MR. ANGEL DANIEL RENDON (NPI# 1346661550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346661550 |
| Entity Type | Individual |
| Full Name | MR. ANGEL DANIEL RENDON |
| Credential | SFIDC |
| Practice Address |
865 Royal Grove Ct Chesapeake VA 23320-6564 |
| Practice Telephone | 7574623425 |
| Enumeration Date | 2013-12-16 |
| Last Update Date | 2013-12-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144849712 | Angel Rendon | Student in an Organized Health Care Education/Training Program | 1201 W University Dr, Edinburg, TX 78539-2909 | 2020-04-13 |
| 1346328721 | Angel Rendon | Psychiatry & Neurology | 4701 E Cesar E Chavez Ave, Los Angeles, CA 90022-1209 | 2006-11-01 |
| Street Address |
865 ROYAL GROVE CT |
| City | CHESAPEAKE |
| State | VA |
| Zip Code | 23320-6564 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386263499 | Trinity Hospice 1, LLC | Hospice Care, Community Based | 1401 Kempsville Road, Suite A, Unit 1, Chesapeake, VA 23320 | 2020-04-09 |
| 1538624804 | Shaniqah Mcleod | Home Health | 217 Centerville Turnpike N, Chesapeake, VA 23320 | 2019-01-31 |
| 1942764113 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 1400 Kempsville Rd, Virginia Beach, VA 23320 | 2019-01-22 |
| 1639647993 | Madison Vansavage Maben | Orthotist | 433 Network Sta, Chesapeake, VA 23320 | 2018-11-05 |
| 1568947356 | Kelly M Muchetti | Massage Therapist | 1421 C. Kempsville Rd., Chesapeake, VA 23320 | 2018-09-27 |
| 1235612912 | L&s Home Health Care, LLC. | Home Health | 1545 Cossways Blv, Chesepeake, VA 23320 | 2018-09-10 |
| 1154803500 | Latricia A Patterson | Home Health | 813-a Professional Pl Ste 107, Chesapeake, VA 23320 | 2018-09-02 |
| 1164909586 | 4k Tresses | Durable Medical Equipment & Medical Supplies | 1220 Executive Blvd Ste 101, Chesapeake, VA 23320 | 2018-07-27 |
| 1831676105 | Lance Taylor | Technician | 1645 Crossways Blvd Ste 250, Chesapeake, VA 23320 | 2018-07-19 |
| 1023507688 | Sentoria Howell Harold | Social Worker | 920 Ventures Way Ste 4, Chesapeake, VA 23320 | 2018-05-08 |
| Find all providers in zip 23320 | ||||
| Taxonomy Code | 1710I1002X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Corpsman |
| A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals. |
| Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366872772 | Matthew John Watton | Military Health Care Provider | 1414 Sabbath Ln, Chesapeake, VA 23320-3348 | 2013-11-21 |
| 1932533601 | Ernesto Carrasquillo IIi | Military Health Care Provider | 1804 Crestmont Place, Apt 302, Chesapeake, VA 23320 | 2013-08-29 |
| 1336582774 | Mario Delano Phillips Jr. | Military Health Care Provider | 745 Eden Way North, Chesapeake, VA 23320 | 2013-04-16 |
| 1871845313 | Jennifer Renee Otterbach | Military Health Care Provider | 4000 Hailey Ct, Chesapeake, VA 23321-3137 | 2012-10-08 |
| 1588925754 | Christian Marsh | Military Health Care Provider | 707 Washington Dr, Chesapeake, VA 23322-7327 | 2012-06-05 |
| 1982977153 | Michael Thomas Hedden | Military Health Care Provider | 1317 Richwood Ave, Chesapeake, VA 23323-5746 | 2012-02-17 |
| 1801126289 | Daniel Michael Covitz | Military Health Care Provider | 1317 Ballahack Rd. Ste 100, Capt W.l. Mcgonagle Branch Clinic Nsa Northwest, Chesapeake, VA 23322-2463 | 2010-01-06 |
| 1538319223 | Christopher Golden | Military Health Care Provider | 201 Thoroughbred Ln, Chesapeake, VA 23320-3061 | 2008-09-30 |
| 1902069990 | Huben Lindale Phillips | Military Health Care Provider | 2803 Meadow Wood Ct W, Chesapeake, VA 23321-4228 | 2008-07-09 |
| 1649439605 | Louis Eugene Raiford | Military Health Care Provider | 217 Heritage Oak Dr, Chesapeake, VA 23320-9501 | 2008-06-05 |
| Find all providers in CHESAPEAKE | ||||
| City | CHESAPEAKE |
| Zip Code | 23320 |
Please comment or provide details below to improve the information on MR. ANGEL DANIEL RENDON.
| 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.