MRS. GERGETTE LOVE DATAN SACAY (NPI# 1700162575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700162575 |
| Entity Type | Individual |
| Full Name | MRS. GERGETTE LOVE DATAN SACAY |
| Other Name | MS. GERGETTE LOVE CONDINO DATAN |
| Credential | NP-C |
| Practice Address |
11370 Anderson Street Suite 3600 Loma Linda CA 92354-3130 |
| Mailing Address |
File # 54701 Los Angeles CA 90074-4701 |
| Practice Telephone | 9095582870 |
| Mailing Telephone | 9095582870 |
| Enumeration Date | 2011-10-25 |
| Last Update Date | 2016-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
21364 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BOARD OF REGISTERED NURSING | 21364 | 01 |
| Street Address |
11370 ANDERSON STREET SUITE 3600 |
| City | LOMA LINDA |
| State | CA |
| Zip Code | 92354-3130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264337 | Apple Red Nutrition Services | Dietitian, Registered | 357 W. 2nd St, Suite #2, Loma Linda, CA 92354 | 2020-10-30 |
| 1013517960 | Kristina Pulliam Markey | Nurse Practitioner | 11234 Anderson Strreet, Loma Linda, CA 92354 | 2020-10-29 |
| 1932725645 | Dev Priya Singhvi | Student in an Organized Health Care Education/Training Program | 11332 Mountain View Avenue, Westerly Building, Suite C, Gme Office, Loma Linda, CA 92354 | 2020-06-18 |
| 1750901278 | Angela N Torres | Student in an Organized Health Care Education/Training Program | Loma Linda University Health Emergency Medicine, 11234 Anderson Street, Loma Linda, CA 92354 | 2020-04-24 |
| 1548899230 | Holistic Physical Therapy Inc. | Physical Therapist | 25003 Starr Str, Loma Linda, CA 92354 | 2020-04-03 |
| 1508494071 | Eric Allen | Student in an Organized Health Care Education/Training Program | Loma Linda University Health Pediatrics, General, 11234 Anderson Street, Loma Linda, CA 92354 | 2020-03-31 |
| 1730640244 | Rose Valley Rcfe | Assisted Living Facility | 11574 Poplar St, Loma Linda, CA 92354 | 2019-03-27 |
| 1336633676 | David A Lawrence | Student in an Organized Health Care Education/Training Program | Loma Linda University Hospital, 11234 Anderson St., Loma Linda, CA 92354 | 2018-06-20 |
| 1205329547 | Rachael Nicole Spady | Student in an Organized Health Care Education/Training Program | Loma Linda University Health - Obstetrics & Gynecology, 11234 Anderson St, Loma Linda, CA 92354 | 2018-06-12 |
| 1447756069 | Anthony Ernest Sanchez | Otolaryngology | 11332 Mountain View, Westerly Building Suite C, Loma Linda, CA 92354 | 2018-04-03 |
| Find all providers in zip 92354 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831736958 | Jasdeep Kaur | Nurse Practitioner | 26064 Arroyo Ln, Loma Linda, CA 92354-6522 | 2019-12-09 |
| 1508321563 | Neander P. Tabingo | Nurse Practitioner | Loma Linda Va Medical Center 11201 Benton St, Loma Linda, CA 92357-0001 | 2019-02-04 |
| 1578070850 | Stanley Lumban Tobing | Nurse Practitioner | 25612 Barton Rd # 179, Loma Linda, CA 92354-3110 | 2018-01-08 |
| 1548702459 | Katherine S Diamond | Nurse Practitioner | 11234 Anderson St # A220, Loma Linda, CA 92354-2804 | 2016-11-08 |
| 1689090748 | Megan Marie Schatzschneider | Nurse Practitioner | 24785 Stewart Street, Evans Hall, Suite 111, Loma Linda, CA 92354 | 2014-03-13 |
| 1619252152 | Sarah Elizabeth Van Tassell | Nurse Practitioner | 25835 Barton Rd, Suite 101, Loma Linda, CA 92354-3897 | 2011-10-16 |
| 1215173653 | Kimberly Ann Bluff | Nurse Practitioner | 11234 Anderson St # A600, Loma Linda, CA 92354-2804 | 2009-01-06 |
| 1366624090 | Xiaoxia Yu | Nurse Practitioner | 24414 University Ave Spc 2, Loma Linda, CA 92354-2647 | 2007-12-05 |
| 1760663868 | Access Staffing | Nurse Practitioner | 11467 Via Lagos, Loma Linda, CA 92354-3851 | 2007-11-16 |
| 1942813514 | Janis Debra Jacobson | Nurse Practitioner | 25815 Barton Rd, Loma Linda, CA 92354-3893 | 2020-08-24 |
| Find all providers in LOMA LINDA | ||||
| City | LOMA LINDA |
| Zip Code | 92354 |
Please comment or provide details below to improve the information on MRS. GERGETTE LOVE DATAN SACAY.
| 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.