GLYNIS TAN DEL ROSARIO (NPI# 1407353311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407353311 |
| Entity Type | Individual |
| Full Name | GLYNIS TAN DEL ROSARIO |
| Credential | NP |
| Practice Address |
79440 Corporate Center Dr La Quinta CA 92253-7241 |
| Mailing Address |
68577 Susan Dr Cathedral City CA 92234-2946 |
| Practice Telephone | 7605415888 |
| Mailing Telephone | 7604494364 |
| Enumeration Date | 2018-04-07 |
| Last Update Date | 2020-02-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
NP95008832 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 68577 Susan Dr, Cathedral City, CA 922342946 | 7604494364 |
| Street Address |
79440 CORPORATE CENTER DR |
| City | LA QUINTA |
| State | CA |
| Zip Code | 92253-7241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346247012 | Charles Duane Knight | Chiropractor | 79440 Corporate Center Dr, Suite 108, La Quinta, CA 92253-7241 | 2005-07-07 |
| 1043724933 | Brandi Marie Teegarden | Nurse Practitioner | 79440 Corporate Center Dr, La Quinta, CA 92253-7241 | 2017-11-30 |
| 1073059689 | Regina Tongson | Nurse Practitioner | 79440 Corporate Center Dr, Suite 101, La Quinta, CA 92253-7241 | 2017-01-06 |
| 1356756761 | Desert Pain Specialists, Inc. | Durable Medical Equipment & Medical Supplies | 79440 Corporate Center Dr, Suite 110, La Quinta, CA 92253-7241 | 2014-06-24 |
| 1902241755 | Live Life Home Health LLC | Home Health | 79440 Corporate Center Dr, Suite 107, Office C, La Quinta, CA 92253-7241 | 2013-05-07 |
| 1508107335 | Marcey Gabrielle Utter | Speech-Language Pathologist | 79440 Corporate Center Dr, Suite 113, La Quinta, CA 92253-7241 | 2013-03-04 |
| 1619252020 | Hope Neurologic Center | Psychiatry & Neurology | 79440 Corporate Center Dr, Suite 108, La Quinta, CA 92253-7241 | 2011-10-17 |
| 1326270588 | R-c Urgent Care Family Practice Inc | Family Medicine | 79440 Corporate Center Dr, Suite 118, La Quinta, CA 92253-7241 | 2009-08-20 |
| 1164698544 | S A Allen Md Inc A Medical Corporation | Family Medicine | 79440 Corporate Center Dr, #110, La Quinta, CA 92253-7241 | 2008-05-05 |
| 1992837652 | Alberto Rodriguez Cruz | Dentist | 79440 Corporate Center Dr, Suite 103, La Quinta, CA 92253-7241 | 2007-03-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073160677 | Mary-ellen O'neill | Technician | 81663 Brittlebuss. Ln., La Quinta, CA 92253 | 2019-08-20 |
| 1437621976 | Dental Corporation of Rodriguez Cruz Dds | Clinic/Center | 79440 Corporate Center Dr., #103, La Quinta, CA 92253 | 2018-12-21 |
| 1902383540 | Stephanie Le Asis | Optometrist | 47-474 Washington St., La Quinta, CA 92253 | 2018-07-26 |
| 1386139905 | Tarek Hussein | Dentist | 78595 Highway 111 Ste 300, La Quinta, CA 92253 | 2018-06-26 |
| 1083105431 | Sipan Keshishyan | Pharmacist | 44075 Jeffeson St, La Quinta, CA 92253 | 2018-05-22 |
| 1013432301 | Sasha Scofield | Physical Therapist | 78593 San Marino Ct, La Quinta, CA 92253 | 2017-08-07 |
| 1588102198 | Constant Care Inc | In Home Supportive Care | 51965 Avenida Obregon, La Quinta, CA 92253 | 2017-02-02 |
| 1457713877 | Vianey Rivera | Massage Therapist | 79440 Hwy 111 Suite 104, La Quinta, CA 92253 | 2016-03-24 |
| 1487032587 | Pediatric Physicians Group, Inc. | Pediatrics | 79-180 Corporate Centre Dr., Ste. 103, La Quinta, CA 92253 | 2015-05-11 |
| 1295158723 | Sneha Bhakta | Pharmacist | 79947 Parkway Esplanade N, La Quinta, CA 92253 | 2014-02-04 |
| Find all providers in zip 92253 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
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| 1710584008 | Venessa Beck | Nurse Practitioner | 903 Cardiff St, San Diego, CA 92114-5019 | 2020-10-08 |
| 1053918094 | Janel Nicole Sanglerat | Nurse Practitioner | 416 Aviation Blvd, Santa Rosa, CA 95403-1032 | 2020-10-02 |
| 1790382760 | Christopher Tran | Nurse Practitioner | 11441 Heacock St Ste F, Moreno Valley, CA 92557-7907 | 2020-10-02 |
| 1487266292 | Mollie Shira Hudson | Nurse Practitioner | 14 Whitmore Pl Apt 15, Oakland, CA 94611-4635 | 2020-08-21 |
| 1962014381 | Mario Javier Herrera | Nurse Practitioner | 2130 High Pointe Dr, Apt 108, Corona, CA 92879 | 2020-08-18 |
| 1952912131 | Norman Ivan Kier | Nurse Practitioner | 3834 Edison Ave, Sacramento, CA 95821-2728 | 2020-08-12 |
| 1942811377 | Thanhan Mathews | Nurse Practitioner | 114 W Cameron St Apt B, Hanford, CA 93230-2965 | 2020-08-10 |
| 1972113355 | Marine Mary Kademyan | Nurse Practitioner | 6528 Babcock Ave, North Hollywood, CA 91606 | 2020-07-31 |
| 1245849645 | Shannon Pereira | Nurse Practitioner | 2368 Honeysuckle Way, Hemet, CA 92545-4796 | 2020-07-31 |
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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.