RUDY NELSON DELENA DELA VEGA JR. (NPI# 1629445283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629445283 |
Entity Type | Individual |
Full Name | RUDY NELSON DELENA DELA VEGA JR. |
Credential | RN |
Practice Address |
333 Sunset Ave Suite 140 Suisun City CA 94585-2003 |
Practice Telephone | 9163962345 |
Mailing Telephone | 9163962345 |
Enumeration Date | 2015-08-28 |
Last Update Date | 2015-08-28 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | 606485 | CA | Nursing Service Providers |
N | 163WD1100X |
Registered Nurse Specialization: Dialysis, Peritoneal |
606485 | CA | Nursing Service Providers |
Y | 163WH0500X |
Registered Nurse Specialization: Hemodialysis |
606485 | CA | Nursing Service Providers |
Street Address |
333 SUNSET AVE SUITE 140 |
City | SUISUN CITY |
State | CA |
Zip Code | 94585-2003 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417491945 | Amber Harczak | Behavioral Analyst | 792 Sunset Avenue 12, Suisun City, CA 94585 | 2016-12-19 |
1427151919 | Bejan A Pazdel | Chiropractor | 258i Sunset Ave, Suisun, CA 94585 | 2006-09-07 |
1154424190 | Racquel Dela Cruz Dizon-samson | Registered Nurse | 229 Bridgewater Circle, Suisun City, CA 94585 | 2006-09-06 |
1346350667 | Pazdel Chiropractic Inc | Chiropractor | 258 Sunset Ave, Ste I, Suisan, CA 94585 | 2006-08-30 |
1275682122 | James Eddie Austin | Counselor | 159 Sunshine St, Suisun City, CA 94585-1301 | 2007-01-09 |
1710518667 | Jasmine J Evans | Behavioral Analyst | 206 Railroad Ave Apt 1205, Suisun City, CA 94585-1304 | 2020-01-29 |
1912518879 | Anna Paulina P Valdeavilla | Licensed Vocational Nurse | 88 Mosswood Dr, Suisun City, CA 94585-1718 | 2020-08-13 |
1215576723 | Nikki Rose Lavares | Behavior Technician | 61 Terry Ln, Suisun City, CA 94585-1732 | 2019-12-31 |
1770713927 | Lorraine Cornell | Occupational Therapist | 1604 Hickam Cir, Suisun City, CA 94585-1744 | 2009-07-22 |
1346865540 | Yulissa Leon | Technician | 78 Rodondo Ave, Suisun City, CA 94585-1745 | 2020-06-12 |
Find all providers in zip 94585 |
Taxonomy Code | 163WH0500X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Hemodialysis |
Definition to come... |
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1184681645 | Beverly Starner Bledsoe | Registered Nurse | 10758 Navajo Rd, Apple Valley, CA 92308-8023 | 2006-04-27 |
1437700382 | Tina Marie Rodriguez | Registered Nurse | 250 N See Vee Ln, Bishop, CA 93514-8130 | 2019-09-23 |
1689967242 | Glenn Ralleca | Registered Nurse | 21615 Berendo Ave, Suite 600, Torrance, CA 90502-1800 | 2011-05-16 |
Find all providers with the same taxonomy |
City | SUISUN CITY |
Zip Code | 94585 |
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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.