RONALD D FILLMORE (NPI# 1003019282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003019282 |
| Entity Type | Individual |
| Full Name | RONALD D FILLMORE |
| Credential | CRNFA |
| Practice Address |
2776 Pacific Ave Pacific Hospital of Long Beach Long Beach CA 90806-2613 |
| Mailing Address |
Po Box 6580 Long Beach CA 90806-6580 |
| Practice Telephone | 7605349550 |
| Practice Fax Number | 9518089700 |
| Mailing Telephone | 7605349550 |
| Mailing Fax Number | 9518089700 |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WR0006X |
Registered Nurse Specialization: Registered Nurse First Assistant |
305990 | CA | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CRNFA LIC NUMBER | 305990 | 01 |
| Street Address |
2776 PACIFIC AVE PACIFIC HOSPITAL OF LONG BEACH |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90806-2613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366411217 | Angeline Chang Barnes | Anesthesiology | 2776 Pacific Ave, Long Beach, CA 90806-2613 | 2006-03-14 |
| 1972126696 | Yasemin Bulut Balin | Student in an Organized Health Care Education/Training Program | 2776 Pacific Ave, Long Beach, CA 90806-2613 | 2020-05-28 |
| 1578185658 | Jacqueline Jines | Registered Nurse | 2776 Pacific Ave, Long Beach, CA 90806-2613 | 2020-05-12 |
| 1891329157 | Cody Tyler Casalegno | Family Medicine | 2776 Pacific Ave, Long Beach, CA 90806-2613 | 2020-02-26 |
| 1427688167 | Marlynn Ortiz | Registered Nurse | 2776 Pacific Ave, Long Beach, CA 90806-2613 | 2020-01-22 |
| 1295380517 | Houman Badrzadeh | Student in an Organized Health Care Education/Training Program | 2776 Pacific Ave, Long Beach, CA 90806-2613 | 2019-08-04 |
| 1982258349 | Rajesh Chundu | Internal Medicine | 2776 Pacific Ave, Long Beach, CA 90806-2613 | 2019-07-24 |
| 1982257531 | Chase Bastian | Student in an Organized Health Care Education/Training Program | 2776 Pacific Ave, Long Beach, CA 90806-2613 | 2019-07-23 |
| 1497308100 | Mary Catherine Mora Valdez-guzman | Student in an Organized Health Care Education/Training Program | 2776 Pacific Ave, Long Beach, CA 90806-2613 | 2019-07-22 |
| 1760035489 | Jakob Francis | Student in an Organized Health Care Education/Training Program | 2776 Pacific Ave, Long Beach, CA 90806-2613 | 2019-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437624913 | Blanca C Gonzalez | Community Health Worker | 2600 Redondo Ave 6th Floor, Long Beach, CA 90806 | 2018-10-10 |
| 1780192740 | New Healthcare Supplies Inc | Durable Medical Equipment & Medical Supplies | 1001 E Pacific Coast Hwy Ste 117, Long Beach, CA 90806 | 2018-01-11 |
| 1265946586 | California Sleep Neurology Organization for Wellness | Clinic/Center | 2651 Elm Avenue, Suite 205, Long Beach, CA 90806 | 2017-11-22 |
| 1053820613 | Magnolia Cedeno-moreno | Counselor | 2600 Redondo Ave. 3rd Fl, Long Beach, CA 90806 | 2017-09-27 |
| 1144747569 | Kimberly Savanannah Rodriguez | Social Worker | 2600 Redondo Ave., 6th Floor, Long Beach, CA 90806 | 2017-08-25 |
| 1194257170 | Sarah Mahmood | Pediatrics | The Children's Clinic, 2360 Pacific Ave, Long Beach, CA 90806 | 2017-03-29 |
| 1801334784 | Denise Harbor | Student in an Organized Health Care Education/Training Program | 721 East 28th Street, Suite 401, Long Beach, CA 90806 | 2017-02-10 |
| 1083152839 | Kim Vu | Student in an Organized Health Care Education/Training Program | 701 East 28th Street Ste. 416, Long Beach, CA 90806 | 2017-02-01 |
| 1568910719 | Andrea Corona | Community Health Worker | 850 W Wardlow Rd, Long Beach, CA 90806 | 2016-09-16 |
| 1235589110 | Sarah Keihany-yazdy | Nurse Practitioner | 2000 San Gabriel Ave, Long Beach, CA 90806 | 2016-06-21 |
| Find all providers in zip 90806 | ||||
| Taxonomy Code | 163WR0006X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Registered Nurse First Assistant |
| A perioperative registered nurse who works in collaboration with the surgeon and other health care team members to achieve optimal outcomes. The RNFA has acquired the necessary knowledge, judgment, and skills specific to the expanded role of RNFA clinical practice. Intraoperatively, the RNFA assists the surgeon. |
| Notes: Source: AORN Official Statement on RNFAs ratified by the AORN House of Delegates in 2004. [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205044138 | Teaubias Harold Boesch | Registered Nurse | 336 E Janice St, Long Beach, CA 90805-2913 | 2007-05-21 |
| 1962017327 | Kellie Leann Padilla | Registered Nurse | 2801 Atlantic Ave, Long Beach, CA 90806-1701 | 2020-09-12 |
| 1528561818 | Corazon C. Reighard | Registered Nurse | 3700 E South St, Long Beach, CA 90805-5038 | 2018-03-13 |
| 1700394756 | Roberta Barraza | Registered Nurse | 2801 Atlantic Ave, Long Beach, CA 90806-1701 | 2018-01-11 |
| 1841660297 | Karla Grimm | Registered Nurse | 2760 Atlantic Ave, Long Beach, CA 90806-2755 | 2015-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760006514 | Rudhel Agtang Baniaga | Registered Nurse | 401 E Wren Ave, Visalia, CA 93291-2103 | 2020-06-07 |
| 1306492541 | Sinath Prom | Registered Nurse | 1642 Trieste Ct, San Jose, CA 95122-3833 | 2019-08-14 |
| 1467014142 | Amber Michelle Packer | Registered Nurse | 22 Corporate Plaza Dr Ste 150, Newport Beach, CA 92660-7999 | 2019-07-02 |
| 1861056194 | Dean A Hopkins Cnor Rnfa | Registered Nurse | 1643 Palatia Dr, Roseville, CA 95661-7751 | 2019-04-22 |
| 1841758075 | Christine Andres Jose | Registered Nurse | 5341 Aspen St, Dublin, CA 94568-7676 | 2019-03-06 |
| 1215406996 | Alfredo Pastor | Registered Nurse | 9510 Lake Superior Dr, Bakersfield, CA 93312-6246 | 2018-11-25 |
| 1457839953 | Gabriel Valdez Perez | Registered Nurse | 38 Terrace Dr, Concord, CA 94518-2045 | 2018-08-06 |
| 1639660483 | Shelly Lynn Hill | Registered Nurse | 7050 N Recreation Ave Ste 103, Fresno, CA 93720-8001 | 2018-05-27 |
| 1518455765 | Harjet Kaur | Registered Nurse | 12064 Roswell Ave, Chino, CA 91710-1550 | 2018-04-24 |
| 1972091270 | Staci Ann Mckee | Registered Nurse | 1559 Beacon Ridge Way, Corona, CA 92883-0726 | 2018-04-23 |
| Find all providers with the same taxonomy | ||||
| City | LONG BEACH |
| Zip Code | 90806 |
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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.