MR. CRAIG DEMERS (NPI# 1518148576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518148576 |
| Entity Type | Individual |
| Full Name | MR. CRAIG DEMERS |
| Practice Address |
2499 E Lakeshore Dr Lake Elsinore CA 92530-4446 |
| Mailing Address |
4065 County Circle Dr Riverside CA 92503-3410 |
| Practice Telephone | 9514714221 |
| Practice Fax Number | 9514714271 |
| Mailing Telephone | 9513585438 |
| Mailing Fax Number | 9513585019 |
| Enumeration Date | 2007-11-19 |
| Last Update Date | 2007-11-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
388244 | CA | Nursing Service Providers |
| Street Address |
2499 E LAKESHORE DR |
| City | LAKE ELSINORE |
| State | CA |
| Zip Code | 92530-4446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790776029 | County of Riverside-community Health Agency | Internal Medicine | 2499 E Lakeshore Dr, Lake Elsinore, CA 92530-4446 | 2005-11-04 |
| 1801381132 | Valencia Youkhanna | Psychologist | 2499 E Lakeshore Dr, Lake Elsinore, CA 92530-4411 | 2018-06-28 |
| 1730625294 | Stephanie Ann Ellis | Social Worker | 2499 E Lakeshore Dr, Lake Elsinore, CA 92530-4446 | 2017-01-09 |
| 1578017380 | Kristine Joy Ventura | Registered Nurse | 2499 E Lakeshore Dr, Lake Elsinore, CA 92530-4411 | 2016-08-09 |
| 1821258922 | Sandar Kyi | Clinic/Center | 2499 E Lakeshore Dr, Lake Elsinore, CA 92530-4446 | 2008-06-11 |
| 1952584559 | Sharron Lee Schrenk | Registered Nurse | 2499 E Lakeshore Dr, Lake Elsinore, CA 92530-4446 | 2007-12-06 |
| 1831370303 | Iliam Amalia Cisneros | Registered Nurse | 2499 E Lakeshore Dr, Lake Elsinore, CA 92530-4446 | 2007-11-26 |
| 1407925209 | Reginald R Peters | Physician Assistant | 2499 E Lakeshore Dr, Lake Elsinore, CA 92530-4446 | 2006-11-07 |
| 1396859179 | County of Riverside | Public Health or Welfare | 2499 E Lakeshore Dr, Lake Elsinore, CA 92530-4446 | 2006-08-18 |
| 1033122601 | Michael C Lam | Internal Medicine | 2499 E Lakeshore Dr, Lake Elsinore, CA 92530-4446 | 2006-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841801479 | Mercedes Samantha Hamilton | Licensed Psychiatric Technician | 18465 Grand Ave, Lake Elsinore, CA 92530 | 2020-08-17 |
| 1700423779 | Karrene Louise Stanard | Peer Specialist | 31764 Casino Drive, Suite 300, Lake Elsinore, CA 92530 | 2019-12-09 |
| 1972149961 | Danielle Cravalho | Student in an Organized Health Care Education/Training Program | 31964 Mission Trail, Suite B, Lake Elsinore, CA 92530 | 2019-11-25 |
| 1952825648 | R.e. Levi Dental Corporation | Dentist | 32235 Mission Trail # 8, Lake Elsinore, CA 92530 | 2017-08-03 |
| 1144760729 | Alfred Metwashla | Pharmacist | 18269 Collier Ave, Lake Elsinore, CA 92530 | 2017-03-02 |
| 1750788733 | Roxanne Martinez | Case Manager/Care Coordinator | 31764 Casino Drive, Lake Elsinore, CA 92530 | 2014-11-19 |
| 1871870907 | Bryan Tuan Tran | Pharmacist | 160 Diamond Drive, Lake Elsinore, CA 92530 | 2011-11-03 |
| 1043590821 | Katherynn Elizabeth Williams | Marriage & Family Therapist | 600 Central Ave Ste 201, Lake Elsinore, CA 92530 | 2011-08-24 |
| 1861771677 | Judy Kelly | Marriage & Family Therapist | 224 West Graham Ave, Lake Elsinore, CA 92530 | 2011-08-10 |
| 1427343813 | Patrick Chern | Pharmacist | 18287 Collier Ave., Lake Elsinore, CA 92530 | 2011-06-14 |
| Find all providers in zip 92530 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962975953 | Tiffany Brisken Ryan | Registered Nurse | 18159 Ballard Ave, Lake Elsinore, CA 92530-6146 | 2019-01-02 |
| 1952584559 | Sharron Lee Schrenk | Registered Nurse | 2499 E Lakeshore Dr, Lake Elsinore, CA 92530-4446 | 2007-12-06 |
| 1831370303 | Iliam Amalia Cisneros | Registered Nurse | 2499 E Lakeshore Dr, Lake Elsinore, CA 92530-4446 | 2007-11-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497361430 | Marilyn Dormubari Sunday | Registered Nurse | 7511 Clear Lake Aly, Sacramento, CA 95829-8743 | 2020-09-16 |
| 1992315451 | Michelle Patino | Registered Nurse | 615b 2nd St, Petaluma, CA 94952-5123 | 2020-08-08 |
| 1144846080 | Paloma Beope Soriano | Registered Nurse | 4302 Valeta St, San Diego, CA 92107-1510 | 2020-06-16 |
| 1942822747 | Holly Sears Chisholm | Registered Nurse | 9619 Cuyamaca St # 19428, Santee, CA 92071-2674 | 2020-05-14 |
| 1952937658 | Mariam Gbaty Soumahoro | Registered Nurse | 3800 Silver Spur Way, Sacramento, CA 95841-4411 | 2020-03-14 |
| 1194350967 | Letisha Kathleen Kingsbury | Registered Nurse | 724 Granada Dr, Vista, CA 92083-4731 | 2020-03-11 |
| 1215576236 | Jocelyn Raquel Raedeker-freitas | Registered Nurse | 3165 B St, San Diego, CA 92102-2359 | 2019-12-23 |
| 1861030710 | Michelle Galang | Registered Nurse | 658 Rainbow Dr, Chula Vista, CA 91911-6844 | 2019-12-11 |
| 1023655172 | David Delgado | Registered Nurse | 27425 Bolandra Ct, Temecula, CA 92591-6123 | 2019-12-09 |
| 1104473297 | Shokoufeh Shokri | Registered Nurse | 2951 Mainway Dr, Los Alamitos, CA 90720-4646 | 2019-08-22 |
| Find all providers with the same taxonomy | ||||
| City | LAKE ELSINORE |
| Zip Code | 92530 |
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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.