MS. JENNIFER PONGPUNGAM (NPI# 1417477860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417477860 |
| Entity Type | Individual |
| Full Name | MS. JENNIFER PONGPUNGAM |
| Credential | RN |
| Practice Address |
335 E Avenue I Ste 24 Lancaster CA 93535-1916 |
| Mailing Address |
335 E Avenue I Lancaster CA 93535-1916 |
| Practice Telephone | 6614714561 |
| Mailing Telephone | 6614714360 |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2017-06-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP2201X |
Registered Nurse Specialization: Ambulatory Care |
542305 | CA | Nursing Service Providers |
| Street Address |
335 E AVENUE I STE 24 |
| City | LANCASTER |
| State | CA |
| Zip Code | 93535-1916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003464793 | Lovernie Arenque Pilarca | Technician | 42952 Yaffa St, Lancaster, CA 93535 | 2019-08-27 |
| 1528565934 | Danelly Luna | Behavioral Analyst | 340 E Avenue Suite 101, Lancaster, CA 93535 | 2018-04-11 |
| 1841791456 | Mary Sowah-quaye | Social Worker | 1326 East Cambridge Court, Lancaster, CA 93535 | 2018-02-28 |
| 1497272231 | Monica Arellano | Behavioral Analyst | 40526 176th St. E, Lancaster, CA 93535 | 2017-08-23 |
| 1679920227 | Kristina Doronila Gaddi | Licensed Vocational Nurse | 1308 East Cambridge Ct, Lancaster, CA 93535 | 2016-05-24 |
| 1558720839 | Eric Washington | Student in an Organized Health Care Education/Training Program | 43625 San Francisco Ave., Lancaster, CA 93535 | 2016-02-16 |
| 1215309935 | Anita Maria Hill | Registered Nurse | 44545 3rd Street E., Lancaster, CA 93535 | 2015-10-21 |
| 1538568548 | Roman Flores | Marriage & Family Therapist | 43520 Division St., Lancaster, CA 93535 | 2014-08-14 |
| 1083045496 | Wanda Elaine Smith | Assisted Living Facility | 1046 E. Lancaster Blvd, Lancaster, CA 93535 | 2013-12-11 |
| 1841624046 | Jennifer Lagare Hagerty | Nurse Practitioner | 335 East Avenue I, Lancaster, CA 93535 | 2013-08-25 |
| Find all providers in zip 93535 | ||||
| Taxonomy Code | 163WP2201X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Ambulatory Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679095244 | Maria Celeste Montebello | Registered Nurse | 335 E. Avenue I, Lancaster, CA 93536 | 2017-07-14 |
| 1043732282 | Laura Yolanda Avalos De Ayala | Registered Nurse | 335 E Avenue I, Lancaster, CA 93535-1916 | 2017-07-10 |
| 1780106963 | Wendell Narvaez | Registered Nurse | 335 E Avenue I, Lancaster, CA 93535-1916 | 2017-07-10 |
| 1891217287 | Maria Cristina Xb Sandhu | Registered Nurse | 335 East Avenue I, Lancaster, CA 93535 | 2017-07-07 |
| 1699296178 | Panthip Ladsom | Registered Nurse | 335 E Avenue I, Lancaster, CA 93535-1916 | 2017-07-05 |
| 1609397173 | Nancy Lopez | Registered Nurse | 335 E Avenue I, Lancaster, CA 93535-1916 | 2017-07-05 |
| 1174044994 | Folasade Popoola | Registered Nurse | 335 E Avenue I, Lancaster, CA 93535-1916 | 2017-07-01 |
| 1346760659 | Yolanda Amaya | Registered Nurse | 335 East Ave I, Lancaster, CA 93534 | 2017-06-27 |
| 1194245522 | Diane Jacqueline Dworzack | Registered Nurse | 335 E Avenue I, Lancaster, CA 93535-1916 | 2017-06-27 |
| 1992225346 | Donna Marie Macnair | Registered Nurse | 335 E Avenue I, Lancaster, CA 93535-1916 | 2017-06-26 |
| Find all providers in LANCASTER | ||||
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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.