MISTY CAMARILLO (NPI# 1659998649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659998649 |
| Entity Type | Individual |
| Full Name | MISTY CAMARILLO |
| Practice Address |
4545 Georgetown Pl Ste D Stockton CA 95207-6229 |
| Practice Telephone | 2092695587 |
| Mailing Telephone | 2092695587 |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2020-07-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | 700371 | CA | Nursing Service Providers |
| Street Address |
4545 GEORGETOWN PL STE D |
| City | STOCKTON |
| State | CA |
| Zip Code | 95207-6229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578103313 | Charles Winfield Eproson Jr. | Peer Specialist | 4545 Georgetown Pl Ste D, Stockton, CA 95207-6229 | 2020-01-09 |
| 1386243590 | Alena Bird | Licensed Psychiatric Technician | 4545 Georgetown Pl Ste D, Stockton, CA 95207-6229 | 2020-10-19 |
| 1316570922 | Isaac Zuniga | Counselor | 4545 Georgetown Pl Ste D, Stockton, CA 95207-6229 | 2020-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669004438 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 1002 Robinhood Drive, Stockton, CA 95207 | 2020-02-10 |
| 1811533110 | Tanya V Jones | Dental Hygienist | Community Medical Centers, 83 W. March Ln., Stockton, CA 95207 | 2019-11-21 |
| 1053966358 | Ingrid Marcela Saavedra | Behavioral Analyst | 1545 Saint Marks Plaza Ste 9, Stockton, CA 95207 | 2019-08-05 |
| 1497218861 | Turning Point Community Programs | Community/Behavioral Health | 1803 W March Ln Ste C-d, Stockton, CA 95207 | 2019-04-11 |
| 1427510627 | Stockton Sleep Center Inc | Physiological Laboratory | 1545 Saint Marks Plaza, Suite 2, Stockton, CA 95207 | 2019-04-05 |
| 1518436229 | Nicolas Anthony Overby | Occupational Therapist | Windsor Elmhaven Care Cente 6940 Pacific Ave, Stockton, CA 95207 | 2018-11-26 |
| 1912475724 | Ashley Johnson | Behavior Technician | 87 W. March Ln. Suite 6, Stockton, CA 95207 | 2018-11-09 |
| 1124596085 | Korie Cottrell | Behavior Technician | 87 W. March Ln., Suite 6, Stockton, CA 95207 | 2018-11-08 |
| 1760979645 | Maria Esther Rodriguez | Counselor | 2425 W March Ln., Stockton, CA 95207 | 2018-04-17 |
| 1902301161 | Lashray Elliott | Behavior Technician | 2291 W. Mach Lane, Ste C101, Stockton, CA 95207 | 2018-03-28 |
| Find all providers in zip 95207 | ||||
| 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 |
|---|---|---|---|---|
| 1801412713 | Janelle Gamble | Licensed Vocational Nurse | 9289 Branstetter Pl, Stockton, CA 95209-1700 | 2020-06-17 |
| 1962027524 | Kariem Abdelwahed | Licensed Vocational Nurse | 1630 N. Edison St Stockton Ca, Stockton, CA 95204 | 2020-06-10 |
| 1871145730 | Maribel Lopez | Licensed Vocational Nurse | 97 W Adams St, Stockton, CA 95204-5332 | 2019-07-11 |
| 1134787476 | Sheila Tarroza Villanueva | Licensed Vocational Nurse | 1646 Sicily St, Stockton, CA 95206-6334 | 2019-06-02 |
| 1841767100 | Maria Brenda Garsuta | Licensed Vocational Nurse | 1947 N California St # B&c, Stockton, CA 95204-6029 | 2018-10-25 |
| 1104360379 | Carisa Morones | Licensed Vocational Nurse | 2856 Marietta Ct, Stockton, CA 95207-2306 | 2016-12-07 |
| 1144679333 | Jerri Khammanh | Licensed Vocational Nurse | 4965 Betty Mae Dr, Stockton, CA 95212-3040 | 2016-06-08 |
| 1932554573 | Linda Hing-moreyra | Licensed Vocational Nurse | 5531 Sandpiper Ct, Stockton, CA 95207-5417 | 2016-05-02 |
| 1982089413 | Sasha Russell | Licensed Vocational Nurse | 718 Beeler St, Stockton, CA 95204-3542 | 2015-07-27 |
| 1821470154 | Kalashai Porter | Licensed Vocational Nurse | 1639 Barcelona Ave, Stockton, CA 95209-2505 | 2015-06-23 |
| Find all providers in STOCKTON | ||||
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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.