JEREMY A COSTALES (NPI# 1154934156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154934156 |
| Entity Type | Individual |
| Full Name | JEREMY A COSTALES |
| Credential | RN, BSN |
| Practice Address |
446 Alta Rd Ste 5300 San Diego CA 92158-0001 |
| Mailing Address |
1696 San Anselmo St Chula Vista CA 91913-2918 |
| Practice Telephone | 6196612789 |
| Mailing Telephone | 6195183296 |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2020-08-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 95137414 | CA | Nursing Service Providers |
| Street Address |
446 ALTA RD STE 5300 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92158-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093325516 | Rodolfo Prilla Locsin | Registered Nurse | 446 Alta Rd Ste 5300, San Diego, CA 92158-0001 | 2020-08-10 |
| 1427669167 | Ellen Ramones Lastrella | Registered Nurse | 446 Alta Rd Ste 5300, San Diego, CA 92158-0001 | 2020-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194336982 | Adelita Jasso | Licensed Vocational Nurse | 446 Alta Rd # 300, San Diego, CA 92158-0001 | 2020-08-14 |
| 1538779020 | Grace Lumenario Cecilio | Registered Nurse | George Bailey Detention Facility 446 Alta Rd Ste 5300, San Diego, CA 92158-0001 | 2020-08-09 |
| 1447860945 | Vanessa Pearl Arceo Rimando | Registered Nurse | George Bailey Detention Facility 446 Alta Rd Suite 5300, San Diego, CA 92158-0001 | 2020-08-09 |
| 1437423019 | Lin L Chen-peng | Pharmacist | 408 Alta Rd, San Diego, CA 92158-0001 | 2012-02-29 |
| 1407155401 | Stephanie Delphine Daniels | Pharmacist | 446 Alta Rd Ste 5400, Attn: Ihsc Pharmacy, San Diego, CA 92158-0001 | 2011-03-17 |
| 1750418042 | Sonia Angelica Bahro | Counselor | 446 Alta Rd Ste 6100, San Diego, CA 92158-0001 | 2007-02-27 |
| 1255422754 | Bonnie Anne Saylor | Registered Nurse | 446 Alta Rd, Suite 500, San Diego, CA 92158-0001 | 2006-09-28 |
| 1346852837 | Francis Martin Orca Mase | Registered Nurse | 446 Alta Rd, San Diego, CA 92158-0001 | 2020-08-18 |
| 1538770763 | Ciani Palencia | Registered Nurse | 446 Alta Rd, San Diego, CA 92158-0001 | 2020-08-12 |
| 1356952584 | Jack Medrano Mejia | Registered Nurse | 446 Alta Rd, San Diego, CA 92158-0001 | 2020-08-12 |
| Find all providers in zip 92158 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and 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 |
|---|---|---|---|---|
| 1346841541 | Guadalupe Ibarra Sanders | Registered Nurse | 9022 Flanders Dr, San Diego, CA 92126-2826 | 2020-11-04 |
| 1215534854 | Angelique Austria Quiaot | Registered Nurse | 17825 Weaving Ln, San Diego, CA 92127-1283 | 2020-10-07 |
| 1497352314 | Lisa Ann Olson | Registered Nurse | 1255 Imperial Ave Ste 740, San Diego, CA 92101-7493 | 2020-10-04 |
| 1669087326 | Corina Lozano Manzo | Registered Nurse | 7436 Mission Center Road, San Diego, CA 92123 | 2020-09-10 |
| 1336754118 | Colleen Michelle Ortiz | Registered Nurse | 3046 Nile St, San Diego, CA 92104-4810 | 2020-09-09 |
| 1710591482 | Audrianna Oliva | Registered Nurse | 10319 Hemphill Ct, San Diego, CA 92126-3430 | 2020-09-01 |
| 1609489681 | Mary Beth Ratzlaff | Registered Nurse | 5469 Kearny Villa Rd, San Diego, CA 92123-1152 | 2020-08-28 |
| 1659984151 | Elisa Joy Vale | Registered Nurse | 5843 Mildred St, San Diego, CA 92110-1644 | 2020-08-25 |
| 1093325516 | Rodolfo Prilla Locsin | Registered Nurse | 446 Alta Rd Ste 5300, San Diego, CA 92158-0001 | 2020-08-10 |
| 1538779020 | Grace Lumenario Cecilio | Registered Nurse | George Bailey Detention Facility 446 Alta Rd Ste 5300, San Diego, CA 92158-0001 | 2020-08-09 |
| Find all providers in SAN DIEGO | ||||
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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.