LANDRI ACOSTA (NPI# 1316547227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316547227 |
| Entity Type | Individual |
| Full Name | LANDRI ACOSTA |
| Credential | SOIDC |
| Practice Address |
5075 Tranquil Way # 102 Oceanside CA 92057-7870 |
| Practice Telephone | 4079274848 |
| Mailing Telephone | 4079274848 |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2020-10-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
Other Service Providers |
| Street Address |
5075 TRANQUIL WAY # 102 |
| City | OCEANSIDE |
| State | CA |
| Zip Code | 92057-7870 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760973952 | Michelle Alamo Domingo | Nurse Practitioner | 4330 Silver Spring Way, Oceanside, CA 92057 | 2018-05-23 |
| 1780107359 | Baljit D Singh | Dentist | 555221 Box, Box 555221, Fpo, AE 92057 | 2017-07-25 |
| 1629513734 | John Francis Donovan | Technician, Pathology | 3619 Dearborn St, Oceanside, CA 92057 | 2016-12-28 |
| 1639546997 | San Joaquin Assisted Living LLC | Assisted Living Facility | 4478 San Joaquin St, Oceanside, CA 92057 | 2015-08-21 |
| 1194167429 | Khamsy Siharath | Registered Nurse | 4451 San Joaquin St, Oceanside, CA 92057 | 2013-07-29 |
| 1205186244 | Michelle Tracy Plumb | Marriage & Family Therapist | 102 Rancho Del Oro Drive, Oceanside, CA 92057 | 2012-09-18 |
| 1720350416 | Ashley Nicole Kline | Military Health Care Provider | 191 Mckinley Street, Oceanside, CA 92057 | 2012-01-27 |
| 1548542558 | Jennifer Ann Wermers | Dental Hygienist | 4824 Contour Court, Oceanside, CA 92057 | 2011-09-15 |
| 1295969368 | Mariza Rubi Salazar | Dental Assistant | 103 Avenida Del Gado, Oceanside, CA 92057 | 2009-05-05 |
| 1669632378 | Marcie Alena Bokelman | Registered Nurse | 4906 Tyler St, Oceanside, CA 92057 | 2008-06-16 |
| Find all providers in zip 92057 | ||||
| Taxonomy Code | 1710I1002X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Corpsman |
| A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals. |
| Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494182 | Luis Alberto Necoechea | Military Health Care Provider | 1st Recon Bn Bas, Oceanside, CA 92055 | 2020-10-09 |
| 1073135836 | Roxana Ivette Rodriguez | Military Health Care Provider | 22190 Marine Dr, Oceanside, CA 92058 | 2020-05-14 |
| 1811528359 | Misaael Valdes | Military Health Care Provider | Building, B St, Oceanside, CA 92058 | 2020-02-03 |
| 1023504412 | Christopher Russell Peterson | Military Health Care Provider | 909 Ash Rd, Oceanside, CA 92058-8664 | 2018-07-09 |
| 1902399199 | Jeremy Urbanowski | Military Health Care Provider | 656 Dogwood Ct S, Oceanside, CA 92058-6655 | 2018-06-12 |
| 1891297438 | Adam Christopher Jones | Military Health Care Provider | 823 Ash Rd, Oceanside, CA 92058-8662 | 2018-02-28 |
| 1649712639 | Robert Harrison Dickey | Military Health Care Provider | 4372 Pacifica Way, Unit 1, Oceanside, CA 92056-5781 | 2016-11-08 |
| 1780056218 | Kyle Cramer Hewitt | Military Health Care Provider | 1005 Fandango Ct, Oceanside, CA 92058-6757 | 2015-10-23 |
| 1467857490 | Adam Zani | Military Health Care Provider | 316 Taegu Ct, Oceanside, CA 92058-8151 | 2014-11-04 |
| 1598174849 | Warren James Rifenburgh | Military Health Care Provider | 472 Calico Rd, Oceanside, CA 92058-6748 | 2014-08-11 |
| 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.