OLUFUNMILAYO OBANNON (NPI# 1629571914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629571914 |
| Entity Type | Individual |
| Full Name | OLUFUNMILAYO OBANNON |
| Credential | LVN |
| Practice Address |
40925 County Center Dr Ste 200 Temecula CA 92591-6037 |
| Practice Telephone | 9516006300 |
| Practice Fax Number | 9516006377 |
| Mailing Telephone | 9516006300 |
| Mailing Fax Number | 9516006377 |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2018-03-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | 691740 | CA | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RIVERSIDE COUNTY | 95-6000930 | 01 |
| Street Address |
40925 COUNTY CENTER DR STE 200 |
| City | TEMECULA |
| State | CA |
| Zip Code | 92591-6037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356409965 | County of Riverside | Community/Behavioral Health | 40925 County Center Dr Ste 200, Temecula, CA 92591-6037 | 2006-12-05 |
| 1952900029 | Jarod Farnsworth | Peer Specialist | 40925 County Center Dr Ste 200, Temecula, CA 92591-6037 | 2020-10-20 |
| 1558988378 | Maria Watts | Counselor | 40925 County Center Dr Ste 200, Temecula, CA 92591-6037 | 2020-06-26 |
| 1477192227 | Umiko Tani Thomas | Peer Specialist | 40925 County Center Dr Ste 200, Temecula, CA 92591-6037 | 2019-12-26 |
| 1467098301 | Karen Smith | Case Manager/Care Coordinator | 40925 County Center Dr Ste 200, Temecula, CA 92591-6037 | 2019-11-26 |
| 1346717568 | Jamie Anthony Reyes | Counselor | 40925 County Center Dr Ste 200, Temecula, CA 92591-6037 | 2018-10-25 |
| 1184104531 | Loujan M Purnell | Student in an Organized Health Care Education/Training Program | 40925 County Center Dr Ste 200, Temecula, CA 92591-6037 | 2018-08-15 |
| 1013445428 | Thomas Joseph Kuchinski | Social Worker | 40925 County Center Dr Ste 200, Temecula, CA 92591-6037 | 2017-05-30 |
| 1972039972 | Jodi Eggering | Counselor | 40925 County Center Dr Ste 200, Temecula, CA 92591-6037 | 2017-05-11 |
| 1558800151 | Jazmin Phillips | Counselor | 40925 County Center Dr Ste 200, Temecula, CA 92591-6037 | 2017-02-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255978961 | Kendall Leeanne Mattix | Behavior Technician | 26720 Ynez Court, Temecula, CA 92591 | 2019-12-02 |
| 1457915167 | Janice Marie Vevoda-aguero | Registered Nurse | 31233 Skyline Drive, Temecula, CA 92591 | 2019-04-29 |
| 1689151698 | David W Schwartz Md A Medical Corporation | Preferred Provider Organization | 29645 Rancho California Rd Ste 105, Temecula, CA 92591 | 2018-07-23 |
| 1356830426 | Luxottica Retail North America, Inc | Eyewear Supplier (Equipment, not the service) | 40780 Winchester Rd, Temecula, CA 92591 | 2018-05-04 |
| 1780196428 | Shirley K Wade | Case Manager/Care Coordinator | 40925 County Circle Drive, Temecula, CA 92591 | 2017-11-03 |
| 1639691405 | Angela Parry | Counselor | 29645 Rancho California Rd # 133c, Temecula, CA 92591 | 2017-07-12 |
| 1386166395 | Jonathan James Creech | Optometrist | 41257 Magarita Road, Suite B 103, Temecula, CA 92591 | 2017-07-11 |
| 1730600743 | Rachel Michele Brannigan | Specialist/Technologist | 39522 Seraphina Rd, Temecula, CA 92591 | 2017-06-29 |
| 1457890303 | Kala Chrisilis Earley | Specialist/Technologist | 29004 Bridgehampton Rd, Temecula, CA 92591 | 2017-02-13 |
| 1114464823 | Danielle Sasha Gonzalez | Counselor | 41002 County Circle Dr., Temecula, CA 92591 | 2017-01-20 |
| Find all providers in zip 92591 | ||||
| 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 |
|---|---|---|---|---|
| 1174180905 | Alice Nganga | Licensed Vocational Nurse | 42061 Orange Blossom Dr, Temecula, CA 92591-5543 | 2019-05-28 |
| 1124383278 | Laurie Ann Romine | Licensed Vocational Nurse | 33523 Abbey Rd, Temecula, CA 92592-5633 | 2012-07-05 |
| 1801170899 | Kevin Foohey Sr. | Licensed Vocational Nurse | 30311 Churchill Ct, Temecula, CA 92591-3811 | 2011-10-07 |
| 1457646655 | Jordan Fasano | Licensed Vocational Nurse | 31269 Mangrove Dr., Temecula, CA 92592 | 2011-06-15 |
| 1003065608 | Linda Joyce Plum | Licensed Vocational Nurse | 32326 Corte Palacio, Temecula, CA 92592-6309 | 2008-09-18 |
| 1245486125 | Karen Theresa Totten | Licensed Vocational Nurse | 30441 Bogart Pl, Temecula, CA 92591-7319 | 2008-08-12 |
| 1063671055 | Eric A Groenendyk | Licensed Vocational Nurse | 33487 Winston Way Unit A, Temecula, CA 92592-5361 | 2008-06-04 |
| 1912052127 | Jennifer Lynne Paquette | Licensed Vocational Nurse | 39651 Knollridge Dr, Temecula, CA 92591-4522 | 2007-01-25 |
| 1972155182 | Brittany Nicole Saunders | Licensed Vocational Nurse | 41002 County Center Dr Ste 320, Temecula, CA 92591-6027 | 2019-07-09 |
| 1972088094 | Quida C Ranson | Licensed Vocational Nurse | 40925 County Center Dr Ste 2002nd, Temecula, CA 92591-6054 | 2018-09-25 |
| Find all providers in TEMECULA | ||||
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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.