SISAMOUTH SIPASEUTH THOMURE


Address: 650 S 5th St, San Jose, CA 95112-5636
Phone: 4089825779

SISAMOUTH SIPASEUTH THOMURE (NPI# 1851760763) 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) 1851760763
Entity Type Individual
Full Name SISAMOUTH SIPASEUTH THOMURE
Credential LVN
Practice Address 650 S 5th St
San Jose
CA 95112-5636
Mailing Address 1400 Bowe Ave Apt 703
Santa Clara
CA 95051-3834
Practice Telephone 4089825779
Mailing Telephone 5597406019
Enumeration Date 2015-09-21
Last Update Date 2015-09-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 164X00000X Licensed Vocational Nurse 231848 CA Nursing Service Providers

Office Location

Street Address 650 S 5TH ST
City SAN JOSE
State CA
Zip Code 95112-5636

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1104443407 Khady Fall Behavior Technician 408 494 1561, 614 Tully Road, San Jose, CA 95112 2020-07-02
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1083254262 Tessa Dobrin Zapalac Behavior Technician 1887 Monterey Road, Suite 225, San Jose, Ca 95112, San Jose, CA 95112 2020-01-15
1508404716 Emilie Caitlin Leach Counselor 290 N 2nd St, San Jose, CA 95112 2019-12-18
1699313080 Juan Carlos Mercado Marriage & Family Therapist 290 North 2nd St, San Jose, CA 95112 2019-12-16
1386288017 Path (people Assisting The Homeless) Case Manager/Care Coordinator 290 N. 2nd Street San Jose Ca, San Jose, CA 95112 2019-11-06
1316588528 Loralee Crystal Garcia Technician 546 N. 3rd Street #7, San Jose, CA 95112 2019-09-30
1306316922 Patricia Calatraba Swofford Marriage & Family Therapist 232 E. Gish Rd., San Jose, CA 95112 2018-11-27
1134606932 Ana Alicia Castro-banderas Social Worker 160 E Virginia St., Suite 100, San Jose, CA 95112 2018-07-24
1275035750 Theresa Khong Behavior Technician 1887 Monterey Hwy. Suite 225, San Jose, CA 95112 2018-03-01
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Taxonomy Information

Taxonomy Code 164X00000X
Grouping Nursing Service Providers
Classification Licensed Vocational Nurse

Taxonomy Definition

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053919084 Tamra Ellen St John Licensed Vocational Nurse 171 Balboa Ave, San Jose, CA 95116-1310 2020-10-12
1982230728 Elizabeth Socorro Guerra Licensed Vocational Nurse 2418 Hecate Pl, San Jose, CA 95124-3311 2020-03-12
1487173878 Eliza Garma Daquioag Licensed Vocational Nurse 3640 Heathcot Ct, San Jose, CA 95121-1442 2017-09-17
1427598259 Ngoc Hua Licensed Vocational Nurse 2130 Chisin St, San Jose, CA 95121-3230 2017-02-27
1669918264 Oliva Torrestorija-santillan Licensed Vocational Nurse 2080 Southwest Expy, 77, San Jose, CA 95126-4672 2017-01-06
1104299874 Daniel Austin Licensed Vocational Nurse 5502 Camden Ave Apt B5, San Jose, CA 95124-6405 2015-11-03
1154709871 Amber Enlow Licensed Vocational Nurse 102 Lammerhaven Ct, San Jose, CA 95111-3715 2015-05-14
1437543568 Jenetta Marie Wysinger Licensed Vocational Nurse 3467 Tully Rd, San Jose, CA 95148-2152 2015-03-26
1548652290 My-linh Le Licensed Vocational Nurse 1890 Schulte Dr, 103, San Jose, CA 95133-2158 2015-03-04
1518355742 Madison Ruazol Garcia Licensed Vocational Nurse 1680 Goldentree Dr, San Jose, CA 95131-1926 2014-12-22
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Competitor

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City SAN JOSE
Zip Code 95112

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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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