MR. RICARDO IGNACIO LANZA JR. (NPI# 1346868403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346868403 |
| Entity Type | Individual |
| Full Name | MR. RICARDO IGNACIO LANZA JR. |
| Credential | RN |
| Practice Address |
11947 York Ave Apt C Hawthorne CA 90250-3266 |
| Mailing Address |
Po Box 426 Manhattan Beach CA 90267-0426 |
| Practice Telephone | 3106504757 |
| Mailing Telephone | 3106504757 |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2020-07-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
95184571 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
11947 YORK AVE APT C |
| City | HAWTHORNE |
| State | CA |
| Zip Code | 90250-3266 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508479627 | Alexis Lemmon | Dental Hygienist | 13450 Hawthrone Blvd, Hawthorne, CA 90250 | 2020-08-28 |
| 1336620459 | Lan Ngoc Ton | Dentist | 13450 S. Hawthorne Blvd, Hawthorne, CA 90250 | 2018-08-27 |
| 1356829261 | Karneth Health Inc | Internal Medicine | 4512 W. Imperial Hwy, Ste B, Hawthorne, CA 90250 | 2018-08-02 |
| 1225524663 | Viridian Healthcare LLC | In Home Supportive Care | 13658 Hawthorne Blvd Ste 201, Hawthorne, CA 90250 | 2018-07-09 |
| 1235636044 | Sonia Medical Center Inc | Clinic/Center | 4512 W Imperial Hwy, Hawthorne, CA 90250 | 2018-04-09 |
| 1518484807 | Jessica Anne-marie Auzenne-harris | Nurse Practitioner | 12618 Hawthorne Blvd, Hawthorne, CA 90250 | 2017-08-28 |
| 1669993358 | Ololade Olamide Obafemi | Nurse Practitioner | 12954 Hawthorne Boulevard, Suite 104, Hawthorne Morningside Medical Clinic, Hawthorne, CA 90250 | 2017-07-03 |
| 1588194534 | Marissam Medical Inc. | Durable Medical Equipment & Medical Supplies | 13508 Inglewood Ave, Hawthorne, CA 90250 | 2017-06-13 |
| 1043751886 | Ogbonna Iwuamadi Olelewe | Nurse Practitioner | 11712 S. Hawthorne Blvd, Hawthorne, CA 90250 | 2017-03-13 |
| 1952758898 | La Shada Kai Martin | Contractor | 13010 Kornblum Ave, Unit D, Hawthorne, CA 90250 | 2016-05-20 |
| Find all providers in zip 90250 | ||||
| Taxonomy Code | 364SP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033612965 | Jasmine Nelson | Clinical Nurse Specialist | 12240 Hesperia Rd Ste A, Victorville, CA 92395-8309 | 2018-03-16 |
| 1679962633 | Pamoja Enterprise Inc | Clinical Nurse Specialist | 3400 W Ball Rd Ste 100b, Anaheim, CA 92804-3735 | 2015-01-14 |
| 1871835223 | Gwen Faulkner | Clinical Nurse Specialist | 1356 Cloud Ave, Menlo Park, CA 94025-6048 | 2013-03-25 |
| 1811147804 | Tina Christine Dulaine | Clinical Nurse Specialist | 1750a South Lewis Rd, Camarillo, CA 93012 | 2008-09-25 |
| 1053406025 | Mary Ann Offenheiser | Clinical Nurse Specialist | 30240 Rancho Viejo Rd Ste C1, San Juan Capistrano, CA 92675-1515 | 2006-10-04 |
| 1093814592 | Diane Myers | Clinical Nurse Specialist | 1701 Andreas Estates Pl, Royal Oaks, CA 95076-9321 | 2006-09-21 |
| 1093721003 | Paula Elaine Carmona | Clinical Nurse Specialist | 5202 Cobb Pl, San Diego, CA 92117-1228 | 2006-07-31 |
| 1649249178 | Vincent Thomas Elliott | Clinical Nurse Specialist | 121 Piccadilly Pl, San Bruno, CA 94066-2117 | 2006-03-16 |
| 1184257545 | Jessica Moran Family Cousneling A Professional Corporation Inc | Clinical Nurse Specialist | 330 Rancheros Dr Ste 208, San Marcos, CA 92069-2978 | 2020-02-13 |
| 1447801097 | Pamoja Advanced Nursing Practice Inc | Clinical Nurse Specialist | 3400 W Ball Rd Ste 100b, Anaheim, CA 92804-3735 | 2019-09-25 |
| 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.