LIBBY SEBASTIAN (NPI# 1194094664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194094664 |
| Entity Type | Individual |
| Full Name | LIBBY SEBASTIAN |
| Practice Address |
14305 Goose Street Corona CA 92880-0922 |
| Mailing Address |
14305 Goose St Eastvale CA 92880-0922 |
| Practice Telephone | 9517354853 |
| Mailing Telephone | 9517354853 |
| Enumeration Date | 2011-12-29 |
| Last Update Date | 2011-12-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WN0002X |
Registered Nurse Specialization: Neonatal Intensive Care |
485459 | CA | Nursing Service Providers |
| Street Address |
14305 GOOSE STREET |
| City | CORONA |
| State | CA |
| Zip Code | 92880-0922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568084945 | Eastvale Family Care Inc. | Family Medicine | 14252 Schleisman Rd., Eastvale, CA 92880 | 2020-05-08 |
| 1982226460 | Eastvale Urgent Care Inc | Clinic/Center | 14252 Schleisman Rd, Eastvale, CA 92880 | 2020-05-07 |
| 1578199741 | Corrections and Rehabilitation | Pharmacy | 16756 Chino Corona Road, Corona, CA 92880 | 2020-03-19 |
| 1184274029 | Rocquel Mack | Licensed Vocational Nurse | 2131 Shelley Circle, Corona, CA 92880 | 2019-09-12 |
| 1255993176 | Symbiosis, Inc. | Clinic/Center | 3115 Palisades Drive, Corona, CA 92880 | 2019-07-01 |
| 1770065559 | Kumkum Mehta | Nurse Practitioner | 7391 Sungold Ave, Corona, CA 92880 | 2018-08-29 |
| 1629559802 | Skt Therapy Inc | Marriage & Family Therapist | 765 N Main St Ste 152, Corona, CA 92880 | 2018-08-24 |
| 1356854145 | Hk Durgs Inc | Pharmacy | 13394 Limonite Ave, Ste 120, Eastvale, CA 92880 | 2017-11-15 |
| 1134638653 | National Vision, Inc. | Technician/Technologist | 482 Main Street, Corona, CA 92880 | 2017-09-27 |
| 1922527464 | Crown Care Transportation | Non-emergency Medical Transport (VAN) | 13557 Nectarine Ave, Corona, CA 92880 | 2017-09-15 |
| Find all providers in zip 92880 | ||||
| Taxonomy Code | 163WN0002X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Neonatal Intensive Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497370704 | Amy Gorence | Registered Nurse | 2385 Sheri Pl, Alpine, CA 91901-4805 | 2020-06-11 |
| 1497307813 | Ivonne Jeanette Garcia | Registered Nurse | 9800 Marklein Ave, North Hills, CA 91343-2131 | 2019-07-16 |
| 1912464017 | Betty Nyantakyiwaah Boateng | Registered Nurse | 7313 Fallbrook Ave, West Hills, CA 91307-2105 | 2019-02-25 |
| 1306302591 | Rosalind Susan Wiggins | Registered Nurse | 4323 Palo Verde Ave, Lakewood, CA 90713-2948 | 2019-02-13 |
| 1376008292 | Christina Thai | Registered Nurse | 2920 International Blvd, Oakland, CA 94601-2228 | 2019-02-05 |
| 1295218212 | Tran T Tran | Registered Nurse | 415 W Carroll Ave Ste 201, Glendora, CA 91741-4208 | 2018-09-14 |
| 1700239472 | Cynthia M Serrano | Registered Nurse | 13065 Peyton Dr Ste D, Chino Hills, CA 91709-6019 | 2016-07-19 |
| 1366803140 | Carolyn Burnham | Registered Nurse | 157 Brentwood Drive, Lake Arrowhead, CA 92352 | 2016-03-08 |
| 1306205109 | Kisha Fausett | Registered Nurse | 3020 Childrens Way # Mc5008, San Diego, CA 92123-4223 | 2016-02-22 |
| 1801254354 | Claire Choice | Registered Nurse | 12 Greco Aisle, Irvine, CA 92614-0272 | 2016-01-29 |
| Find all providers with the same taxonomy | ||||
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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.