MS. KATHERINE RAE ANGELES (NPI# 1780215699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780215699 |
| Entity Type | Individual |
| Full Name | MS. KATHERINE RAE ANGELES |
| Other Name | MS. KATIE ANGELES |
| Credential | NP |
| Practice Address |
1720 Mountain View Ave Loma Linda CA 92354-1727 |
| Mailing Address |
11524 Chapman Ave Loma Linda CA 92354-3954 |
| Practice Telephone | 9097966915 |
| Mailing Telephone | 9097254288 |
| Enumeration Date | 2020-01-29 |
| Last Update Date | 2020-11-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0200X |
Registered Nurse Specialization: Pediatrics |
818775 | CA | Nursing Service Providers |
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
95015701 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11524 Chapman Ave, Loma Linda, CA 923543954 | 9097254288 | |
| 26520 Cactus Ave, Moreno Valley, CA 925553927 | 9514865450 |
| Street Address |
1720 MOUNTAIN VIEW AVE |
| City | LOMA LINDA |
| State | CA |
| Zip Code | 92354-1727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437149556 | Mountain View Child Care, Inc. | Skilled Nursing Facility | 1720 Mountain View Ave, Loma Linda, CA 92354-1727 | 2005-10-28 |
| 1700287372 | Ronak Digant Thaker | Pharmacist | 1720 Mountain View Ave, Loma Linda, CA 92354 | 2014-09-15 |
| 1003133695 | Mountain View Child Care, Inc. | General Acute Care Hospital | 1720 Mountain View Ave, Loma Linda, CA 92354-1727 | 2010-04-23 |
| 1306070107 | Totally Kids, Inc. | General Acute Care Hospital | 1720 Mountain View Ave, Loma Linda, CA 92354-1727 | 2009-05-07 |
| 1790922219 | Scott Ray Corey | Occupational Therapist | 1720 Mountain View Ave, Loma Linda, CA 92354-1727 | 2009-01-21 |
| 1174731194 | Mountain View Child Care, Inc. | Physical Therapist | 1720 Mountain View Ave, Loma Linda, CA 92354-1727 | 2007-05-21 |
| 1851509715 | Mountain View Child Care, Inc | Speech-Language Pathologist | 1720 Mountain View Ave, Loma Linda, CA 92354-1727 | 2007-05-21 |
| 1679781538 | Mountain View Child Care, Inc | Occupational Therapist | 1720 Mountain View Ave, Loma Linda, CA 92354-1727 | 2007-05-21 |
| 1669509402 | Mountain View Child Care, Inc | Intermediate Care Facility, Mentally Retarded | 1720 Mountain View Ave, Loma Linda, CA 92354-1727 | 2007-02-28 |
| 1225166788 | Mountain View Child Care, Inc | Skilled Nursing Facility | 1720 Mountain View Ave, Loma Linda, CA 92354-1727 | 2007-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264337 | Apple Red Nutrition Services | Dietitian, Registered | 357 W. 2nd St, Suite #2, Loma Linda, CA 92354 | 2020-10-30 |
| 1013517960 | Kristina Pulliam Markey | Nurse Practitioner | 11234 Anderson Strreet, Loma Linda, CA 92354 | 2020-10-29 |
| 1932725645 | Dev Priya Singhvi | Student in an Organized Health Care Education/Training Program | 11332 Mountain View Avenue, Westerly Building, Suite C, Gme Office, Loma Linda, CA 92354 | 2020-06-18 |
| 1750901278 | Angela N Torres | Student in an Organized Health Care Education/Training Program | Loma Linda University Health Emergency Medicine, 11234 Anderson Street, Loma Linda, CA 92354 | 2020-04-24 |
| 1548899230 | Holistic Physical Therapy Inc. | Physical Therapist | 25003 Starr Str, Loma Linda, CA 92354 | 2020-04-03 |
| 1508494071 | Eric Allen | Student in an Organized Health Care Education/Training Program | Loma Linda University Health Pediatrics, General, 11234 Anderson Street, Loma Linda, CA 92354 | 2020-03-31 |
| 1730640244 | Rose Valley Rcfe | Assisted Living Facility | 11574 Poplar St, Loma Linda, CA 92354 | 2019-03-27 |
| 1336633676 | David A Lawrence | Student in an Organized Health Care Education/Training Program | Loma Linda University Hospital, 11234 Anderson St., Loma Linda, CA 92354 | 2018-06-20 |
| 1205329547 | Rachael Nicole Spady | Student in an Organized Health Care Education/Training Program | Loma Linda University Health - Obstetrics & Gynecology, 11234 Anderson St, Loma Linda, CA 92354 | 2018-06-12 |
| 1447756069 | Anthony Ernest Sanchez | Otolaryngology | 11332 Mountain View, Westerly Building Suite C, Loma Linda, CA 92354 | 2018-04-03 |
| Find all providers in zip 92354 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659506368 | Julie Lynn Hill | Nurse Practitioner | 11234 Anderson St Ste 6700h, Loma Linda, CA 92354-2804 | 2009-05-26 |
| 1659575157 | Mary Joanne Vollmer-sandholm | Nurse Practitioner | Loma Linda University School of Nursing, 11262 Campus St., Loma Linda, CA 92350-0001 | 2007-06-11 |
| 1871005884 | Katie Michelle Thompson | Nurse Practitioner | 11234 Anderson St, Loma Linda, CA 92354-2804 | 2017-10-31 |
| 1588180236 | Brianna Nicole Stewart | Nurse Practitioner | 11370 Anderson St Ste 2050, Loma Linda, CA 92354-3450 | 2017-08-15 |
| 1619419066 | Diana Can | Nurse Practitioner | 11370 Anderson St, Suite 2050, Loma Linda, CA 92354-3450 | 2016-11-15 |
| 1578986840 | Dorothy Dokko | Nurse Practitioner | 11234 Anderson St Rm 6700h, Loma Linda, CA 92354-2804 | 2014-01-22 |
| 1932412525 | Tracey S. Pae | Nurse Practitioner | 11370 Anderson St Ste 2100, Loma Linda, CA 92354-3450 | 2010-07-23 |
| 1821324765 | Samantha Jo Johnson | Nurse Practitioner | 11370 Anderson St, Suite 2050, Loma Linda, CA 92354-3450 | 2009-10-28 |
| 1538321500 | Cynthia Jeanne Guerra | Nurse Practitioner | 11234 Anderson St, Loma Linda, CA 92354 | 2008-06-30 |
| 1891992137 | Erin Leslie Moorcones | Nurse Practitioner | 11234 Anderson St, Loma Linda, CA 92354-2804 | 2007-06-29 |
| Find all providers in LOMA LINDA | ||||
| City | LOMA LINDA |
| Zip Code | 92354 |
Please comment or provide details below to improve the information on MS. KATHERINE RAE ANGELES.
| 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.