MR. EVAGRIO PAGKALIWANGAN BENCITO (NPI# 1992965891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992965891 |
| Entity Type | Individual |
| Full Name | MR. EVAGRIO PAGKALIWANGAN BENCITO |
| Credential | NP |
| Practice Address |
1000 W Carson St Carson CA 90810-1408 |
| Mailing Address |
3564 Brenton Ave Apt E Lynwood CA 90262-2063 |
| Practice Telephone | 3102223528 |
| Mailing Telephone | 3106395282 |
| Enumeration Date | 2008-06-13 |
| Last Update Date | 2008-06-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 565369 | CA | Nursing Service Providers |
| Y | 364SA2100X |
Clinical Nurse Specialist Specialization: Acute Care |
17801 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1000 W CARSON ST |
| City | CARSON |
| State | CA |
| Zip Code | 90810-1408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154824019 | Latrice Hyde | Respiratory Therapist, Certified | 1000 W Carson St, Carson, CA 90810-1408 | 2018-03-16 |
| 1316463839 | Roseline Osana Aluyi | Registered Nurse | 1000 W Carson St, Carson, CA 90810-1408 | 2017-08-16 |
| 1720503865 | Nathan Atthawimol | Respiratory Therapist, Registered | 1000 W Carson St, Carson, CA 90810-1408 | 2017-08-10 |
| 1316472970 | Stephanie Chu | Student in an Organized Health Care Education/Training Program | 1000 W Carson St, Carson, CA 90810-1408 | 2017-04-20 |
| 1336534908 | Harbor Ucla Medical Center | Clinic/Center | 1000 W Carson St, Ophthalmology Clinic Box 6, Carson, CA 90810-1408 | 2015-04-01 |
| 1427463470 | Kiranjot Dyal | Student in an Organized Health Care Education/Training Program | 1000 W Carson St, Box 19, Carson, CA 90810-1408 | 2014-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013567262 | Arsenia Morante Ramos | Technician | 1928 W Lincoln Street, Long Beach, CA 90810 | 2019-09-18 |
| 1992263867 | Yesenia Llerenas | Counselor | Children's Institute Inc, 1500 Hughes Way #100, Long Beach, CA 90810 | 2019-03-08 |
| 1649746215 | Cassandra Whitney Dewey | Counselor | 2120 W. Williams Street, Long Beach, CA 90810 | 2018-10-22 |
| 1497204028 | Jose Carlos Garcia | Dental Assistant | 2636 E Dominguez St, Long Beach, CA 90810 | 2016-09-23 |
| 1255706560 | Sabrina Navarro | Rehabilitation Practitioner | 1501 Hughles Way, Suite 150, Long Beach, CA 90810 | 2015-12-11 |
| 1275917692 | The Childrens Clinic 'serving Children and Their Families' | Clinic/Center | 2000 San Gabriel Avenue, Long Beach, CA 90810 | 2015-07-15 |
| 1881932168 | Ronald Merton Sommer | Family Medicine | 1436 W. 23rd St., Westside Free Clinic, Long Beach, CA 90810 | 2013-01-22 |
| 1619241601 | Vander J. Dale Jr. | Counselor | 2090 River Avenue, Long Beach, CA 90810 | 2012-03-08 |
| 1205125606 | Maria Anna Castillo Tejada | Physical Therapist | 2679 N La Vere Dr, Long Beach, CA 90810 | 2011-04-06 |
| 1386973436 | Roosevelt Williams Jr. | Physical Therapy Assistant | 6444 East Spring St, # 247, Long Beach, CA 90810 | 2009-12-21 |
| Find all providers in zip 90810 | ||||
| Taxonomy Code | 364SA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053784710 | Homeira Zarghamnia | Clinical Nurse Specialist | 982 Scorpion Pl, Fremont, CA 94539-6937 | 2015-11-03 |
| 1992119960 | Jovie De Leon-luck | Clinical Nurse Specialist | 7991 Sunkist Dr, Oakland, CA 94605-3050 | 2014-06-17 |
| 1750625588 | Honorine Penoria Pengho | Clinical Nurse Specialist | 4945 Angeles Vista Blvd, Los Angeles, CA 90043-1724 | 2012-11-16 |
| 1285915983 | Lenore Anne Hernandez | Clinical Nurse Specialist | 4301 Sand Creek Road, 1st Floor, 1h7, Antioch, CA 94531 | 2011-09-08 |
| 1669596953 | Nancy Lee Diehl | Clinical Nurse Specialist | 1680 E Roseville Pkwy Ste 151, Roseville, CA 95661-3988 | 2007-03-19 |
| 1033731435 | Kholoud Khalil | Clinical Nurse Specialist | 1250 N Bellflower Blvd, Long Beach, CA 90840-0004 | 2020-05-08 |
| 1265062913 | Suzanne Patricia Graf | Clinical Nurse Specialist | 15107 Vanowen St, Van Nuys, CA 91405-4542 | 2020-01-22 |
| 1336607589 | Marisa Swain | Clinical Nurse Specialist | 16250 Sand Canyon Ave, Irvine, CA 92618-3714 | 2019-03-06 |
| 1710481932 | Nora Jane Allen | Clinical Nurse Specialist | 10 Woodland Rd, Saint Helena, CA 94574-9554 | 2018-03-21 |
| 1699276220 | Bradley Fahs | Clinical Nurse Specialist | 300 Pasteur Dr, Palo Alto, CA 94305-2200 | 2018-02-28 |
| Find all providers with the same taxonomy | ||||
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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.