MR. RANDULF VILLANUEVA ERGUIZA (NPI# 1710307822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710307822 |
| Entity Type | Individual |
| Full Name | MR. RANDULF VILLANUEVA ERGUIZA |
| Credential | MS, NP, FNP-BC, NP-C |
| Practice Address |
31625 Highway 101 S Soledad CA 93960-9529 |
| Practice Telephone | 8316785500 |
| Mailing Telephone | (831) 678-5500 |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95000631 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 591 Mccray St Ste 231, Hollister, CA 950232224 | 8316367494 |
| Street Address |
31625 HIGHWAY 101 S |
| City | SOLEDAD |
| State | CA |
| Zip Code | 93960-9529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962491639 | Sheva Teresa Nickravesh | Dentist | 31625 Highway 101 S, Soledad, CA 93960-9529 | 2005-10-17 |
| 1255846093 | Kim Goldman | Psychologist | 31625 Highway 101 S, Soledad, CA 93960-9529 | 2017-12-01 |
| 1588183172 | Anthony Giabao Ha | Pharmacist | 31625 Highway 101 S, Soledad, CA 93960-9529 | 2017-09-14 |
| 1285163592 | Marissa J Machado | Psychologist | 31625 Highway 101 S, Soledad, CA 93960-9529 | 2017-06-08 |
| 1437685849 | Alexander Leslie Black Jr. | Contractor | 31625 Highway 101 S, Soledad, CA 93960-9529 | 2017-05-04 |
| 1801257902 | Tami Lyn Leffler | Social Worker | 31625 Highway 101 S, Soledad, CA 93960-9529 | 2016-03-16 |
| 1982065082 | Joseph Claybaugh | Psychologist | 31625 Highway 101 S, Soledad, CA 93960-9529 | 2016-03-16 |
| 1891038154 | Shannon Murray | Psychologist | 31625 Highway 101 S, Soledad, CA 93960-9529 | 2013-04-04 |
| 1992055545 | Emily Moresco | Psychologist | 31625 Highway 101 S, Soledad, CA 93960-9529 | 2012-09-11 |
| 1831453927 | Julie Kinh Pham | Pharmacist | 31625 Highway 101 S, Soledad, CA 93960-9529 | 2012-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528621091 | Miriam Lorena Rios | Counselor | 2167-h De La Rosa St, Soledad, CA 93960 | 2019-04-19 |
| 1972093169 | Rashelle Jeannette Dadula | Assistant Behavior Analyst | 605 Asilomar Ave., Soledad, CA 93960 | 2018-05-14 |
| 1205326659 | Rebecca L Pilgrim | Nurse Practitioner | Us 101, Soledad, CA 93960 | 2018-05-11 |
| 1932630720 | Joycelyn A Mendoza | Dietitian, Registered | 355 Gabilan St., Soledad, CA 93960 | 2017-03-23 |
| 1912449505 | Christine Kregg | Social Worker | U.S. Highway 101 North, Correctional Training Facility, Soledad, CA 93960 | 2016-11-14 |
| 1356684088 | Kiet Quoc Le | Pharmacist | Hwy 101 N, Soledad, CA 93960 | 2013-04-01 |
| 1063753226 | Matthew Wynn | Psychologist | Highway 101 N, California Correctional Facility Soledad, Soledad, CA 93960 | 2013-03-12 |
| 1326390097 | Raha Yavari | Psychologist | 31625 Us Highway 101, Soledad, CA 93960 | 2012-10-05 |
| 1609005321 | Mitzi Doreen Baladiang Balbona | Family Medicine | Us Hwy 101s, California, CA 93960 | 2009-07-02 |
| 1093977076 | Gbenga Akinyemi | Social Worker | 31625 High Way 101, Salinas Valley Psychiatric Program, Soledad, CA 93960 | 2008-06-30 |
| Find all providers in zip 93960 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205326659 | Rebecca L Pilgrim | Nurse Practitioner | Us 101, Soledad, CA 93960 | 2018-05-11 |
| 1386760171 | Nancy Louise Cain | Nurse Practitioner | 32655 Camphora Rd, Soledad, CA 93960-9600 | 2007-03-22 |
| 1811333883 | Christine Margaret Michaels Benson | Nurse Practitioner | 600 Main St, Soledad, CA 93960-2533 | 2013-05-17 |
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|---|---|---|---|---|
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| 1609477421 | Taylor Mcknight | Nurse Practitioner | 5073 Oxford Dr, Cypress, CA 90630-3653 | 2020-11-06 |
| 1619578465 | Roslyn Dykes-barrow | Nurse Practitioner | 17631 Mulberry Dr, Carson, CA 90746-7403 | 2020-11-06 |
| 1861093601 | Philana P Mcdonald | Nurse Practitioner | 183 Stonebridge Ln, Paso Robles, CA 93446-1926 | 2020-11-06 |
| 1386245264 | Annie Parikh | Nurse Practitioner | 11675 Lambert Ave, El Monte, CA 91732-1955 | 2020-11-05 |
| 1073114096 | Blanca De Jesus Serrano | Nurse Practitioner | 18144 Outer Hwy 18 Ste 200, Apple Valley, CA 92307-2212 | 2020-11-05 |
| 1578164166 | Aimon Sangwanpanich | Nurse Practitioner | 8520 Shirley Ave, Northridge, CA 91324-4149 | 2020-11-02 |
| 1043810757 | Casie Lee Mcguire | Nurse Practitioner | 1826 Rainbow Terrace Ln, Montebello, CA 90640-1953 | 2020-10-30 |
| 1295335099 | Jail Lopez | Nurse Practitioner | 3171 Lynwood Rd, Lynwood, CA 90262-4118 | 2020-10-29 |
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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.