SARAH SUE ORIGINALES (NPI# 1972072387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972072387 |
| Entity Type | Individual |
| Full Name | SARAH SUE ORIGINALES |
| Practice Address |
12625 Hesperia Rd Victorville CA 92395-7720 |
| Practice Telephone | 7609958300 |
| Enumeration Date | 2018-11-14 |
| Last Update Date | 2018-11-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | 289526 | CA | Nursing Service Providers |
| Street Address |
12625 HESPERIA RD |
| City | VICTORVILLE |
| State | CA |
| Zip Code | 92395-7720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679663181 | Jaidev Madgulkar | Social Worker | 12625 Hesperia Rd, Victorville, CA 92395-7720 | 2006-10-13 |
| 1336765007 | Holly Marie Croteau | Registered Nurse | 12625 Hesperia Rd, Victorville, CA 92395-7720 | 2020-06-18 |
| 1033735881 | Tess Mcclellan | Peer Specialist | 12625 Hesperia Rd, Victorville, CA 92395-7720 | 2020-06-17 |
| 1588287536 | Sandra Martinez | Case Manager/Care Coordinator | 12625 Hesperia Rd, Victorville, CA 92395-7720 | 2020-05-26 |
| 1235764739 | Deborah Courtney-taylor | Case Manager/Care Coordinator | 12625 Hesperia Rd, Victorville, CA 92395-7720 | 2020-03-05 |
| 1205461951 | Rose Arcelia Rosas | Counselor | 12625 Hesperia Rd, Victorville, CA 92395-7720 | 2020-03-03 |
| 1083250690 | Tonii Marie Cardoza | Case Manager/Care Coordinator | 12625 Hesperia Rd, Victorville, CA 92395-7720 | 2019-11-19 |
| 1558918680 | Jennifer Greeno | Counselor | 12625 Hesperia Rd, Victorville, CA 92395-7720 | 2019-08-22 |
| 1104305879 | Sarah Ann Marroquin | Registered Nurse | 12625 Hesperia Rd, Victorville, CA 92395 | 2018-08-13 |
| 1487174595 | Sarah Elizabeth Moses | Licensed Vocational Nurse | 12625 Hesperia Rd, Victor Valley Behavioral Health Center, Victorville, CA 92395 | 2017-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043837966 | Desert Ridge Transitional Care Center, Lp | Skilled Nursing Facility | 13300 11th Avenue, Victorville, CA 92395 | 2020-06-26 |
| 1376179093 | Catherine Ward | Speech-Language Pathologist | 13275 Mauka Ct, Victorville, CA 92395 | 2020-03-13 |
| 1174019228 | Laura Mercado Halterman | Family Medicine | 16519 Victor St Ste 307, Victorville, CA 92395 | 2018-07-02 |
| 1306337829 | Stephanie Ann Kruger | Behavior Technician | Sunny Days Inc 3602 Inland Empire Blvd., Ontario, CA 92395 | 2018-05-21 |
| 1861903924 | Debra L Andersen | Clinic/Center | 12830 Hesperia Road, Suite C, D, E, Victorville, CALIFORNIA 92395 | 2017-10-17 |
| 1790202141 | Joshua Powers | Physician Assistant | 12550 Hesperia Rd Ste 101, Victorville, CA 92395 | 2017-08-26 |
| 1043759491 | Kemp Individual & Family Therapy, Inc. | Marriage & Family Therapist | 14075 Hesperia Road, Suite 101, Victorville, CA 92395 | 2017-02-17 |
| 1740725969 | Abem Transportation Inc | Non-emergency Medical Transport (VAN) | 15000 7th St Ste F208, Victorville, CA 92395 | 2016-12-23 |
| 1447669379 | Tracie Girard | Nurse Practitioner | 17330 Bear Valley Road, Suite A106, Victorville, CA 92395 | 2014-08-05 |
| 1093153215 | Mitesh Patel | Surgery | 13010 Hesperia Rd Ste 400, Victorville, CA 92395 | 2013-06-10 |
| Find all providers in zip 92395 | ||||
| Taxonomy Code | 164X00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Vocational Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861014995 | Naomi Loera | Licensed Vocational Nurse | 13111 High Crest Rd, Victorville, CA 92395-7762 | 2020-05-12 |
| 1558861070 | Tierra Simms | Licensed Vocational Nurse | 15571 Keokuk Way, Victorville, CA 92395-5503 | 2018-02-21 |
| 1235640624 | Laquetta Sherri Williams | Licensed Vocational Nurse | 14460 Dalton Ct, Victorville, CA 92394-3211 | 2017-10-12 |
| 1700304276 | Teela Stewart | Licensed Vocational Nurse | 16627 Desert Star St, Victorville, CA 92394-1425 | 2017-09-06 |
| 1245788348 | Maya Clayton | Licensed Vocational Nurse | 15251 Seneca Rd Apt 64, Victorville, CA 92392-6528 | 2016-09-17 |
| 1710338595 | Denise Henderson | Licensed Vocational Nurse | 11660 Fulton Ct, Victorville, CA 92392-0456 | 2016-06-23 |
| 1710336664 | Devan Inez Garcia | Licensed Vocational Nurse | 13154 Luna Rd, Victorville, CA 92392-7273 | 2016-06-10 |
| 1366827685 | Simone Kain | Licensed Vocational Nurse | 12406 Deborah Pl., Victorville, CA 92392 | 2015-07-28 |
| 1790164440 | Julia Shelter | Licensed Vocational Nurse | 15437 5th St, Victorville, CA 92395-3506 | 2015-05-28 |
| 1518360627 | Sonika Rawlings | Licensed Vocational Nurse | 16658 Country Ranch Ct, Victorville, CA 92395-9569 | 2014-10-02 |
| Find all providers in VICTORVILLE | ||||
| City | VICTORVILLE |
| Zip Code | 92395 |
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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.