MARITA BERSAMIRA (NPI# 1215237391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215237391 |
| Entity Type | Individual |
| Full Name | MARITA BERSAMIRA |
| Credential | LVN |
| Practice Address |
1642 W Avenue J Lancaster CA 93534-2814 |
| Mailing Address |
1643 W Avenue J Lancaster CA 93534 |
| Practice Telephone | 6619428463 |
| Enumeration Date | 2010-10-23 |
| Last Update Date | 2012-01-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | 210108 | CA | Nursing Service Providers |
| Street Address |
1642 W AVENUE J |
| City | LANCASTER |
| State | CA |
| Zip Code | 93534-2814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760437628 | Five Star Quality Care Ca LLC | Skilled Nursing Facility | 1642 W Avenue J, Lancaster, CA 93534-2814 | 2006-05-22 |
| 1912403718 | Desert Canyon Post Acute, LLC | Skilled Nursing Facility | 1642 W Avenue J, Lancaster, CA 93534-2814 | 2018-04-02 |
| 1679084537 | Christopher Stephen Hext | Physical Therapy Assistant | 1642 W Avenue J, Lancaster, CA 93534-2814 | 2017-10-18 |
| 1497206437 | Andrew Harold Ambrus | Occupational Therapy Assistant | 1642 W Avenue J, Lancaster, CA 93534-2814 | 2016-10-14 |
| 1447643994 | Myra Silvestre Baladad | Physical Therapist | 1642 W Avenue J, Lancaster, CA 93534-2814 | 2015-03-09 |
| 1225429517 | Sridevi Surampudi | Occupational Therapist | 1642 W Avenue J, Lancaster, CA 93534-2814 | 2015-02-09 |
| 1326437773 | Marilyn Johnson | Clinic/Center | 1642 W Avenue J, Lancaster, CA 93534-2814 | 2015-01-22 |
| 1336538743 | Jerene Montelibano | Physical Therapist | 1642 W Avenue J, Lancaster, CA 93534-2814 | 2015-01-22 |
| 1013306539 | Raphael Moore | Occupational Therapy Assistant | 1642 W Avenue J, Lancaster, CA 93534-2814 | 2015-01-21 |
| 1831588755 | Rowena Nova | Occupational Therapy Assistant | 1642 W Avenue J, Lancaster, CA 93534-2814 | 2015-01-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194346098 | Lori Ann Barlow Washington | Counselor | 921 W J Street, Lancaster, CA 93534 | 2020-05-01 |
| 1629698253 | Gisela Regalado Paredes | Surgery | Antelope Valley Hospital, 1600 West Ave J, Lancaster, CA 93534 | 2020-04-23 |
| 1124668470 | Latonya Jean Allen | Case Manager/Care Coordinator | 44443 10th St. West, Lancaster, CA 93534 | 2020-01-14 |
| 1629629746 | Korinna Fite | Occupational Therapy Assistant | 43860 10th St. W., Lancaster, CA 93534 | 2019-09-20 |
| 1114576105 | Victor Nemr Hass Md | Anesthesiology | Embassy Surgery Center, 42135 10th Street West 325, Lancaster, CA 93534 | 2019-09-11 |
| 1609421007 | Jaime A Mort | Nurse Practitioner | 43112 N 15st W, Lancaster, CA 93534 | 2019-08-03 |
| 1013560747 | Allyson Lods | Dietitian, Registered | 43115 15th Street West, Lancaster, CA 93534 | 2019-07-22 |
| 1144884123 | Nicole Breanne Palman | Speech-Language Pathologist | 43860 10th St. West, 1st Floor, Lancaster, CA 93534 | 2019-04-25 |
| 1841761475 | Vanessa Gonzalez | Case Manager/Care Coordinator | 44226 10th St West, Lancaster, CA 93534 | 2018-12-07 |
| 1760969265 | Marilyn Joy Pollack | Physical Therapy Assistant | 1306 W Avenue J Ste 2, Lancaster, CA 93534 | 2018-07-26 |
| Find all providers in zip 93534 | ||||
| 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 |
|---|---|---|---|---|
| 1881207769 | Ashley Leann Smith | Licensed Vocational Nurse | 6109 W Avenue J11, Lancaster, CA 93536-1747 | 2020-08-28 |
| 1356981294 | Ashleigh Kemper | Licensed Vocational Nurse | 3023 Christina St, Lancaster, CA 93535-4903 | 2020-01-08 |
| 1821631425 | Liliana Gutierrez | Licensed Vocational Nurse | 3040 Caruso Ln, Lancaster, CA 93536-1034 | 2019-10-26 |
| 1063063030 | Christina Lashawn Harris | Licensed Vocational Nurse | 2542 E Avenue K2, Lancaster, CA 93535-4632 | 2019-09-21 |
| 1689235129 | Latease Yvette Levye | Licensed Vocational Nurse | 43512 Gadsden Ave Apt 252, Lancaster, CA 93534-1084 | 2019-06-25 |
| 1346730488 | July Jones | Licensed Vocational Nurse | 3020 Iris Dr, Lancaster, TX 75146-0138 | 2018-05-15 |
| 1053808410 | Dominique Johnson | Licensed Vocational Nurse | 43815 Tranquility Ct, Lancaster, CA 93535-6112 | 2018-04-20 |
| 1396241790 | George Mitchel Johnson | Licensed Vocational Nurse | 2705 Tanglewood Dr, Lancaster, TX 75134-2042 | 2018-04-04 |
| 1538663141 | Adejumoke O Adeniran | Licensed Vocational Nurse | 709 Brookhaven Dr, Lancaster, TX 75134-3710 | 2018-03-19 |
| 1639672124 | Darrin Bell | Licensed Vocational Nurse | 6637 Lime Rd, Lancaster, CA 93536-4567 | 2018-03-12 |
| Find all providers in LANCASTER | ||||
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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.