DOMEVLO UMOJA (NPI# 1740692540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740692540 |
| Entity Type | Individual |
| Full Name | DOMEVLO UMOJA |
| Credential | LVN |
| Practice Address |
2550 W Clinton Ave Bldg W Fresno CA 93705-4206 |
| Mailing Address |
2550 W Clinton Ave Unit 397 Fresno CA 93705-4223 |
| Practice Telephone | 5592647521 |
| Practice Fax Number | 5598600168 |
| Mailing Telephone | 5592647521 |
| Mailing Fax Number | 5598600168 |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2020-09-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 164X00000X | Licensed Vocational Nurse | VN276219 | CA | Nursing Service Providers |
| Y | 164X00000X | Licensed Vocational Nurse | VN 276219 | CA | Nursing Service Providers |
| Street Address |
2550 W CLINTON AVE BLDG W |
| City | FRESNO |
| State | CA |
| Zip Code | 93705-4206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477736130 | Pao Yang | Counselor | 2550 W Clinton Ave Bldg W, Fresno, CA 93705-4206 | 2007-12-17 |
| 1003427790 | Stephanie Silva | Counselor | 2550 W Clinton Ave Bldg W, Fresno, CA 93705-4206 | 2020-08-14 |
| 1972113371 | Jazmine A Rocha | Counselor | 2550 W Clinton Ave Bldg W, Fresno, CA 93705-4206 | 2020-07-31 |
| 1841813938 | Mental Health Systems, Inc. | Community/Behavioral Health | 2550 W Clinton Ave Bldg W, Fresno, CA 93705-4206 | 2020-05-22 |
| 1982265526 | Daisy Zamora | Counselor | 2550 W Clinton Ave Bldg W, Fresno, CA 93705-4206 | 2019-06-25 |
| 1861909343 | Yolanda Amezola | Counselor | 2550 W Clinton Ave Bldg W, Fresno, CA 93705-4206 | 2018-01-05 |
| 1386173409 | Jalisa Jessi Vinson | Counselor | 2550 W Clinton Ave Bldg W, Fresno, CA 93705-4206 | 2017-06-12 |
| 1942657119 | Erick Magana | Counselor | 2550 W Clinton Ave Bldg W, Fresno, CA 93705-4206 | 2016-05-18 |
| 1487038832 | Kris Quibal | Counselor | 2550 W Clinton Ave Bldg W, Fresno, CA 93705-4206 | 2015-07-15 |
| 1932515145 | Alicia Austin-townsend | Marriage & Family Therapist | 2550 W Clinton Ave Bldg W, Fresno, CA 93705-4206 | 2014-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194295683 | Deja Marie Velasquez | Counselor | 2772 S. Martin Luther King Jr. Blvd., Fresno, CA 93705 | 2018-11-28 |
| 1952800344 | Maria Del Rosario Marin | Counselor | 2550 W. Clinton Ave., Fresno, CA 93705 | 2018-02-12 |
| 1326293978 | Sueann Vial | Marriage & Family Therapist | 4545 N. West Ave, Fresno, CA 93705 | 2008-11-24 |
| 1396227757 | Raul Prado Jr. | Marriage & Family Therapist | 4545 N West Ave, Fresno, CA 93705 | 2018-09-02 |
| 1538645353 | Amabelle Shayeghi Marquez | Dentist | 1255 W Shields Ave, Fresno, CA 93705 | 2018-07-15 |
| 1114443165 | Melissa De Benedetto | Marriage & Family Therapist | 4545 N. West Ave., Fresno, CA 93705 | 2017-08-21 |
| 1033630421 | Lorena Soledad Dominguez | Marriage & Family Therapist | 4545 N. West Ave., Fresno, CA 93705 | 2017-07-06 |
| 1730634635 | Mental Health Systems, Inc. | Substance Abuse Rehabilitation Facility | 2550 W Clinton Ave, Fresno, CA 93705 | 2016-08-20 |
| 1558747261 | Cameron Hilaire | Counselor | 2550 W Clinton Ave, Fresno, CA 93705 | 2015-08-04 |
| 1568858280 | Robin Lynn Ruby | Counselor | 2550 W Clinton Ave, Fresno, CA 93705 | 2015-04-09 |
| Find all providers in zip 93705 | ||||
| Taxonomy Code | 164X00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Vocational Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336746171 | Laongdao Chomphosy | Licensed Vocational Nurse | 6698 E Harwood Ave, Fresno, CA 93727-6566 | 2020-10-05 |
| 1952922577 | Linesey Cupidon | Licensed Vocational Nurse | 2011 Bravos Manor Ln, Fresno, TX 77545-1557 | 2020-05-05 |
| 1417582628 | Stacy Moraa Ombogo | Licensed Vocational Nurse | 7166 N Fruit Ave Apt 120, Fresno, CA 93711-0744 | 2020-03-08 |
| 1609406289 | Amandeep Singh | Licensed Vocational Nurse | 4303 N Gregory Ave, Fresno, CA 93722-0455 | 2020-01-22 |
| 1982251369 | Chanphany Charlene Gonzalez | Licensed Vocational Nurse | 3741 N Feland Ave, Fresno, CA 93722-4522 | 2019-08-21 |
| 1902451784 | Santa Clara Urquieta | Licensed Vocational Nurse | 1542 E Andrews Ave, Fresno, CA 93704-5129 | 2019-08-07 |
| 1982260345 | Kayla Nicole Torres | Licensed Vocational Nurse | 937 N Peach Ave # B115, Fresno, CA 93727-2485 | 2019-05-11 |
| 1558824193 | Kirsten Castillo-morris | Licensed Vocational Nurse | 3646 W Cortland Ave, Fresno, CA 93722-4706 | 2019-04-10 |
| 1457813354 | Roberto Aguilar | Licensed Vocational Nurse | 40 E Minarets Ave Ste 404, Fresno, CA 93650-1239 | 2019-04-01 |
| 1215493044 | Antonia De La Isla Bolanos | Licensed Vocational Nurse | 5540 E Lorena Ave, Fresno, CA 93727-6330 | 2019-02-18 |
| Find all providers in FRESNO | ||||
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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.