MRS. MARILYN KAY MANGELOS (NPI# 1407975196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407975196 |
| Entity Type | Individual |
| Full Name | MRS. MARILYN KAY MANGELOS |
| Credential | R.N. |
| Practice Address |
838 Cobblestone Ct Ripon CA 95366-2656 |
| Practice Telephone | 2095994917 |
| Practice Fax Number | 2095999275 |
| Mailing Telephone | 2095994917 |
| Mailing Fax Number | 2095999275 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
RN258880 | CA | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICAL PROVIDER NUMBER | EPS005060 | 01 |
| Street Address |
838 COBBLESTONE CT |
| City | RIPON |
| State | CA |
| Zip Code | 95366-2656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205452315 | Affection Healthcare LLC | Clinic/Center | 1641 North Ripon Road, Ripon, CA 95366 | 2020-06-24 |
| 1760036305 | Llanell Vararaj Dental Inc | Clinic/Center | 102 South Walnut Avenue, Rippon, CA 95366 | 2019-08-01 |
| 1003322199 | Janice Huggins Valdez | Counselor | 903 Sixth St, Ripon, CA 95366 | 2017-12-27 |
| 1154590479 | Aaron D Long | Physician Assistant | 150 Vera Avenue, Ripon, CA 95366 | 2008-02-21 |
| 1598800484 | Save Mart Supermarkets | Pharmacy | 1453 Goodwin Dr, Ripon, CA 95366 | 2007-02-20 |
| 1922250158 | Bhrs | Community/Behavioral Health | 1550 W Main St, Ripon, CA 95366 | 2008-10-21 |
| 1144478801 | Kenneth D Bowman | Physician Assistant | 150 Vera Avenue, Ripon, CA 95366 | 2008-09-05 |
| 1598934812 | Travis L Wolf | Physician Assistant | 150 Vera Ave, Ripon, CA 95366 | 2008-02-21 |
| 1497198618 | Linda Vermeulen | Counselor | 1271 Spring Creek Dr, Ripon, CA 95366-2231 | 2013-04-08 |
| 1285247445 | Donald Vertrees | Physician Assistant | 904 Opal Ln, Ripon, CA 95366-2256 | 2020-08-27 |
| Find all providers in zip 95366 | ||||
| Taxonomy Code | 163WH0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Home Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093148 | Edith K Augustt | Registered Nurse | 8954 Reseda Blvd Ste 201, Northridge, CA 91324-6507 | 2020-11-04 |
| 1962002741 | Hayley Michelle Ohlwiler | Registered Nurse | 10 Waverly Pl, Ladera Ranch, CA 92694-0220 | 2020-10-29 |
| 1326647835 | Jazmin Flores | Registered Nurse | 230 N Sherman Ave, Corona, CA 92882-1843 | 2020-10-26 |
| 1700483153 | Anton Vu | Registered Nurse | 11222 Garden Grove Blvd, Garden Grove, CA 92843-1338 | 2020-10-07 |
| 1164036950 | Carol Theresa Brown | Registered Nurse | 14582 Agave St, Moreno Valley, CA 92553-7164 | 2020-08-31 |
| 1073127841 | Janice Richardson | Registered Nurse | 15986 Turtle Bay Pl, Fontana, CA 92336-4543 | 2020-08-31 |
| 1285247601 | Abena Bonsu | Registered Nurse | 5362 Fairview Blvd, Los Angeles, CA 90056-2308 | 2020-08-25 |
| 1710590245 | International Medical Group Inc, Home Healthcare & Hospice | Registered Nurse | 14431 Ventura Blvd Ste 507, Sherman Oaks, CA 91423-2606 | 2020-08-25 |
| 1942810049 | Andrew Christian Malintang | Registered Nurse | 1466 Shane Ct, Redlands, CA 92374-5710 | 2020-08-04 |
| 1568072916 | Halyna Kravets | Registered Nurse | 1402 W Colonial Pkwy, Roseville, CA 95661-5007 | 2020-07-31 |
| 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.