MS. JUSTINE JADE CANOVA (NPI# 1245874437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245874437 |
| Entity Type | Individual |
| Full Name | MS. JUSTINE JADE CANOVA |
| Other Name | JUSTINE JADE BUCHHOLZ |
| Credential | FNP-BC |
| Practice Address |
1520 N Mountain Ave Ste 128 Ontario CA 91762-1132 |
| Mailing Address |
753 Caballo Ave Glendora CA 91740-4538 |
| Practice Telephone | 9099499299 |
| Mailing Telephone | 6266336323 |
| Enumeration Date | 2019-10-31 |
| Last Update Date | 2019-10-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95012346 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1520 N MOUNTAIN AVE STE 128 |
| City | ONTARIO |
| State | CA |
| Zip Code | 91762-1132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467963165 | Chinomso Mpumechi | Nurse Practitioner | 1520 N Mountain Ave Ste 128, Ontario, CA 91762-1132 | 2017-10-20 |
| 1215421433 | Lourdes Villasenor | Nurse Practitioner | 1520 N Mountain Ave Ste 128, Ontario, CA 91762-1132 | 2018-06-20 |
| 1831683234 | May Charlene Quirino Zamora | Nurse Practitioner | 1520 N Mountain Ave Ste 128, Ontario, CA 91762-1132 | 2018-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366093486 | Samantha Jo Brumfield | Nurse Practitioner | 5562 Central Avenue, Suite 300, Chino, CA 91762 | 2019-09-20 |
| 1215598578 | Janet Murphy | Behavior Technician | 1520 North Mountain Ave., Ste 206, Ontario, CA 91762 | 2019-06-26 |
| 1437717550 | Fjs Hearing Professionals | Hearing Instrument Specialist | 528 N Palm Ave, Ontario, CA 91762 | 2019-06-04 |
| 1669990768 | Claudia Juarez Tapia | Counselor | 125 W F Street, Ontario, CA 91762 | 2017-09-08 |
| 1093230468 | David Rayo | Respiratory Therapist, Registered | 805 W E St, Ontario, CA 91762 | 2017-08-07 |
| 1215475348 | Chinmay Patel | Physical Therapist | 910 S Mountain Avenue Unite A, Ontario, CA 91762 | 2017-02-09 |
| 1003265604 | Bambi Mpiana | Dentist | 1337 N Mountain Ave Ste 1, Ontario, CA 91762 | 2016-06-06 |
| 1548630940 | Ned Paniagua, Dmd A Professional Corporation | Dentist | 533 W. Holt Blvd., Suite B, Ontario, CA 91762 | 2015-09-29 |
| 1568865251 | Jennifer Estberg | Student in an Organized Health Care Education/Training Program | 317 W. F Street, Ontario, CA 91762 | 2014-10-08 |
| 1447660873 | Agha Zulfequar Hayder | Nurse Practitioner | 1001 West 6th Street, Suite B., Ontario, CA 91762 | 2014-05-07 |
| Find all providers in zip 91762 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528689874 | Tracy Alan Fleming | Nurse Practitioner | 2270 Ferguson Rd Unit 114, Ontario, OH 44906-5200 | 2020-04-28 |
| 1124661913 | Michael Baello | Nurse Practitioner | 3065 E Oak Knoll Loop, Ontario, CA 91761-3872 | 2019-10-23 |
| 1073165916 | Arieal Elizabeth Cook | Nurse Practitioner | 7021 Fisher Rd, Ontario, NY 14519-9764 | 2019-07-11 |
| 1821566316 | Kiersten Hackley Hogg | Nurse Practitioner | 533 Nw 2nd St, Ontario, OR 97914-1707 | 2018-11-02 |
| 1306341912 | Veronica Salazar Sy | Nurse Practitioner | 4973 S Rosemary Way, Ontario, CA 91762-7304 | 2018-03-26 |
| 1619330362 | Brenda Rios | Nurse Practitioner | 1555 E. Holt Blvd # 4921, Ontario, CA 91761-9998 | 2016-03-31 |
| 1053793752 | Pamela C Elsbree | Nurse Practitioner | 1719 Paddy Ln, Ontario, NY 14519-9534 | 2015-06-18 |
| 1215276456 | Jacquiline Rances Jamora | Nurse Practitioner | 1035 E Riverside Dr, Ontario, CA 91761-6842 | 2013-02-07 |
| 1629229745 | Anthonia Ejimole Okeani | Nurse Practitioner | 125 W F St Ste 103, Ontario, CA 91762-3262 | 2008-10-07 |
| 1275534083 | Patsy Looney | Nurse Practitioner | 7 Sw 3rd St, Ontario, OR 97914-2742 | 2005-08-02 |
| Find all providers in ONTARIO | ||||
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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.