CATHERINE EZELL (NPI# 1144831322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
Street Address |
12677 HESPERIA RD SUITE 170 |
City | VICTORVILLE |
State | CA |
Zip Code | 92395-7754 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 92395 |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
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 |
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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 |
Find all providers with the same taxonomy |
City | VICTORVILLE |
Zip Code | 92395 |
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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.