MUSARRAT KHAN (NPI# 1902436058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902436058 |
| Entity Type | Individual |
| Full Name | MUSARRAT KHAN |
| Practice Address |
14736 Willow Grove Pl Moreno Valley CA 92555-5746 |
| Practice Telephone | 9092822316 |
| Enumeration Date | 2020-01-16 |
| Last Update Date | 2020-01-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 376G00000X | Nursing Home Administrator | Nursing Service Related Providers |
| Street Address |
14736 WILLOW GROVE PL |
| City | MORENO VALLEY |
| State | CA |
| Zip Code | 92555-5746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003416371 | Aqua Bella Residential Care | Assisted Living Facility | 14736 Willow Grove Pl, Moreno Valley, CA 92555-5746 | 2020-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043817935 | Jillian Mika Ogata | Social Worker | Riverside University Health System, 26520 Cactus Ave., Moreno Valley, CA 92555 | 2020-10-05 |
| 1114549144 | Providence Recovery Centers, Inc. | Substance Abuse Rehabilitation Facility | 11165 Bonnie View Ave, Moreno Valley, CA 92555 | 2020-05-13 |
| 1720645096 | Shahida Nawaz | Non-emergency Medical Transport (VAN) | 26528 Primrose Way, Moreno Valley, CA 92555 | 2019-05-22 |
| 1679139828 | Moses Lee | Student in an Organized Health Care Education/Training Program | Department of Orthopaedic Surgery Rm. B2042 Ruhs-mc, 26520 Cactus Ave., Moreno Valley, CA 92555 | 2019-05-14 |
| 1215419668 | Johannes Wattimena | Counselor | 26624 Saffron Circle, Moreno Valley, CA 92555 | 2018-09-02 |
| 1437676939 | Aleksandra Vargas | Behavioral Analyst | 12549 Atherton Dr, Moreno Valley, CA 92555 | 2017-08-25 |
| 1063938603 | Anthony I Odimegwu | Nurse Practitioner | 26062 Bercaw Ct, Moreno Valley, CA 92555 | 2017-08-16 |
| 1073036703 | Karen Parker | Licensed Psychiatric Technician | 12944 Dolomite Lane, Moreno Valley, CA 92555 | 2017-07-25 |
| 1861923674 | Elena Vizcaino | Behavior Technician | 15670 Turnberry St, Moreno Valley, CA 92555 | 2017-03-23 |
| 1154744522 | Nancy Chivichon | Dietitian, Registered | 28648 Avenue Ave., Moreno Valley, CA 92555 | 2014-01-21 |
| Find all providers in zip 92555 | ||||
| Taxonomy Code | 376G00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Nursing Home Administrator |
| An individual, often licensed by the state, who is responsible for the management of a nursing home. |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations, and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL, 1994, p. 552. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538760210 | Vanessa Nunez | Nursing Home Administrator | 1697 Donax Ave, San Diego, CA 92154-1004 | 2020-11-08 |
| 1225637622 | Elizabeth Memoracion | Nursing Home Administrator | 2140 Ceres Ave, Chico, CA 95926-1403 | 2020-10-19 |
| 1659903037 | Noelia Garcia | Nursing Home Administrator | 2755 Thacker Dr, Corona, CA 92881-3634 | 2020-02-04 |
| 1164054557 | Romulo L Garcia | Nursing Home Administrator | 1540 Heartland Way, Corona, CA 92881-4179 | 2020-02-04 |
| 1295378818 | Yaninee Asawadilokchai | Nursing Home Administrator | 8191 Lambert Dr, Huntington Beach, CA 92647-4816 | 2019-10-27 |
| 1043861313 | Mary Grace P Trias | Nursing Home Administrator | 31485 Mandy Ct, Lake Elsinore, CA 92530-5124 | 2019-09-26 |
| 1982250635 | Lilibeth Mesa | Nursing Home Administrator | 8890 Harlow Ct, Elk Grove, CA 95624-3225 | 2019-08-16 |
| 1295380467 | Riverside Elite Advantage Care Home LLC | Nursing Home Administrator | 17085 Birch Hill Rd, Riverside, CA 92504-8823 | 2019-08-05 |
| 1275194284 | Kathy J Maghbouleh | Nursing Home Administrator | 26545 Avenida Deseo, Mission Viejo, CA 92691-3303 | 2019-06-21 |
| 1104388867 | Victoria Rehg | Nursing Home Administrator | 15535 China Rapids Dr, Red Bluff, CA 96080-9641 | 2019-04-02 |
| Find all providers with the same taxonomy | ||||
| City | MORENO VALLEY |
| Zip Code | 92555 |
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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.