MICHAEL VICIOSO (NPI# 1932449642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932449642 |
| Entity Type | Individual |
| Full Name | MICHAEL VICIOSO |
| Credential | PNP |
| Practice Address |
3835 E 7th St Long Beach CA 90804-5303 |
| Practice Telephone | 5624734441 |
| Practice Fax Number | 5624734447 |
| Mailing Telephone | 5624734441 |
| Mailing Fax Number | 5624734447 |
| Enumeration Date | 2013-02-18 |
| Last Update Date | 2020-02-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
22745 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3835 E 7TH ST |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90804-5303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396826426 | Denise Michelle Jones | Chiropractor | 3835 E 7th St, Long Beach, CA 90804-5303 | 2006-10-17 |
| 1235662511 | Heather Perris | Nurse Practitioner | 3835 E 7th St, Long Beach, CA 90804-5303 | 2017-04-04 |
| 1508225608 | Nancy Taschner | Nurse Practitioner | 3835 E 7th St, Long Beach, CA 90804-5303 | 2016-02-17 |
| 1023448511 | Growing Healthy Together Inc., A Medical Corporation | Pediatrics | 3835 E 7th St, Long Beach, CA 90804-5303 | 2013-11-19 |
| 1750462891 | Michael Anthony Wooten | Chiropractor | 3835 E 7th St, Long Beach, CA 90804-5303 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821616673 | Exporter Medical LLC | Durable Medical Equipment & Medical Supplies | 2990 E. Pacific Coast Hwy., Suite B, Long Beach, CA 90804 | 2020-07-08 |
| 1700436094 | Magdalema Ballesteros-reynolds | Technician | 844 Ohio Ave, Long Beach, CA 90804 | 2019-09-18 |
| 1093365447 | Edelmira D Sanchez | Technician | 837 Bennett Ave, Long Beach, CA 90804 | 2019-09-18 |
| 1164980165 | Carlton Fortenberry | Behavior Technician | 775 Obispo Ave., Unit 1, Long Beach, CA 90804 | 2019-03-08 |
| 1427522812 | Western Dental Services, Inc. | Dentist | 2306 E 7th Street, Long Beach, CA 90804 | 2019-01-18 |
| 1124557657 | Keav Siv Khov | Social Worker | 4510 East Pacific Coast Highway, Suite 600, Long Beach, CA 90804 | 2017-06-08 |
| 1265966576 | Kensie Hoag | Social Worker | 4510 E PCh, Suite 305, Long Beach, CA 90804 | 2017-04-13 |
| 1528424389 | Rem Pacific Sleep Center, Inc. | Specialist/Technologist | 2990 E. Pacific Coast Hwy, Suite A, Long Beach, CA 90804 | 2016-01-10 |
| 1417326935 | Kelli Ann Carlson | Student in an Organized Health Care Education/Training Program | 2025 E. 7th Street, Long Beach, CA 90804 | 2015-09-15 |
| 1487059010 | Kenenth K. Lee, D.d.s., Inc. | Preferred Provider Organization | 4755 E. Anaheim St., Long Beach, CA 90804 | 2014-10-24 |
| Find all providers in zip 90804 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497361612 | Brandon Philip Obero Vinzon | Nurse Practitioner | 155 E 4th St Apt 206, Long Beach, CA 90802-2498 | 2020-09-22 |
| 1275004145 | Rayveion Laquita Medlock | Nurse Practitioner | 40 Cedar Walk Unit 2115, Long Beach, CA 90802-7922 | 2018-12-17 |
| 1528451820 | Marjorie Buencamino | Nurse Practitioner | 8140 E Token St, Long Beach, CA 90808-3355 | 2015-03-11 |
| 1063800480 | Lily Te Long | Nurse Practitioner | 2046 Atlantic Ave, Long Beach, CA 90806-4916 | 2015-01-07 |
| 1306278924 | Christopher Stephen Gentry | Nurse Practitioner | 2700 Bellflower Blvd, #112, Long Beach, CA 90822 | 2013-08-06 |
| 1558619718 | Christina Pearce | Nurse Practitioner | 3325 Palo Verde Ave Ste 203, Long Beach, CA 90808-4132 | 2012-08-20 |
| 1538202866 | Regina A. Clifton | Nurse Practitioner | 999 Atlantic Ave, Suite 203, Long Beach, CA 90813-4514 | 2007-02-15 |
| 1578173951 | Candace Cam | Nurse Practitioner | 2650 Elm Ave Ste 301, Long Beach, CA 90806-1600 | 2020-07-31 |
| 1609404110 | Amber Haney | Nurse Practitioner | 780 Atlantic Ave, Long Beach, CA 90813-4565 | 2020-03-30 |
| 1366083099 | Loren Rachel Chan | Nurse Practitioner | 701 E 28th St, Long Beach, CA 90806-2759 | 2019-10-03 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90804 |
Please comment or provide details below to improve the information on MICHAEL VICIOSO.
| 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.