ROBERTA I CERVANTES


Address: 897 E Chase Dr, Corona, CA 92881-3940
Phone: 9512127096

ROBERTA I CERVANTES (NPI# 1811490238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811490238
Entity Type Individual
Full Name ROBERTA I CERVANTES
Credential RN, BSN, IBCLC
Practice Address 897 E Chase Dr
Corona
CA 92881-3940
Practice Telephone 9512127096
Mailing Telephone 9512127096
Enumeration Date 2018-03-12
Last Update Date 2018-03-12
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WL0100X Registered Nurse
Specialization: Lactation Consultant
L-21056 CA Nursing Service Providers

Office Location

Street Address 897 E CHASE DR
City CORONA
State CA
Zip Code 92881-3940

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1053880450 Tori Bissett Bowyer Behavioral Analyst 3439 White Sage St, Corona, CA 92881 2018-11-15
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1922396191 Michelle Ann Mueller Dietitian, Registered 1800 Firethorne Plance, Apt. 108, Corona, CA 92881 2011-07-21
1558668772 Jenna Lalas Eugenio Physician Assistant 2097 Compton Ave Ste 103, Corona, CA 92881 2011-02-24
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Taxonomy Information

Taxonomy Code 163WL0100X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Lactation Consultant

Taxonomy Definition

Definition to come...

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Competitor

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City CORONA
Zip Code 92881

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Dataset Information

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.

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