LUIS SERVANO TEOXON (NPI# 1700207388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700207388 |
| Entity Type | Individual |
| Full Name | LUIS SERVANO TEOXON |
| Credential | NP-C |
| Practice Address |
11750 Sterling Ave Ste C Riverside CA 92503 |
| Mailing Address |
3420 Council St Apt 102 Los Angeles CA 90004-3629 |
| Practice Telephone | 9516378752 |
| Mailing Telephone | 2133860654 |
| Enumeration Date | 2013-12-26 |
| Last Update Date | 2013-12-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SF0001X |
Clinical Nurse Specialist Specialization: Family Health |
22969 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | AANP CERTIFICATION | F1212085 | 01 |
| Street Address |
11750 STERLING AVE STE C |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255953618 | Mohammad Abul-fielat Dds Inc | Dentist | 3825 Tyler St, Riverside, CA 92503 | 2020-05-08 |
| 1205396488 | Francisco Aguayo | Behavioral Analyst | 3345 Jackson St, Riverside, CA 92503 | 2019-03-22 |
| 1073071684 | Racheal Ego Aneke | Nurse Practitioner | 9890 County Farm Rd., Building 2, Riverside, CA 92503 | 2019-03-04 |
| 1073070264 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 3500 Tyler Mall, Riverside, CA 92503 | 2019-02-25 |
| 1053893271 | Tsibel Dental Practice Inc. | Dentist | 10181 Magnolia Ave, Riverside, CA 92503 | 2018-09-04 |
| 1508344714 | Patricia Marraine Redondo | Counselor | 1625 14th St, Riverside, CA 92503 | 2018-07-31 |
| 1740766146 | Robles Rodef & Yaghoubi Dental Corporation | Dentist | 5628 Van Buren Blvd Suite #a, Riverside, CA 92503 | 2018-07-18 |
| 1467961755 | Daniela Popa | Assisted Living Facility | 10820 Calle Bella, Riverside, CA 92503 | 2017-09-29 |
| 1457860306 | Leah Dreany | Peer Specialist | 2085 Rustin Avenue Building #3, Riverside, CA 92503 | 2017-09-22 |
| 1710400445 | Christopher John Guting | Peer Specialist | 10230 Indiana Avenue, Riverside, CA 92503 | 2017-07-25 |
| Find all providers in zip 92503 | ||||
| Taxonomy Code | 364SF0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Family Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982074159 | Tracey Schaper | Clinical Nurse Specialist | 297 Mission Grove Pkwy N, Riverside, CA 92506-6246 | 2015-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326599283 | Anudeep Bawa | Clinical Nurse Specialist | 11180 Warner Ave Ste 165, Heart Center of Orange County, Fountain Valley, CA 92708-7515 | 2016-10-16 |
| 1720536840 | Arezou Crose | Clinical Nurse Specialist | 3978 Silver Lace Ln, Redding, CA 96001-6303 | 2016-09-19 |
| 1104286459 | Yesol Hong | Clinical Nurse Specialist | 17822 Beach Blvd Ste 473, Huntington Beach, CA 92647-7520 | 2016-02-29 |
| 1205216025 | Ramona Waldman | Clinical Nurse Specialist | 28000 Poppy Dr, Willits, CA 95490-9068 | 2015-06-06 |
| 1821481391 | Riaz Qamar | Clinical Nurse Specialist | 420 E Elmonte Way, Dinuba, CA 93618 | 2015-03-09 |
| 1700282654 | Osher Resources Inc | Clinical Nurse Specialist | 419 E Cypress Ave, Unit C, Burbank, CA 91501-3253 | 2014-11-05 |
| 1285058727 | Dominic Legaspi Pisigan | Clinical Nurse Specialist | 565 Charmingdale Rd, Diamond Bar, CA 91765-2131 | 2014-02-04 |
| 1326307885 | Holly Marie Filter | Clinical Nurse Specialist | 330 H St Ste A, Marysville, CA 95901-5820 | 2012-05-03 |
| 1073838900 | Carol Anne Herrlie | Clinical Nurse Specialist | 5253 Bucks Bar Rd, Placerville, CA 95667-7869 | 2010-04-03 |
| 1972767739 | Jenifer J Tantarelli | Clinical Nurse Specialist | 1154 Montgomery Dr, Santa Rosa, CA 95405-4816 | 2008-07-10 |
| Find all providers with the same taxonomy | ||||
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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.