JENNIFER GRBAVAC MERICA (NPI# 1316391220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316391220 |
| Entity Type | Individual |
| Full Name | JENNIFER GRBAVAC MERICA |
| Credential | N.P. |
| Practice Address |
1160 S Grand Ave Glendora CA 91740 |
| Mailing Address |
1160 S Grand Ave Glendora CA 91740-5000 |
| Practice Telephone | 6263355980 |
| Enumeration Date | 2016-04-17 |
| Last Update Date | 2019-01-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
95004697 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1160 S Grand Ave, Glendora, CA 91740 | 6263355980 |
| Street Address |
1160 S GRAND AVE |
| City | GLENDORA |
| State | CA |
| Zip Code | 91740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790895092 | Pacific Clinics | Community/Behavioral Health | 1160 S Grand Ave, Glendora, CA 91740-5000 | 2006-08-30 |
| 1780292722 | Victoria Ashley Jakaub | Student in an Organized Health Care Education/Training Program | 1160 S Grand Ave, Glendora, CA 91740-5000 | 2020-07-15 |
| 1801414313 | Dania Salgado | Student in an Organized Health Care Education/Training Program | 1160 S Grand Ave, Glendora, CA 91740-5000 | 2020-07-10 |
| 1457979387 | Amanda Bianca Corral | Student in an Organized Health Care Education/Training Program | 1160 S Grand Ave, Glendora, CA 91740-5000 | 2020-07-07 |
| 1326670019 | Michelle Belling | Licensed Psychiatric Technician | 1160 S Grand Ave, Glendora, CA 91740-5000 | 2020-02-10 |
| 1215581657 | Chelcei Villarreal Muro | Case Manager/Care Coordinator | 1160 S Grand Ave, Glendora, CA 91740-5000 | 2019-07-24 |
| 1679139471 | Ahrum Kwon | Student in an Organized Health Care Education/Training Program | 1160 S Grand Ave, Glendora, CA 91740-5000 | 2019-05-16 |
| 1629539424 | Jessica Aileen Nuno | Counselor | 1160 S Grand Ave, Glendora, CA 91740-5000 | 2019-03-26 |
| 1366938243 | Amy Elizabeth Maljian | Counselor | 1160 S Grand Ave, Glendora, CA 91740-5000 | 2018-07-03 |
| 1316431083 | Angela Pei Wu | Counselor | 1160 S Grand Ave, Glendora, CA 91740-5000 | 2018-06-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215559638 | Kenny Tokuji Michioka | Nurse Practitioner | 1208 S Barranca Ave Unit C, Glendora, CA 91740 | 2020-05-07 |
| 1629535380 | Sudario Home Health Care, Inc. | Home Health | 620 W Riute 66 Suite 220a, Glendora, CA 91740 | 2019-02-28 |
| 1659872711 | Matthew Christian Mendoza | Counselor | 1160 S Grand Avenue, Glendora, CA 91740 | 2018-02-23 |
| 1972029981 | Keyauna C Thomas | Case Manager/Care Coordinator | 987 Shady Lane, Glendora, CA 91740 | 2017-08-21 |
| 1356891055 | Stephanie L Contreras | Counselor | 2200 E Route 66 Ste 200, Glendora, CA 91740 | 2016-10-06 |
| 1912454547 | Natalie Sayegh | Dentist | 102 W. Route 66, Suite G, Glendora, CA 91740 | 2016-09-01 |
| 1255715744 | Daily Care,llc | Non-emergency Medical Transport (VAN) | 623 Lemar Park Drive, B, Glendora, CA 91740 | 2015-07-14 |
| 1245661776 | Rjdj Hospice Care, Inc. | Hospice Care, Community Based | 631 E. Arrow Hwy Ste E, Glendora, CA 91740 | 2013-12-10 |
| 1285061168 | Nam Dao | Nurse Practitioner | 1377 S. Grand Ave, Glendora, CA 91740 | 2013-10-09 |
| 1508292384 | Keaunna Sonae Knox | Speech-Language Pathologist | 420 E. Baseline St Suite D & E, Glendora, CA 91740 | 2013-09-24 |
| Find all providers in zip 91740 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417443136 | Artin Alexandrian | Nurse Practitioner | 510 S Grand Ave Ste 400, Glendora, CA 91741-4207 | 2018-07-05 |
| 1386250785 | Ahinasi Nurse Practitioner Corporation | Nurse Practitioner | 415 W Route 66 Ste 202, Glendora, CA 91740-4335 | 2020-09-21 |
| 1629616255 | Lorena Fuentes Np, Psychiatric Nursing Corp | Nurse Practitioner | 415 W Route 66 Ste 202, Glendora, CA 91740-4335 | 2019-12-13 |
| 1558905158 | Sasinee J Bhosai Np Psychiatric Nursing Corp | Nurse Practitioner | 415 W Route 66 Ste 202, Glendora, CA 91740-4335 | 2019-11-06 |
| 1316580665 | Dominique Sanders Nursing Corporation | Nurse Practitioner | 415 W Route 66 Ste 202, Glendora, CA 91740-4335 | 2019-10-18 |
| 1952964744 | Jeromy Asido Np Psychiatric Nursing Services Inc | Nurse Practitioner | 415 W Route 66 Ste 202, Glendora, CA 91740-4335 | 2019-04-17 |
| 1598233629 | Jeromy Cruz Asido | Nurse Practitioner | 415 W Route 66 Ste 202, Glendora, CA 91740-4335 | 2018-11-07 |
| 1033691316 | Sasinee Jade Bhosai | Nurse Practitioner | 510 S Grand Ave, Glendora, CA 91741-4207 | 2018-09-03 |
| 1801197983 | Melissa Frost Rn A Professional Corporation | Nurse Practitioner | 415 W Carroll Ave, Suite 204, Glendora, CA 91741-4208 | 2010-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154573 | Marcus Jang | Nurse Practitioner | 1130 E Colorado St Apt 214, Glendale, CA 91205-2092 | 2020-11-04 |
| 1033718580 | John Sylvanus Allieu Sr. | Nurse Practitioner | 2672 Merganser Ct, Los Banos, CA 93635-9473 | 2020-10-25 |
| 1316546930 | Chika U Oguagha | Nurse Practitioner | 16240 Carmine St, Fontana, CA 92336-1481 | 2020-10-23 |
| 1215534888 | Rosa Maria Aguero | Nurse Practitioner | 9841 Alburtis Ave Unit 29, Santa Fe Springs, CA 90670-3264 | 2020-10-06 |
| 1134726995 | Margarita Maghtesyan | Nurse Practitioner | 20251 Ventura Blvd Ste A, Woodland Hills, CA 91364-2564 | 2020-10-05 |
| 1043827140 | April Lopez Ortiz | Nurse Practitioner | 500 W Ashland Ct, Visalia, CA 93277-6609 | 2020-09-23 |
| 1477167666 | David Joseph Russell | Nurse Practitioner | 17846 Glenwood Rd, Manteca, CA 95336-9521 | 2020-09-03 |
| 1194339382 | Albert Liu | Nurse Practitioner | 43559 Southerland Way, Fremont, CA 94539-5931 | 2020-09-03 |
| 1407469554 | Andre Alexandrian | Nurse Practitioner | 1606 Winona Ave, Burbank, CA 91504-2823 | 2020-08-28 |
| 1790398238 | Heather Richardson | Nurse Practitioner | 112 S Park St Ste 1, San Francisco, CA 94107-1809 | 2020-08-25 |
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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.