JISHA PANGOTTIL (NPI# 1871073411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871073411 |
Entity Type | Individual |
Full Name | JISHA PANGOTTIL |
Practice Address |
2295 S Vineyard Ave Ontario CA 91761-7925 |
Practice Telephone | 9097243940 |
Enumeration Date | 2018-08-14 |
Last Update Date | 2018-08-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
NP95009215 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
2295 S VINEYARD AVE |
City | ONTARIO |
State | CA |
Zip Code | 91761-7925 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558359075 | Barry S Bricca | Audiologist | 2295 S Vineyard Ave, Ontario, CA 91761 | 2005-10-10 |
1215569488 | Steven Christopher Nassar | Pharmacist | 2295 S Vineyard Ave, Ontario, CA 91761-7925 | 2020-02-06 |
1144865981 | Brian Huang | Physical Therapist | 2295 S Vineyard Ave, Ontario, CA 91761-7925 | 2019-11-15 |
1740837798 | Martin R. Dole | Registered Nurse | 2295 S Vineyard Ave, Ontario, CA 91761-7925 | 2019-08-23 |
1952869117 | Amirali Sepehrdad | Pharmacist | 2295 S Vineyard Ave, Ontario, CA 91761-7925 | 2019-03-06 |
1326513698 | Kelsey Lauren Pundamiera | Speech-Language Pathologist | 2295 S Vineyard Ave, Ontario, CA 91761-7925 | 2018-10-12 |
1699259739 | Teresa Uytingco Mendez | Respiratory Therapist, Certified | 2295 S Vineyard Ave, Ontario, CA 91761-7925 | 2018-09-24 |
1265973762 | Claire Fitz | Pharmacist | 2295 S Vineyard Ave, Ontario, CA 91761-7925 | 2017-03-16 |
1811438500 | Pauline Poon | Pharmacist | 2295 S Vineyard Ave, Ontario, CA 91761-7925 | 2017-03-14 |
1023559721 | Lina Salehian | Pharmacist | 2295 S Vineyard Ave, Ontario, CA 91761-7925 | 2017-03-14 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902418163 | Blue Oak Counseling Services, Inc. | Counselor | 3200 Guasti Rd #100, Ontario, CA 91761 | 2020-08-19 |
1578115986 | Hadel Awad | Behavior Technician | 1801 South Excise Ave, 116, Ontario, CA 91761 | 2019-07-15 |
1265902845 | Stephanie Escalante | Behavior Technician | 1801 S. Excise Ave. #116, Ontario, CA 91761 | 2018-11-27 |
1801395595 | Optimum Bio Lab Inc | Clinical Medical Laboratory | 1910 S Archibald Ave #d, Ontario, CA 91761 | 2018-02-07 |
1871010033 | Evelyn Esther Martinez | Case Manager/Care Coordinator | 1556 S. Sultana Ave., Ontario, CA 91761 | 2017-08-28 |
1750812525 | Building Bridges Christian Counseling | Marriage & Family Therapist | 3200 Guasti Road, Suite 100, Ontario, CA 91761 | 2017-03-23 |
1659829513 | Gregory J Musselman | Physician Assistant | 3550 E Philadelphia St Ste 150, Ontario, CA 91761 | 2016-09-20 |
1700332327 | Ramon Cardenas | Registered Nurse | 721 E. Banyan St., Ontario, CA 91761 | 2016-09-01 |
1023565660 | Breanna Gonzalez | Occupational Therapist | 3449 S. Wrangler Pl., Ontario, CA 91761 | 2016-09-01 |
1326491507 | Sasha Khawaja | Specialist/Technologist | 1500 So. Haven Ave, Ste 190, Ontario, CA 91761 | 2016-07-22 |
Find all providers in zip 91761 |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396146882 | Ashley Diane Mccabe | Nurse Practitioner | 3401 Centre Lake Dr Ste 512, Ontario, CA 91761-1201 | 2014-09-16 |
1891116398 | Aurora Yanzon De Los Santos | Nurse Practitioner | 3401 Centre Lake Dr Ste 512, Ontario, CA 91761-1201 | 2013-12-31 |
1013298033 | Melissa D. Akin | Nurse Practitioner | 932 W Idaho Ave, Ste 100, Ontario, OR 97914-2155 | 2011-09-03 |
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1235738782 | Peninsula Healthcare Center | Nurse Practitioner | 22330 Hawthorne Blvd Ste 208, Torrance, CA 90505-2536 | 2020-10-25 |
1710584008 | Venessa Beck | Nurse Practitioner | 903 Cardiff St, San Diego, CA 92114-5019 | 2020-10-08 |
1053918094 | Janel Nicole Sanglerat | Nurse Practitioner | 416 Aviation Blvd, Santa Rosa, CA 95403-1032 | 2020-10-02 |
1790382760 | Christopher Tran | Nurse Practitioner | 11441 Heacock St Ste F, Moreno Valley, CA 92557-7907 | 2020-10-02 |
1487266292 | Mollie Shira Hudson | Nurse Practitioner | 14 Whitmore Pl Apt 15, Oakland, CA 94611-4635 | 2020-08-21 |
1962014381 | Mario Javier Herrera | Nurse Practitioner | 2130 High Pointe Dr, Apt 108, Corona, CA 92879 | 2020-08-18 |
1952912131 | Norman Ivan Kier | Nurse Practitioner | 3834 Edison Ave, Sacramento, CA 95821-2728 | 2020-08-12 |
1942811377 | Thanhan Mathews | Nurse Practitioner | 114 W Cameron St Apt B, Hanford, CA 93230-2965 | 2020-08-10 |
1972113355 | Marine Mary Kademyan | Nurse Practitioner | 6528 Babcock Ave, North Hollywood, CA 91606 | 2020-07-31 |
1245849645 | Shannon Pereira | Nurse Practitioner | 2368 Honeysuckle Way, Hemet, CA 92545-4796 | 2020-07-31 |
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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.