MS. MARIANA CONCEPCION MOUALEM (NPI# 1003187915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003187915 |
| Entity Type | Individual |
| Full Name | MS. MARIANA CONCEPCION MOUALEM |
| Credential | FNP |
| Practice Address |
1800 Western Ave Ste 305 San Bernardino CA 92411-1354 |
| Mailing Address |
908 North Ardmore Ave Los Angeles CA 90029 |
| Practice Telephone | 9098809993 |
| Practice Fax Number | 9098809998 |
| Mailing Telephone | 6266328795 |
| Enumeration Date | 2012-01-24 |
| Last Update Date | 2018-10-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
21556 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1800 WESTERN AVE STE 305 |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92411-1354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235351206 | Edgar Eduardo Alfaro- Mcfield | Pediatrics | 1800 Western Ave Ste 305, San Bernardino, CA 92411-1354 | 2007-05-02 |
| 1972124626 | April Bellamy | Nurse Practitioner | 1800 Western Ave Ste 305, San Bernardino, CA 92411-1354 | 2020-05-05 |
| 1164057022 | Margaret Akua Amoo | Nurse Practitioner | 1800 Western Ave Ste 305, San Bernardino, CA 92411-1354 | 2020-03-11 |
| 1568005833 | Jennifer Marina Muniz | Nurse Practitioner | 1800 Western Ave Ste 305, San Bernardino, CA 92411-1354 | 2019-10-19 |
| 1982115077 | Anne Elizabeth Lama | Nurse Practitioner | 1800 Western Ave Ste 305, San Bernardino, CA 92411-1354 | 2017-10-17 |
| 1255609483 | Alfaro Mcfield Medical Clinic Inc. | Pediatrics | 1800 Western Ave Ste 305, San Bernardino, CA 92411-1354 | 2011-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619537016 | Shaunice Renee Cox | Case Manager/Care Coordinator | 1604 Pennsylvania Street, San Bernardino, CA 92411 | 2019-06-18 |
| 1104327543 | Wilson Gomer M.d. Professional Medical Corporation | Clinic/Center | 1800 Western Ave Ste 103, San Bernardino, CA 92411 | 2018-02-21 |
| 1467883504 | Pedro Lynn Hayes | Nurse Practitioner | 1800 Medical Center Dr. #99, San Bernardono, CA 92411 | 2013-11-27 |
| 1184973505 | Maria G Villasenor Perez | Social Worker | 1002 W 7th St, San Bernardino, CA 92411 | 2012-08-30 |
| 1003140948 | Joe Mawad | Obstetrics & Gynecology | 1800 Western Ave Ste 204, San Bernardino, CA 92411 | 2009-09-24 |
| 1124255146 | Angie Bagheri Cook | Pediatrics | 565 N. Mount Vernon Ave, San Bernardino, CA 92411 | 2009-06-17 |
| 1770637365 | Paul Anthony Tenette | Pharmacist | Delta Drugs, 1666 N Medical Center Drive, San Bernadino, CA 92411 | 2007-01-22 |
| 1225117328 | Vinod Kumar Kaura | Internal Medicine | 1800 N Western Ave #303, San Bernardino, CA 92411 | 2006-11-02 |
| 1861582314 | Cecilia Talpa Quinones | Physician Assistant | 565 N. Mount Vernon Ave., San Bernardino, CA 92411 | 2006-10-13 |
| 1710075247 | Bramara Arya | Pediatrics | 1505 W. 17th Street, San Bernardino, CA 92411 | 2006-10-10 |
| Find all providers in zip 92411 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205378437 | Tristar Home Visit Providers Inc | Nurse Practitioner | 275 W Hospitality Ln Ste 103a, San Bernardino, CA 92408-3238 | 2016-11-04 |
| 1801282074 | Andrea Wade | Nurse Practitioner | 351 N Mountain View Ave Fas, San Bernardino, CA 92415-3115 | 2015-04-14 |
| 1912396201 | Eric Eschweiler | Nurse Practitioner | 590 N D St, San Bernardino, CA 92401-1352 | 2015-01-09 |
| 1437551561 | Priscilla Naamomo Otubuah | Nurse Practitioner | 164 W Hospitality Ln Ste 100, San Bernardino, CA 92408-3316 | 2014-09-19 |
| 1851729768 | Mercy Manaen | Nurse Practitioner | 164 W Hospitality Ln # 100, San Bernardino, CA 92408 | 2013-10-31 |
| 1841628930 | Sarita Shivakoti | Nurse Practitioner | 2150 N Waterman Ave Ste 200, San Bernardino, CA 92404-4811 | 2013-10-29 |
| 1841584778 | Sheryl Lee O. De La Cruz | Nurse Practitioner | 1850 S Waterman Ave Ste D, San Bernardino, CA 92408-2852 | 2011-06-08 |
| 1255630398 | Tracy Ann Preston | Nurse Practitioner | 1543 W 8th St, San Bernardino, CA 92411-2566 | 2011-03-15 |
| 1982905410 | Dr Ruth Tanyi, Inc | Nurse Practitioner | 577 N D St Ste 101, San Bernardino, CA 92401-1326 | 2010-11-15 |
| 1639382773 | Cathy Sampson-siriani | Nurse Practitioner | 3704 Canyon Terrace Dr, 9680 Citrus Ave, Blgd#33 Fontana, Ca 92335, San Bernardino, CA 92407-4106 | 2007-05-07 |
| Find all providers in SAN BERNARDINO | ||||
| City | SAN BERNARDINO |
| Zip Code | 92411 |
Please comment or provide details below to improve the information on MS. MARIANA CONCEPCION MOUALEM.
| 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.