BERENICE ESPERANZA VAZQUEZ (NPI# 1861854846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861854846 |
| Entity Type | Individual |
| Full Name | BERENICE ESPERANZA VAZQUEZ |
| Credential | FNP |
| Practice Address |
17284 Slover Ave Ste 201 Fontana CA 92337-7584 |
| Mailing Address |
9733 Mills Ave Montclair CA 91763-2629 |
| Practice Telephone | 9096093172 |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2019-02-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 95003502 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95003502 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 17284 Slover Ave Ste 201, Fontana, CA 923377584 | 9096093172 |
| Street Address |
17284 SLOVER AVE STE 201 |
| City | FONTANA |
| State | CA |
| Zip Code | 92337-7584 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437630324 | Bobby Lou Moll | Dietitian, Registered | 11967 Savona Dr., Fontana, CA 92337 | 2018-08-28 |
| 1629587001 | Esther Muteti | Registered Nurse | 11468 Old Spring Rd, Fontana, CA 92337 | 2017-09-28 |
| 1992158307 | Crystalina Alvarez | Marriage & Family Therapist | 17210 Slover Ave, Fontana, CA 92337 | 2016-07-20 |
| 1659782787 | Russell Laroy Johnson | Contractor | 11629 Sueno Ct., Fontana, CA 92337 | 2014-05-12 |
| 1295151363 | Mccall Stephens | Marriage & Family Therapist | 15511 Colt Ave, Fontana, CA 92337 | 2014-03-12 |
| 1356780803 | Cynthia Lee Wright I | Registered Nurse | 17216 Slover Avenue, Building L, Fontana, CA 92337 | 2013-06-18 |
| 1649459652 | Rebecca Ann Carpio-darshay | Nurse Practitioner | 17296 Slover Avenue, Fontana, CA 92337 | 2007-10-25 |
| 1205025731 | Karen Garcia-herrera | Dietitian, Registered | 17296 Slover Ave, Palm Court 1, Fontana, CA 92337 | 2007-10-22 |
| 1205914546 | Felecia Green | Physician Assistant | 10650 Sierra Ave Ste B, Fontana, CA 92337 | 2006-11-02 |
| 1417049933 | Shauna Nichele Lowry | Orthotist | 16200 Coleen St, Suite A, Fontana, CA 92337 | 2006-09-29 |
| Find all providers in zip 92337 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366060857 | Andrea Sunga | Nurse Practitioner | 15775 Snowy Peak Ln, Fontana, CA 92336-4578 | 2020-07-10 |
| 1538782214 | Christian Reyes | Nurse Practitioner | 7950 Cherry Ave Ste 106, Fontana, CA 92336-4023 | 2020-05-28 |
| 1992266357 | Christine Marie Mccabe | Nurse Practitioner | 4804 Cloudcrest Way, Fontana, CA 92336-0431 | 2019-03-28 |
| 1154887941 | Arlene Guzman Lopez | Nurse Practitioner | 6939 Almeria Ave, Fontana, CA 92336-5043 | 2019-02-16 |
| 1043782550 | Sofia Editha Locquiao | Nurse Practitioner | 15592 Faith St, Fontana, CA 92336-5739 | 2018-12-20 |
| 1497225965 | Maria Celeste Leonero Labajo | Nurse Practitioner | 15480 Red Pepper Pl, Fontana, CA 92336-3571 | 2018-11-27 |
| 1801332051 | Eberechi Joan Ani | Nurse Practitioner | 16672 Almaden Dr, Fontana, CA 92336-5121 | 2017-01-11 |
| 1366986069 | Sydney Hendricks | Nurse Practitioner | 15179 Fox Ridge Dr, Fontana, CA 92336-0206 | 2016-12-14 |
| 1265893317 | Leslie Burgess | Nurse Practitioner | 8110 Mango Avenue, Fontana, CA 92335 | 2016-03-17 |
| 1215326103 | James Edward White | Nurse Practitioner | 15294 Camp Rock Ct, Fontana, CA 92336-5340 | 2015-01-15 |
| Find all providers in FONTANA | ||||
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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.