CHARLISSA MITCHELL-PERRY (NPI# 1104138213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104138213 |
| Entity Type | Individual |
| Full Name | CHARLISSA MITCHELL-PERRY |
| Practice Address |
3210 Osuna Way Sacramento CA 95833-2787 |
| Practice Telephone | 9165680700 |
| Mailing Telephone | 9165680700 |
| Enumeration Date | 2010-07-06 |
| Last Update Date | 2010-07-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 343900000X | Non-emergency Medical Transport (VAN) | CA | Transportation Services | |
| Y | 347C00000X | Private Vehicle | Transportation Services |
| Street Address |
3210 OSUNA WAY |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95833-2787 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952931487 | Anisa Sims | Counselor | 2688 Stonecreek Dr Apt 137, Sacramento, CA 95833 | 2020-01-23 |
| 1508385949 | Victoria Gabriella Lobatos | Behavioral Analyst | 2915 Azevedo Dr, Sacramento, CA 95833 | 2017-09-18 |
| 1083131908 | Jody Ellen Sytten | Registered Nurse | 2890 Gateway Oaks, Suite 250, Sacramento, CA 95833 | 2017-08-23 |
| 1588181291 | Nora Catherine Myer | Registered Nurse | 2890 Gateway Oaks Suite 250, Sacramento, CA 95833 | 2017-08-23 |
| 1487177689 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1630 West El Camino Ave, Sacramento, CA 95833 | 2017-07-19 |
| 1013430537 | Daniela Lupe | Social Worker | 2800 Amerian Ave, Sacramento, CA 95833 | 2017-07-18 |
| 1194170563 | Tia Lorraine Johnson | Behavioral Analyst | 1416 Brewerton Dr #306, Sacramento, CA 95833 | 2016-05-04 |
| 1053751081 | Kelley Davenport | Behavioral Analyst | 2150 River Plaza Dr Ste 410, Sacramento, CA 95833 | 2013-07-05 |
| 1194075671 | Jennifer Lynn Reddy | Pharmacist | 2200 River Plaza Drive, Sacramento, CA 95833 | 2012-09-12 |
| 1851693295 | Ponce De Leon Dental | Dentist | 1589 W. El Camino Ave., Ste. 108, Sacramento, CA 95833 | 2010-11-17 |
| Find all providers in zip 95833 | ||||
| Taxonomy Code | 347C00000X |
| Grouping | Transportation Services |
| Classification | Private Vehicle |
| An individual paid to provide non-emergency transportation using their privately owned/leased vehicle. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699325977 | Temam Enterprises LLC | Private Vehicle | 6825 Stockton Blvd Ste 255, Sacramento, CA 95823-2477 | 2019-09-18 |
| 1235634130 | Tommy Lee Jones II | Private Vehicle | 5101 Mascot Ave, Sacramento, CA 95820-4968 | 2018-03-24 |
| 1235647462 | Peppermint Palm Senior Care | Private Vehicle | 10017 Federalist Ln, Sacramento, CA 95827-1934 | 2018-01-23 |
| 1568730471 | Amnor Inc | Private Vehicle | 3333 Balmoral Dr, Sacramento, CA 95821-6303 | 2011-12-06 |
| 1992250203 | Helping Hearts Foundation, Inc | Private Vehicle | 3050 Fite Cir, Suite 205, Sacramento, CA 95827-1806 | 2016-08-17 |
| 1487981346 | You-ride, LLC | Private Vehicle | 2330 Fruitridge Rd Ste 2, Sacramento, CA 95822-3156 | 2009-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124630496 | Edoba Asemota | Private Vehicle | 2019 Los Feliz Dr, Thousand Oaks, CA 91362-3070 | 2020-08-18 |
| 1154931558 | Tanea Ingram | Private Vehicle | 1285 Stratford Ave # G202, Dixon, CA 95620-2026 | 2020-07-31 |
| 1417565417 | Michael E Crews | Private Vehicle | 231 W Alvin Dr, Salinas, CA 93906-2759 | 2020-07-16 |
| 1730707464 | Onward Cares, Inc. | Private Vehicle | 201 Morning Sun Ave, Mill Valley, CA 94941 | 2020-07-09 |
| 1164049672 | Alexandra Martinez | Private Vehicle | 14250 Lucian Ave, San Jose, CA 95127-1433 | 2020-06-30 |
| 1912529231 | Runner Tranportation Services, LLC LLC | Private Vehicle | 2929 La Cresta Rd, El Cajon, CA 92021-3788 | 2020-05-08 |
| 1780212019 | Express Medical Transit LLC | Private Vehicle | 630 S Glassell St # 104b, Orange, CA 92866-3004 | 2020-03-31 |
| 1447897053 | Caring Drivers, Inc. | Private Vehicle | 8 Alcoba, Irvine, CA 92614-8424 | 2019-12-02 |
| 1386286722 | Celso Rios Martinez | Private Vehicle | 3366 Evening Mist Ln, Perris, CA 92571-3760 | 2019-10-16 |
| 1598314577 | Knight Rider Transport Inc | Private Vehicle | 21334 Ocasey Ct, Moreno Valley, CA 92557 | 2019-09-11 |
| Find all providers with the same taxonomy | ||||
| City | SACRAMENTO |
| Zip Code | 95833 |
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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.