MARK VINCENT SORMILLON (NPI# 1447819511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447819511 |
| Entity Type | Individual |
| Full Name | MARK VINCENT SORMILLON |
| Credential | RN |
| Practice Address |
10201 Mission Gorge Rd Ste O Santee CA 92071-3040 |
| Mailing Address |
2155 Playa Dr Unit 227 Chula Vista CA 91915-2940 |
| Practice Telephone | 3109531247 |
| Mailing Telephone | 3109531247 |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2019-06-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
95166326 | CA | Nursing Service Providers |
| Street Address |
10201 MISSION GORGE RD STE O |
| City | SANTEE |
| State | CA |
| Zip Code | 92071-3040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922166982 | Rodney Isaac | Counselor | 10201 Mission Gorge Rd Ste O, Santee, CA 92071 | 2006-12-04 |
| 1366009730 | Olga Edith Carmona | Counselor | 10201 Mission Gorge Rd Ste O, Santee, CA 92071-3040 | 2019-05-21 |
| 1114489234 | Wayne Scott Busse | Counselor | 10201 Mission Gorge Rd Ste O, Santee, CA 92071-3040 | 2019-04-06 |
| 1306320072 | Pamela Beth Berkinsky | Counselor | 10201 Mission Gorge Rd Ste O, Santee, CA 92071-3040 | 2018-09-19 |
| 1871076042 | Leopoldo Rocha Franco I | Counselor | 10201 Mission Gorge Rd Ste O, Santee, CA 92071-3040 | 2018-09-12 |
| 1639650690 | Danielle Alexandria Pagan | Counselor | 10201 Mission Gorge Rd Ste O, Santee, CA 92071-3040 | 2018-08-27 |
| 1497236400 | Jillian Starkey | Social Worker | 10201 Mission Gorge Rd Ste O, Santee, CA 92071-3040 | 2018-08-27 |
| 1801374533 | Teresa Lean Paris | Marriage & Family Therapist | 10201 Mission Gorge Rd Ste O, Santee, CA 92071-3040 | 2018-08-03 |
| 1609364363 | Michelle Green | Peer Specialist | 10201 Mission Gorge Rd Ste O, Santee, CA 92071-3040 | 2018-04-27 |
| 1205355963 | Shelbi Raylene Callahan | Counselor | 10201 Mission Gorge Rd Ste O, Santee, CA 92071-3027 | 2017-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487277307 | Sjc Management and Consulting Corp | Pharmacy | 300 Lantern Crest Way Ste A, Santee, CA 92071 | 2020-05-27 |
| 1225662596 | Sharp Healthcare | Pharmacy | 8701 Cuyamaca Street, Santee, CA 92071 | 2020-02-26 |
| 1962975920 | Santee Community Pharmacy, Inc. | Pharmacy | 9836 Magnolia Ave., Santee, CA 92071 | 2019-01-02 |
| 1073095428 | Rohshana Plunkett | Dental Assistant | 9717 Mission Gorge Rd, Santee, CA 92071 | 2018-09-02 |
| 1285144071 | Victoria Koci | Behavioral Analyst | 10636 Queen Jessica Ln, Santee, CA 92071 | 2017-10-05 |
| 1699214478 | Glenn C. Ashmore Dds, Inc. | Dentist | 9480 Cuyamaca Street, San Diego, CA 92071 | 2017-02-14 |
| 1609328517 | Daniel Burciaga | Specialist/Technologist | 9915 N Magnolia Ave, Santee, CA 92071 | 2016-10-26 |
| 1861940355 | Carlos Garcia Jr. | Technician, Other | 10445 Mast Blvd # 11, Santee, CA 92071 | 2016-09-14 |
| 1962855205 | Universal Medical Solutions LLC | Durable Medical Equipment & Medical Supplies | 10020 Prospect Ave Ste A1, Santee, CA 92071 | 2016-07-22 |
| 1568871861 | Mark Adam Frens | Physical Therapist | 9236 Lapeer Ct, Santee, CA 92071 | 2014-08-12 |
| Find all providers in zip 92071 | ||||
| Taxonomy Code | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306327432 | Nicole Meehan | Registered Nurse | 10201 Mission Gorge Rd, Santee, CA 92071-3027 | 2018-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033739677 | Tiffany Venice Turner | Registered Nurse | 2085 Rustin Ave Bldg 5, Riverside, CA 92507-2498 | 2020-04-23 |
| 1073144549 | Cedelia Untalan Cardenas | Registered Nurse | 17053 Foothill Blvd Bldg N, Fontana, CA 92335-3574 | 2020-02-03 |
| 1689204265 | Juvelyn Isip Ingal | Registered Nurse | 3853 Rosecrans St # Ca92110, San Diego, CA 92110-3115 | 2020-01-22 |
| 1043859531 | Klair Grace | Registered Nurse | 6460 Convoy Ct Spc 115, San Diego, CA 92117-2314 | 2019-12-31 |
| 1316588395 | Batoul Salameh | Registered Nurse | 19204 Bension Dr, Santa Clarita, CA 91350-3797 | 2019-10-01 |
| 1851949580 | Michael Perez | Registered Nurse | 25727 Mcbean Pkwy, Valencia, CA 91355-3704 | 2019-08-27 |
| 1982259792 | Beverly Austin Mccabe | Registered Nurse | 1720 E. Cesar Chavez Ave., Los Angeles, CA 90033 | 2019-08-08 |
| 1396390530 | Trisha Lynne Basman | Registered Nurse | 939 Snow Dr, Martinez, CA 94553-4715 | 2019-08-05 |
| 1003378043 | Ildefonso Silva Rodriguez | Registered Nurse | 2437 Woodcreek Rd, Camarillo, CA 93012-2537 | 2019-04-01 |
| 1518430842 | Jesus Lim | Registered Nurse | 695 Sea Vale St Unit 202, Chula Vista, CA 91910-1242 | 2019-01-09 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MARK VINCENT SORMILLON.
| 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.