EVANGELYN ESTRADA (NPI# 1407475387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407475387 |
| Entity Type | Individual |
| Full Name | EVANGELYN ESTRADA |
| Credential | LVN |
| Practice Address |
1235 Mchenry Ave Modesto CA 95350-5370 |
| Mailing Address |
7246 Remmet Ave Canoga Park CA 91303-1531 |
| Practice Telephone | 2095274597 |
| Practice Fax Number | 2095274599 |
| Mailing Telephone | 8182060360 |
| Enumeration Date | 2020-04-10 |
| Last Update Date | 2020-04-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | 277902 | CA | Nursing Service Providers |
| Street Address |
1235 MCHENRY AVE |
| City | MODESTO |
| State | CA |
| Zip Code | 95350-5370 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659436095 | Aegis Treatment Centers, LLC | Clinic/Center | 1235 Mchenry Ave, Suite A & B, Modesto, CA 95350-5370 | 2006-12-26 |
| 1245850304 | Jessica Dawn French | Counselor | 1235 Mchenry Ave, Modesto, CA 95350-5370 | 2020-04-19 |
| 1306483045 | Trinity Rose Teicheira | Counselor | 1235 Mchenry Ave, Modesto, CA 95350-5370 | 2019-12-02 |
| 1073154324 | Stephen Powell | Licensed Vocational Nurse | 1235 Mchenry Ave, Modesto, CA 95350-5370 | 2019-10-07 |
| 1841831070 | Dionissya Gomez Punla | Licensed Vocational Nurse | 1235 Mchenry Ave, Modesto, CA 95350-5370 | 2019-09-29 |
| 1558919829 | Mary Ann Yadollahi | Licensed Vocational Nurse | 1235 Mchenry Ave, Modesto, CA 95350-5370 | 2019-08-29 |
| 1215583026 | Magdali M Moreno | Licensed Vocational Nurse | 1235 Mchenry Ave, Modesto, CA 95350-5370 | 2019-08-16 |
| 1184187072 | Anthony Jason Ramirez | Counselor | 1235 Mchenry Ave, Modesto, CA 95350-5370 | 2019-04-09 |
| 1184183477 | Angilene Nichole Forrest | Counselor | 1235 Mchenry Ave, Modesto, CA 95350-5370 | 2019-03-15 |
| 1922565266 | Sylvia Perez | Counselor | 1235 Mchenry Ave, Modesto, CA 95350-5370 | 2019-02-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020459 | Karina Montes Rodriguez | Case Manager/Care Coordinator | Cip 1540 Florida Ave, Suite 212, Modesto, CA 95350 | 2020-10-09 |
| 1134737315 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 2057 Tully Road, Suite A, Modesto, CA 95350 | 2020-07-14 |
| 1588211254 | Karla Junuen Toscano | Licensed Vocational Nurse | 1235 Mchenry Ave. Suites A&b, Modesto, CA 95350 | 2019-08-19 |
| 1831694769 | Loretta Myers-weber | Nurse Practitioner | 1510 Florida Ave Ste A, Modesto, CA 95350 | 2018-03-23 |
| 1720599632 | Coral Alejandra Amador | Counselor | 1700 Mchenry Village Way, Suite 11b, Modesto, CA 95350 | 2017-10-18 |
| 1053820522 | Pannu and Henne Dental Corp. | Dentist | 3219 Mc Henry Ave, Suite E, Modesto, CA 95350 | 2017-09-27 |
| 1346779709 | Kevin Sotelo | Behavior Technician | 2630 W Rumble Road, Modesto, CA 95350 | 2017-06-08 |
| 1255869566 | Hoa Xuan Phan | Family Medicine | 1441 Florida Ave Ste 200, Modesto, CA 95350 | 2017-05-31 |
| 1356881163 | Brady S Marshall | Dentist | 201 E. Orangeburg Avenue, Suite C, Modesto, CA 95350 | 2017-02-27 |
| 1750755476 | Caremore Health Plan | Nurse Practitioner | 1234 Mchenry Avenue, Modesto, CA 95350 | 2015-11-18 |
| Find all providers in zip 95350 | ||||
| Taxonomy Code | 164X00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Vocational Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271173 | Frank W Bowerman | Licensed Vocational Nurse | 2629 Mill Oak Dr, Modesto, CA 95355-9453 | 2020-10-07 |
| 1649809021 | Amelia E Delgadillo | Licensed Vocational Nurse | 501 Triangle Rd, Modesto, CA 95356 | 2020-04-07 |
| 1326679630 | Kristin Fournillier | Licensed Vocational Nurse | 2438 Millcreek Ct, Modesto, CA 95351-4878 | 2020-01-27 |
| 1588211254 | Karla Junuen Toscano | Licensed Vocational Nurse | 1235 Mchenry Ave. Suites A&b, Modesto, CA 95350 | 2019-08-19 |
| 1023523917 | Shonam Menchue | Licensed Vocational Nurse | 215 Kingston Ln, Modesto, CA 95354-3128 | 2017-12-13 |
| 1730615725 | Vanessa Camacho | Licensed Vocational Nurse | 3817 Rexford Dr, Modesto, CA 95356-1835 | 2017-05-11 |
| 1003356395 | Alexandra Patterson | Licensed Vocational Nurse | 2514 Uhlig Ave, Modesto, CA 95350-2865 | 2017-03-06 |
| 1639618465 | Angel Chandra | Licensed Vocational Nurse | 1825 Lifetime Dr, Modesto, CA 95355-2665 | 2017-02-13 |
| 1477008001 | Jeanne Mutongerwa | Licensed Vocational Nurse | 1229 Markham Ave, Modesto, CA 95358-6910 | 2016-08-24 |
| 1316492697 | Sabrina Slater | Licensed Vocational Nurse | 1808 Serena Ave, Modesto, CA 95355-2925 | 2016-08-17 |
| Find all providers in MODESTO | ||||
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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.