VI JEBO (NPI# 1750753570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750753570 |
| Entity Type | Individual |
| Full Name | VI JEBO |
| Practice Address |
340 4th Avenue #9 Chula Vista CA 91910 |
| Mailing Address |
1306 Broadway El Cajon CA 92021-5810 |
| Practice Telephone | 6194269731 |
| Mailing Telephone | 6195517400 |
| Enumeration Date | 2015-10-21 |
| Last Update Date | 2019-04-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 768139 | CA | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | 95002894 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SA2100X |
Clinical Nurse Specialist Specialization: Acute Care |
4345 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
340 4TH AVENUE #9 |
| City | CHULA VISTA |
| State | CA |
| Zip Code | 91910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477194264 | Joshua Maurice Hayden | Dental Hygienist | 678 Thrid Ave, Chula Vista, CA 91910 | 2019-10-02 |
| 1255980504 | Samantha Bernaldo | Dental Hygienist | 668 Third Ave, Chula Vista, CA 91910 | 2019-09-10 |
| 1073179529 | Roshni Kakaiya | Student in an Organized Health Care Education/Training Program | 435 H Street, Cv112, Chula Vista, CA 91910 | 2019-05-09 |
| 1598232506 | Naria Le Mire | Dietitian, Registered | 288 Broadway #141a, Chula Vista, CA 91910 | 2018-10-28 |
| 1730676727 | Pei Chi Chain | Optometrist | 324 F Street., Chula Vista, CA 91910 | 2018-04-16 |
| 1104332741 | Teodoro David Pena | Dentist | 510 Broadway Ste 4-5, Chula Vista, CA 91910 | 2017-12-19 |
| 1538684865 | Camille Cooke | Counselor | 430 F. Street, Chula Vista, CA 91910 | 2017-08-08 |
| 1184146094 | Alexandra Lynn Scovill | Optometrist | Castillejos Eye Institute Medical Group, 342 F Street, Chula Vista, CA 91910 | 2017-07-12 |
| 1396270583 | Tam Trieu | Pharmacist | 555 Broaway Suite 1054, Chula Vista, CA 91910 | 2017-04-25 |
| 1548792815 | Sabrina Owens | Family Medicine | 499 H Street Cv112, Chula Vista, CA 91910 | 2017-03-28 |
| Find all providers in zip 91910 | ||||
| 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 |
|---|---|---|---|---|
| 1386273316 | Ace Mobile Nursing Provider Inc. | Nurse Practitioner | 3450 Bonita Rd Ste 103, Chula Vista, CA 91910-3249 | 2020-04-02 |
| 1831727700 | Augusto F Banayat | Nurse Practitioner | 2185 Corte San Simeon, Chula Vista, CA 91914-4447 | 2020-03-27 |
| 1588132344 | Olga G Navarrete-mote | Nurse Practitioner | 340 Fourth Ave Ste 7a, Chula Vista, CA 91910-3813 | 2018-11-08 |
| 1114400967 | Marilynn B. Mayoyo | Nurse Practitioner | 374 H St Ste 202, Chula Vista, CA 91910-5547 | 2018-09-07 |
| 1477056802 | Karla Aisha Zepeda | Nurse Practitioner | 1824 Ithaca St, Chula Vista, CA 91913-3017 | 2018-03-12 |
| 1881104354 | Michael Anthony Jean-baptiste | Nurse Practitioner | 463 Elm Ave, Chula Vista, CA 91910-4809 | 2017-10-10 |
| 1174048979 | Nicole Jessica O'neil | Nurse Practitioner | 890 Eastlake Pkwy Ste 301, Chula Vista, CA 91914-4522 | 2017-08-14 |
| 1962927285 | Shorena Thomas | Nurse Practitioner | 345 Alpine Ave, Chula Vista, CA 91910-2906 | 2017-08-08 |
| 1174973986 | Anna Gil | Nurse Practitioner | 752 Medical Center Ct Ste 302, Chula Vista, CA 91911-6661 | 2016-06-13 |
| 1396098562 | Emily Renee Moreno | Nurse Practitioner | 1552 Nightfall Ln, Chula Vista, CA 91915-1950 | 2012-10-24 |
| Find all providers in CHULA VISTA | ||||
| City | CHULA VISTA |
| Zip Code | 91910 |
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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.