CATHERINE EZELL


Address: 12677 Hesperia Rd, Suite 170, Victorville, CA 92395-7754
Phone: 7142275198

CATHERINE EZELL (NPI# 1144831322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144831322
Entity Type Individual
Full Name CATHERINE EZELL
Practice Address 12677 Hesperia Rd
Suite 170
Victorville
CA 92395-7754
Mailing Address 12677 Hesperia Rd Ste 170
Victorville
CA 92395-7754
Practice Telephone 7142275198
Enumeration Date 2020-08-12
Last Update Date 2020-08-12
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
NP95014747 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 12677 HESPERIA RD
SUITE 170
City VICTORVILLE
State CA
Zip Code 92395-7754

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639175490 Joel Quijano Velasquez Internal Medicine 12677 Hesperia Rd, Suite 130, Victorville, CA 92395-7735 2005-06-24
1164972865 Jatin Mehta Pharmacist 12677 Hesperia Rd, Ste 180, Victorville, CA 92395-7735 2016-10-06
1184174732 Mala Mehta Pharmacist 12677 Hesperia Rd, Suite 180, Victorville, CA 92395-7735 2016-10-06
1629493150 Megan Reynolds Nurse Practitioner 12677 Hesperia Rd, Suite 160, Victorville, CA 92395-7735 2014-02-20
1548539653 Rainilda P. Valencia, M.d., Inc. Pediatrics 12677 Hesperia Rd, Suite 160, Victorville, CA 92395-7735 2011-12-19
1114230398 Elaine Elizabeth Miller Nurse Practitioner 12677 Hesperia Rd, Suite 170, Victorville, CA 92395-7735 2010-07-16
1790917680 Neland Kisinger Nurse Practitioner 12677 Hesperia Rd, Suite 160, Victorville, CA 92395-7735 2009-08-11
1922239953 Micaela Marin-tucker Physician Assistant 12677 Hesperia Rd, Suite 160, Victorville, CA 92395-7735 2009-08-07
1124141122 Agnes G Quion Internal Medicine 12677 Hesperia Rd, Ste 120, Victorville, CA 92395-7735 2007-04-06
1013032762 Deepika Saini Pediatrics 12677 Hesperia Rd, Victorville, CA 92395-7735 2007-03-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043837966 Desert Ridge Transitional Care Center, Lp Skilled Nursing Facility 13300 11th Avenue, Victorville, CA 92395 2020-06-26
1376179093 Catherine Ward Speech-Language Pathologist 13275 Mauka Ct, Victorville, CA 92395 2020-03-13
1174019228 Laura Mercado Halterman Family Medicine 16519 Victor St Ste 307, Victorville, CA 92395 2018-07-02
1306337829 Stephanie Ann Kruger Behavior Technician Sunny Days Inc 3602 Inland Empire Blvd., Ontario, CA 92395 2018-05-21
1861903924 Debra L Andersen Clinic/Center 12830 Hesperia Road, Suite C, D, E, Victorville, CALIFORNIA 92395 2017-10-17
1790202141 Joshua Powers Physician Assistant 12550 Hesperia Rd Ste 101, Victorville, CA 92395 2017-08-26
1043759491 Kemp Individual & Family Therapy, Inc. Marriage & Family Therapist 14075 Hesperia Road, Suite 101, Victorville, CA 92395 2017-02-17
1740725969 Abem Transportation Inc Non-emergency Medical Transport (VAN) 15000 7th St Ste F208, Victorville, CA 92395 2016-12-23
1447669379 Tracie Girard Nurse Practitioner 17330 Bear Valley Road, Suite A106, Victorville, CA 92395 2014-08-05
1093153215 Mitesh Patel Surgery 13010 Hesperia Rd Ste 400, Victorville, CA 92395 2013-06-10
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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487106464 Jean Huang Nurse Practitioner 17290 Jasmine St, Victorville, CA 92395-7709 2016-10-26
1669838637 Dennise Walker Nurse Practitioner 12760 Hesperia Rd Ste B, Victorville, CA 92395-8305 2016-01-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1235738782 Peninsula Healthcare Center Nurse Practitioner 22330 Hawthorne Blvd Ste 208, Torrance, CA 90505-2536 2020-10-25
1710584008 Venessa Beck Nurse Practitioner 903 Cardiff St, San Diego, CA 92114-5019 2020-10-08
1053918094 Janel Nicole Sanglerat Nurse Practitioner 416 Aviation Blvd, Santa Rosa, CA 95403-1032 2020-10-02
1790382760 Christopher Tran Nurse Practitioner 11441 Heacock St Ste F, Moreno Valley, CA 92557-7907 2020-10-02
1487266292 Mollie Shira Hudson Nurse Practitioner 14 Whitmore Pl Apt 15, Oakland, CA 94611-4635 2020-08-21
1962014381 Mario Javier Herrera Nurse Practitioner 2130 High Pointe Dr, Apt 108, Corona, CA 92879 2020-08-18
1952912131 Norman Ivan Kier Nurse Practitioner 3834 Edison Ave, Sacramento, CA 95821-2728 2020-08-12
1942811377 Thanhan Mathews Nurse Practitioner 114 W Cameron St Apt B, Hanford, CA 93230-2965 2020-08-10
1972113355 Marine Mary Kademyan Nurse Practitioner 6528 Babcock Ave, North Hollywood, CA 91606 2020-07-31
1245849645 Shannon Pereira Nurse Practitioner 2368 Honeysuckle Way, Hemet, CA 92545-4796 2020-07-31
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Competitor

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City VICTORVILLE
Zip Code 92395

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Dataset Information

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.

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