MR. DANIEL BENJAMIN GRAVILONI (NPI# 1073072963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073072963 |
Entity Type | Individual |
Full Name | MR. DANIEL BENJAMIN GRAVILONI |
Credential | RCP |
Practice Address |
101 E Valencia Mesa Dr Fullerton CA 92835-3809 |
Practice Telephone | 7149923000 |
Mailing Telephone | 7149923000 |
Enumeration Date | 2019-03-19 |
Last Update Date | 2019-03-19 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 227900000X | Respiratory Therapist, Registered | 19033 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Y | 2279P3900X |
Respiratory Therapist, Registered Specialization: Neonatal/Pediatrics |
19033 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | RCB | 19033 | 01 |
CA | RESPIRATORY CARE BOARD | 19033 | 01 |
Street Address |
101 E VALENCIA MESA DR |
City | FULLERTON |
State | CA |
Zip Code | 92835-3809 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912989591 | Pei-jing Ma | Physician Assistant | 101 E Valencia Mesa Dr, Em Dept, Fullerton, CA 92835-3809 | 2005-11-18 |
1508493461 | Key Medical Rehab Inc. | Physical Medicine & Rehabilitation | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3809 | 2020-03-23 |
1902439938 | Collin Michael Fuhrman | Physician Assistant | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3809 | 2020-02-18 |
1427697762 | Ashley Jungkman | Dietitian, Registered | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3809 | 2020-01-03 |
1720632136 | Ken Yu Ki Chan | Nurse Practitioner | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3809 | 2019-07-25 |
1548812332 | Don R Miller | Pharmacist | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3809 | 2019-07-11 |
1700445640 | Hanna Ro | Physician Assistant | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3809 | 2019-06-12 |
1023674298 | Gwendolyn Nguyen | Physician Assistant | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3809 | 2019-05-14 |
1639655947 | Noli Veneracion | Physical Therapist | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3809 | 2018-07-19 |
1346726908 | Tracy Nickloff | Social Worker | 101 E Valencia Mesa Dr, Fullerton, CA 92835-3809 | 2018-07-17 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538774302 | Natalie Baugh | Nutritionist | 333 W Bastanchury Rd 110, Fullerton, CA 92835 | 2020-09-09 |
1073127098 | Cecile Mae Sam | Physical Therapist | 2932 Clover Ct, Fullerton, CA 92835 | 2020-09-08 |
1861966087 | Kimson F Johnston | Marriage & Family Therapist | 1370 Brea Blvd Suite 210, Fullerton, CA 92835 | 2019-01-22 |
1134636327 | Michelle Harriman, Psychologist - A Professional Corporation | Psychologist | 1440 N Harbor Blvd Ste 808, Fullerton, CA 92835 | 2018-01-09 |
1659818631 | Jacqueline Rene Miller | Specialist/Technologist | 2610 Associated Rd, Apt A4, Fullerton, CA 92835 | 2017-01-27 |
1912361106 | John Nathaniel Alvarez | Psychiatry & Neurology | 401 E Imperial Highway, Fullerton, CA 92835 | 2016-04-13 |
1083075030 | Advance Recovery Solution, LLC | Substance Abuse Rehabilitation Facility | 3744 N Hermosa Pl, Fullerton, CA 92835 | 2016-03-17 |
1467817981 | Michele Ledesma | Physical Therapy Assistant | 2800 N. Harbor Blvd., Fullerton, CA 92835 | 2015-12-29 |
1467820571 | Jonghan Kang | Acupuncturist | 1321 N Harbor Blvd Ste 205, Fullerton, CA 92835 | 2015-09-04 |
1265840987 | Allison Leigh Kennedy | Physician Assistant | 100 Laguna Rd Ste 208, Fullerton, CA 92835 | 2014-07-25 |
Find all providers in zip 92835 |
Taxonomy Code | 2279P3900X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Respiratory Therapist, Registered |
Specialization | Neonatal/Pediatrics |
The care and treatment of premature infants, newborns and children. This includes management of mechanical ventilation, assessment, diagnostics and generalized respiratory treatments. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598190118 | Daniel Cosa | Respiratory Therapist, Registered | 1138 Vu Ave, Fullerton, CA 92833-5751 | 2013-09-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952921744 | Suzanna Michelle Garcia | Respiratory Therapist, Registered | 9211 Long Island Dr, Bakersfield, CA 93311-9549 | 2020-04-21 |
1992285019 | Vernice Ann Wright | Respiratory Therapist, Registered | 15611 Deblynn Ave, Gardena, CA 90248-2328 | 2018-08-17 |
1124513395 | Monique Antoinette Campbell | Respiratory Therapist, Registered | 19406 Opal Ln, Santa Clarita, CA 91350-3243 | 2018-06-28 |
1750723805 | Jennifer Lynn Holsworth | Respiratory Therapist, Registered | 157 Chestnut St, Apt 244, Santa Cruz, CA 95060-4997 | 2013-07-17 |
1285939546 | Philip Michael Sorkin | Respiratory Therapist, Registered | 21417 Stanwell St, Chatsworth, CA 91311-2253 | 2011-01-18 |
1467757153 | John Hayden Pryor | Respiratory Therapist, Registered | 2082 Newbury Rd Ste 14, Newbury Park, CA 91320-3368 | 2011-01-11 |
1508079989 | William David Schumacher | Respiratory Therapist, Registered | 1240 North Mission Road, Los Angeles, CA 90033 | 2007-05-08 |
1427658574 | Matthew Cook | Respiratory Therapist, Registered | 2051 Marengo St, Los Angeles, CA 90033-1352 | 2020-10-28 |
1790390185 | Jill M Wilson | Respiratory Therapist, Registered | 39400 Paseo Padre Pkwy, Fremont, CA 94538-2310 | 2020-09-11 |
1730709874 | Hanaela Chung | Respiratory Therapist, Registered | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2020-04-18 |
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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.