AJA LATYOA SEALEY (NPI# 1174178685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174178685 |
| Entity Type | Individual |
| Full Name | AJA LATYOA SEALEY |
| Practice Address |
14677 Merril Avenue Fontana CA 92335 |
| Mailing Address |
2669 W Via San Miguel San Bernardino CA 92410-1969 |
| Practice Telephone | 9516432340 |
| Mailing Telephone | 9097149889 |
| Enumeration Date | 2019-08-02 |
| Last Update Date | 2019-08-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | VN692184 | CA | Nursing Service Providers |
| Street Address |
14677 MERRIL AVENUE |
| City | FONTANA |
| State | CA |
| Zip Code | 92335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649749169 | Ian Schultheiss | Peer Specialist | 14677 Merril Avenue, Fontana, CA 92335 | 2018-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104425131 | Hossein Malakooti A Dental Corporation | Clinic/Center | 16540 Merrill Ave, Fontana, CA 92335 | 2020-10-21 |
| 1790312791 | Trevor Nguyen | Student in an Organized Health Care Education/Training Program | 17234 Valley Blvd, Building A, Fontana, CA 92335 | 2020-03-27 |
| 1184251365 | Benjamin Chang | Student in an Organized Health Care Education/Training Program | 17234 Valley Blvd., Bldg. A, Fontana, CA 92335 | 2020-03-26 |
| 1407487309 | Perla Hernandez | Licensed Vocational Nurse | 14677 Merrill Aver, Fontana, CA 92335 | 2020-01-29 |
| 1013552660 | Valencia Malone | Licensed Vocational Nurse | 14677 Merrill, Fontana, CA 92335 | 2019-11-07 |
| 1831749779 | Daniel Eric Wright | Student in an Organized Health Care Education/Training Program | 14677 Merrell Ave., Fontana, CA 92335 | 2019-09-12 |
| 1962069815 | Melissa Rivera | Licensed Vocational Nurse | 15217 San Bernardino Ave., Fontana, CA 92335 | 2019-05-28 |
| 1275199770 | Jennifer Lynn Malone | Peer Specialist | 14677 Merrall Ave, Fontana, CA 92335 | 2019-05-10 |
| 1770147894 | Noelle Chong | Registered Nurse | 14677 Merill Ave, Fontana, CA 92335 | 2019-04-24 |
| 1992261929 | Destiny Alzate | Counselor | 1467 Merrill Ave, Fontana, CA 92335 | 2019-02-14 |
| Find all providers in zip 92335 | ||||
| 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 |
|---|---|---|---|---|
| 1407487309 | Perla Hernandez | Licensed Vocational Nurse | 14677 Merrill Aver, Fontana, CA 92335 | 2020-01-29 |
| 1013547447 | Redistard Geofrey Kitilya | Licensed Vocational Nurse | 7891 El Dorado St, Fontana, CA 92336-3734 | 2020-01-24 |
| 1669017042 | Kimberly Irene Allen | Licensed Vocational Nurse | 6978 Sagebrush Way, Fontana, CA 92336-1730 | 2019-11-09 |
| 1013552660 | Valencia Malone | Licensed Vocational Nurse | 14677 Merrill, Fontana, CA 92335 | 2019-11-07 |
| 1164081998 | Elizabeth Garcia | Licensed Vocational Nurse | 16173 Valleyvale Dr, Fontana, CA 92337-0823 | 2019-06-05 |
| 1962069815 | Melissa Rivera | Licensed Vocational Nurse | 15217 San Bernardino Ave., Fontana, CA 92335 | 2019-05-28 |
| 1164087946 | Damaris Lewis | Licensed Vocational Nurse | 8812 Niagara Dr, Fontana, CA 92335-4538 | 2019-05-07 |
| 1609339969 | Andrew Tiongson Marquez | Licensed Vocational Nurse | 7136 Las Palmas Dr, Fontana, CA 92336-2948 | 2019-04-12 |
| 1164930442 | Ricardo Tecson Burilla | Licensed Vocational Nurse | 15440 Ramona Ave, Fontana, CA 92336-3195 | 2018-01-20 |
| 1982141578 | Yanina Lazo Yaranga | Licensed Vocational Nurse | 16624 Sugar Ln, Fontana, CA 92337-7626 | 2017-01-20 |
| Find all providers in FONTANA | ||||
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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.