ABRAHAM ALEJANDRO VANDIVER (NPI# 1982176947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982176947 |
| Entity Type | Individual |
| Full Name | ABRAHAM ALEJANDRO VANDIVER |
| Credential | FNP |
| Practice Address |
1600 S Imperial Ave El Centro CA 92243-4242 |
| Mailing Address |
2340 Marlene Ave Imperial CA 92251-8833 |
| Practice Telephone | 7603392802 |
| Practice Fax Number | 7603392829 |
| Mailing Telephone | 7609602663 |
| Enumeration Date | 2018-12-31 |
| Last Update Date | 2019-02-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 820909 | CA | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95011167 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1600 S IMPERIAL AVE |
| City | EL CENTRO |
| State | CA |
| Zip Code | 92243-4242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760479786 | Mohammed M Al-jasim | Internal Medicine | 1600 S Imperial Ave, Suite #8, El Centro, CA 92243-4242 | 2005-10-04 |
| 1235580440 | Leah Romero Manix | Counselor | 1600 S Imperial Ave, El Centro, CA 92243-4242 | 2016-06-29 |
| 1245697531 | Shlok Narayan Prasad | Pharmacist | 1600 S Imperial Ave, Ste #12, El Centro, CA 92243-4242 | 2016-01-18 |
| 1598139883 | Valley Pediatric Health | Pediatrics | 1600 S Imperial Ave, 10, El Centro, CA 92243-4242 | 2015-11-24 |
| 1801267083 | Jessica Chaparro Ruiz | Nurse Practitioner | 1600 S Imperial Ave, Suite 3, El Centro, CA 92243-4242 | 2015-10-13 |
| 1518398668 | Drupad Parikh | Pharmacist | 1600 S Imperial Ave, El Centro, CA 92243-4242 | 2013-11-27 |
| 1841577376 | Mohammed Al-jasim Md A Medical Corporation | Internal Medicine | 1600 S Imperial Ave, 8, El Centro, CA 92243-4242 | 2011-11-11 |
| 1770714396 | Kenneth B. Rehm, D.p.m. | Durable Medical Equipment & Medical Supplies | 1600 S Imperial Ave, Suite 3, El Centro, CA 92243-4242 | 2009-07-30 |
| 1730350596 | Albert A Williams Jr | Prosthetist | 1600 S Imperial Ave, Suite 15, El Centro, CA 92243-4242 | 2008-03-19 |
| 1376673228 | Kirti Zaverchand Shah | Pharmacist | 1600 S Imperial Ave, El Centro, CA 92243 | 2007-03-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437756228 | Kale Burket | Physician Assistant | Bldg 523, S 8th St, El Centro, CA 92243 | 2020-10-05 |
| 1346856671 | Ana Lilia Solorio | Health Educator | 1415 Ross Ave., El Centro, CA 92243 | 2020-09-22 |
| 1467073775 | Mabel Janet Castro-ley | Counselor | 22 N 8th St., El Centro, CA 92243 | 2020-04-28 |
| 1831723030 | Guadalupe Heredia | Registered Nurse | 1415 Ross Ave El Centro Ca, El Centro, El Centro, CA 92243 | 2020-02-26 |
| 1851948061 | Hamlet Khachatryan Dds, Inc. | Dentist | 1698 Cruickshank Drive, Suite B, El Centro, CA 92243 | 2019-08-22 |
| 1104478924 | Courtney Barker | Occupational Therapist | 1161 Main St., El Centro, CA 92243 | 2019-07-11 |
| 1891350997 | Amy Nguyen Dao | Nurse Practitioner | 852 Danenberg Drive, El Centro, CA 92243 | 2019-05-03 |
| 1538723622 | Patrick H Dao | Nurse Practitioner | 852 Danenberg Dr., El Centro, CA 92243 | 2019-04-24 |
| 1114494861 | Alba Care Mental Health Serrvices | Counselor | 1498 Main Street, El Centro, CA 92243 | 2018-10-31 |
| 1922503085 | Joanne P. Goode | Nurse Practitioner | El Centro Health Clinic, 651 Wake Avenue, El Centro, CA 92243 | 2018-03-29 |
| Find all providers in zip 92243 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891350997 | Amy Nguyen Dao | Nurse Practitioner | 852 Danenberg Drive, El Centro, CA 92243 | 2019-05-03 |
| 1538723622 | Patrick H Dao | Nurse Practitioner | 852 Danenberg Dr., El Centro, CA 92243 | 2019-04-24 |
| 1083078547 | Jayme Lynn Storms | Nurse Practitioner | 1503 North Imperial Avenue, Suite 105-b, El Centro, CA 92243 | 2016-04-11 |
| 1053705087 | Venus Nguyen | Nurse Practitioner | 2456 S Cypress Dr, El Centro, CA 92243-6112 | 2015-03-27 |
| 1114980471 | Irma Garcia | Nurse Practitioner | 1550 N Imperial Ave, Suite 1, El Centro, CA 92243-6304 | 2006-04-08 |
| 1285621086 | Arlyn Ruth Duval | Nurse Practitioner | 1745 S Imperial Ave, El Centro, CA 92243-4243 | 2005-10-05 |
| 1568077345 | D'andre York | Nurse Practitioner | 702 Wake Ave, El Centro, CA 92243-7502 | 2020-09-09 |
| 1952913022 | Sandra Iris Torres | Nurse Practitioner | 1415 Ross Ave, El Centro, CA 92243-4306 | 2020-08-20 |
| 1124630736 | Christina Galindo | Nurse Practitioner | 1271 Ross Ave, El Centro, CA 92243-4304 | 2020-08-17 |
| 1760035992 | Alexis Lynell Brown | Nurse Practitioner | 1590 S Imperial Ave, El Centro, CA 92243-4241 | 2019-07-17 |
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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.