MRS. PATRICIA ANN AVERBOOK (NPI# 1275184236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275184236 |
| Entity Type | Individual |
| Full Name | MRS. PATRICIA ANN AVERBOOK |
| Practice Address |
431 Shadow Tree Dr Oceanside CA 92058-7022 |
| Mailing Address |
2510 Via Rojo Carlsbad CA 92010-1376 |
| Practice Telephone | 7603623966 |
| Mailing Telephone | 7606875225 |
| Enumeration Date | 2019-09-21 |
| Last Update Date | 2019-09-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DRIVER LICENSE | N7485563 | 01 |
| Street Address |
431 SHADOW TREE DR |
| City | OCEANSIDE |
| State | CA |
| Zip Code | 92058-7022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063063287 | Chisato Komine Gion | Technician | 431 Shadow Tree Dr, Oceanside, CA 92058-7022 | 2019-09-28 |
| 1093366726 | Mayra Alejandra Preciado | Technician | 431 Shadow Tree Dr, Oceanside, CA 92058-7022 | 2019-09-24 |
| 1215588199 | Audiah Latifah Feagins | Technician | 431 Shadow Tree Dr, Oceanside, CA 92058-7022 | 2019-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508463555 | Michael William Baker | Dental Hygienist | 14th St., Oceanside, CA 92058 | 2020-10-02 |
| 1548877004 | Juliaisa Gisselle Caldero | Dental Assistant | Bldg 13128, Oceanside, CA 92058 | 2020-09-29 |
| 1932715836 | Leilani Viveros | Behavior Technician | 251 Airprort Road, Oceanside, CA 92058 | 2020-09-17 |
| 1043835952 | Emma Caitlin Johnson | Dentist | 92055 14th St, Bldg 13128, Oceanside, CA 92058 | 2020-06-16 |
| 1073135836 | Roxana Ivette Rodriguez | Military Health Care Provider | 22190 Marine Dr, Oceanside, CA 92058 | 2020-05-14 |
| 1699307744 | Rachael Bousman | Specialist/Technologist | 13129 14th St, Area 13, Camp Pendleton, CA 92058 | 2020-02-06 |
| 1811528359 | Misaael Valdes | Military Health Care Provider | Building, B St, Oceanside, CA 92058 | 2020-02-03 |
| 1497385736 | Phong Thanh Tran | Dental Hygienist | 599 A Ave #501, Oceanside, CA 92058 | 2020-01-24 |
| 1245796366 | Christian Thompson | Physician Assistant | 1st Med Bn, Camp Pendleton, Oceanside, CA 92058 | 2019-02-13 |
| 1104308568 | Caila Martin | Behavior Technician | 293 Douglas Dr Apt. 272, Oceanside, CA 92058 | 2018-09-02 |
| Find all providers in zip 92058 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538719869 | Matthew Thomas Geer | Technician | 220 S Barnwell St, Oceanside, CA 92054-4507 | 2019-09-18 |
| 1306496989 | Raymond Henry Mcfarland | Technician | 2325 California St, Oceanside, CA 92054-5711 | 2019-09-16 |
| 1891344230 | Stephanie Marie Gallegos | Technician | 3747 Vista Campana S Unit 31, Oceanside, CA 92057-8225 | 2019-09-09 |
| 1003464553 | Alexis Lisamari Nunez | Technician | 3365 Tonopah St, Oceanside, CA 92054-3865 | 2019-08-28 |
| 1477848984 | Jynette Lynn Sandoval | Technician | 478 Calico Rd, Oceanside, CA 92058-6748 | 2011-06-13 |
| 1063026763 | Robert Elvin Markham | Technician | 220 S Barnwell St, Oceanside, CA 92054-4507 | 2020-09-01 |
| 1760011191 | Jaron Michael Mastroianni | Technician | 220 S Barnwell St, Oceanside, CA 92054-4507 | 2020-04-07 |
| 1699308551 | Edwin Leroy Warner Jr. | Technician | 220 S Barnwell St, Oceanside, CA 92054-4507 | 2020-02-19 |
| 1124651674 | Deborah Jane Curtis | Technician | 2325 California St, Oceanside, CA 92054-5711 | 2020-02-12 |
| 1013549872 | Ramon Hernandez | Technician | 220 S Barnwell St, Oceanside, CA 92054-4507 | 2020-02-10 |
| Find all providers in OCEANSIDE | ||||
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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.