CARLYNNE RIVERA CALLEROS (NPI# 1982240420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982240420 |
| Entity Type | Individual |
| Full Name | CARLYNNE RIVERA CALLEROS |
| Credential | FNP-BC |
| Practice Address |
765 Medical Center Ct Ste 218 Chula Vista CA 91911-6600 |
| Mailing Address |
3825 Riviera Dr Apt 1 San Diego CA 92109-6333 |
| Practice Telephone | 6198417089 |
| Mailing Telephone | 6199225591 |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2019-11-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95013305 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1224 10th St Ste 205, Coronado, CA 921183420 | 6198417089 |
| Street Address |
765 MEDICAL CENTER CT STE 218 |
| City | CHULA VISTA |
| State | CA |
| Zip Code | 91911-6600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962011064 | Hfm Inc | Pharmacy | 750 Medical Center Court, Suite 8, Unit A, Chula Vista, CA 91911 | 2020-07-24 |
| 1659991198 | Cindy Way | Student in an Organized Health Care Education/Training Program | 1161 Bay Blvd. Ste. B Chula Vista,ca 91911, Chula Vista, CA 91911 | 2020-04-24 |
| 1083243455 | Uriel Angel Gonzalez | Student in an Organized Health Care Education/Training Program | 1161 Bay Boulevard B, Chula Vista, Chula Vista, CA 91911 | 2020-04-07 |
| 1083252464 | Denisse Patricia Macias | Dentist | 235 East Orange Avenue, Apartment E4, Chula Vista, CA 91911 | 2019-12-16 |
| 1952955494 | Jenifer Irene Wright | Counselor | 1180 Third Ave Suite C-3, Chula Vista, CA 91911 | 2019-08-01 |
| 1891357075 | Myriam Lourdes Scales | Counselor | 1172 3rd Ave Suite D1, Chula Vista, CA 91911 | 2019-07-08 |
| 1295228328 | Centro De Salud De La Comunidad De San Ysidro, Inc | Clinic/Center | 880 Third Ave Ste A, Chula Vista, CA 91911 | 2018-06-13 |
| 1902398589 | The Arc of San Diego | Day Training, Developmentally Disabled Services | 1280 Nolan Avenue, Chula Vista, CA 91911 | 2018-05-31 |
| 1003344292 | Jalitza Cardona | Peer Specialist | 853 3rd Ave, Suite C, Chula Vista, CA 91911 | 2017-06-01 |
| 1598138042 | Amy Nylund | Nurse Practitioner | 754 Medical Center Ct Ste 100, Chula Vista, CA 91911 | 2015-11-05 |
| Find all providers in zip 91911 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316585649 | Beverly Anne Ramos | Nurse Practitioner | 1151 Santa Delphina Ave, Chula Vista, CA 91913-1713 | 2019-12-17 |
| 1164994240 | Aldrin Joe Juaneza Jaranilla | Nurse Practitioner | 892 Genevieve Ave, Chula Vista, CA 91913-3134 | 2018-12-29 |
| 1134696289 | Kathleen Mitchell | Nurse Practitioner | 2287 Calle Catarina, Chula Vista, CA 91914-4455 | 2018-10-26 |
| 1386120723 | Nezer B Belen | Nurse Practitioner | 1722 May Ave, Chula Vista, CA 91913-4309 | 2018-07-18 |
| 1285122721 | Romeo Andrew Virrey | Nurse Practitioner | 1840 Crossroads St, Chula Vista, CA 91915-2429 | 2018-04-30 |
| 1861980393 | Eileen Caoile Virrey | Nurse Practitioner | 1840 Crossroads Street, Chula Vista, CA 91915-2429 | 2018-04-30 |
| 1861989790 | Michael Salomon Radi | Nurse Practitioner | 1444 Carpinteria St, Chula Vista, CA 91913-2521 | 2018-04-17 |
| 1427565001 | Dianne Munoz | Nurse Practitioner | 855 Third Ave #3340, Chula Vista, CA 91911-1911 | 2018-01-04 |
| 1093253593 | Dao Nhiatou Vang | Nurse Practitioner | 608 Crescent Dr, Chula Vista, CA 91911-6855 | 2017-02-03 |
| 1083166615 | Marisa Deptala | Nurse Practitioner | 450 4th Ave Ste 408, Chula Vista, CA 91910-4430 | 2016-10-31 |
| Find all providers in CHULA VISTA | ||||
| City | CHULA VISTA |
| Zip Code | 91911 |
Please comment or provide details below to improve the information on CARLYNNE RIVERA CALLEROS.
| 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.