CLODI VALLICELLA (NPI# 1457583346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457583346 |
| Entity Type | Individual |
| Full Name | CLODI VALLICELLA |
| Credential | RN |
| Practice Address |
1020 S Arroyo Pkwy Pasadena CA 91105-3911 |
| Practice Telephone | 6264034888 |
| Practice Fax Number | 6264034894 |
| Mailing Telephone | 6264034888 |
| Mailing Fax Number | 6264034894 |
| Enumeration Date | 2009-08-11 |
| Last Update Date | 2009-08-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
402459 | CA | Nursing Service Providers |
| Street Address |
1020 S ARROYO PKWY |
| City | PASADENA |
| State | CA |
| Zip Code | 91105-3911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912001934 | Pacific Clinics | Community/Behavioral Health | 1020 S Arroyo Pkwy, Pasadena, CA 91105-3911 | 2006-09-11 |
| 1467086322 | Victoria A Roelens | Counselor | 1020 S Arroyo Pkwy, Pasadena, CA 91105-3911 | 2020-02-28 |
| 1750912994 | Nathan Samuel Perdomo | Case Manager/Care Coordinator | 1020 S Arroyo Pkwy, Pasadena, CA 91105-3911 | 2020-01-27 |
| 1568093706 | Amanda Kathleen Pearson | Licensed Psychiatric Technician | 1020 S Arroyo Pkwy, Pasadena, CA 91105-3911 | 2020-01-27 |
| 1023652898 | Taylor Nicole Hannon | Licensed Psychiatric Technician | 1020 S Arroyo Pkwy, Pasadena, CA 91105-3911 | 2019-11-04 |
| 1437710878 | Mona Ghannoum | Rehabilitation Practitioner | 1020 S Arroyo Pkwy, Pasadena, CA 91105-3911 | 2019-06-26 |
| 1952960049 | Marisol Pizano | Case Manager/Care Coordinator | 1020 S Arroyo Pkwy, Pasadena, CA 91105-3911 | 2019-06-11 |
| 1366900417 | Nina Frances Muller | Case Manager/Care Coordinator | 1020 S Arroyo Pkwy, Pasadena, CA 91105-3911 | 2019-03-07 |
| 1376021667 | Rosa Isela Lazaro | Case Manager/Care Coordinator | 1020 S Arroyo Pkwy, Pasadena, CA 91105 | 2018-07-30 |
| 1982199881 | Shaileen Candie Martinez | Student in an Organized Health Care Education/Training Program | 1020 S Arroyo Pkwy, Pasadena, CA 91105-3911 | 2018-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619451697 | Tonya Michlin | Registered Nurse | 800 Fairmount Ave Ste 110, Pasadena, CA 91105 | 2018-09-17 |
| 1639674161 | David Marcus Md, Inc. | Psychiatry & Neurology | 107 S. Fair Oaks Avenue, Suite #315, Pasadena, CA 91105 | 2018-03-27 |
| 1548778541 | Elias & Jun Dental Corp | Dentist | 301 S. Fair Oaks Ave., Ste 107, Pasadena, CA 91105 | 2018-01-12 |
| 1013429745 | Whitney Catalano | Dietitian, Registered | 100 S Orange Grove Blvd, 103, Pasadena, CA 91105 | 2017-11-03 |
| 1518485630 | Marlon O Miller | Counselor | 1020 South Arroyo Parkway, Pasadena, CA 91105 | 2017-09-08 |
| 1316469976 | Alexandra Scott | Speech-Language Pathologist | 235 La Vereda Road, Pasadena, CA 91105 | 2017-07-14 |
| 1346770443 | Amanda Grace Gentz | Rehabilitation Practitioner | 210 S De Lacey, Ste 110, Pasadena, CA 91105 | 2017-06-13 |
| 1427598390 | Melina Gomez Loza | Licensed Vocational Nurse | 66 Hilburt St #2, Pasadena, CA 91105 | 2017-02-27 |
| 1588115281 | Ramon Banuelos | Rehabilitation Practitioner | 210 S. Delacey Ave Suite 110, Pasadena, CA 91105 | 2016-10-18 |
| 1922554245 | Daniel Joseph Ybarra | Student in an Organized Health Care Education/Training Program | 100 W. California Blvd. Pasadena, Ca 91105, Pasadena, CA 91105 | 2016-08-28 |
| Find all providers in zip 91105 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629213285 | Leticia Ileana Reyna-terry | Registered Nurse | 1870 N Arroyo Blvd, Pasadena, CA 91103-1208 | 2008-12-11 |
| 1124246442 | Isha A Alston | Registered Nurse | 4798 Mountain Rd, Pasadena, MD 21122-5814 | 2007-04-23 |
| 1891228011 | Ruth Emma Raleigh | Registered Nurse | 455 W Montana St, Pasadena, CA 91103-1327 | 2017-04-05 |
| 1134488968 | Omar Alejandro Rodriguez | Registered Nurse | 1845 N Fair Oaks Ave, Pasadena, CA 91103-1620 | 2012-05-14 |
| 1184809832 | Joyce Annette Spencer | Registered Nurse | 1845 N Fair Oaks Ave, Pasadena, CA 91103-1620 | 2007-12-31 |
| 1891977591 | Jocelynne Estandian De Castro | Registered Nurse | 1845 N Fair Oaks Ave, Pasadena, CA 91103-1620 | 2007-12-04 |
| 1912198615 | Barbara Barton | Registered Nurse | 3737 Red Bluff Rd, Pasadena, TX 77503-3307 | 2007-08-07 |
| 1649461450 | Linda Hutfless | Registered Nurse | 3737 Red Bluff Rd, Pasadena, TX 77503-3307 | 2007-08-06 |
| 1073715124 | Teresa Ahrenholtz | Registered Nurse | 1845 N Fair Oaks Ave, Pasadena, CA 91103-1620 | 2007-06-01 |
| 1750583811 | Christine Suzanne Barron | Registered Nurse | 1845 N Fair Oaks Ave, Pasadena, CA 91103-1620 | 2007-06-01 |
| Find all providers in PASADENA | ||||
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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.