MRS. TRINA EAGAL (NPI# 1407203573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407203573 |
| Entity Type | Individual |
| Full Name | MRS. TRINA EAGAL |
| Credential | FNP-BC |
| Practice Address |
2633 Pacific Ave Stockton CA 95204-4429 |
| Mailing Address |
6118 Riverbank Cir Stockton CA 95219-2524 |
| Practice Telephone | 2099445530 |
| Mailing Telephone | 2096081620 |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2016-05-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95004345 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2633 PACIFIC AVE |
| City | STOCKTON |
| State | CA |
| Zip Code | 95204-4429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932434404 | Noel Lena Moreno | Physician Assistant | 2633 Pacific Ave, Stockton, CA 95204-4429 | 2009-10-16 |
| 1649896184 | Rachel Valdez | Nurse Practitioner | 2633 Pacific Ave, Stockton, CA 95204-4429 | 2020-06-21 |
| 1538783519 | Brooke Nicole Fletcher | Internal Medicine | 2633 Pacific Ave, Stockton, CA 95204-4429 | 2020-06-04 |
| 1013308485 | Rex Ambatali Jr. | Nurse Practitioner | 2633 Pacific Ave, Stockton, CA 95204-4429 | 2015-02-06 |
| 1225380603 | Manshadi Heart Institute Inc | Internal Medicine | 2633 Pacific Ave, Stockton, CA 95204-4429 | 2012-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962027524 | Kariem Abdelwahed | Licensed Vocational Nurse | 1630 N. Edison St Stockton Ca, Stockton, CA 95204 | 2020-06-10 |
| 1831730555 | Ronnie C Murray | Counselor | 1947 North California Street, Stockton, CA 95204 | 2019-10-03 |
| 1235614116 | Michelle Ann Horn | Marriage & Family Therapist | 3666 Mission Rd, Stockton, CA 95204 | 2018-09-26 |
| 1356830947 | Stockton Pace | PACE Provider Organization | 582 E. Harding Way, Stockton, CA 95204 | 2018-05-09 |
| 1790228781 | Rebecca Phongsa | Counselor | 1947 North Calfornia Street, Suite B, Stockton, CA 95204 | 2016-11-23 |
| 1700332905 | Serim Kang | Driver | 4222 N Pershing Ave, Suite D2, Stockton, CA 95204 | 2016-08-28 |
| 1033565544 | Philip John Brereton | Orthotist | 466 E Harding Way, Stockton, CA 95204 | 2016-05-13 |
| 1932507522 | David Grayson | Counselor | 1621 Brookside Rd, Stockton, CA 95204 | 2014-12-12 |
| 1174934897 | Gurtej Malhi | Internal Medicine | 1901 N California Street, Stockton, CA 95204 | 2014-05-15 |
| 1396156170 | Rajesh Saini | Nurse Practitioner | 1805 N California St. Suite 102, Stockton, CA 95204 | 2014-05-14 |
| Find all providers in zip 95204 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710535141 | Edith Reyes | Nurse Practitioner | 4815 Palmer Ave, Stockton, CA 95215-1824 | 2019-08-28 |
| 1275099418 | Angelica May Palomares Santos | Nurse Practitioner | 3733 Sanguinetti Ln, Stockton, CA 95205-2580 | 2019-02-12 |
| 1972074821 | Usha R Vyas | Nurse Practitioner | 415 E Harding Way Ste D, Stockton, CA 95204-6118 | 2018-12-17 |
| 1437672722 | Margie Belinda Nudo Aquino | Nurse Practitioner | 3518 Cape York Ct., Stockton, CA 95206 | 2017-07-19 |
| 1033568860 | Jennifer Yana | Nurse Practitioner | 10200 Trinity Pkwy Ste 202, Stockton, CA 95219-7288 | 2016-06-13 |
| 1235595067 | Tiffanie Dai | Nurse Practitioner | 4719 Quail Lakes Dr Ste G, Pmb#274, Stockton, CA 95207-5267 | 2016-01-08 |
| 1265716542 | Sandeep K Bhangoo | Nurse Practitioner | 2351 W March Ln, Suite A, Stockton, CA 95207-5292 | 2011-10-04 |
| 1043522659 | Ketty Ukpong Uweh | Nurse Practitioner | 644 E Harding Way Ste B, Stockton, CA 95204-6103 | 2010-07-12 |
| 1134198286 | Mary Catherine Raymond | Nurse Practitioner | 530 W Acacia St Ste 1, Stockton, CA 95203-2400 | 2006-03-14 |
| 1124094545 | Luann K Jordan | Nurse Practitioner | 725 N Pearl St, Stockton, IL 61085-9267 | 2006-02-25 |
| Find all providers in STOCKTON | ||||
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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.