MARIO ANTONIO DELGADO MELGAREJO (NPI# 1831710011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831710011 |
| Entity Type | Individual |
| Full Name | MARIO ANTONIO DELGADO MELGAREJO |
| Practice Address |
2767 Olive Hwy Oroville CA 95966-6118 |
| Mailing Address |
3301 Arena Blvd Apt 59 Sacramento CA 95834-2526 |
| Practice Telephone | 5305328378 |
| Mailing Telephone | 6502489107 |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2020-04-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 80064 | CA | Pharmacy Service Providers |
| Street Address |
2767 OLIVE HWY |
| City | OROVILLE |
| State | CA |
| Zip Code | 95966-6118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205831872 | Erwin Cornel Demiany | Family Medicine | 2767 Olive Hwy, Oroville, CA 95966-6118 | 2005-06-20 |
| 1447863386 | Chor Vang | Registered Nurse | 2767 Olive Hwy, Oroville, CA 95966-6118 | 2020-08-29 |
| 1811505092 | Nicole Erin Briggs | Physician Assistant | 2767 Olive Hwy, Oroville, CA 95966-6118 | 2020-07-14 |
| 1285259614 | Supriya Sethi | Pharmacist | 2767 Olive Hwy, Oroville, CA 95966-6118 | 2020-06-11 |
| 1578187571 | Araceli Amano | Registered Nurse | 2767 Olive Hwy, Oroville, CA 95966-6118 | 2020-06-04 |
| 1548884539 | Bao Yang | Registered Nurse | 2767 Olive Hwy, Oroville, CA 95966-6118 | 2020-06-04 |
| 1841848082 | Lee Yang | Nurse Practitioner | 2767 Olive Hwy, Oroville, CA 95966-6118 | 2019-08-30 |
| 1659925808 | Charina A Garduque | Nurse Practitioner | 2767 Olive Hwy, Oroville, CA 95966-6118 | 2019-07-26 |
| 1578121737 | Oroville Hospital | General Acute Care Hospital | 2767 Olive Hwy, Oroville, CA 95966-6118 | 2019-06-03 |
| 1477014348 | Melissa Renee Brinar | Speech-Language Pathologist | 2767 Olive Hwy, Oroville, CA 95966-6118 | 2019-03-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518507078 | Rachel Saake Collar | Nurse Practitioner | 5100, 1000 Executive Pkwy, Oroville, CA 95966 | 2020-01-13 |
| 1467001230 | Elijah House, Los Molinos | Substance Abuse Rehabilitation Facility | 7904 Hwy 99e, Oroville, CA 95966 | 2019-09-05 |
| 1689180838 | Jessica Dawn Legg | Registered Nurse | 120 Kokanee Drive, Oroville, CA 95966 | 2017-12-26 |
| 1992220198 | Vanesa Kim Van Tran I | Counselor | 24 Pleasant Oak Lane, Oroville, CA 95966 | 2017-08-08 |
| 1861930919 | Addiction Counseling and Treatment Solutions, LLC | Substance Abuse Rehabilitation Facility | 1749 Boynton Avenue, Oroville, CA 95966 | 2017-02-09 |
| 1790181519 | Tyra Graham | Counselor | 6590 Upper Palermo Rd., Oroville, CA 95966 | 2014-11-05 |
| 1568710747 | Tri County Treatment | Substance Abuse Rehabilitation Facility | 2740 Oro Dam Blvd, Oroville, CA 95966 | 2012-08-21 |
| 1255690079 | Country Crest, LLC | Skilled Nursing Facility | 50 Concordia Lane, Oroville, CA 95966 | 2012-05-14 |
| 1710140454 | Brandi Halsted | Social Worker | 2145 Fifth Ave, Oroville, CA 95966 | 2008-07-02 |
| 1336308360 | Geraldine Grace Cummings | Licensed Vocational Nurse | 439 Dunstone Drive, Oroville, CA 95966 | 2008-06-05 |
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| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407414857 | Micah Ahazie | Pharmacist | 850 Oroville Dam Blvd E, Oroville, CA 95965 | 2019-05-31 |
| 1669924338 | Udom Vang | Pharmacist | 136 Bryden Way, Oroville, CA 95966-8031 | 2016-10-28 |
| 1942660279 | Cecilia Chama Nagel | Pharmacist | 850 Oro Dam Blvd E, Oroville, CA 95965-5722 | 2016-02-29 |
| 1649523135 | Michael John Palmer | Pharmacist | 2445 Oro Dam Blvd E, Suite 9, Oroville, CA 95966-6035 | 2012-10-21 |
| 1851647994 | Sammy Dale Ballenger | Pharmacist | 6073 Kanaka Ave, Oroville, CA 95966-3920 | 2012-07-26 |
| 1588984066 | Mara Nonita Serrano Gonzalez | Pharmacist | 2700 Oro Dam Blvd E, Oroville, CA 95966-5117 | 2010-06-07 |
| 1619113313 | Carlo F Serusa Jr. | Pharmacist | 355 Oro Dam Blvd E, Oroville, CA 95965-5713 | 2008-12-30 |
| 1811052202 | M and T Enterprises, Inc. | Pharmacist | 2445 Oroville Dam Boulevard, Suite 9, Oroville, CA 95966 | 2006-12-26 |
| 1922612381 | Thang N. Lu | Pharmacist | 850 Oroville Dam Blvd E, Oroville, CA 95965-9596 | 2020-09-03 |
| 1285259614 | Supriya Sethi | Pharmacist | 2767 Olive Hwy, Oroville, CA 95966-6118 | 2020-06-11 |
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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.