ANTONIO MIXON (NPI# 1518432962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518432962 |
| Entity Type | Individual |
| Full Name | ANTONIO MIXON |
| Practice Address |
1405 Spruce Street Suite A Riverside CA 92507 |
| Mailing Address |
1405 Spruce St Ste A Riverside CA 92507-2410 |
| Practice Telephone | 9517155050 |
| Enumeration Date | 2018-10-11 |
| Last Update Date | 2018-10-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
Other Service Providers |
| Street Address |
1405 SPRUCE STREET SUITE A |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205448917 | Rachel Nielson | Counselor | 1450 Spruce St, Suite A, Riverside, CA 92507 | 2020-08-24 |
| 1437769742 | Pakravan, Manavi & Cohen Dental Corporation | Dentist | 2862 Unit B Canyon Springs Parkway, Riverside, CA 92507 | 2020-08-03 |
| 1518577972 | Michael Vincent Laureola Dds Inc | Dentist | 2862 Unit A Canyon Springs Parkway, Riverside, CA 92507 | 2020-07-31 |
| 1164067567 | Audrey Gruen | Social Worker | Canyon Crest Mental Health, 5225 Canyon Crest Drive #100, Riverside, CA 92507 | 2019-11-10 |
| 1811479793 | New Day Counseling Services | Counselor | 20363 Harvard Way, Riverside, CA 92507 | 2018-09-06 |
| 1780176875 | Miriam Martinez | Case Manager/Care Coordinator | 2085 Rustin Ave., Riverside, CA 92507 | 2018-06-04 |
| 1518478874 | Lisa Manuel | Counselor | 2058 Rustin Ave, Riverside, CA 92507 | 2017-10-13 |
| 1497272942 | Yajaira Placensia | Behavioral Analyst | 1486 Everton Place, Riverside, CA 92507 | 2017-08-25 |
| 1841717691 | Stephanie Teuchert | Behavioral Analyst | 1080 Spruce Street Apartment 7c, Riverside, CA 92507 | 2017-08-23 |
| 1699298984 | Unicare Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 1433 W. Linden Street, Suite M, Riverside, CA 92507 | 2017-07-19 |
| Find all providers in zip 92507 | ||||
| Taxonomy Code | 1744P3200X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Prosthetics Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578110508 | Cameron Stewart | Specialist | 1760 Chicago Ave Ste L21, Riverside, CA 92507-2326 | 2019-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215549993 | Lisa Tonette Bell | Specialist | 18300 Gridley Rd # 210, Artesia, CA 90701-5440 | 2020-08-23 |
| 1760094445 | Constance Leake | Specialist | 2841 Martin Luther King Jr Ave, Richmond, CA 94804-4021 | 2020-08-23 |
| 1508478090 | Sharon Leduff Spencer | Specialist | 17942 Sky Park Cir Ste D, Irvine, CA 92614-4429 | 2020-08-18 |
| 1497365597 | Jannise Booker | Specialist | 1327 Chestnut St # 5, San Francisco, CA 94123-3105 | 2020-08-04 |
| 1962010678 | Latoya Morris | Specialist | 901 Sara Ct Apt 132, Vacaville, CA 95687-6267 | 2020-07-20 |
| 1023633997 | Okemasherron Hayes | Specialist | 13724 Burbank Blvd, Sherman Oaks, CA 91401-5039 | 2020-06-16 |
| 1578186870 | Joanne Elaine Washington | Specialist | 1219 W Imperial Hwy Ste 100, Brea, CA 92821-3736 | 2020-05-20 |
| 1851926877 | Ashley Johnson | Specialist | 29851 Peppercorn Cir, Menifee, CA 92584-7270 | 2020-03-10 |
| 1700421633 | Jennifer Knox | Specialist | 2356 Hampton Ave, Simi Valley, CA 93063-5055 | 2019-11-14 |
| 1235772526 | Shena Simmons | Specialist | 2232 Warfield Way Unit D, San Jose, CA 95122-3645 | 2019-10-20 |
| 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.