JORGE KAREEM SIERRA (NPI# 1568081842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568081842 |
Entity Type | Individual |
Full Name | JORGE KAREEM SIERRA |
Credential | R.T.(R)(CT) |
Practice Address |
9961 Sierra Ave Fontana CA 92335-6720 |
Mailing Address |
627 S Pennsylvania Ave Glendora CA 91740-4324 |
Practice Telephone | 9093024019 |
Mailing Telephone | 6263672335 |
Enumeration Date | 2020-04-16 |
Last Update Date | 2020-04-16 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2471C3401X |
Radiologic Technologist Specialization: Computed Tomography |
RHF00092640 | CA | Technologists, Technicians & Other Technical Service Providers |
Street Address |
9961 SIERRA AVE |
City | FONTANA |
State | CA |
Zip Code | 92335-6720 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578560199 | Barbara Ann Mahoney | Nurse Practitioner | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2005-06-29 |
1023629979 | Whitney Mah | Speech-Language Pathologist | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2020-08-13 |
1083224166 | Jennifer Hull | Genetic Counselor, MS | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2020-08-04 |
1821625963 | Syed Sajjad Sarwar Naqvi | Student in an Organized Health Care Education/Training Program | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2020-03-26 |
1730716903 | Hannah Choi | Student in an Organized Health Care Education/Training Program | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2020-03-26 |
1912534413 | Mia Raquel Montoya | Student in an Organized Health Care Education/Training Program | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2020-03-25 |
1093342461 | Jennica Kahkejian | Student in an Organized Health Care Education/Training Program | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2020-03-25 |
1881221299 | Youstina Youssef | Student in an Organized Health Care Education/Training Program | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2020-03-25 |
1790312015 | Sara Tong | Student in an Organized Health Care Education/Training Program | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2020-03-25 |
1972130359 | Arveen Gappi Sangkula | Student in an Organized Health Care Education/Training Program | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2020-03-25 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104425131 | Hossein Malakooti A Dental Corporation | Clinic/Center | 16540 Merrill Ave, Fontana, CA 92335 | 2020-10-21 |
1790312791 | Trevor Nguyen | Student in an Organized Health Care Education/Training Program | 17234 Valley Blvd, Building A, Fontana, CA 92335 | 2020-03-27 |
1184251365 | Benjamin Chang | Student in an Organized Health Care Education/Training Program | 17234 Valley Blvd., Bldg. A, Fontana, CA 92335 | 2020-03-26 |
1407487309 | Perla Hernandez | Licensed Vocational Nurse | 14677 Merrill Aver, Fontana, CA 92335 | 2020-01-29 |
1013552660 | Valencia Malone | Licensed Vocational Nurse | 14677 Merrill, Fontana, CA 92335 | 2019-11-07 |
1831749779 | Daniel Eric Wright | Student in an Organized Health Care Education/Training Program | 14677 Merrell Ave., Fontana, CA 92335 | 2019-09-12 |
1962069815 | Melissa Rivera | Licensed Vocational Nurse | 15217 San Bernardino Ave., Fontana, CA 92335 | 2019-05-28 |
1275199770 | Jennifer Lynn Malone | Peer Specialist | 14677 Merrall Ave, Fontana, CA 92335 | 2019-05-10 |
1770147894 | Noelle Chong | Registered Nurse | 14677 Merill Ave, Fontana, CA 92335 | 2019-04-24 |
1992261929 | Destiny Alzate | Counselor | 1467 Merrill Ave, Fontana, CA 92335 | 2019-02-14 |
Find all providers in zip 92335 |
Taxonomy Code | 2471C3401X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Radiologic Technologist |
Specialization | Computed Tomography |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
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1609489111 | Thomas Catelo | Radiologic Technologist | 1056 Calle Deceo, Chula Vista, CA 91913-3345 | 2020-08-25 |
1558895243 | Mc Cormack Dental Xray Inc. | Radiologic Technologist | 395 N. Second Ave., Upland, CA 91786 | 2017-04-19 |
1023406840 | Don Beevers | Radiologic Technologist | 118 College St, Hollister, CA 95023-3529 | 2014-12-31 |
1225393705 | Matthew J Kroona | Radiologic Technologist | 19012 Brookhurst St, Orange Coast Dental X-ray Lab, Huntingtn Bch, CA 92646-2552 | 2012-07-10 |
1477108884 | Katalena Anastasia Saracino | Radiologic Technologist | 1901 W Lugonia Ave, Redlands, CA 92374-9703 | 2019-08-03 |
1215389762 | Roderick Durant | Radiologic Technologist | 10535 Hospital Way, Mather, CA 95655-4200 | 2016-07-08 |
1518141993 | Jr Montemayor | Radiologic Technologist | 34800 Bob Wilson Dr, San Diego, CA 92134-1098 | 2007-12-20 |
1508079690 | Heart Savers LLC | Radiologic Technologist | 4050 Barranca Pkwy, Suite # 170, Irvine, CA 92604-7706 | 2007-05-07 |
1699813170 | Elk Mountain Inc. | Radiologic Technologist | 1755 Court St, Redding, CA 96001-1721 | 2007-02-05 |
1225049042 | Los Gatos Community Ct, Inc. | Radiologic Technologist | 700 W Parr Ave, Suite F, Los Gatos, CA 95032-1442 | 2006-08-10 |
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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.