 Thornwood Dr, San Jose, CA 95123 | 2017-10-17 |
| 1437672953 | Mie Mie Chiu | Dietitian, Registered | 276 Palm Valley Blvd #205, San Jose, CA 95123 | 2017-07-18 |
| 1902335300 | Alfredo Fernandez | Counselor | 5898 Paddon Circle, San Jose, CA 95123 | 2017-06-08 |
| 1780115444 | Christopher Vi Tran | Case Manager/Care Coordinator | 5579 Lean Avenue, San Jose, CA 95123 | 2017-03-24 |
| 1205370004 | Linxi Wu | Acupuncturist | 6064 Cahalan Ave, San Jose, CA 95123 | 2016-12-13 |
| 1013307651 | Kevin Dizon | Dental Hygienist | 6071 Sunstone Drive, San Jose, CA 95123 | 2015-02-04 |
| 1285031294 | Katie Tran | Dental Assistant | 524 Glenburry Way, San Jose, CA 95123 | 2014-11-20 |
| Find all providers in zip 95123 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376175430 | Phuoc Ngoc Pham | Licensed Practical Nurse | 2001 The Alameda, San Jose, CA 95126-1136 | 2020-02-06 |
| 1518365865 | Dania Taha | Licensed Practical Nurse | 130 Bellerose Dr, San Jose, CA 95128-1729 | 2014-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720832 | Shelina Hardwick-moses | Licensed Practical Nurse | 1391 Frost St, Edwards, CA 93523-2715 | 2020-11-08 |
| 1609476217 | Vonkisha Caviness | Licensed Practical Nurse | 28816 Beattie St, Highland, CA 92346-5084 | 2020-11-01 |
| 1073113619 | Saroj Bala Chohan | Licensed Practical Nurse | 21221 Oxnard St, Apt#619, Woodland Hills, CA 91367-5181 | 2020-10-30 |
| 1447857719 | Stanley Joseph | Licensed Practical Nurse | 16211 Downey Ave Unit 113, Paramount, CA 90723-5588 | 2020-10-08 |
| 1356953848 | Jaeson M Fetalvero | Licensed Practical Nurse | 3834 Colma Ave, Merced, CA 95348-8719 | 2020-08-18 |
| 1699398594 | John Rastad | Licensed Practical Nurse | 2201 River Trails Cir, Rancho Cordova, CA 95670-2222 | 2020-05-26 |
| 1992338552 | Ralph Kevin Roque | Licensed Practical Nurse | 614 W Manchester Blvd, Inglewood, Ca 90301, 104, Inglewood, CA 90301 | 2020-02-21 |
| 1851924021 | Fiera Ramsey | Licensed Practical Nurse | 1705 Dobell St, Perris, CA 92571-6502 | 2020-02-17 |
| 1922630425 | Sacred Hands Hospice Home Care, LLC | Licensed Practical Nurse | 3900 Delta Fair Blvd Ste 200e, Antioch, CA 94509-4010 | 2020-02-12 |
| 1659916476 | Zion N Workalemahu | Licensed Practical Nurse | 2151 Anson Way, West Covina, CA 91792-1504 | 2019-11-15 |
| 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.