MRS. JEDIDAH W KIEMA (NPI# 1144755638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144755638 |
| Entity Type | Individual |
| Full Name | MRS. JEDIDAH W KIEMA |
| Credential | REGISTERED NURSE |
| Practice Address |
6387 Pomegranate Ct Eastvale CA 92880-7203 |
| Practice Telephone | 6264889787 |
| Mailing Telephone | 6264889787 |
| Enumeration Date | 2017-04-22 |
| Last Update Date | 2017-04-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA2000X |
Registered Nurse Specialization: Administrator |
504041 | CA | Nursing Service Providers |
| Street Address |
6387 POMEGRANATE CT |
| City | EASTVALE |
| State | CA |
| Zip Code | 92880-7203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568084945 | Eastvale Family Care Inc. | Family Medicine | 14252 Schleisman Rd., Eastvale, CA 92880 | 2020-05-08 |
| 1982226460 | Eastvale Urgent Care Inc | Clinic/Center | 14252 Schleisman Rd, Eastvale, CA 92880 | 2020-05-07 |
| 1578199741 | Corrections and Rehabilitation | Pharmacy | 16756 Chino Corona Road, Corona, CA 92880 | 2020-03-19 |
| 1184274029 | Rocquel Mack | Licensed Vocational Nurse | 2131 Shelley Circle, Corona, CA 92880 | 2019-09-12 |
| 1255993176 | Symbiosis, Inc. | Clinic/Center | 3115 Palisades Drive, Corona, CA 92880 | 2019-07-01 |
| 1770065559 | Kumkum Mehta | Nurse Practitioner | 7391 Sungold Ave, Corona, CA 92880 | 2018-08-29 |
| 1629559802 | Skt Therapy Inc | Marriage & Family Therapist | 765 N Main St Ste 152, Corona, CA 92880 | 2018-08-24 |
| 1356854145 | Hk Durgs Inc | Pharmacy | 13394 Limonite Ave, Ste 120, Eastvale, CA 92880 | 2017-11-15 |
| 1134638653 | National Vision, Inc. | Technician/Technologist | 482 Main Street, Corona, CA 92880 | 2017-09-27 |
| 1922527464 | Crown Care Transportation | Non-emergency Medical Transport (VAN) | 13557 Nectarine Ave, Corona, CA 92880 | 2017-09-15 |
| Find all providers in zip 92880 | ||||
| Taxonomy Code | 163WA2000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Administrator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770190803 | Ma Adelver Quinitio Martin | Registered Nurse | 5912 Lomond Dr, San Diego, CA 92120-4541 | 2020-09-23 |
| 1285243444 | Tracy Travina Bennett | Registered Nurse | 10762 Wilson Ave, Alta Loma, CA 91737-2436 | 2020-07-23 |
| 1487262879 | Sally C Okeke | Registered Nurse | 15607 Lakewood Blvd Ste A, Paramount, CA 90723-4691 | 2020-07-21 |
| 1700494762 | Authorized Home Health Care Inc. | Registered Nurse | 12410 Burbank Blvd Ste 200, Valley Village, CA 91607-4732 | 2020-07-16 |
| 1306464003 | Gloria Quillope | Registered Nurse | 1061 E Bradley Ave, El Cajon, CA 92021-1232 | 2020-07-08 |
| 1164048682 | Marilyn A Wiedemann | Registered Nurse | 12089 Meriden Ln, San Diego, CA 92128-4339 | 2020-06-20 |
| 1760007991 | Petrina J Beugre | Registered Nurse | 110 Cedar Pointe Loop Apt 1004, San Ramon, CA 94583-4198 | 2020-06-12 |
| 1881216703 | Tabitha Shannon | Registered Nurse | 8910 Westhill Rd, Lakeside, CA 92040-3617 | 2020-05-13 |
| 1093335887 | Terrevia La Shawn Buck | Registered Nurse | 1423 W 66th St, Los Angeles, CA 90047-2011 | 2020-04-21 |
| 1770103574 | Latonda Knox | Registered Nurse | 288 W Terrace St, Altadena, CA 91001-4706 | 2020-04-21 |
| 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.