EDEN ROSE SANTOS (NPI# 1578002614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578002614 |
| Entity Type | Individual |
| Full Name | EDEN ROSE SANTOS |
| Practice Address |
27200 Iris Ave # Mob2 Moreno Valley CA 92555-4803 |
| Mailing Address |
27200 Iris Ave Mob 2 Moreno Valley CA 92555 |
| Practice Telephone | 9512516397 |
| Mailing Telephone | 9512516397 |
| Enumeration Date | 2017-02-22 |
| Last Update Date | 2017-02-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 67011 | CA | Pharmacy Service Providers |
| Street Address |
27200 IRIS AVE # MOB2 |
| City | MORENO VALLEY |
| State | CA |
| Zip Code | 92555-4803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043817935 | Jillian Mika Ogata | Social Worker | Riverside University Health System, 26520 Cactus Ave., Moreno Valley, CA 92555 | 2020-10-05 |
| 1114549144 | Providence Recovery Centers, Inc. | Substance Abuse Rehabilitation Facility | 11165 Bonnie View Ave, Moreno Valley, CA 92555 | 2020-05-13 |
| 1720645096 | Shahida Nawaz | Non-emergency Medical Transport (VAN) | 26528 Primrose Way, Moreno Valley, CA 92555 | 2019-05-22 |
| 1679139828 | Moses Lee | Student in an Organized Health Care Education/Training Program | Department of Orthopaedic Surgery Rm. B2042 Ruhs-mc, 26520 Cactus Ave., Moreno Valley, CA 92555 | 2019-05-14 |
| 1215419668 | Johannes Wattimena | Counselor | 26624 Saffron Circle, Moreno Valley, CA 92555 | 2018-09-02 |
| 1437676939 | Aleksandra Vargas | Behavioral Analyst | 12549 Atherton Dr, Moreno Valley, CA 92555 | 2017-08-25 |
| 1063938603 | Anthony I Odimegwu | Nurse Practitioner | 26062 Bercaw Ct, Moreno Valley, CA 92555 | 2017-08-16 |
| 1073036703 | Karen Parker | Licensed Psychiatric Technician | 12944 Dolomite Lane, Moreno Valley, CA 92555 | 2017-07-25 |
| 1861923674 | Elena Vizcaino | Behavior Technician | 15670 Turnberry St, Moreno Valley, CA 92555 | 2017-03-23 |
| 1154744522 | Nancy Chivichon | Dietitian, Registered | 28648 Avenue Ave., Moreno Valley, CA 92555 | 2014-01-21 |
| Find all providers in zip 92555 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326687518 | Ambreen Maqsood | Pharmacist | 21729 Golden Oaks Dr, Moreno Valley, CA 92557-8517 | 2020-01-05 |
| 1568931319 | William Cunningham | Pharmacist | 15659 Turnberry St, Moreno Valley, CA 92555-4901 | 2018-11-21 |
| 1851881627 | Robert Turner | Pharmacist | 12721 Moreno Beach Ddrive, Moreno Valley, CA 92555-1705 | 2018-05-16 |
| 1538605506 | Edrian Calago | Pharmacist | 16478 Spirit Rd, Moreno Valley, CA 92555-3322 | 2017-01-13 |
| 1386091825 | Stephanie Dao | Pharmacist | 15025 Perris Blvd, Moreno Valley, CA 92551-4567 | 2016-05-14 |
| 1750753679 | Joanne Thanh-truc Nguyen | Pharmacist | 12815 Heacock St (moreno Valley Mob/1st Floor Pharmacy), Moreno Valley, CA 92553-3116 | 2015-10-30 |
| 1649652488 | Alex Nguyen | Pharmacist | 25418 Ramblewood Ct, Moreno Valley, CA 92553-4411 | 2015-06-28 |
| 1245638691 | Matthew Paul Sierra | Pharmacist | 25070 Alessandro Blvd, Moreno Valley, CA 92553-4313 | 2014-12-17 |
| 1386072072 | Kim Tran | Pharmacist | 25928 Brodiaea Ave, Moreno Valley, CA 92553-4911 | 2013-10-16 |
| 1154684124 | Kathryn Dianne Cowan | Pharmacist | 22951 Springdale Dr, Moreno Valley, CA 92557-2604 | 2012-06-24 |
| Find all providers in MORENO VALLEY | ||||
| City | MORENO VALLEY |
| Zip Code | 92555 |
Please comment or provide details below to improve the information on EDEN ROSE SANTOS.
| 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.