MRS. DIVINA JAVIER FERNANDEZ (NPI# 1750653929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750653929 |
| Entity Type | Individual |
| Full Name | MRS. DIVINA JAVIER FERNANDEZ |
| Credential | NURSE PRACTITIONER |
| Practice Address |
1801 E. March Lane Ste C320 Stockton CA 95210-6676 |
| Mailing Address |
1801 E. March Lane Ste C 320 Stockton CA 95210-6676 |
| Practice Telephone | 2099575888 |
| Practice Fax Number | 2094779339 |
| Mailing Telephone | 2099575888 |
| Mailing Fax Number | 2094779339 |
| Enumeration Date | 2012-02-03 |
| Last Update Date | 2012-02-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN657995 | CA | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | NP19792 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437584588 | Divina Fernandez | Counselor | 9343 Tech Center Dr, Sacramento, CA 95826 | 2013-09-09 |
| Street Address |
1801 E. MARCH LANE STE C320 |
| City | STOCKTON |
| State | CA |
| Zip Code | 95210-6676 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770807901 | Stockton Medical Weight Loss Center Inc | Internal Medicine | 1801 E. March Lane, Suite 400d, Stockton, CA 95210 | 2010-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063021970 | Leslie Jazmin Marin | Student in an Organized Health Care Education/Training Program | 7109 Danny Dr, Stockton, Stockton, CA 95210 | 2020-07-27 |
| 1043866692 | Alexis Thomasson | Behavior Technician | 7109 Danny Drive, Stockton, CA 95210 | 2019-08-09 |
| 1821651324 | Maria Guadalupe Toledo | Lactation Consultant, Non-RN | 7912 Hammer Lane, Stockton, CA 95210 | 2019-04-19 |
| 1508226440 | Active Life Adult Day Care, Inc. | Clinic/Center | 7209 Tam O'shanter Dr., Stockton, CA 95210 | 2016-03-04 |
| 1548631260 | Rachel Standley | Substance Abuse Rehabilitation Facility | 8017 El Cajon St, Stockton, CA 95210 | 2015-10-08 |
| 1225435308 | Active Life Medical Produtcs Inc | Durable Medical Equipment & Medical Supplies | 611 W Grider Way, Stockton, CA 95210 | 2014-12-04 |
| 1942633318 | Kimberly Ruiz Dizon | Physician Assistant | 1530 E Hammer Ln, Stockton, CA 95210 | 2013-08-20 |
| 1285920983 | Supplemental Health Care | Preferred Provider Organization | 8425 Kiltie Wy, Stockton, CA 95210 | 2011-06-22 |
| 1699911412 | Pratap Krishna Anne | Pharmacist | 1801 E.march Ln, Suite:b280, Bjrx, Stockton, CA 95210 | 2008-12-29 |
| 1316116890 | Rami Georgies | Family Medicine | 8001 Lorraine Ave, Stockton, CA 95210 | 2008-02-28 |
| Find all providers in zip 95210 | ||||
| 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 |
|---|---|---|---|---|
| 1114528817 | Gemekia Latrisha Morales | Nurse Practitioner | 1800 N. California, Stockton, CA 95952 | 2020-11-08 |
| 1992107114 | Dorothy Smith | Nurse Practitioner | 3531 Gold Coast Ct, Stockton, CA 95206-5143 | 2014-09-18 |
| 1396156170 | Rajesh Saini | Nurse Practitioner | 1805 N California St. Suite 102, Stockton, CA 95204 | 2014-05-14 |
| 1598003337 | Jose Antonio Marquez Santos | Nurse Practitioner | 10541 Arianne Dr, Stockton, CA 95209-4378 | 2013-01-30 |
| 1508134982 | Robin M Jackson | Nurse Practitioner | 1782 W Hammer Ln # 3, Stockton, CA 95209-2922 | 2011-12-13 |
| 1295757714 | Beth Gleason Mcmanis | Nurse Practitioner | 1041 Brookside Rd, Stockton, CA 95211-0001 | 2006-07-24 |
| 1649896184 | Rachel Valdez | Nurse Practitioner | 2633 Pacific Ave, Stockton, CA 95204-4429 | 2020-06-21 |
| 1740783778 | Emily Cruz | Nurse Practitioner | 678 N Wilson Way, Stockton, CA 95205-4272 | 2018-03-15 |
| 1821467747 | Illa Cox | Nurse Practitioner | 525 W Acacia St, Stockton, CA 95203-2405 | 2015-09-22 |
| 1013308485 | Rex Ambatali Jr. | Nurse Practitioner | 2633 Pacific Ave, Stockton, CA 95204-4429 | 2015-02-06 |
| Find all providers in STOCKTON | ||||
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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.