MRS. LETY ELIZABETH COSTA (NPI# 1821188269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821188269 |
| Entity Type | Individual |
| Full Name | MRS. LETY ELIZABETH COSTA |
| Other Name | LETY ELIZABETH AMAYA |
| Credential | FNP, PA |
| Practice Address |
821 Texas Ave Los Banos CA 93635 |
| Mailing Address |
1910 Customer Care Way Atwater CA 95301-5167 |
| Practice Telephone | 2093922111 |
| Mailing Telephone | 2093846488 |
| Mailing Fax Number | 8552029336 |
| Enumeration Date | 2006-10-14 |
| Last Update Date | 2018-09-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | PA17517 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 680 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
8159 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
110879 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 807 North Ash, Gordon, NE 693431132 | 3082822200 | 3082821428 |
| Street Address |
821 TEXAS AVE |
| City | LOS BANOS |
| State | CA |
| Zip Code | 93635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588669832 | Christopher P. Costa | Family Medicine | 821 Texas Ave, Los Banos, CA 93635 | 2005-06-14 |
| 1003460460 | Melisa Lauren Rotondi | Nurse Practitioner | 821 Texas Ave, Los Banos, CA 93635-3453 | 2019-07-24 |
| 1710409289 | Johann-christian Abordo | Podiatrist | 821 Texas Ave, Los Banos, CA 93635-3453 | 2017-07-17 |
| 1407301690 | Shatha Hajja | Pediatrics | 821 Texas Ave, Los Banos, CA 93635-3453 | 2016-08-17 |
| 1912324757 | Tenzin Ngadon | Nurse Practitioner | 821 Texas Ave, Los Banos, CA 93635-3453 | 2014-03-18 |
| 1639511843 | Richa Verma | Pediatrics | 821 Texas Ave, Los Banos, CA 93635-3453 | 2013-07-29 |
| 1174876270 | Crystal Parras Frausto | Social Worker | 821 Texas Ave, Los Banos, CA 93635-3453 | 2012-10-26 |
| 1174856603 | Rick Gerald Beronilla | Physician Assistant | 821 Texas Ave, Los Banos, CA 93635-3453 | 2009-09-16 |
| 1760662795 | Susan Ann Benson | Registered Nurse | 821 Texas Ave, Los Banos, CA 93635-3453 | 2007-11-07 |
| 1063619435 | Susan Cheryl Burnett-hampson | Nurse Practitioner | 821 Texas Ave, Los Banos, CA 93635-3453 | 2007-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356973234 | Salina Sheoli Romero | Peer Specialist | 40 West G Street Ste. B, Los Banos, CA 93635 | 2020-02-07 |
| 1972072528 | Lara Avedian | Physician Assistant | 520 W. Street, Los Banos, CA 93635 | 2018-11-13 |
| 1871095349 | Amy Villada Cabrera | Behavior Technician | 138 Beajolais Ct, Los Banos, CA 93635 | 2018-03-01 |
| 1699107045 | Sonia Vasconcelos | Licensed Vocational Nurse | 14950 Badger Flat Rd., Los Banos, CA 93635 | 2013-08-07 |
| 1275804981 | West Eye Incorporated | Optometrist | 1030 West I Street, Los Banos, CA 93635 | 2012-01-26 |
| 1932418282 | Aspiranet | Community/Behavioral Health | 285 Mercey Springs Road, Suite E, Los Banos, CA 93635 | 2010-10-05 |
| 1669781241 | Benjamin J. Seaton Dds | Dentist | 816 Second St., Los Banos, CA 93635 | 2010-09-30 |
| 1124291711 | Do and Huh, Dds Inc | Dentist | 1989 East Pacheco Blvd, #j, Los Banos, CA 93635 | 2008-04-04 |
| 1831369057 | A. Lujan Recovery Programs Inc. | Substance Abuse Rehabilitation Facility | 80 G. St. Bld. 3, Suite B, Los Banos, CA 93635 | 2008-03-04 |
| 1184807125 | Oscar F Lopez | Specialist | 1791 Mills Dr, Mobile Massage, Los Banos, CA 93635 | 2007-12-13 |
| Find all providers in zip 93635 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396355566 | Alberto Sandoval | Nurse Practitioner | 2830 Egret Ln, Los Banos, CA 93635-9477 | 2020-08-03 |
| 1023636156 | Simerdeep Kaur Lasher | Nurse Practitioner | 1679 Mahogany Dr, Los Banos, CA 93635-9698 | 2020-07-06 |
| 1710116686 | Elmer D Santos | Nurse Practitioner | 776 Bluff Dr, Los Banos, CA 93635-5161 | 2009-07-13 |
| 1003460460 | Melisa Lauren Rotondi | Nurse Practitioner | 821 Texas Ave, Los Banos, CA 93635-3453 | 2019-07-24 |
| 1518427541 | Lalliana Del Carmen Prophete | Nurse Practitioner | 502 Washington Ave, Los Banos, CA 93635-4649 | 2019-03-25 |
| 1881135705 | Yunkyung Heo | Nurse Practitioner | 1045 5th St, Los Banos, CA 93635-4204 | 2017-03-10 |
| 1881145191 | Stephen Gregory Garratt | Nurse Practitioner | 1045 5th St, Los Banos, CA 93635-4204 | 2016-10-21 |
| 1780130039 | Leland Roy Estrella Jr. | Nurse Practitioner | 520 W I St, Los Banos, CA 93635-3419 | 2016-08-28 |
| 1407237670 | Dennis Mabanag Cabangca | Nurse Practitioner | 600 W I St Ste C, Los Banos, CA 93635-3460 | 2015-06-14 |
| 1912324757 | Tenzin Ngadon | Nurse Practitioner | 821 Texas Ave, Los Banos, CA 93635-3453 | 2014-03-18 |
| Find all providers in LOS BANOS | ||||
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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.