MS. PATRICIA JANE EBBECKE (NPI# 1669534970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669534970 |
| Entity Type | Individual |
| Full Name | MS. PATRICIA JANE EBBECKE |
| Credential | NP |
| Practice Address |
12675 Hesperia Rd Victorville CA 92395-5878 |
| Mailing Address |
14185 Hopi Rd Apple Valley CA 92307-5716 |
| Practice Telephone | 7602418063 |
| Practice Fax Number | 7602415037 |
| Mailing Telephone | 7602474505 |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2009-03-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
280926 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
12675 HESPERIA RD |
| City | VICTORVILLE |
| State | CA |
| Zip Code | 92395-5878 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306881099 | Hosameldin Madkour | Internal Medicine | 12675 Hesperia Rd, Victorville, CA 92395-5878 | 2006-06-18 |
| 1255785564 | Clinton Ellis Browning | Dietitian, Registered | 12675 Hesperia Rd, Victorville, CA 92395-5878 | 2016-04-22 |
| 1801154380 | Opeyemi Oladele | Internal Medicine | 12675 Hesperia Rd, Victorville, CA 92395-5878 | 2012-05-02 |
| 1821293382 | Prashanth Vasantha Kumar | Internal Medicine | 12675 Hesperia Rd, Victorville, CA 92395-5878 | 2007-06-15 |
| 1023182763 | Om Parkash Sood | Internal Medicine | 12675 Hesperia Rd, Suite 101, Victorville, CA 92395-5878 | 2006-11-17 |
| 1164431318 | Jay Eriah Shankar | Internal Medicine | 12675 Hesperia Rd, Victorville, CA 92395-5878 | 2006-08-05 |
| 1063421212 | Jamboor Medical Corporation | Clinic/Center | 12675 Hesperia Rd, Victorville, CA 92395-5878 | 2006-08-05 |
| 1407865652 | High Desert Nephrology Medical Associates, Inc. | Internal Medicine | 12675 Hesperia Rd, Victorville, CA 92395-5878 | 2006-08-05 |
| 1366479222 | Harkala Janardhan | Specialist | 12675 Hesperia Rd, Victorville, CA 92395-5878 | 2006-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043837966 | Desert Ridge Transitional Care Center, Lp | Skilled Nursing Facility | 13300 11th Avenue, Victorville, CA 92395 | 2020-06-26 |
| 1376179093 | Catherine Ward | Speech-Language Pathologist | 13275 Mauka Ct, Victorville, CA 92395 | 2020-03-13 |
| 1174019228 | Laura Mercado Halterman | Family Medicine | 16519 Victor St Ste 307, Victorville, CA 92395 | 2018-07-02 |
| 1306337829 | Stephanie Ann Kruger | Behavior Technician | Sunny Days Inc 3602 Inland Empire Blvd., Ontario, CA 92395 | 2018-05-21 |
| 1861903924 | Debra L Andersen | Clinic/Center | 12830 Hesperia Road, Suite C, D, E, Victorville, CALIFORNIA 92395 | 2017-10-17 |
| 1790202141 | Joshua Powers | Physician Assistant | 12550 Hesperia Rd Ste 101, Victorville, CA 92395 | 2017-08-26 |
| 1043759491 | Kemp Individual & Family Therapy, Inc. | Marriage & Family Therapist | 14075 Hesperia Road, Suite 101, Victorville, CA 92395 | 2017-02-17 |
| 1740725969 | Abem Transportation Inc | Non-emergency Medical Transport (VAN) | 15000 7th St Ste F208, Victorville, CA 92395 | 2016-12-23 |
| 1447669379 | Tracie Girard | Nurse Practitioner | 17330 Bear Valley Road, Suite A106, Victorville, CA 92395 | 2014-08-05 |
| 1093153215 | Mitesh Patel | Surgery | 13010 Hesperia Rd Ste 400, Victorville, CA 92395 | 2013-06-10 |
| Find all providers in zip 92395 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184834186 | Margaret K Brown | Nurse Practitioner | 12402 Industrial Blvd, Ste B-6, Victorville, CA 92395-5871 | 2007-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699388504 | Daniel Ngo | Nurse Practitioner | 1180 S Hilda St, Anaheim, CA 92806-5007 | 2020-08-28 |
| 1407464522 | Laura Bradigan | Nurse Practitioner | 1744 Grand Ave Unit 2, Long Beach, CA 90804-2022 | 2020-07-15 |
| 1538787031 | Kelly Olcott | Nurse Practitioner | 4004 Via Lucero Apt 12, Santa Barbara, CA 93110-1692 | 2020-07-10 |
| 1629695440 | Kelley Ibarra | Nurse Practitioner | 1613 Celeste Dr, Modesto, CA 95355-5039 | 2020-06-26 |
| 1497379333 | Gloria Jean Campbell | Nurse Practitioner | 5055 E Garford St Apt 6, Long Beach, CA 90815-2861 | 2020-06-06 |
| 1851913115 | Lilly Fong | Nurse Practitioner | 15821 Square Top Ln, Fontana, CA 92336-4586 | 2020-05-09 |
| 1548880750 | Sharkeiya Terrell | Nurse Practitioner | 2752 Harrison Ave Ste A, Eureka, CA 95501-4738 | 2020-04-17 |
| 1730714007 | Julissa Leonides Caraballo | Nurse Practitioner | 4044 Promontory St, San Diego, CA 92109-5334 | 2020-03-07 |
| 1194355404 | Bethany Leda Donowho | Nurse Practitioner | 845 Via De La Paz Ste 16, Pacific Palisades, CA 90272-3627 | 2020-01-26 |
| 1518507078 | Rachel Saake Collar | Nurse Practitioner | 5100, 1000 Executive Pkwy, Oroville, CA 95966 | 2020-01-13 |
| Find all providers with the same taxonomy | ||||
| City | VICTORVILLE |
| Zip Code | 92395 |
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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.