CASEY QUINN L IBARRA (NPI# 1154968188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154968188 |
| Entity Type | Individual |
| Full Name | CASEY QUINN L IBARRA |
| Credential | LVN |
| Practice Address |
950 W Julian St San Jose CA 95126-2719 |
| Mailing Address |
32364 Payne St Hayward CA 94544-8166 |
| Practice Telephone | 4082929353 |
| Enumeration Date | 2019-12-10 |
| Last Update Date | 2019-12-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | VN702445 | CA | Nursing Service Providers |
| Street Address |
950 W JULIAN ST |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95126-2719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275638082 | Caminar | Counselor | 950 W Julian St, San Jose, CA 95126-2719 | 2006-09-14 |
| 1306445317 | Michael Perdomo | Counselor | 950 W Julian St, San Jose, CA 95126-2719 | 2020-10-21 |
| 1275146847 | Diana Radilla | Counselor | 950 W Julian St, San Jose, CA 95126-2719 | 2020-08-25 |
| 1669005617 | Isabelle Connell | Counselor | 950 W Julian St, San Jose, CA 95126-2719 | 2020-02-18 |
| 1922631225 | Nicholas Luke Tomasello | Counselor | 950 W Julian St, San Jose, CA 95126-2719 | 2020-02-15 |
| 1144852252 | Amanda Roche | Counselor | 950 W Julian St, San Jose, CA 95126-2719 | 2020-02-06 |
| 1164065512 | Annie Huang | Technician | 950 W Julian St, San Jose, CA 95126-2719 | 2019-10-17 |
| 1417504283 | Ying Yang | Counselor | 950 W Julian St, San Jose, CA 95126-2719 | 2019-08-26 |
| 1598310526 | Cristhy Elizabeth Trejo Cruz | Counselor | 950 W Julian St, San Jose, CA 95126-2719 | 2019-08-06 |
| 1194283069 | Amrit Kaur | Counselor | 950 W Julian St, San Jose, CA 95126-2719 | 2019-03-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356830418 | Esperanza Maravilla | Counselor | 1259 Park Ave, Apt 15, San Jose, CA 95126 | 2018-05-04 |
| 1811417819 | Sahr Lawande | Occupational Therapist | 1373 University Ave, San Jose, CA 95126 | 2017-06-21 |
| 1063941482 | Yang Li | Acupuncturist | 1520 Southwest Expy Unit 141, San Jose, CA 95126 | 2017-06-08 |
| 1598294860 | Camille Campbell | Counselor | 1400 Parkmoor Avenue, Suite 115, San Jose, CA 95126 | 2017-06-08 |
| 1588193387 | Vanessa Aspera | Case Manager/Care Coordinator | 1400 Parkmoor Avenue, San Jose, CA 95126 | 2017-06-06 |
| 1538692603 | Alexa Stine Fields | Acupuncturist | 714 Harding Ave, San Jose, CA 95126 | 2017-04-06 |
| 1669903647 | Lillette Rosete | Assisted Living Facility | 960 Vermont St, San Jose, CA 95126 | 2017-03-22 |
| 1952847105 | Dana Ninkham | Behavior Technician | 1922 The Alameda Suite 425, San Jose, CA 95126 | 2017-01-12 |
| 1811441199 | Cristina Morales Delgado | Community Health Worker | 1400 Parkmore Avenue, Suite 115, San Jose, CA 95126 | 2016-08-04 |
| 1053770123 | Felicia Nibungco | Marriage & Family Therapist | 1922 The Alameda Ste 326, San Jose, CA 95126 | 2016-02-18 |
| Find all providers in zip 95126 | ||||
| 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 |
|---|---|---|---|---|
| 1053919084 | Tamra Ellen St John | Licensed Vocational Nurse | 171 Balboa Ave, San Jose, CA 95116-1310 | 2020-10-12 |
| 1982230728 | Elizabeth Socorro Guerra | Licensed Vocational Nurse | 2418 Hecate Pl, San Jose, CA 95124-3311 | 2020-03-12 |
| 1487173878 | Eliza Garma Daquioag | Licensed Vocational Nurse | 3640 Heathcot Ct, San Jose, CA 95121-1442 | 2017-09-17 |
| 1427598259 | Ngoc Hua | Licensed Vocational Nurse | 2130 Chisin St, San Jose, CA 95121-3230 | 2017-02-27 |
| 1669918264 | Oliva Torrestorija-santillan | Licensed Vocational Nurse | 2080 Southwest Expy, 77, San Jose, CA 95126-4672 | 2017-01-06 |
| 1104299874 | Daniel Austin | Licensed Vocational Nurse | 5502 Camden Ave Apt B5, San Jose, CA 95124-6405 | 2015-11-03 |
| 1851760763 | Sisamouth Sipaseuth Thomure | Licensed Vocational Nurse | 650 S 5th St, San Jose, CA 95112-5636 | 2015-09-21 |
| 1154709871 | Amber Enlow | Licensed Vocational Nurse | 102 Lammerhaven Ct, San Jose, CA 95111-3715 | 2015-05-14 |
| 1437543568 | Jenetta Marie Wysinger | Licensed Vocational Nurse | 3467 Tully Rd, San Jose, CA 95148-2152 | 2015-03-26 |
| 1548652290 | My-linh Le | Licensed Vocational Nurse | 1890 Schulte Dr, 103, San Jose, CA 95133-2158 | 2015-03-04 |
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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.