MILDRED M SHRUBB (NPI# 1922317544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922317544 |
| Entity Type | Individual |
| Full Name | MILDRED M SHRUBB |
| Credential | R.N., N.P. |
| Practice Address |
17707 Studebaker Rd Cerritos CA 90703-2640 |
| Practice Telephone | 5624020688 |
| Mailing Telephone | 5624020688 |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2012-06-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 225400000X | CA | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
21614 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
17707 STUDEBAKER RD |
| City | CERRITOS |
| State | CA |
| Zip Code | 90703-2640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841208329 | Los Angeles County Department of Mental Health | Clinic/Center | 17707 Studebaker Rd, Cerritos, CA 90703-2640 | 2006-08-03 |
| 1831702109 | Luis F Revelo | Social Worker | 17707 Studebaker Rd, Cerritos, CA 90703-2640 | 2020-08-26 |
| 1952959348 | Darrilyn Billew Demouchet | Psychiatry & Neurology | 17707 Studebaker Rd, Cerritos, CA 90703-2640 | 2019-08-28 |
| 1447717772 | Erika Torres Abdul-wahed | Community Health Worker | 17707 Studebaker Rd, Cerritos, CA 90703-2640 | 2019-02-22 |
| 1376009480 | Quy Pham | Student in an Organized Health Care Education/Training Program | 17707 Studebaker Rd, Cerritos, CA 90703-2640 | 2019-02-13 |
| 1457816183 | Espelito Cereno Torregoza Jr. | Student in an Organized Health Care Education/Training Program | 17707 Studebaker Rd, Cerritos, CA 90703-2640 | 2019-02-06 |
| 1073025391 | Christina Marangos | Case Manager/Care Coordinator | 17707 Studebaker Rd, Cerritos, CA 90703-2640 | 2017-10-26 |
| 1588192926 | Jeffrey Rodriguez | Case Manager/Care Coordinator | 17707 Studebaker Rd, Cerritos, CA 90703-2640 | 2017-05-30 |
| 1902346307 | Jennifer Nunez | Counselor | 17707 Studebaker Rd, Cerritos, CA 90703-2640 | 2017-03-03 |
| 1831633536 | Jazmin Navarro | Counselor | 17707 Studebaker Rd, 208, Cerritos, CA 90703-2640 | 2016-12-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952909582 | Michael Wong Dental Corporation | Dentist | 11549 South Street, Cerritos, CA 90703 | 2020-10-15 |
| 1144837139 | Essential California Ipa Inc. | Health Maintenance Organization | 1800 Studebaker Rd., 100, Cerritos, CA 90703 | 2020-09-24 |
| 1447868377 | Auxilium Health Network, Inc. | Health Maintenance Organization | 18000 Studebaker Dr, Cerritos, CA 90703 | 2020-07-16 |
| 1154939098 | Absolute Medical Partners, A Professional Medical Corporation | Health Maintenance Organization | 18000 Studebaker Rd., Ste 100, Cerritos, CA 90703 | 2020-07-16 |
| 1558906487 | Vitruvian Care, Inc. | Health Maintenance Organization | 18000 Studebaker Road Suite 100, Cerritos, CA 90703 | 2019-11-14 |
| 1841843554 | Ha Tran Tsai Dental Corporation | Dentist | 16466 Norwalk Boulevard, Cerritos, CA 90703 | 2019-07-22 |
| 1457828097 | Angela Ofoegbu | Registered Nurse | 10733 Elgers St, Cerritos, CA 90703 | 2018-11-01 |
| 1689183352 | Zeela G Diwa | Occupational Therapist | 12736 Palm Street, Cerritos, CA 90703 | 2017-09-26 |
| 1114446119 | Cooper Lee | Physical Therapist | 18503 Noran Ave, Cerritos, CA 90703 | 2017-09-12 |
| 1295259141 | Miyeon Vivienne Lee | Nurse Practitioner | 13337 South Street #158, Cerritos, CA 90703 | 2017-08-02 |
| Find all providers in zip 90703 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619165529 | Catherine Elizabeth Stepan | Nurse Practitioner | 17707 Studebaker Rd, Cerritos, CA 90703-2640 | 2007-10-05 |
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| 1477167666 | David Joseph Russell | Nurse Practitioner | 17846 Glenwood Rd, Manteca, CA 95336-9521 | 2020-09-03 |
| 1194339382 | Albert Liu | Nurse Practitioner | 43559 Southerland Way, Fremont, CA 94539-5931 | 2020-09-03 |
| 1407469554 | Andre Alexandrian | Nurse Practitioner | 1606 Winona Ave, Burbank, CA 91504-2823 | 2020-08-28 |
| 1790398238 | Heather Richardson | Nurse Practitioner | 112 S Park St Ste 1, San Francisco, CA 94107-1809 | 2020-08-25 |
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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.