DERALD R NORDECK (NPI# 1760579312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760579312 |
| Entity Type | Individual |
| Full Name | DERALD R NORDECK |
| Credential | RNFA |
| Practice Address |
1901 West Lugonia Avenue Suite 120 Redlands CA 92374 |
| Mailing Address |
Po Box 8520 Redlands CA 92374 |
| Practice Telephone | 9095571600 |
| Practice Fax Number | 9095571740 |
| Mailing Telephone | 9095571600 |
| Mailing Fax Number | 9095571740 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WX0800X |
Registered Nurse Specialization: Orthopedic |
350141 | CA | Nursing Service Providers |
| Street Address |
1901 WEST LUGONIA AVENUE SUITE 120 |
| City | REDLANDS |
| State | CA |
| Zip Code | 92374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811083553 | John C Steinmann | Orthopaedic Surgery | 1901 West Lugonia Avenue, Suite 120, Redlands, CA 92374 | 2006-10-04 |
| 1346336088 | Barry S Grames | Orthopaedic Surgery | 1901 West Lugonia Avenue, Suite 120, Redlands, CA 92374 | 2006-10-04 |
| 1407942113 | James D Matiko | Orthopaedic Surgery | 1901 West Lugonia Avenue, Suite 120, Redlands, CA 92374 | 2006-10-04 |
| 1346336864 | Gail E Hopkins II | Orthopaedic Surgery | 1901 West Lugonia Avenue, Suite 120, Redlands, CA 92374 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053802652 | V Rana Dds Inc | Clinic/Center | 1748 E Lugonia Ave Ste 126, Redlands, CA 92374 | 2018-05-21 |
| 1467979393 | Brianna Ashley Torres | Behavioral Analyst | 1467 Stillman Ave, Redlands, CA 92374 | 2017-08-22 |
| 1851821953 | Veronica Esqueda | Social Worker | 21 Crafton Ct, Redlands, CA 92374 | 2017-06-13 |
| 1053855783 | Caroline Daravi | Psychologist | 1706 Plum Lane #110, Redland, CA 92374 | 2016-12-14 |
| 1487092722 | Kathryn Wheeler | Speech-Language Pathologist | 112 Eleventh Street, Redlands, CA 92374 | 2013-06-10 |
| 1275979254 | Lifecare Solutions Inc | Durable Medical Equipment & Medical Supplies | 1220 Research Dr, Redlands, CA 92374 | 2013-05-16 |
| 1639515125 | Shantrice Nicole Burton | Speech-Language Pathologist | 1323 W Colton Ave Ste 105, Redlands, CA 92374 | 2013-05-11 |
| 1275898314 | Hrishikesh C Gogineni | Orthopaedic Surgery | 1801 Orange Tree Ln Ste 200, Redlands, CA 92374 | 2012-07-04 |
| 1609168897 | Mina Youssef | Psychiatry & Neurology | 26325 Snowden Ave, Redlands, CA 92374 | 2011-05-06 |
| 1902106545 | Jerrold Edward Hammer | Pharmacist | 422 N Orange St., Redlands, CA 92374 | 2010-10-29 |
| Find all providers in zip 92374 | ||||
| Taxonomy Code | 163WX0800X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033747993 | Nathaniel Liggins Jr. | Registered Nurse | 1187 Holsapple Way, Brentwood, CA 94513-1896 | 2020-03-27 |
| 1740679042 | Ernesto Manahan | Registered Nurse | 515 W Brookshire Ave, Orange, CA 92865-2101 | 2015-01-10 |
| 1821132218 | Michael Jay Brislin Sr. | Registered Nurse | 9939 Eubank Ln, Spring Valley, CA 91977-6502 | 2007-02-18 |
| 1952395071 | Margaret Emily Peterson | Registered Nurse | 438 Riviera Cir, Larkspur, CA 94939-1510 | 2005-09-02 |
| 1710989496 | Thomas Benedict Kim | Registered Nurse | 26371 Crown Valley Pkwy, Mission Viejo, CA 92691-6368 | 2005-08-12 |
| 1114559028 | Ma Theresa Ge | Registered Nurse | 16250 Sand Canyon Ave, Irvine, CA 92618-3714 | 2020-02-08 |
| 1669935268 | Christina R Miller | Registered Nurse | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2019-04-10 |
| 1104328863 | Jason Vincent Florendo | Registered Nurse | 16250 Sand Canyon Ave, Irvine, CA 92618-3714 | 2018-03-08 |
| 1679016661 | Ronaldo Deleon | Registered Nurse | 24301 Southland Dr, Hayward, CA 94545-1542 | 2016-11-23 |
| 1669860110 | Brenda Mwesigwa | Registered Nurse | 1409 E Briggsmore Ave, Modesto, CA 95355-2707 | 2015-01-07 |
| 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.