MS. MIA DE LEON (NPI# 1700119195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700119195 |
| Entity Type | Individual |
| Full Name | MS. MIA DE LEON |
| Other Name | MIA DE LEON |
| Credential | NP |
| Practice Address |
415 Rolling Oaks Dr Ste 110 Thousand Oaks CA 91361-1030 |
| Mailing Address |
32144 Agoura Rd Ste 106 Westlake Village CA 91361-4040 |
| Practice Telephone | 8055571740 |
| Practice Fax Number | 8055571743 |
| Mailing Telephone | 8053793376 |
| Mailing Fax Number | 8053793267 |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2019-04-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | CA497626 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
415 ROLLING OAKS DR STE 110 |
| City | THOUSAND OAKS |
| State | CA |
| Zip Code | 91361-1030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215953476 | Mahyar Okhovat | Psychiatry & Neurology | 415 Rolling Oaks Dr Ste 110, Thousand Oaks, CA 91361-1030 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093328379 | Lauren Kaprielian Davidson | Speech-Language Pathologist | Fox Therapy Services, 31822 Village Center Rd, Ste. 107, Westlake Village, CA 91361 | 2020-08-26 |
| 1679118749 | Min A Baek | Optometrist | 4353 Park Terrace Dr., #150, Westlake Village, CA 91361 | 2019-11-13 |
| 1417429952 | Kimberly Joanne Yudt | Behavioral Analyst | 660 Hampshire Road, Suite 100, Westlake Village, CA 91361 | 2018-12-21 |
| 1932671773 | Rachel Sonya Chistyakov | Marriage & Family Therapist | 32107 Undero Canyon Rd, Suite 203, Westlake Village, CA 91361 | 2018-12-18 |
| 1447778394 | Spirit Healthcare Hospice, Inc. | Hospice Care, Community Based | 30941 Agoura Rd., Suite 112, Westlake Village, CA 91361 | 2017-08-30 |
| 1023556313 | Lindsay Gooze | Marriage & Family Therapist | 38122 Village Center Rd., Ste.102, Westlake Village, CA 91361 | 2017-02-07 |
| 1851839419 | Casey J. Simon | Counselor | 1800 Bridgegate Street, Suite #108, Westlake Village, CA 91361 | 2017-02-03 |
| 1689124851 | David Schwartz | Marriage & Family Therapist | 30961 Agoura Rd Ste 215, Westlake Village, CA 91361 | 2016-10-11 |
| 1932655735 | Sherry Safavi | Counselor | 677 Colorado Blivd, Los Angeles, CA 91361 | 2016-08-31 |
| 1053795393 | Kashmir Trading Inc. | Durable Medical Equipment & Medical Supplies | 790 Hampshire Rd. Ste #b, Westlake Village, CA 91361 | 2015-07-16 |
| Find all providers in zip 91361 | ||||
| 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 |
|---|---|---|---|---|
| 1457913485 | David Ereso Chayawatna | Nurse Practitioner | 227 W Janss Rd Ste 100, Thousand Oaks, CA 91360-1860 | 2019-06-29 |
| 1699946434 | Elvin Park, Np | Nurse Practitioner | 1534 N Moorpark Rd # 327, Thousand Oaks, CA 91360-5129 | 2008-03-20 |
| 1316951460 | Jennifer Mclean-madera | Nurse Practitioner | 1200 W Hillcrest Dr, Ste. 100, Thousand Oaks, CA 91320-2734 | 2006-07-27 |
| 1366041733 | Np Health and Wellness Center A Professional Nursing Corporation | Nurse Practitioner | 1000 Newbury Rd Ste 210, Thousand Oaks, CA 91320-6441 | 2020-10-18 |
| 1437775657 | Amy Michelle Wilson | Nurse Practitioner | 227 W Janss Rd Ste 125, Thousand Oaks, CA 91360-1856 | 2020-06-23 |
| 1699310086 | Elizabeth Serrano | Nurse Practitioner | 1200 W Hillcrest Dr, Thousand Oaks, CA 91320-2734 | 2019-11-09 |
| 1497304786 | Niloufer Cainglit | Nurse Practitioner | 1 Amgen Center Dr, Thousand Oaks, CA 91320-1730 | 2019-09-09 |
| 1326557885 | Stella Y Ortiz | Nurse Practitioner | 425 Haaland Dr Ste 101, Thousand Oaks, CA 91361-5230 | 2017-09-27 |
| 1245438910 | Sharon Shahnaz Jafari | Nurse Practitioner | 365 E Hillcrest Dr, Thousand Oaks, CA 91360-5820 | 2007-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528817 | Gemekia Latrisha Morales | Nurse Practitioner | 1800 N. California, Stockton, CA 95952 | 2020-11-08 |
| 1447851324 | Anna Patricia Torres | Nurse Practitioner | 1158 Santa Lucia Dr, Pittsburg, CA 94565-7615 | 2020-11-05 |
| 1447851647 | Melanie Ganotisi | Nurse Practitioner | 11541 Blucher Ave Unit 125, Granada Hills, CA 91344-4362 | 2020-11-04 |
| 1659971729 | Raquel Y Mccarthy | Nurse Practitioner | 334 Via Vera Cruz Ste 257, San Marcos, CA 92078-2643 | 2020-10-28 |
| 1689274607 | Aleksandra Zaitseva | Nurse Practitioner | 6850 Sepulveda Blvd Ste 215, Van Nuys, CA 91405-4450 | 2020-10-28 |
| 1215537543 | Gereine Mae Condino Datan | Nurse Practitioner | 500 W 190 St, Gardena, CA 90248 | 2020-10-27 |
| 1861092355 | Vilma Estrada | Nurse Practitioner | 37945 28th St E, Palmdale, CA 93550-5521 | 2020-10-26 |
| 1871192492 | Folashade Jayeoba | Nurse Practitioner | 7453 Tucson Ln, Fontana, CA 92336-0712 | 2020-10-23 |
| 1467051391 | Careforyou LLC | Nurse Practitioner | 806 14th St, Modesto, CA 95354-1023 | 2020-10-21 |
| 1427657550 | Adriana Sarah Pettross | Nurse Practitioner | 35286 Vista De Todo, Capistrano Beach, CA 92624-1847 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
| City | THOUSAND OAKS |
| Zip Code | 91361 |
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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.