MRS. JUDITH C GERGIS (NPI# 1326263245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326263245 |
| Entity Type | Individual |
| Full Name | MRS. JUDITH C GERGIS |
| Credential | RN |
| Practice Address |
72 Moody Ct Suite 102 Thousand Oaks CA 91360-6067 |
| Practice Telephone | 8057773500 |
| Practice Fax Number | 8057773510 |
| Mailing Telephone | 8057773500 |
| Mailing Fax Number | 8057773510 |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
253831 | CA | Nursing Service Providers |
| Street Address |
72 MOODY CT SUITE 102 |
| City | THOUSAND OAKS |
| State | CA |
| Zip Code | 91360-6067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114076072 | Melissa Nitsch | Counselor | 72 Moody Ct, Thousand Oaks, CA 91360-6067 | 2007-01-09 |
| 1356956619 | Andrea Ilene Bergholtz | Registered Nurse | 72 Moody Ct, Thousand Oaks, CA 91360-6067 | 2020-09-14 |
| 1780944348 | Janelle Lopez | Licensed Vocational Nurse | 72 Moody Ct, Thousand Oaks, CA 91360-6067 | 2012-05-16 |
| 1740547207 | Jose Yniguez | Counselor | 72 Moody Ct, Thousand Oaks, CA 91360-6067 | 2012-04-20 |
| 1023392362 | Kellie Guglielmelli | Case Manager/Care Coordinator | 72 Moody Ct, Thousand Oaks, CA 91360-6067 | 2011-10-05 |
| 1649565128 | Kira Michelle Hidalgo | Counselor | 72 Moody Ct, Suite 101, Thousand Oaks, CA 91360-6067 | 2011-06-13 |
| 1760783443 | Cheryl Lane Burlingame | Counselor | 72 Moody Ct, Suite 101, Thousand Oaks, CA 91360-6067 | 2010-11-10 |
| 1275866121 | Gloria S. Ramirez | Counselor | 72 Moody Ct, Suite #201, Thousand Oaks, CA 91360-6067 | 2009-09-10 |
| 1770715328 | Jennifer Lynne Brown | Marriage & Family Therapist | 72 Moody Ct, Thousand Oaks, CA 91360-6067 | 2009-08-17 |
| 1659523611 | Christina Harmeson | Case Manager/Care Coordinator | 72 Moody Ct, 101, Thousand Oaks, CA 91360-6067 | 2008-10-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124633953 | Rhandi Walters | Marriage & Family Therapist | 208 E Thousand Oaks Blvd, Suite D, Thousand Oaks, CA 91360 | 2020-09-09 |
| 1942709837 | Stephanie Renee Neri | Behavior Technician | 325 E Hillcrest Dr Suite 140, Thousand Oaks, CA 91360 | 2018-02-06 |
| 1104340652 | Fernando Antonio Castaneda | Student in an Organized Health Care Education/Training Program | 325 E Hillcrest Dr Ste 140, Thousand Oaks, CA 91360 | 2017-07-26 |
| 1023548989 | Anna Garduno | Specialist/Technologist | 3680 Campus Drive, Thousand Oaks, CA 91360 | 2017-06-14 |
| 1467996306 | Ava Shokoufi | Marriage & Family Therapist | 280 E Thousand Oaks Blvd Suite D, Thousand Oaks, CA 91360 | 2016-12-12 |
| 1649621517 | Sandy Lynn Mcglynn | Social Worker | 460 East Gainsborough Road, Thousand Oaks, CA 91360 | 2016-06-22 |
| 1316363476 | Lorraine Jordan | Family Medicine | 1331 Witherspoon Dr, Thousand Oaks, CA 91360 | 2014-03-13 |
| 1841612033 | Katherine Snyder | Counselor | 280 East Thousand Oaks Blvd. Suite D, Thousand Oaks, CA 91360 | 2014-01-08 |
| 1235567397 | Christine Maria Katzenmaier | Speech-Language Pathologist | 223 E. Thousand Oaks Blvd, Thousand Oaks, CA 91360 | 2013-10-28 |
| 1912335233 | Lena Ameripour | Behavioral Analyst | 315 E. Hillcrest Dr., Thousand Oaks, CA 91360 | 2013-10-23 |
| Find all providers in zip 91360 | ||||
| Taxonomy Code | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326530288 | Julio Gomez | Registered Nurse | 125 W Thousand Oaks Blvd Ste 500, Thousand Oaks, CA 91360-4462 | 2018-06-05 |
| 1558520288 | Brenda Phillips | Registered Nurse | 72 Moody Ct, 101, Thousand Oaks, CA 91360-6067 | 2008-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033739677 | Tiffany Venice Turner | Registered Nurse | 2085 Rustin Ave Bldg 5, Riverside, CA 92507-2498 | 2020-04-23 |
| 1073144549 | Cedelia Untalan Cardenas | Registered Nurse | 17053 Foothill Blvd Bldg N, Fontana, CA 92335-3574 | 2020-02-03 |
| 1689204265 | Juvelyn Isip Ingal | Registered Nurse | 3853 Rosecrans St # Ca92110, San Diego, CA 92110-3115 | 2020-01-22 |
| 1043859531 | Klair Grace | Registered Nurse | 6460 Convoy Ct Spc 115, San Diego, CA 92117-2314 | 2019-12-31 |
| 1316588395 | Batoul Salameh | Registered Nurse | 19204 Bension Dr, Santa Clarita, CA 91350-3797 | 2019-10-01 |
| 1851949580 | Michael Perez | Registered Nurse | 25727 Mcbean Pkwy, Valencia, CA 91355-3704 | 2019-08-27 |
| 1982259792 | Beverly Austin Mccabe | Registered Nurse | 1720 E. Cesar Chavez Ave., Los Angeles, CA 90033 | 2019-08-08 |
| 1396390530 | Trisha Lynne Basman | Registered Nurse | 939 Snow Dr, Martinez, CA 94553-4715 | 2019-08-05 |
| 1003378043 | Ildefonso Silva Rodriguez | Registered Nurse | 2437 Woodcreek Rd, Camarillo, CA 93012-2537 | 2019-04-01 |
| 1518430842 | Jesus Lim | Registered Nurse | 695 Sea Vale St Unit 202, Chula Vista, CA 91910-1242 | 2019-01-09 |
| Find all providers with the same taxonomy | ||||
| City | THOUSAND OAKS |
| Zip Code | 91360 |
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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.