IVORY ADANZA (NPI# 1053702159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053702159 |
| Entity Type | Individual |
| Full Name | IVORY ADANZA |
| Practice Address |
1801 E March Ln Ste D480 Stockton CA 95210-6681 |
| Practice Telephone | 2099543200 |
| Mailing Telephone | 2099543200 |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2015-02-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LX0106X |
Nurse Practitioner Specialization: Occupational Health |
95001966 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1801 E MARCH LN STE D480 |
| City | STOCKTON |
| State | CA |
| Zip Code | 95210-6681 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063021970 | Leslie Jazmin Marin | Student in an Organized Health Care Education/Training Program | 7109 Danny Dr, Stockton, Stockton, CA 95210 | 2020-07-27 |
| 1043866692 | Alexis Thomasson | Behavior Technician | 7109 Danny Drive, Stockton, CA 95210 | 2019-08-09 |
| 1821651324 | Maria Guadalupe Toledo | Lactation Consultant, Non-RN | 7912 Hammer Lane, Stockton, CA 95210 | 2019-04-19 |
| 1508226440 | Active Life Adult Day Care, Inc. | Clinic/Center | 7209 Tam O'shanter Dr., Stockton, CA 95210 | 2016-03-04 |
| 1548631260 | Rachel Standley | Substance Abuse Rehabilitation Facility | 8017 El Cajon St, Stockton, CA 95210 | 2015-10-08 |
| 1225435308 | Active Life Medical Produtcs Inc | Durable Medical Equipment & Medical Supplies | 611 W Grider Way, Stockton, CA 95210 | 2014-12-04 |
| 1942633318 | Kimberly Ruiz Dizon | Physician Assistant | 1530 E Hammer Ln, Stockton, CA 95210 | 2013-08-20 |
| 1285920983 | Supplemental Health Care | Preferred Provider Organization | 8425 Kiltie Wy, Stockton, CA 95210 | 2011-06-22 |
| 1770807901 | Stockton Medical Weight Loss Center Inc | Internal Medicine | 1801 E. March Lane, Suite 400d, Stockton, CA 95210 | 2010-03-17 |
| 1699911412 | Pratap Krishna Anne | Pharmacist | 1801 E.march Ln, Suite:b280, Bjrx, Stockton, CA 95210 | 2008-12-29 |
| Find all providers in zip 95210 | ||||
| Taxonomy Code | 363LX0106X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Occupational Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932707114 | Jacob Berumen | Nurse Practitioner | 1134 Lemoyne St, Los Angeles, CA 90026-3207 | 2020-10-11 |
| 1427448414 | Nancy Seiler | Nurse Practitioner | 1305 Peach St Suite 301, San Luis Obispo, CA 93401-2700 | 2015-01-28 |
| 1619315165 | Christine Hovorka Weimer | Nurse Practitioner | 1515 Walnut Grove Ave, 1st Floor, Rosemead, CA 91770-3710 | 2013-06-06 |
| 1497098529 | Erin Lum | Nurse Practitioner | 77 Beale St Fl 3, Pg&e Health Center, San Francisco, CA 94105-1814 | 2013-03-27 |
| 1194019448 | Susan S Harada | Nurse Practitioner | 405 Bedford Pl, Thousand Oaks, CA 91360-5329 | 2011-06-03 |
| 1104151182 | Mary Elizabeth Murali | Nurse Practitioner | 1159 Mataro Ct, Pleasanton, CA 94566-6981 | 2009-10-08 |
| 1790946085 | Sherrill Diane Petherbridge | Nurse Practitioner | 736 W Jasmine Cir, Santa Rosa, CA 95407-6778 | 2008-06-19 |
| 1750550349 | Tammy Ann Watts | Nurse Practitioner | 5858 Stoneridge Mall Rd, Safeway Health Center, Pleasanton, CA 94588-3231 | 2008-02-27 |
| 1710182589 | Evangelina Ramirez | Nurse Practitioner | 200 Ucla Medical Plz Ste 224, Los Angeles, CA 90095-6926 | 2007-06-20 |
| 1487876595 | Monika Inslee Fischer | Nurse Practitioner | 522 E Broadway, Suite 200, Glendale, CA 91205-4927 | 2007-05-02 |
| 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.