BALBINO SAN PEDRO GONZALES (NPI# 1124274766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124274766 |
| Entity Type | Individual |
| Full Name | BALBINO SAN PEDRO GONZALES |
| Practice Address |
2133 Root St Fullerton CA 92833-5665 |
| Practice Telephone | 7142625923 |
| Mailing Telephone | 7142625923 |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2008-08-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | VN232915 | CA | Nursing Service Providers |
| Street Address |
2133 ROOT ST |
| City | FULLERTON |
| State | CA |
| Zip Code | 92833-5665 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790333565 | Qz Enterpprises Corp | In Home Supportive Care | 2817 Muir Trail Dr, Fullerton, CA 92833 | 2019-08-26 |
| 1780114306 | Acupuncture Nara Inc | Clinic/Center | 2334 W. Valencia Dr., Fullerton, CA 92833 | 2017-06-15 |
| 1518350149 | Young A Lee | Nurse Practitioner | 2529 Monterey Pl, Fullerton, CA 92833 | 2015-03-06 |
| 1538557871 | Annacess Arcadio | Occupational Therapy Assistant | 1437 W Woodcrest Ave, Fullerton, CA 92833 | 2015-01-08 |
| 1710306923 | Nora Edith Heredia | Counselor | 1060 S Brookhurst Road, Fullerton, CA 92833 | 2014-04-15 |
| 1912322892 | Louis Michael Hinzo | Counselor | 1060 S. Brookhurst Rd., Fullerton, CA 92833 | 2014-02-28 |
| 1497011290 | Paul Choong Hwan Lee, M.d. A Medical Corporation | Ophthalmology | 1401 S. Brookhurst Rd., Suite 107, Fullerton, CA 92833 | 2012-04-05 |
| 1992073860 | Tammy Phan | Pharmacist | 1826 W Orangethrope Ave, Fullerton, CA 92833 | 2011-12-07 |
| 1346577160 | Hara Orthotics and Prosthetics,inc | Prosthetic/Orthotic Supplier | 1343 W. Valencia Dr., Suite E, Fullerton, CA 92833 | 2009-11-16 |
| 1265669923 | Marcelle Bonneau Taylor | Marriage & Family Therapist | 1145 W. Valencia Mesa, Emmanuel Episcopal Church, Fullerton, CA 92833 | 2009-06-19 |
| Find all providers in zip 92833 | ||||
| Taxonomy Code | 164X00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Vocational Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184261182 | Dora Leticia Villagran | Licensed Vocational Nurse | 2001 E Glenwood Ave, Fullerton, CA 92831-3003 | 2019-12-09 |
| 1689210338 | Mina Lee | Licensed Vocational Nurse | 2315 Conejo Ln, Fullerton, CA 92833-1536 | 2019-11-18 |
| 1891160867 | Lauren Devitt | Licensed Vocational Nurse | 626 W Wilshire Ave, Fullerton, CA 92832-1754 | 2015-12-02 |
| 1124304100 | Xiaoli Dou | Licensed Vocational Nurse | 2767 Williamsburg Rd, Fullerton, CA 92833-1423 | 2011-10-22 |
| 1467522417 | Susan Lynette Roseli | Licensed Vocational Nurse | 801 E. Chapman, Fullerton, CA 92831-3839 | 2006-11-08 |
| 1750941209 | Nichole Gonzalez | Licensed Vocational Nurse | 801 E Chapman Ave, Fullerton, CA 92831-3839 | 2019-06-17 |
| 1699243709 | Angelica R Lopez | Licensed Vocational Nurse | 801 E Chapman Ave Ste 203, Fullerton, CA 92831-3846 | 2018-11-06 |
| 1437641016 | Erika Nathalia Hernandez | Licensed Vocational Nurse | 801 E Chapman Ave Ste 203, Fullerton, CA 92831-3846 | 2018-05-31 |
| 1336654615 | Elizabeth Lopez | Licensed Vocational Nurse | 801 E Chapman Ave Ste 203, Fullerton, CA 92831-3846 | 2017-12-07 |
| 1023557725 | Dina Islas | Licensed Vocational Nurse | 801 E Chapman Ave Ste 203, Fullerton, CA 92831-3846 | 2017-02-15 |
| Find all providers in FULLERTON | ||||
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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.