LESLIE CRISOSTOMO (NPI# 1316298920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316298920 |
| Entity Type | Individual |
| Full Name | LESLIE CRISOSTOMO |
| Credential | RN |
| Practice Address |
830 Scenic Dr Modesto CA 95350-6131 |
| Practice Telephone | 2095587400 |
| Practice Fax Number | 2095588315 |
| Mailing Telephone | 2095587400 |
| Mailing Fax Number | 2095588315 |
| Enumeration Date | 2012-09-21 |
| Last Update Date | 2012-09-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
815637 | CA | Nursing Service Providers |
| Street Address |
830 SCENIC DR |
| City | MODESTO |
| State | CA |
| Zip Code | 95350-6131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275559411 | Scenic Faculty Medical Group, Inc. | Family Medicine | 830 Scenic Dr, Sfmg, Modesto, CA 95350 | 2006-07-14 |
| 1134659451 | Christine Cole | Registered Nurse | 830 Scenic Dr, Modesto, CA 95350-6131 | 2017-06-19 |
| 1740711332 | Meaghan Victoria Kingsley-teem | Pediatrics | 830 Scenic Dr, Modesto, CA 95350-6131 | 2017-03-24 |
| 1134576481 | Martha Quesada-beckner | Nurse Practitioner | 830 Scenic Dr, Modesto, CA 95350-6131 | 2016-05-17 |
| 1619341401 | Harbindar Singh | Registered Nurse | 830 Scenic Dr, Modesto, CA 95350-6131 | 2015-11-17 |
| 1417342270 | Arlene Presinal | Registered Nurse | 830 Scenic Dr, Building 3, Modesto, CA 95350-6131 | 2015-03-30 |
| 1730585134 | Gina Fleming | Registered Nurse | 830 Scenic Dr, Modesto, CA 95350-6131 | 2014-11-12 |
| 1265838767 | Abievhese Lawani | Registered Nurse | 830 Scenic Dr, Modesto, CA 95350-6131 | 2014-11-10 |
| 1184023129 | Rebecca Evans | Registered Nurse | 830 Scenic Dr, Modesto, CA 95350-6131 | 2014-08-15 |
| 1093127573 | Belinda Kea | Family Medicine | 830 Scenic Dr, Modesto, CA 95350-6131 | 2014-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020459 | Karina Montes Rodriguez | Case Manager/Care Coordinator | Cip 1540 Florida Ave, Suite 212, Modesto, CA 95350 | 2020-10-09 |
| 1134737315 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 2057 Tully Road, Suite A, Modesto, CA 95350 | 2020-07-14 |
| 1588211254 | Karla Junuen Toscano | Licensed Vocational Nurse | 1235 Mchenry Ave. Suites A&b, Modesto, CA 95350 | 2019-08-19 |
| 1831694769 | Loretta Myers-weber | Nurse Practitioner | 1510 Florida Ave Ste A, Modesto, CA 95350 | 2018-03-23 |
| 1720599632 | Coral Alejandra Amador | Counselor | 1700 Mchenry Village Way, Suite 11b, Modesto, CA 95350 | 2017-10-18 |
| 1053820522 | Pannu and Henne Dental Corp. | Dentist | 3219 Mc Henry Ave, Suite E, Modesto, CA 95350 | 2017-09-27 |
| 1346779709 | Kevin Sotelo | Behavior Technician | 2630 W Rumble Road, Modesto, CA 95350 | 2017-06-08 |
| 1255869566 | Hoa Xuan Phan | Family Medicine | 1441 Florida Ave Ste 200, Modesto, CA 95350 | 2017-05-31 |
| 1356881163 | Brady S Marshall | Dentist | 201 E. Orangeburg Avenue, Suite C, Modesto, CA 95350 | 2017-02-27 |
| 1750755476 | Caremore Health Plan | Nurse Practitioner | 1234 Mchenry Avenue, Modesto, CA 95350 | 2015-11-18 |
| Find all providers in zip 95350 | ||||
| Taxonomy Code | 163WC0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720304579 | Natalia Lacko | Registered Nurse | 1112 Marin Ave, Modesto, CA 95358-7205 | 2010-04-19 |
| 1417342270 | Arlene Presinal | Registered Nurse | 830 Scenic Dr, Building 3, Modesto, CA 95350-6131 | 2015-03-30 |
| 1184023129 | Rebecca Evans | Registered Nurse | 830 Scenic Dr, Modesto, CA 95350-6131 | 2014-08-15 |
| 1649697038 | Corrin Geibig | Registered Nurse | 830 Scenic Dr, Building 3, Modesto, CA 95350-6131 | 2014-03-24 |
| 1093138174 | Guadalupe Tovar | Registered Nurse | 830 Scenic Dr, Modesto, CA 95350-6131 | 2014-01-27 |
| 1417278318 | Beverly Eldridge | Registered Nurse | 830 Scenic Dr, Modesto, CA 95350-6131 | 2010-06-15 |
| 1043530983 | Ginger Rose Merrill | Registered Nurse | 830 Scenic Dr Bldg 3, Modesto, CA 95350-6131 | 2010-06-02 |
| 1437333697 | Veronica C Pehl | Registered Nurse | 830 Scenic Dr Bldg 3, Modesto, CA 95350-6131 | 2007-12-24 |
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|---|---|---|---|---|
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| 1982220653 | Karen Elizabeth Mitchell | Registered Nurse | County of San Diego California Children's Services (ccs, 6991 Balboa Ave, (room 70), San Diego, CA 92111 | 2020-06-18 |
| 1932724689 | Deborah Ruth Toga | Registered Nurse | 587 Prospect Blvd, Pasadena, CA 91103-3235 | 2020-06-09 |
| 1750904066 | Emer Gaite | Registered Nurse | 1697 Greenyard Ct, Brentwood, CA 94513-5844 | 2020-05-20 |
| 1396367140 | Janice Ann Oliver | Registered Nurse | 4393 Date Ave, La Mesa, CA 91941-6412 | 2020-05-15 |
| 1083236863 | Rachel Materum | Registered Nurse | 2190 Holder Ln, Tracy, CA 95377-9575 | 2020-05-14 |
| 1154943926 | Susan Guajardo | Registered Nurse | 2695 Country Ln, Westlake Village, CA 91361-5534 | 2020-05-14 |
| 1336761329 | Nancy Davis | Registered Nurse | 307 Greenview Rd, Escondido, CA 92026-3932 | 2020-05-12 |
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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.