AVOCADO MEDICAL CLINIC PROFESSIONAL CORP (NPI# 1396108403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396108403 |
| Entity Type | Organization |
| Organization Name | AVOCADO MEDICAL CLINIC PROFESSIONAL CORP |
| Practice Address |
126 Avocado Ave Perris CA 92571-2605 |
| Practice Telephone | 9519437212 |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2016-04-05 |
| Authorized Official Name | ERNESTO TIZNADO-GARCIA (OWNER) |
| Authorized Official Telephone | 9519437212 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | A45183 | CA | Ambulatory Health Care Facilities |
| Street Address |
126 AVOCADO AVE |
| City | PERRIS |
| State | CA |
| Zip Code | 92571-2605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831173129 | Jose De Jesus Alvarez | Physical Therapist | 126 Avocado Ave, Suite 107, Perris, CA 92571-2605 | 2005-12-01 |
| 1184099186 | Dang M Ngo | Physical Therapist | 126 Avocado Ave, Suite 107, Perris, CA 92571-2605 | 2015-12-02 |
| 1942584727 | Daniel's Pharmacy Inc | Pharmacy | 126 Avocado Ave, Suite 101, Perris, CA 92571-2605 | 2011-09-28 |
| 1972809986 | Ashley Maycock Jacobs | Physical Therapist | 126 Avocado Ave, Suite 107, Perris, CA 92571-2605 | 2011-02-09 |
| 1083851703 | Perris Valley Medical Group, Inc. | Family Medicine | 126 Avocado Ave, Suite 207, Perris, CA 92571-2605 | 2009-01-16 |
| 1154512416 | Donna Marie Hefner | Physician Assistant | 126 Avocado Ave, Ste 106, Perris, CA 92571-2605 | 2007-08-01 |
| 1215014089 | Brian Alan Smith | Physical Therapist | 126 Avocado Ave, Suite 107, Perris, CA 92571-2605 | 2006-11-01 |
| 1780790485 | Diana Rose Irving | Social Worker | 126 Avocado Ave, Suite 103, Perris, CA 92571-2605 | 2006-08-22 |
| 1023086790 | Rancho Physical Therapy, Inc. | Physical Therapist | 126 Avocado Ave, Ste 107, Perris, CA 92571-2605 | 2006-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376199422 | Pico De Loro, Incorporated | Assisted Living Facility | 620 North Perris Boulevard, Perris, CA 92571 | 2019-08-14 |
| 1053802579 | Kadiatou Dafney | Nurse Practitioner | 126 Avocado Ave Ste 106, Perris, CA 92571 | 2018-05-21 |
| 1730677014 | Ruth Gasselle Rodriguez | Nutritionist | 1020 Huntington Way, Perris, CA 92571 | 2018-04-23 |
| 1649788167 | Leslie Bautista | Counselor | 1276 Autumnwood Ln, Perris, CA 92571 | 2018-01-18 |
| 1588180459 | Eduardo Orozco-zavala | Licensed Vocational Nurse | 85 Ramona Expressway, Suite 1, Perris, CA 92571 | 2017-08-22 |
| 1396267365 | National Vision, Inc. | Technician/Technologist | 1850 N Perris Boulevard, Suite 40, Perris, CA 92571 | 2017-07-12 |
| 1336669506 | Gary Huang | Optometrist | 1850 N Perris Boulevard Ste 40, Perris, CA 92571 | 2017-06-20 |
| 1750814745 | New Beginnings Residential Tf | Residential Treatment Facility, Emotionally Disturbed Children | 106 Worth St, Perris, CA 92571 | 2017-04-06 |
| 1013456235 | Sohal and Pham Dental Corporation | Dentist | 1820 Perris Blvd, Suite 70, Perris, CA 92571 | 2017-02-21 |
| 1093267569 | New Beginnings Residential Tf | Residential Treatment Facility, Emotionally Disturbed Children | 2464 Slew of Gold Ct, Perris, CA 92571 | 2016-10-31 |
| Find all providers in zip 92571 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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| 1306447941 | Bedford Breast Surgeons | Clinic/Center | 436 North Bedford Drive, Suite 105, Beverly Hills, CA 90210-4323 | 2020-11-02 |
| 1538767082 | County of Los Angeles | Clinic/Center | 6902 Atlantic Ave, Bell, CA 90201-3647 | 2020-10-15 |
| 1225636855 | Optimum Wellness and Weight Loss | Clinic/Center | 910 S El Camino Real Ste 100, San Clemente, CA 92672-4279 | 2020-10-15 |
| 1932707700 | Body By Design Wellness and Massage Clinic, Inc. | Clinic/Center | 3625 E Thousand Oaks Blvd Ste 215216, Westlake Village, CA 91362-3626 | 2020-10-14 |
| 1639786189 | Rams Ppe | Clinic/Center | 15329 Bonanza Rd Ste D, Victorville, CA 92392-2457 | 2020-09-29 |
| 1720695729 | Vila Facial Plastic Surgery | Clinic/Center | 1000 S Eliseo Dr Ste 203, Greenbrae, CA 94904-2151 | 2020-09-24 |
| 1902410442 | Hope Elementary School District | Clinic/Center | 3970 La Colina Rd Ste 14, Santa Barbara, CA 93110-1596 | 2020-09-02 |
| 1558974097 | Jiseki Health Inc | Clinic/Center | 1150 S King Rd Ste 40, San Jose, CA 95122-2140 | 2020-08-25 |
| 1902417678 | I-ma Acupuncture Inc | Clinic/Center | 2485 High School Ave Ste 123, Concord, CA 94520-1812 | 2020-08-14 |
| 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.