SHALINI JETLEY (NPI# 1326338856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326338856 |
| Entity Type | Individual |
| Full Name | SHALINI JETLEY |
| Credential | LVN |
| Practice Address |
12800 Garden Grove Blvd Ste F Garden Grove CA 92843-2008 |
| Practice Telephone | 7146208131 |
| Practice Fax Number | 7146208132 |
| Mailing Telephone | 7146208131 |
| Mailing Fax Number | 7146208132 |
| Enumeration Date | 2011-04-18 |
| Last Update Date | 2015-08-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | VN249746 | CA | Nursing Service Providers |
| Street Address |
12800 GARDEN GROVE BLVD STE F |
| City | GARDEN GROVE |
| State | CA |
| Zip Code | 92843-2008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013923556 | Linda Sue Cooley | Counselor | 12800 Garden Grove Blvd Ste F, Garden Grove, CA 92843-2008 | 2006-08-01 |
| 1528586468 | Infinity Physical Therapy Inc | Physical Therapist | 12800 Garden Grove Blvd Ste F, Garden Grove, CA 92843-2008 | 2017-08-30 |
| 1407242001 | Andrew Lazo | Counselor | 12800 Garden Grove Blvd Ste F, Garden Grove, CA 92843-2008 | 2015-04-09 |
| 1679964027 | Ta Nguyen | Counselor | 12800 Garden Grove Blvd Ste F, Garden Grove, CA 92843-2008 | 2015-02-06 |
| 1245669134 | David Boyd Light | Nurse Practitioner | 12800 Garden Grove Blvd Ste F, Garden Grove, CA 92843-2008 | 2013-11-01 |
| 1033464839 | Julie Chin | Counselor | 12800 Garden Grove Blvd Ste F, Garden Grove, CA 92843-2008 | 2012-07-17 |
| 1942508874 | Yenny Zenteno Cacique | Counselor | 12800 Garden Grove Blvd Ste F, Garden Grove, CA 92843-2008 | 2011-03-01 |
| 1619201647 | Iny De Croos | Counselor | 12800 Garden Grove Blvd Ste F, Garden Grove, CA 92843-2008 | 2009-09-23 |
| 1518199595 | Richard Glen Grant | Counselor | 12800 Garden Grove Blvd Ste F, Garden Grove, CA 92843-2008 | 2009-08-10 |
| 1700012895 | Jane Lois Porphir | Marriage & Family Therapist | 12800 Garden Grove Blvd Ste F, Garden Grove, CA 92843-2008 | 2009-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346759024 | Elite Wellness Chiropractic Center | Clinic/Center | 13125 Brookhurst St, Garden Grove, CA 92843 | 2017-09-25 |
| 1407375520 | Leontina Balos | Assisted Living Facility | 10452 Mildred Avenue, Garden Grove, CA 92843 | 2017-09-11 |
| 1548788235 | Lanson Tt Corp | Pharmacy | 14211 Euclid St Ste A, Garden Grove, CA 92843 | 2017-09-01 |
| 1598285512 | Ernest Youngchan Rhee | Acupuncturist | 12555 Garden Grove Blvd., Ste 505, Garden Grove, CA 92843 | 2017-06-21 |
| 1336681253 | Shane Hiromu Koga | Chiropractor | 13311 Garden Grove Blvd Suite B, Garden Grove, CA 92843 | 2016-11-09 |
| 1023461456 | Kelly Chau Quach | Counselor | 14411 Brookhurst St Ste D & E, Garden Grove, CA 92843 | 2016-07-21 |
| 1922484385 | Terry Chang | Counselor | 12800 Garden Grove Blvd. Ste. F, Garden Grove, CA 92843 | 2015-08-07 |
| 1942687132 | Sara Smith | Counselor | 11277 Garden Grove Blvd., Suite 100, Garden Grove, CA 92843 | 2015-04-27 |
| 1063848232 | Nexgen Chiropractic Inc | Chiropractor | 12832 Garden Grove Blvd A, Garden Grove, CA 92843 | 2013-09-19 |
| 1023369824 | American Medical Diagnostic Lab Inc. | Clinical Medical Laboratory | 12665 Garden Grove Blvd #111, Garden Grove, CA 92843 | 2012-09-20 |
| Find all providers in zip 92843 | ||||
| Taxonomy Code | 164X00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Vocational 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. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] 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 |
|---|---|---|---|---|
| 1326685371 | Stephanie Lea Abbott | Licensed Vocational Nurse | 11121 Mac Murray St, Garden Grove, CA 92841-1016 | 2019-12-09 |
| 1437600376 | Tawnie Marie Florin | Licensed Vocational Nurse | 6892 Acacia Ave, Garden Grove, CA 92845-3004 | 2016-10-15 |
| 1710332812 | Mohamedmunir Gojali | Licensed Vocational Nurse | 10066 Montecito Plz, Garden Grove, CA 92840-1530 | 2016-04-27 |
| 1477948404 | Tracy Jane Diana | Licensed Vocational Nurse | 6741 Santa Catalina Ave, Garden Grove, CA 92845-1323 | 2015-04-06 |
| 1265820617 | Jade Tieu Ngoc Tran | Licensed Vocational Nurse | 8442 Stanford Ave, Garden Grove, CA 92841-4432 | 2015-01-07 |
| 1790198471 | Vanessa M Nguyen | Licensed Vocational Nurse | 11731 Brookhurst St, Garden Grove, CA 92840-1509 | 2014-06-10 |
| 1225306814 | Helen C Nguyen | Licensed Vocational Nurse | 12682 Audrey Cir, Garden Grove, CA 92840-6013 | 2011-12-09 |
| 1770886251 | Grace I Wanjiru | Licensed Vocational Nurse | 9731 Acacia Ave, 11b, Garden Grove, CA 92841-5275 | 2010-12-06 |
| 1629228051 | Donna T Dang | Licensed Vocational Nurse | 10642 Anchor Ave, Garden Grove, CA 92843-5304 | 2008-09-23 |
| 1639336647 | Christina J. Brown | Licensed Vocational Nurse | 12192 Sheridan Ln, Garden Grove, CA 92840-2813 | 2008-05-19 |
| Find all providers in GARDEN GROVE | ||||
| City | GARDEN GROVE |
| Zip Code | 92843 |
Please comment or provide details below to improve the information on SHALINI JETLEY.
| 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.