MARK SABILLO (NPI# 1699214197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699214197 |
| Entity Type | Individual |
| Full Name | MARK SABILLO |
| Practice Address |
2055 Kellogg Ave Corona CA 92879-3111 |
| Practice Telephone | 9518987106 |
| Enumeration Date | 2017-02-16 |
| Last Update Date | 2017-02-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH69551 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629614409 | Mark Sabillo | Occupational Therapy Assistant | 630 W Broadway, Glendale, CA 91204-1008 | 2019-11-27 |
| Street Address |
2055 KELLOGG AVE |
| City | CORONA |
| State | CA |
| Zip Code | 92879-3111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013999218 | Pushan Chowdhury | Pediatrics | 2055 Kellogg Ave, Corona, CA 92879-3111 | 2005-11-15 |
| 1316429384 | Juan Carlos Palacios | Respiratory Therapist, Registered | 2055 Kellogg Ave, Corona, CA 92879-3111 | 2018-09-05 |
| 1124500103 | Michael Paul Gordon | Respiratory Therapist, Registered | 2055 Kellogg Ave, Corona, CA 92879-3111 | 2018-09-05 |
| 1437631405 | Clorinda Gloria Benavidez | Respiratory Therapist, Registered | 2055 Kellogg Ave, Corona, CA 92879-3111 | 2018-09-05 |
| 1255879326 | Kathleen Varisco | Pharmacist | 2055 Kellogg Ave, Corona, CA 92879-3111 | 2017-02-08 |
| 1750829297 | Rina Williams | Pharmacist | 2055 Kellogg Ave, Corona, CA 92879-3111 | 2017-02-04 |
| 1447647326 | Andrew Dornan | Psychiatry & Neurology | 2055 Kellogg Ave, Corona, CA 92879-3111 | 2015-04-18 |
| 1093108334 | Stephanie Winters | Social Worker | 2055 Kellogg Ave, Corona, CA 92879-3111 | 2015-03-11 |
| 1982007969 | Michelle Wendel | Marriage & Family Therapist | 2055 Kellogg Ave, Corona, CA 92879-3111 | 2014-10-03 |
| 1710392931 | Roger Ken Nakata | Pediatrics | 2055 Kellogg Ave, Corona, CA 92879-3111 | 2014-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475722 | Tahmea Henderson | Behavior Technician | 225 Rincon St. #219, Corona, CA 92879 | 2020-10-20 |
| 1669084828 | Kimberly O Harris | Behavioral Analyst | 225 E. Rincon St., Suite 219, Corona, CA 92879 | 2020-08-19 |
| 1962014381 | Mario Javier Herrera | Nurse Practitioner | 2130 High Pointe Dr, Apt 108, Corona, CA 92879 | 2020-08-18 |
| 1841659117 | Sleep & Cpap Center Inc | Clinical Medical Laboratory | 800 Magnolia Avenue, Suite 101, Corona, CA 92879 | 2016-02-16 |
| 1497151203 | Rafik Riad | Dentist | 817 Villa Montes Cir., Corona, CA 92879 | 2014-11-06 |
| 1326441551 | Ying Zhang Howe | Acupuncturist | 720 Magnolia Ave. #b3, Corona, CA 92879 | 2014-10-02 |
| 1164823233 | Piyush Sakhareliya | Pharmacist | 2230 Treemont Pl, Apt#207, Corona, CA 92879 | 2014-09-09 |
| 1053711739 | Brandice Medical Associates Inc | Clinical Medical Laboratory | 13575 Jasper Loop, Corona, CA 92879 | 2014-08-29 |
| 1982956058 | Nja Therapy Services, Inc. | Day Training, Developmentally Disabled Services | 1655 E 6th St Suite 204, Corona, CA 92879 | 2012-10-12 |
| 1356616064 | Corona Surgical LLC | Clinic/Center | 2370 Anselmo Drive, Corona, CA 92879 | 2012-03-13 |
| Find all providers in zip 92879 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376151290 | Charmi Gajera | Pharmacist | 1164 Stone Pine Ln Unit A, Corona, CA 92879-2646 | 2020-07-16 |
| 1114558517 | Jan D Kum | Pharmacist | 4485 Signature Dr, Corona, CA 92883-0633 | 2020-02-04 |
| 1538703079 | Ibtihal M Kadour | Pharmacist | 1798 Kapalua Bay Ln, Corona, CA 92883-0783 | 2019-10-28 |
| 1750856092 | Ting Chen | Pharmacist | 3525 100th St, Corona, NY 11368-1852 | 2018-10-12 |
| 1326573650 | Huong Le | Pharmacist | 2284 Marsant Ave, Corona, CA 92882-7592 | 2017-04-24 |
| 1164957668 | Robert Wilson | Pharmacist | 11950 De Palma Rd, Corona, CA 92883-8499 | 2017-04-22 |
| 1700325958 | Nathan Wu | Pharmacist | 4290 San Viscaya Cir, Corona, CA 92882-7955 | 2017-02-21 |
| 1285088229 | Kenneth Ahlrich | Pharmacist | 14829 Burrows Way, Corona, CA 92880-4503 | 2016-04-15 |
| 1881067205 | Yong Phou | Pharmacist | 7590 Sanctuary Dr, Corona, CA 92883-5942 | 2015-11-06 |
| 1336511633 | Shaikh A Ansari Sr. | Pharmacist | 11119 Roosevelt Ave, Corona, NY 11368-2625 | 2015-10-26 |
| Find all providers in CORONA | ||||
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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.