MICHAEL JOSEPH NICANDRO NEVAREZ (NPI# 1184965709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184965709 |
| Entity Type | Individual |
| Full Name | MICHAEL JOSEPH NICANDRO NEVAREZ |
| Credential | RN-BC |
| Practice Address |
11262 Campus St Loma Linda CA 92350-1801 |
| Mailing Address |
11262 Campus St Loma Linda CA 92350-1727 |
| Practice Telephone | 9095581000 |
| Mailing Telephone | 9095581000 |
| Enumeration Date | 2013-03-06 |
| Last Update Date | 2020-03-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 807833 | CA | Nursing Service Providers |
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 400 N Pepper Ave, Colton, CA 923241801 | 9095803144 | 9095802165 |
| Street Address |
11262 CAMPUS ST |
| City | LOMA LINDA |
| State | CA |
| Zip Code | 92350-1801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174606537 | Jerika T Lam | Pharmacist | 11262 Campus St, West Hall Bldg, Loma Linda, CA 92354-3204 | 2006-10-21 |
| 1821606765 | Jamie Robinson | Student in an Organized Health Care Education/Training Program | 11262 Campus St, Loma Linda, CA 92350-1727 | 2020-07-16 |
| 1538787056 | Nguyen Le | Student in an Organized Health Care Education/Training Program | 11262 Campus St, Loma Linda, CA 92350-1727 | 2020-07-10 |
| 1801413000 | Raquel Batrice Ruggiero | Student in an Organized Health Care Education/Training Program | 11262 Campus St, Loma Linda, CA 92350-1727 | 2020-07-03 |
| 1376160697 | Erica Tran | Student in an Organized Health Care Education/Training Program | 11262 Campus St, Loma Linda, CA 92350-1727 | 2020-07-02 |
| 1376160796 | Austin Alicastro | Student in an Organized Health Care Education/Training Program | 11262 Campus St, Loma Linda, CA 92350-1727 | 2020-07-01 |
| 1669099198 | Arleen Garces Castro | Student in an Organized Health Care Education/Training Program | 11262 Campus St, Loma Linda, CA 92350-1727 | 2020-06-30 |
| 1578180113 | Angelika Ashburn | Student in an Organized Health Care Education/Training Program | 11262 Campus St, Loma Linda, CA 92350-1727 | 2020-06-30 |
| 1861019564 | Nolan D. Wangsnes | Student in an Organized Health Care Education/Training Program | 11262 Campus St, Loma Linda, CA 92350-1727 | 2020-06-29 |
| 1295352060 | Claire Loden | Student in an Organized Health Care Education/Training Program | 11262 Campus St, Loma Linda, CA 92350-1727 | 2020-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164059010 | Stephanie Abandy | Student in an Organized Health Care Education/Training Program | 11262 Campus Street - West Hall, West Hall, Loma Linda, CA 92350 | 2020-03-23 |
| 1275911844 | Rosemarie Florian | Internal Medicine | 11234 Anderson St Rm 1503, Loma Linda, CA 92350 | 2015-05-14 |
| 1235525403 | Diana Derosa Villarreal | Pediatrics | 11175 Campus St. Cp-a1111, Department of Pediatrics, Loma Linda, CA 92350 | 2015-04-14 |
| 1609212919 | Daniel Eldridge Smith | Surgery | 11175 Campus St # 21111, Loma Linda, CA 92350 | 2013-05-14 |
| 1992057269 | Hildemar Feliciano Dos Santos | Nutritionist | 25040 Stewart Street, Loma Linda, CA 92350 | 2012-10-10 |
| 1184910762 | Kristyn Anne Mannoia | Surgery | 11234 Anderson Ave Ste 2100, Loma Linda, CA 92350 | 2011-06-22 |
| 1760774947 | Loma Linda University | Special Hospital | 1234 Anderson Street, Gme Office Csp 21005, Loma Linda, CA 92350 | 2011-05-06 |
| 1144547977 | Andrei Radulescu | Surgery | 11175 Campus St Ste 21111, Loma Linda, CA 92350 | 2010-05-04 |
| 1619102845 | Wing Sze Esther Yung | Surgery | 11175 Campus Street #21111, Loma Linda Universiy Healthcare System, Loma Linda, CA 92350 | 2009-05-18 |
| 1679720734 | Ronald Lee Young | Dentist | 11092 Anderson Streeet, Llu School of Dentistry, Loma Linda, CA 92350 | 2008-08-20 |
| Find all providers in zip 92350 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114544558 | Frida Keeru Bundi | Student in an Organized Health Care Education/Training Program | Loma Linda University 11262 Campus Street-west Hall, Loma Linda, CA 92350-0001 | 2020-07-01 |
| 1508482035 | Ella Wagner | Student in an Organized Health Care Education/Training Program | Loma Linda University 11262 Campus St- West Hall, Loma Linda, CA 92350-0001 | 2020-06-20 |
| 1932725645 | Dev Priya Singhvi | Student in an Organized Health Care Education/Training Program | 11332 Mountain View Avenue, Westerly Building, Suite C, Gme Office, Loma Linda, CA 92354 | 2020-06-18 |
| 1376167643 | Andrew J Park | Student in an Organized Health Care Education/Training Program | 26845 Barton Rd, Loma Linda, CA 92373-4309 | 2020-06-02 |
| 1689295263 | Carlie Alphanso Smith | Student in an Organized Health Care Education/Training Program | Loma Linda University Health Primary Care -internal Med, 11234 Anderson St., Loma Linda, CA 92354-2804 | 2020-05-05 |
| 1750901278 | Angela N Torres | Student in an Organized Health Care Education/Training Program | Loma Linda University Health Emergency Medicine, 11234 Anderson Street, Loma Linda, CA 92354 | 2020-04-24 |
| 1396365599 | Katielee Pallis | Student in an Organized Health Care Education/Training Program | Loma Linda University Evans Hall 201, Loma Linda, CA 92350-0001 | 2020-04-17 |
| 1639798879 | Brian Fardad Yadegari | Student in an Organized Health Care Education/Training Program | 11234 Anderson Street Gme Office Westerly Suite C, Loma Linda, CA 92354-2804 | 2020-04-08 |
| 1316576895 | Jason Elperin | Student in an Organized Health Care Education/Training Program | Loma Linda University Health-internal Medicine, 11234 Anderson Street, Loma Linda, CA 92354-2804 | 2020-04-06 |
| 1881223428 | Masuma Javed Syed | Student in an Organized Health Care Education/Training Program | Loma Linda University Health- Internal Medicine, 11234 Anderson Street, Loma Linda, CA 92354-2804 | 2020-04-06 |
| Find all providers in LOMA LINDA | ||||
| City | LOMA LINDA |
| Zip Code | 92350 |
Please comment or provide details below to improve the information on MICHAEL JOSEPH NICANDRO NEVAREZ.
| 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.