JASON DOUGLAS DELACUZ (NPI# 1538782354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538782354 |
| Entity Type | Individual |
| Full Name | JASON DOUGLAS DELACUZ |
| Practice Address |
2640 Industry Way Lynwood CA 90262-4284 |
| Practice Telephone | 3106274525 |
| Mailing Telephone | 3106274525 |
| Enumeration Date | 2020-05-27 |
| Last Update Date | 2020-05-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | 226742 | CA | Nursing Service Providers |
| Street Address |
2640 INDUSTRY WAY |
| City | LYNWOOD |
| State | CA |
| Zip Code | 90262-4284 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831173970 | Russell F. Lim | Psychiatry & Neurology | 2640 Industry Way, Lynwood, CA 90262-4284 | 2005-12-02 |
| 1467053603 | Jaquenette Miller | Case Manager/Care Coordinator | 2640 Industry Way, Lynwood, CA 90262-4284 | 2020-11-04 |
| 1720685233 | Russell Smith | Case Manager/Care Coordinator | 2640 Industry Way, Lynwood, CA 90262-4284 | 2020-10-07 |
| 1629675343 | Destiny Williams-panell | Case Manager/Care Coordinator | 2640 Industry Way, Lynwood, CA 90262-4284 | 2020-10-06 |
| 1104438589 | Elizabeth Navarro | Case Manager/Care Coordinator | 2640 Industry Way, Lynwood, CA 90262-4284 | 2020-08-18 |
| 1265056162 | Debbie Diane Smith | Case Manager/Care Coordinator | 2640 Industry Way, Lynwood, CA 90262-4284 | 2020-06-05 |
| 1700418548 | Lidia Minerva Haefele | Counselor | 2640 Industry Way, Lynwood, CA 90262-4284 | 2020-02-10 |
| 1396377495 | Adam Castillo | Counselor | 2640 Industry Way, Lynwood, CA 90262-4284 | 2020-02-06 |
| 1073145355 | Aaron Sanderlin | Case Manager/Care Coordinator | 2640 Industry Way, Lynwood, CA 90262-4284 | 2020-02-05 |
| 1699314781 | Edward Henry Tave | Case Manager/Care Coordinator | 2640 Industry Way, Lynwood, CA 90262-4284 | 2020-01-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811546062 | Sheila Maxine Wilkins | Technician | 3940 Palm Ave, Lynwood, CA 90262 | 2019-09-10 |
| 1891344669 | Chezoma Latissue Davis | Technician | 4255 Niland St, Lynwood, CA 90262 | 2019-09-05 |
| 1295223345 | Scla Comprehensive Surgical Medical Group, Inc. | Clinic/Center | 3628 E Imperial Hwy Ste 204, Lynwood, CA 90262 | 2018-04-24 |
| 1891213807 | Grecia Veronica Nunez | Case Manager/Care Coordinator | 3680 E. Imperial Highway, Suite 200, Lynwood, CA 90262 | 2017-08-30 |
| 1134643448 | Angelica Jazmin Alonso Cortes | Case Manager/Care Coordinator | 2610 Industry Way Suite A, Lynwood, CA 90262 | 2017-07-28 |
| 1134594997 | Corinne Palma | Counselor | 11705 S. Alameda St., Lynwood, CA 90262 | 2015-12-04 |
| 1891175550 | Nancy Bremmer | Counselor | 10705 S. Alameda Street, Los Angels, CA 90262 | 2015-06-08 |
| 1588041347 | Jennifer Montoya | Case Management | 5433 E. Pelleur St., Lynwood, CA 90262 | 2015-04-30 |
| 1124440060 | Susana Gyek Goy | Chiropractor | 11123 Long Beach Blvd. Suite 5, Lynwood Health Center, Lynwood, CA 90262 | 2014-01-13 |
| 1215368956 | Baart Community Healthcare | Clinic/Center | 11315 S. Atlantic Blvd., Lynwood, CA 90262 | 2013-12-05 |
| Find all providers in zip 90262 | ||||
| Taxonomy Code | 164X00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Vocational Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538464722 | Latreice Stewart | Licensed Vocational Nurse | 11273 Thorson Ave, Lynwood, CA 90262-2842 | 2011-01-19 |
| 1578197802 | Jorge Serrano | Licensed Vocational Nurse | 3820 Martin Luther King Jr Blvd, Lynwood, CA 90262-3625 | 2020-02-25 |
| 1356988414 | Belen Gonzalez | Licensed Vocational Nurse | 3820 Martin Luther King Jr Blvd, Lynwood, CA 90262-3625 | 2019-12-06 |
| 1730725797 | Elvira Isabel Burks | Licensed Vocational Nurse | 2610 Industry Way, Lynwood, CA 90262-4283 | 2019-11-25 |
| 1548817695 | Keshanna Rayann Spencer | Licensed Vocational Nurse | 2640 Industry Way, Lynwood, CA 90262-4284 | 2019-08-22 |
| 1235799180 | Juan Fernando Castro-chavez | Licensed Vocational Nurse | 11682 Atlantic Ave, Lynwood, CA 90262-3832 | 2019-06-13 |
| 1841767910 | Carolina Guzman | Licensed Vocational Nurse | 3820 Martin Luther King Jr Blvd, Lynwood, CA 90262-3625 | 2018-10-26 |
| 1184101727 | Teresa Lopez | Licensed Vocational Nurse | 3820 Martin Luther King Jr Blvd, Lynwood, CA 90262-3625 | 2018-07-26 |
| 1437657665 | Joanna Yvette Diaz | Licensed Vocational Nurse | 3820 Martin Luther King Jr Blvd, Lynwood, CA 90262-3625 | 2018-01-23 |
| 1962932483 | Andrea Martinez | Licensed Vocational Nurse | 3820 Martin Luther King Jr Blvd, Lynwood, CA 90262-3625 | 2017-06-18 |
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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.