JISHA PANGOTTIL


Address: 2295 S Vineyard Ave, Ontario, CA 91761-7925
Phone: 9097243940

JISHA PANGOTTIL (NPI# 1871073411) 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) 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

Taxonomy

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

Office Location

Street Address 2295 S VINEYARD AVE
City ONTARIO
State CA
Zip Code 91761-7925

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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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NPI Name Taxonomy Address Enumeration
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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Competitor

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City ONTARIO
Zip Code 91761

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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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