DR. RAY LENGVILAS (NPI# 1265744718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265744718 |
Entity Type | Individual |
Full Name | DR. RAY LENGVILAS |
Credential | M.D. |
Practice Address |
742 W Highland Ave San Bernardino CA 92405-3839 |
Practice Telephone | 9098817320 |
Mailing Telephone | 9098817320 |
Enumeration Date | 2010-07-12 |
Last Update Date | 2013-08-22 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208000000X | Pediatrics | A123121 | CA | Allopathic & Osteopathic Physicians |
Y | 208000000X | Pediatrics | R71994 | AZ | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | TRAINING PERMIT | R71994 | 01 |
Street Address |
742 W HIGHLAND AVE |
City | SAN BERNARDINO |
State | CA |
Zip Code | 92405-3839 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093789000 | Elaine Marie Gackle | Nurse Practitioner | 742 W Highland Ave, San Bernardino, CA 92405-3839 | 2006-02-15 |
1336789890 | Borrego Community Health Foundation | Clinic/Center | 742 W Highland Ave, San Bernardino, CA 92405-3839 | 2020-01-13 |
1841844990 | Karl Amparo | Nurse Practitioner | 742 W Highland Ave, San Bernardino, CA 92405-3839 | 2019-07-27 |
1760975825 | Ambika Ranabhat | Nurse Practitioner | 742 W Highland Ave, San Bernardino, CA 92405-3839 | 2018-06-12 |
1770074791 | Nomagugu Mafu | Nurse Practitioner | 742 W Highland Ave, San Bernardino, CA 92405-3839 | 2018-05-24 |
1083008254 | Maretha Tyce | Nurse Practitioner | 742 W Highland Ave, San Bernardino, CA 92405-3839 | 2015-03-25 |
1366831653 | Yoggie Efendy | Nurse Practitioner | 742 W Highland Ave, San Bernardino, CA 92405-3839 | 2015-01-09 |
1215216965 | Oluwamuyiwa Bolonduro | Obstetrics & Gynecology | 742 W Highland Ave, San Bernardino, CA 92405-3839 | 2011-08-12 |
1487932372 | Hobart Leung | Internal Medicine | 742 W Highland Ave, San Bernardino, CA 92405-3839 | 2011-07-27 |
1396914545 | Philis Denise Ransom | Obstetrics & Gynecology | 742 W Highland Ave, San Bernardino, CA 92405 | 2008-02-21 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174177497 | New Hope Transitional Living | Clinical Nurse Specialist | 1228 West 31st, San Bernardino, CA 92405 | 2019-07-25 |
1336647494 | Paul J Iorio | Counselor | 1669 Norht E Street, San Bernardino, CA 92405 | 2018-01-24 |
1609385756 | Abraham Isacc Gonzalez | Registered Nurse | 255 W 17th St, San Bernardino, CA 92405 | 2017-09-20 |
1962945675 | Ann Marie Monica Clark | Assisted Living Facility | 3524 Acacia Avenue, San Bernardino, CA 92405 | 2016-11-29 |
1801265715 | Leslie Del Toro | Counselor | 2025 N D St, San Bernardino, CA 92405 | 2015-09-21 |
1558797324 | Nora Escobar-mandujano | Marriage & Family Therapist | 1441 North 'd' Street, San Bernardino, CA 92405 | 2013-09-24 |
1295088284 | Elizabeth Rocha | Counselor | 1669 North E Street, San Bernardino, CA 92405 | 2012-10-16 |
1972855237 | Vanessa Kelly Gutierrez | Marriage & Family Therapist | 1669 N E Street, San Bernardino, CA 92405 | 2012-10-11 |
1952664021 | Mosley Counseling Center, LLC | Counselor | 2130 W. Arrowhead Ave., Suite 103c, San Bernardino, CA 92405 | 2012-06-22 |
1508167602 | Al Shifa Clinic Incorporated | Voluntary or Charitable | 2334 North Sierra Way, San Bernardino, CA 92405 | 2010-11-06 |
Find all providers in zip 92405 |
Taxonomy Code | 208000000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982987095 | Apex Pediatrics Inc | Pediatrics | 399 E Highland Ave Ste 329, San Bernardino, CA 92404-3861 | 2011-09-25 |
1639400708 | Roshunda Michelle Coleman | Pediatrics | 190 E. Highland Blvd., San Bernardino, CA 92405-3658 | 2010-01-28 |
1124255146 | Angie Bagheri Cook | Pediatrics | 565 N. Mount Vernon Ave, San Bernardino, CA 92411 | 2009-06-17 |
1700058526 | Rishikesh S Chavan | Pediatrics | 250 E Caroline St Ste E, San Bernardino, CA 92408-3758 | 2008-04-01 |
1346412244 | Matthew Bryan Fong | Pediatrics | 250 S G St, San Bernardino, CA 92410-3320 | 2008-03-31 |
1629249859 | Tara Rithaporn Agena | Pediatrics | 565 North Mt Vernon Ave, San Bernardino, CA 92411-2661 | 2008-03-15 |
1073795027 | Irene Styadi Tsai | Pediatrics | 685 Carnegie Dr, Ste. #230, San Bernardino, CA 92408-3502 | 2007-12-01 |
1235351206 | Edgar Eduardo Alfaro- Mcfield | Pediatrics | 1800 Western Ave Ste 305, San Bernardino, CA 92411-1354 | 2007-05-02 |
1659497535 | Alan Irving Lee | Pediatrics | 1906 Commercenter E Ste 101, San Bernardino, CA 92408-3423 | 2007-03-22 |
1679612212 | Aena D Han | Pediatrics | 1505 W 17th St Ste 1, San Bernardino, CA 92411-1202 | 2007-02-06 |
Find all providers in SAN BERNARDINO |
City | SAN BERNARDINO |
Zip Code | 92405 |
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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.