LESLIE BURGESS (NPI# 1265893317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265893317 |
Entity Type | Individual |
Full Name | LESLIE BURGESS |
Credential | NP |
Practice Address |
8110 Mango Avenue Fontana CA 92335 |
Practice Telephone | 9094271303 |
Practice Fax Number | 9093571581 |
Mailing Telephone | 9094271303 |
Mailing Fax Number | 9093571581 |
Enumeration Date | 2016-03-17 |
Last Update Date | 2016-11-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95003707 | CA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033274402 | Leslie Burgess | Counselor | 821 S Orange St, Missoula, MT 59801-3833 | 2006-12-26 |
1285073247 | Leslie Jean Burgess | Pharmacist | 1260 Union St S, Concord, NC 28025-5810 | 2013-06-22 |
1568706760 | Leslie Virginia Burgess | Naturopath | 6300 9th Ave Ne, Suite #200, Seattle, WA 98115-8515 | 2012-11-12 |
1871765529 | Leslie Burgess | Registered Nurse | 2045 Franklin St, Denver, CO 80205-5437 | 2008-04-01 |
Street Address |
8110 MANGO AVENUE |
City | FONTANA |
State | CA |
Zip Code | 92335 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104425131 | Hossein Malakooti A Dental Corporation | Clinic/Center | 16540 Merrill Ave, Fontana, CA 92335 | 2020-10-21 |
1790312791 | Trevor Nguyen | Student in an Organized Health Care Education/Training Program | 17234 Valley Blvd, Building A, Fontana, CA 92335 | 2020-03-27 |
1184251365 | Benjamin Chang | Student in an Organized Health Care Education/Training Program | 17234 Valley Blvd., Bldg. A, Fontana, CA 92335 | 2020-03-26 |
1407487309 | Perla Hernandez | Licensed Vocational Nurse | 14677 Merrill Aver, Fontana, CA 92335 | 2020-01-29 |
1013552660 | Valencia Malone | Licensed Vocational Nurse | 14677 Merrill, Fontana, CA 92335 | 2019-11-07 |
1831749779 | Daniel Eric Wright | Student in an Organized Health Care Education/Training Program | 14677 Merrell Ave., Fontana, CA 92335 | 2019-09-12 |
1962069815 | Melissa Rivera | Licensed Vocational Nurse | 15217 San Bernardino Ave., Fontana, CA 92335 | 2019-05-28 |
1275199770 | Jennifer Lynn Malone | Peer Specialist | 14677 Merrall Ave, Fontana, CA 92335 | 2019-05-10 |
1770147894 | Noelle Chong | Registered Nurse | 14677 Merill Ave, Fontana, CA 92335 | 2019-04-24 |
1992261929 | Destiny Alzate | Counselor | 1467 Merrill Ave, Fontana, CA 92335 | 2019-02-14 |
Find all providers in zip 92335 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366060857 | Andrea Sunga | Nurse Practitioner | 15775 Snowy Peak Ln, Fontana, CA 92336-4578 | 2020-07-10 |
1538782214 | Christian Reyes | Nurse Practitioner | 7950 Cherry Ave Ste 106, Fontana, CA 92336-4023 | 2020-05-28 |
1992266357 | Christine Marie Mccabe | Nurse Practitioner | 4804 Cloudcrest Way, Fontana, CA 92336-0431 | 2019-03-28 |
1154887941 | Arlene Guzman Lopez | Nurse Practitioner | 6939 Almeria Ave, Fontana, CA 92336-5043 | 2019-02-16 |
1043782550 | Sofia Editha Locquiao | Nurse Practitioner | 15592 Faith St, Fontana, CA 92336-5739 | 2018-12-20 |
1497225965 | Maria Celeste Leonero Labajo | Nurse Practitioner | 15480 Red Pepper Pl, Fontana, CA 92336-3571 | 2018-11-27 |
1801332051 | Eberechi Joan Ani | Nurse Practitioner | 16672 Almaden Dr, Fontana, CA 92336-5121 | 2017-01-11 |
1366986069 | Sydney Hendricks | Nurse Practitioner | 15179 Fox Ridge Dr, Fontana, CA 92336-0206 | 2016-12-14 |
1215326103 | James Edward White | Nurse Practitioner | 15294 Camp Rock Ct, Fontana, CA 92336-5340 | 2015-01-15 |
1508254095 | Titian Ogo Tittle | Nurse Practitioner | 16653 San Simeon Way, Fontana, CA 92336-1453 | 2015-01-06 |
Find all providers in FONTANA |
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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.