DAVID PICELLA PHD INC (NPI# 1689057960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689057960 |
| Entity Type | Organization |
| Organization Name | DAVID PICELLA PHD INC |
| Other Organization Name | OMEGA HEALTHCARE |
| Practice Address |
1617 N Garey Ave Pomona CA 91767 |
| Mailing Address |
836 N Del Sol Ln Diamond Bar CA 91765-1105 |
| Practice Telephone | 8772418200 |
| Practice Fax Number | 9092451751 |
| Mailing Telephone | 8772418200 |
| Mailing Fax Number | 9092451751 |
| Enumeration Date | 2015-07-03 |
| Last Update Date | 2018-08-03 |
| Authorized Official Name | MR. DAVID VINCENT PICELLA (PRESIDENT) |
| Authorized Official Telephone | 8772418200 |
| Authorized Official Credential | PHD, NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 364S00000X | Clinical Nurse Specialist | 269 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363L00000X | Nurse Practitioner | 10299 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Omega Healthcare | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942686142 | David Picella Phd Inc | Family Medicine | 7121 Mackinaw Ct, Eastvale, CA 91752-1492 | 2015-08-11 |
| Street Address |
1617 N GAREY AVE |
| City | POMONA |
| State | CA |
| Zip Code | 91767 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807979 | Ayed Hawatmeh Dds Inc | Dentist | 322 E Foothill Blvd, Pomona, CA 91767 | 2020-10-02 |
| 1780205302 | Melanie Crystal Ramirez | Counselor | 845 East Arrow Hwy, Pomona, CA 91767 | 2020-05-05 |
| 1780249029 | Jean Hang | Pharmacist | 775 East Foothill Blvd, Pomona, CA 91767 | 2019-05-02 |
| 1679043269 | Christy Bloss | Counselor | 16029 Arrow Hwy. Suite G, Irwindale, CA 91767 | 2018-11-27 |
| 1740758895 | Pomona Community Health Center | Dentist | 1448 E Holt Avenue, Pomona, CA 91767 | 2018-11-07 |
| 1245749878 | Continental Post Acute LLC | Skilled Nursing Facility | 1912 N.san Antonio, Pomona, CA 91767 | 2017-09-26 |
| 1083134373 | Virginia Thompson | Counselor | 845 E. Arrow Hwy., Pomona, CA 91767 | 2017-06-27 |
| 1215489000 | Boys Republic - Pomona Residence | Community/Behavioral Health | 733 N Garey Ave, Pomona, CA 91767 | 2016-10-27 |
| 1164870499 | Karthikeyan Bhuvaneswaran | Psychiatry & Neurology | 255 E Bonita Ave Bldg Suite103, Pomona, CA 91767 | 2016-05-26 |
| 1679936777 | Nex's Traditional Chinese Medicine | Acupuncturist | 1150 N Garey Ave, Pomona, CA 91767 | 2016-04-05 |
| Find all providers in zip 91767 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912493859 | Debbie Prickett | Nurse Practitioner | 2713 Lily St, Pomona, CA 91767-2280 | 2018-07-03 |
| 1750814919 | Judy Yi | Nurse Practitioner | 1361 Estel Dr, Pomona, CA 91768-2361 | 2017-04-05 |
| 1861890030 | Lynsey Louise Lakin | Nurse Practitioner | 2895 N. Towne Ave, Pomona, CA 91767 | 2014-12-19 |
| 1003230848 | Kirstiema Cowan | Nurse Practitioner | 24 Country Ridge Rd, Pomona, CA 91766-4815 | 2014-02-14 |
| 1215214325 | Christiana Chima Anisi | Nurse Practitioner | 2112 S. Garey Ave, Suite C, Pomona, CA 91766-5600 | 2011-11-03 |
| 1710034350 | Victor Manuel Campos | Nurse Practitioner | 2286 S Garey Ave, Pomona, CA 91766-5645 | 2007-01-05 |
| 1396805594 | Caroline M. Edwards | Nurse Practitioner | W. Jimmie Leeds Road, 101 Carnie Blvd., Pomona, NJ 08240-9104 | 2006-12-11 |
| 1649341561 | Teresa Enterlante | Nurse Practitioner | 61 W Jimmie Leeds Road, Pomona, NJ 08240-0723 | 2006-11-13 |
| 1417055807 | Deborah K. Scheuerell | Nurse Practitioner | 887 E. Second Street, Pomona, CA 91766-2009 | 2006-09-20 |
| 1194744177 | Sonia Y Tovar | Nurse Practitioner | 1019 E Holt Ave, Pomona, CA 91767-0000 | 2006-07-19 |
| Find all providers in POMONA | ||||
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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.