MR. RONEILIO SAN DIEGO GARCIA


Address: 2104 W. 242nd Street, Lomita, CA 90717
Phone: 4247572323

MR. RONEILIO SAN DIEGO GARCIA (NPI# 1407403587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407403587
Entity Type Individual
Full Name MR. RONEILIO SAN DIEGO GARCIA
Practice Address 2104 W. 242nd Street
Lomita
CA 90717
Practice Telephone 4247572323
Mailing Telephone 4247572323
Enumeration Date 2019-08-22
Last Update Date 2019-08-22
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3747A0650X Technician
Specialization: Attendant Care Provider
Nursing Service Related Providers

Office Location

Street Address 2104 W. 242ND STREET
City LOMITA
State CA
Zip Code 90717

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Taxonomy Information

Taxonomy Code 3747A0650X
Grouping Nursing Service Related Providers
Classification Technician
Specialization Attendant Care Provider

Taxonomy Definition

An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528614336 Joann M Smith Technician 25111 Ebony Liv, Lomita, CA 90717 2019-08-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1700487691 Hine Maumalanga Technician 1094 Folsom Ave, Hayward, CA 94544-5704 2020-11-05
1649871765 Charles Leroy Appleberry II Technician 1100 S Chester Ave, Compton, CA 90221-4312 2020-11-04
1902407174 Ryan Allen Merrell Technician 313 E. 17th Pl #l Costa Mesa, Costa Mesa, CA 92627 2020-11-04
1083212476 Christina Elisabeth Brunn Technician 2818 Huxley Pl, Fremont, CA 94555-1416 2020-10-16
1790392165 Amanda Moore Technician 6445 Village Center Dr, Building 7 Apt 101, Sacramento, CA 95823 2020-09-29
1730795543 Corina Rochelle Burch Technician 3706 Calavo Dr, Spring Valley, CA 91977-1903 2020-09-17
1033724729 Cinta Latrece Moore Technician 12329 Creekview Dr Unit 37, San Diego, CA 92128-6624 2020-09-10
1598379398 Trina Diane Brown Technician 115 W Zane St, Long Beach, CA 90805-6327 2020-08-31
1437760766 Jeri Lyn Allen-smith Technician 9228 Allano Way, Santee, CA 92071-2202 2020-08-11
1750991667 Natalie Mari Norman Technician 5013 Englewood Dr, San Jose, CA 95129-4232 2020-08-05
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Competitor

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City LOMITA
Zip Code 90717

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Dataset Information

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.

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