N/A (NPI# 1801163118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801163118 |
| Entity Type | Organization |
| Organization Name | N/A |
| Practice Address |
29078 Providence Rd Temecula CA 92591-5597 |
| Practice Telephone | 9519702856 |
| Enumeration Date | 2011-11-30 |
| Last Update Date | 2011-11-30 |
| Authorized Official Name | MRS. JHERMIE BUSTAMANTE SALAS (RN) |
| Authorized Official Telephone | 9519702856 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811428980 | N/a | Nurse Practitioner | 6045 Sw 162nd Ave, Miami, FL 33193-5805 | 2017-03-21 |
| 1346783776 | N/a | Exclusive Provider Organization | Av. Tecnologico 183, Nuevo Laredo, TAMAULIPAS 88275 | 2016-12-03 |
| 1871953216 | N/a | Community/Behavioral Health | 1203 Saint Lawrence Ave, Beloit, WI 53511-5067 | 2016-02-27 |
| 1205207511 | N/a | Home Health | 3051 Elyria Ave, Lorain, OH 44055-1449 | 2015-10-13 |
| 1245652247 | N/a | Home Health | 2261 S Sherman Cir, Apt. A204, Miramar, FL 33025-2294 | 2014-01-09 |
| 1871868927 | N/a | Skilled Nursing Facility | 3108 Island Ct, Jeffersonville, IN 47130-8058 | 2012-03-21 |
| 1871888388 | N/a | Assisted Living Facility | 2998 W Mcmicken Ave # 1, Cincinnati, OH 45225-2362 | 2011-06-13 |
| 1861782898 | N/a | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1318 Pennsylvania Ave, Saint Louis, MO 63133-1036 | 2011-04-11 |
| 1194055749 | N/a | Community/Behavioral Health | 4051 Lone Tree Way Ste C, Antioch, CA 94531-6204 | 2010-01-04 |
| 1134676588 | N/a | Clinic/Center | 25 Fanning St, Staten Island, NY 10314-5307 | 2016-09-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | N/A | 3117 Apple Rd Ne, Washington, DC 20018-1605 |
| Colorado Business Entities | n/a | 4165 Plum Creek Mdws Rd., Sedalia, CO 80135 |
| Washington State Corporations | N/A CEDAR HEIGHTS-52, A WASHINGTON LIMITED PARTNERSHIP | 999 3rd Ave #1900, Seattle, WA 98104 |
| Oregon Corporations, Companies and Business Names | N/A COLONNADE-83, LIMITED PARTNERSHIP | 920 Garden St Ste A, Santa Barbara, CA 93101 |
| Colorado Business Entities | N/A Courtney Downs-89, L.P. | 920 Garden Street, Suite A, Santa Barbara, CA 93101 |
| Washington State Corporations | N/A EAGLE RANCH-67 LIMITED PARTNERSHIP | 101 Capitol Way N, Olympia, WA 98501 |
| System for Award Management (SAM) Entities | N/A INDIVIDUAL | 900 N. Lake Shore Drive Apt 402, Chicago, IL 60611-1596 |
| Colorado Business Entities | N/A Lambertson Farms-86, L.P. | 920 Garden St Ste A, Santa Barbara, CA 93101-7465 |
| Washington State Corporations | N/A MARINERS' GLEN-68, LP | 920 Garden St, Santa Barbara, CA 93101 |
| Washington State Corporations | N/A MILL PLAIN-84, L.P. | 920 Garden St, Santa Barbara, CA 93101 |
| Street Address |
29078 PROVIDENCE RD |
| City | TEMECULA |
| State | CA |
| Zip Code | 92591-5597 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255978961 | Kendall Leeanne Mattix | Behavior Technician | 26720 Ynez Court, Temecula, CA 92591 | 2019-12-02 |
| 1457915167 | Janice Marie Vevoda-aguero | Registered Nurse | 31233 Skyline Drive, Temecula, CA 92591 | 2019-04-29 |
| 1689151698 | David W Schwartz Md A Medical Corporation | Preferred Provider Organization | 29645 Rancho California Rd Ste 105, Temecula, CA 92591 | 2018-07-23 |
| 1356830426 | Luxottica Retail North America, Inc | Eyewear Supplier (Equipment, not the service) | 40780 Winchester Rd, Temecula, CA 92591 | 2018-05-04 |
| 1780196428 | Shirley K Wade | Case Manager/Care Coordinator | 40925 County Circle Drive, Temecula, CA 92591 | 2017-11-03 |
| 1639691405 | Angela Parry | Counselor | 29645 Rancho California Rd # 133c, Temecula, CA 92591 | 2017-07-12 |
| 1386166395 | Jonathan James Creech | Optometrist | 41257 Magarita Road, Suite B 103, Temecula, CA 92591 | 2017-07-11 |
| 1730600743 | Rachel Michele Brannigan | Specialist/Technologist | 39522 Seraphina Rd, Temecula, CA 92591 | 2017-06-29 |
| 1457890303 | Kala Chrisilis Earley | Specialist/Technologist | 29004 Bridgehampton Rd, Temecula, CA 92591 | 2017-02-13 |
| 1114464823 | Danielle Sasha Gonzalez | Counselor | 41002 County Circle Dr., Temecula, CA 92591 | 2017-01-20 |
| Find all providers in zip 92591 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and 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 |
|---|---|---|---|---|
| 1588261317 | Elizabeth Wairimu Karanja | Registered Nurse | 31036 Bunker Dr, Temecula, CA 92591-3904 | 2020-10-05 |
| 1316559438 | Emily Adner | Registered Nurse | 39010 Lonesome Spur Cir, Temecula, CA 92591-2146 | 2020-08-19 |
| 1548879885 | Suzanne Mitchell | Registered Nurse | 44901 Trotsdale Dr, Temecula, CA 92592-5875 | 2020-07-22 |
| 1922645092 | Cynthia Jean Mccoy | Registered Nurse | 28441 Rancho California Rd Ste 200, Temecula, CA 92590-3618 | 2019-12-07 |
| 1972149771 | Lilian W Kahura | Registered Nurse | 39122 Rimrock Ranch Rd, Temecula, CA 92591-7428 | 2019-11-27 |
| 1336625524 | Aleksandrya Bracey-asiedu | Registered Nurse | 44045 Margarita Rd # 106, Temecula, CA 92592-2729 | 2018-07-11 |
| 1326541418 | Rhemie M Dumlao | Registered Nurse | 40925 County Center Dr # 101, Temecula, CA 92591-6054 | 2018-03-14 |
| 1720485949 | Michelle Hayashi | Registered Nurse | 44641 Arbor Ln, Temecula, CA 92592-5859 | 2014-12-03 |
| 1770909681 | Paula Hawthorne | Registered Nurse | 32020 Calle Ballentine, Temecula, CA 92592-3793 | 2014-03-16 |
| 1205252871 | Fe Rubiano | Registered Nurse | 45512 Basswood Ct, Temecula, CA 92592-2833 | 2014-03-06 |
| Find all providers in TEMECULA | ||||
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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.