DECEMBER LORAINE SHORE (NPI# 1326653056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326653056 |
| Entity Type | Individual |
| Full Name | DECEMBER LORAINE SHORE |
| Credential | RN |
| Practice Address |
301 Victoria St Costa Mesa CA 92627-7131 |
| Mailing Address |
5800 South St Apt 173 Lakewood CA 90713-1332 |
| Practice Telephone | 9496422734 |
| Mailing Telephone | 5623401314 |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2020-09-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
95177107 | CA | Nursing Service Providers |
| Street Address |
301 VICTORIA ST |
| City | COSTA MESA |
| State | CA |
| Zip Code | 92627-7131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578501110 | V-tach Medical Group Inc. | Clinic/Center | 301 Victoria St, Costa Mesa, CA 92627-1995 | 2006-06-04 |
| 1043811722 | Karen Ranei Tamayo Cabrera | Registered Nurse | 301 Victoria St, Costa Mesa, CA 92627-1995 | 2020-11-08 |
| 1871193029 | Jordan Francis Roberts | Registered Nurse | 301 Victoria St, Costa Mesa, CA 92627-7131 | 2020-10-27 |
| 1619586690 | Alexis Flora | Registered Nurse | 301 Victoria St, Costa Mesa, CA 92627-1995 | 2020-07-27 |
| 1396362489 | David Sallee | Registered Nurse | 301 Victoria St, Costa Mesa, CA 92627-1995 | 2020-07-06 |
| 1598382095 | Briana April Miller | Registered Nurse | 301 Victoria St, Costa Mesa, CA 92627-7131 | 2020-06-30 |
| 1770100364 | Debra Ruiz Aquino | Licensed Vocational Nurse | 301 Victoria St, Costa Mesa, CA 92627-1995 | 2020-06-29 |
| 1043836257 | Jeremy Quang Le | Social Worker | 301 Victoria St, Costa Mesa, CA 92627-1995 | 2020-06-23 |
| 1033741541 | Brian Jacobo | Social Worker | 301 Victoria St, Costa Mesa, CA 92627-1995 | 2020-02-12 |
| 1366073298 | Arthur Velante | Registered Nurse | 301 Victoria St, Costa Mesa, CA 92627-1995 | 2020-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407174 | Ryan Allen Merrell | Technician | 313 E. 17th Pl #l Costa Mesa, Costa Mesa, CA 92627 | 2020-11-04 |
| 1245703412 | Allure Transportation | Non-emergency Medical Transport (VAN) | 1835 Newport Blvd Ste 109 #110, Costa Mesa, CA 92627 | 2019-01-09 |
| 1750857686 | Living Success Center | Marriage & Family Therapist | 445 E. 17th Street, Suites D & E, Costa Mesa, CA 92627 | 2018-10-18 |
| 1790298909 | Akua Behavioral Health, Inc | Substance Abuse Rehabilitation Facility | 319-a University Drive, Costa Mesa, CA 92627 | 2017-11-09 |
| 1679086862 | Akua Behavioral Health, Inc | Substance Abuse Rehabilitation Facility | 319-b University Drive, Costa Mesa, CA 92627 | 2017-11-09 |
| 1245759018 | Surgical Assistant Associates | Clinic/Center | 186 E. 16th Street, Suite C, Costa Mesa, CA 92627 | 2017-09-13 |
| 1366962334 | Guadalupe A. Mejia Dental Corp. | Dentist | 700 W 19th St., Suite C, Costa Mesa, CA 92627 | 2017-06-21 |
| 1386189033 | Jian Yi Ye | Acupuncturist | 2488 Newport Blvd Ste B1, Costa Mesa, CA 92627 | 2017-01-04 |
| 1144764606 | Michele Marie Patton | Dental Hygienist | 2220 Fairview Rd., Costa Mesa, CA 92627 | 2016-12-18 |
| 1881148500 | Valerie Nguyen | Pharmacist | 1835 Newport Blvd # C, Costa Mesa, CA 92627 | 2016-08-10 |
| Find all providers in zip 92627 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871193029 | Jordan Francis Roberts | Registered Nurse | 301 Victoria St, Costa Mesa, CA 92627-7131 | 2020-10-27 |
| 1619586690 | Alexis Flora | Registered Nurse | 301 Victoria St, Costa Mesa, CA 92627-1995 | 2020-07-27 |
| 1548809064 | Rilee Horton | Registered Nurse | 301 Victoria St, Costa Mesa, CA 92627-1995 | 2020-01-01 |
| 1518223759 | Lisa Renee Casey | Registered Nurse | 151 Kalmus Dr Ste K3, Costa Mesa, CA 92626-5975 | 2012-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063998 | Jonathan Eguia | Registered Nurse | 10161 Croydon Way Ste 2, Sacramento, CA 95827-2107 | 2020-11-03 |
| 1396346961 | Patricia Yamilet Morales | Registered Nurse | 18300 Roscoe Blvd Dignity Health- Northridge Hospital M, Northridge, CA 91325 | 2020-11-02 |
| 1881292910 | Molly E Reid | Registered Nurse | 1000 S Grand Ave Apt 451, Los Angeles, CA 90015-3474 | 2020-10-12 |
| 1699372375 | Shawnalle Guadalupe Guzman | Registered Nurse | 125 Rowardennan Dr, Ben Lomond, CA 95005-9388 | 2020-10-06 |
| 1760091201 | Amara Michella Altman | Registered Nurse | 1796 Camino Verde Apt C, Walnut Creek, CA 94597-2291 | 2020-07-30 |
| 1609484476 | Loretta Lynn Ballard | Registered Nurse | 11514 Poema Pl Unit 102, Chatsworth, CA 91311-1114 | 2020-07-17 |
| 1174141550 | Aline Marie Bales | Registered Nurse | 1669 Marina Way, Brentwood, CA 94513-5133 | 2020-07-11 |
| 1447874730 | Deborah Colleen Rheinfurth | Registered Nurse | 25727 Mcbean Parkway, Valencia, CA 91355 | 2020-06-02 |
| 1235767393 | Julianne Vilardi | Registered Nurse | 3410 Birdsall Ave Unit B, Oakland, CA 94619-2621 | 2020-04-01 |
| 1275169328 | Jennifer Khan | Registered Nurse | 4201 Topanga Canyon Blvd Spc 113, Woodland Hills, CA 91364-5262 | 2020-03-20 |
| Find all providers with the same taxonomy | ||||
| City | COSTA MESA |
| Zip Code | 92627 |
Please comment or provide details below to improve the information on DECEMBER LORAINE SHORE.
| 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.