MOBILE PALLIATIVE CARE, INC. (NPI# 1164896957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164896957 |
| Entity Type | Organization |
| Organization Name | MOBILE PALLIATIVE CARE, INC. |
| Practice Address |
18302 Sierra Hwy Ste 103 Canyon Country CA 91351-6126 |
| Practice Telephone | 8182191443 |
| Practice Fax Number | 6614249672 |
| Mailing Telephone | 8182191443 |
| Mailing Fax Number | 6614249672 |
| Enumeration Date | 2015-11-17 |
| Last Update Date | 2015-11-17 |
| Authorized Official Name | DINA AGAZARYAN (PRESEDENT/CEO) |
| Authorized Official Telephone | 8183354443 |
| Authorized Official Credential | FNP-BC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0000X |
Registered Nurse Specialization: Pain Management |
630977 | CA | Nursing Service Providers |
| N | 174400000X | Specialist | 6309977 | CA | Other Service Providers |
| N | 174H00000X | Health Educator | 630977 | CA | Other Service Providers |
| N | 253Z00000X | In Home Supportive Care | 630977 | CA | Agencies |
| Y | 363L00000X | Nurse Practitioner | 630977 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
18302 SIERRA HWY STE 103 |
| City | CANYON COUNTRY |
| State | CA |
| Zip Code | 91351-6126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528679222 | Saint Lazarus Home Health Inc. | Home Health | 17722 Sierra Highway, Santa Clarita, CA 91351 | 2020-08-14 |
| 1558608398 | Bernadette Medina | Specialist/Technologist | 19040 Soledad Canyon Rd., # 210, Santa Clarita, CA 91351 | 2013-01-14 |
| 1164776068 | Fabricio Mundo | Interpreter | 19887 Northcliff Dr, Canyon Country, CA 91351 | 2012-10-31 |
| 1124384730 | Noosha Daha | Marriage & Family Therapist | 2714 Hidaway Ave, Santa Clarita, CA 91351 | 2012-04-09 |
| 1083906937 | Carla's Counseling,life Coaching, and Classes | Community/Behavioral Health | 19040 Soledad Canyon Road, Suite B, Santa Clarita, CA 91351 | 2011-05-11 |
| 1629289012 | Ronald Eugene Semelsberger | Dentist | 27552 Sierra Highway, Canyon Country, CA 91351 | 2007-05-25 |
| 1750898177 | Family Model Behavior Therapy, LLC | Behavioral Analyst | 18802 Mandan Street, #901, Canyon Country, CA 91351 | 2018-01-08 |
| 1780975755 | Westcoastdental | Clinic/Center | 15350 Nordhoff Street, Suite A, North Hills, CA 91351 | 2011-04-26 |
| 1346373784 | Anna Liberman Dds Inc | Health Maintenance Organization | 18507 Soledad Canyon Rd, Canyon Country, CA 91351 | 2007-03-14 |
| 1538214358 | Carolina Escaro Villate Mendoza | Dentist | 27225 Camp Plenty Rd, Suite 9, Canyon Country, CA 91351 | 2007-01-24 |
| Find all providers in zip 91351 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992230478 | Tracey M Easterling | Nurse Practitioner | 14550 W Soledad Canyon Rd, Canyon Country, CA 91387-2200 | 2017-04-21 |
| 1710320031 | Noralda Quitain Tan | Nurse Practitioner | 27341 Rose Mallow Ln, Canyon Country, CA 91387-6954 | 2013-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528817 | Gemekia Latrisha Morales | Nurse Practitioner | 1800 N. California, Stockton, CA 95952 | 2020-11-08 |
| 1447851324 | Anna Patricia Torres | Nurse Practitioner | 1158 Santa Lucia Dr, Pittsburg, CA 94565-7615 | 2020-11-05 |
| 1447851647 | Melanie Ganotisi | Nurse Practitioner | 11541 Blucher Ave Unit 125, Granada Hills, CA 91344-4362 | 2020-11-04 |
| 1659971729 | Raquel Y Mccarthy | Nurse Practitioner | 334 Via Vera Cruz Ste 257, San Marcos, CA 92078-2643 | 2020-10-28 |
| 1689274607 | Aleksandra Zaitseva | Nurse Practitioner | 6850 Sepulveda Blvd Ste 215, Van Nuys, CA 91405-4450 | 2020-10-28 |
| 1215537543 | Gereine Mae Condino Datan | Nurse Practitioner | 500 W 190 St, Gardena, CA 90248 | 2020-10-27 |
| 1861092355 | Vilma Estrada | Nurse Practitioner | 37945 28th St E, Palmdale, CA 93550-5521 | 2020-10-26 |
| 1871192492 | Folashade Jayeoba | Nurse Practitioner | 7453 Tucson Ln, Fontana, CA 92336-0712 | 2020-10-23 |
| 1467051391 | Careforyou LLC | Nurse Practitioner | 806 14th St, Modesto, CA 95354-1023 | 2020-10-21 |
| 1427657550 | Adriana Sarah Pettross | Nurse Practitioner | 35286 Vista De Todo, Capistrano Beach, CA 92624-1847 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
| City | CANYON COUNTRY |
| Zip Code | 91351 |
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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.