ANGELA GAMBOA AVIQUIVIL (NPI# 1417560160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417560160 |
| Entity Type | Individual |
| Full Name | ANGELA GAMBOA AVIQUIVIL |
| Practice Address |
3622 Prospect Ave E Cleveland OH 44115-2704 |
| Mailing Address |
22639 Euclid Ave Euclid OH 44117-1622 |
| Practice Telephone | 2164314600 |
| Mailing Telephone | 2164041900 |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2020-08-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | C.2002669-TRNE | OH | Student, Health Care |
| Street Address |
3622 PROSPECT AVE E |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44115-2704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376060467 | Tanya Lynn Fox | Registered Nurse | 3622 Prospect Ave E, Cleveland, OH 44115-2704 | 2017-08-29 |
| 1144833807 | Carrie Ann Valletto | Student in an Organized Health Care Education/Training Program | 3622 Prospect Ave E, Cleveland, OH 44115-2704 | 2020-08-24 |
| 1073126728 | Taylor Mcvay | Student in an Organized Health Care Education/Training Program | 3622 Prospect Ave E, Cleveland, OH 44115-2704 | 2020-08-24 |
| 1881207538 | Melaney Peters | Student in an Organized Health Care Education/Training Program | 3622 Prospect Ave E, Cleveland, OH 44115-2704 | 2020-08-24 |
| 1144833898 | Shannyn Leigh Shreve Franko | Student in an Organized Health Care Education/Training Program | 3622 Prospect Ave E, Cleveland, OH 44115-2704 | 2020-08-24 |
| 1871106526 | Amilia Teren | Student in an Organized Health Care Education/Training Program | 3622 Prospect Ave E, Cleveland, OH 44115-2704 | 2020-08-24 |
| 1700433463 | Laura Robinson | Student in an Organized Health Care Education/Training Program | 3622 Prospect Ave E, Cleveland, OH 44115-2704 | 2019-08-19 |
| 1528615283 | Riva Miriam Weinstock | Student in an Organized Health Care Education/Training Program | 3622 Prospect Ave E, Cleveland, OH 44115-2704 | 2019-08-19 |
| 1003477464 | Ryan C Moore Sr. | Case Manager/Care Coordinator | 3622 Prospect Ave E, Cleveland, OH 44115-2704 | 2019-06-26 |
| 1407310568 | Marybeth Mcdonough | Student in an Organized Health Care Education/Training Program | 3622 Prospect Ave E, Cleveland, OH 44115-2704 | 2019-01-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972117299 | Ann Marie Louise Melinz | Counselor | 2525 West 22nd Street, Cleveland, OH 44115 | 2020-09-03 |
| 1881231850 | Steven Kelly | Case Management | 3500 Carnegie Ave., Cleveland, OH 44115 | 2019-12-09 |
| 1649821422 | Larry Hollimon | Technician | 2320 East 30th Street, Apt #1304, Cleveland, OH 44115 | 2019-09-24 |
| 1306332408 | Tyler Milam | Counselor | 2334 Prospect Ave., 400, Cleveland, OH 44115 | 2018-07-02 |
| 1780108019 | Victoria Charles | Registered Nurse | 2500 E. 22nd St, Cleveland, OH 44115 | 2017-07-28 |
| 1528580511 | Randol Jamel Kennedy | Internal Medicine | 2351 East 22nd Street Suite 338 W, St. Vincent Charity Medical Center, Cleveland, OH 44115 | 2017-07-11 |
| 1508393422 | Gang Anthony Lu | Dentist | 1110 Euclid Ave Ste 202, Cleveland, OH 44115 | 2017-05-23 |
| 1093116501 | Megan Shiles | Psychologist | 2675 East 30th St., Cleveland, OH 44115 | 2014-09-16 |
| 1003224577 | Efewongbe Benedicta Oleghe | Internal Medicine | 2351 E 22nd Street, St Vincent's Charity Medical Center, Cleveland, OH 44115 | 2014-07-29 |
| 1982032074 | Andrew Winchester | Social Worker | 2500 Carnegie Ave, Cleveland, OH 44115 | 2013-10-29 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407463862 | Kim El Haddad | Student in an Organized Health Care Education/Training Program | Cleveland Clinic Main Campus 9500 Euclid Avenue/na-23, Cleveland, OH 44195-0001 | 2020-09-29 |
| 1114531829 | Amanda Nicole Olevsky | Student in an Organized Health Care Education/Training Program | 1400 Parker Street, Cleveland, TN 37311-4566 | 2020-09-01 |
| 1295348431 | Brandi Williams | Student in an Organized Health Care Education/Training Program | 2200 Prospect Ave E, Cleveland, OH 44115-2673 | 2020-08-27 |
| 1487265625 | Rima Mayuresh Chaudhari | Student in an Organized Health Care Education/Training Program | Main Campus Cleveland Clinic 9500, Euclid Avenue Na-23, Cleveland, OH 44195-0001 | 2020-08-12 |
| 1134738263 | Alicia Lew | Student in an Organized Health Care Education/Training Program | 9501 Euclid Ave Rm 421q, Cleveland, OH 44106-4711 | 2020-07-24 |
| 1972112100 | Breandria Kamille Thompson | Student in an Organized Health Care Education/Training Program | Case Western Reserve University School of Medicine, Samson Pavilion 9501 Euclid Ave., Room 421q, Cleveland, OH 44106-7506 | 2020-07-23 |
| 1104434240 | Bradly Miner | Student in an Organized Health Care Education/Training Program | Health Education Campus, 9501 Euclid Ave, Cleveland, OH 44106 | 2020-07-15 |
| 1003434507 | Ethan Jordan Lacourt | Student in an Organized Health Care Education/Training Program | 2082 Murray Hill Rd, Cleveland, OH 44106-2359 | 2020-07-10 |
| 1235757808 | Hinali Kirit Patel | Student in an Organized Health Care Education/Training Program | 10000 Lamont Ave Unit 12, Cleveland, OH 44106-4149 | 2020-07-10 |
| 1497376644 | Andrea Sisti | Student in an Organized Health Care Education/Training Program | 9500 Euclid Ave Bldg 6th Floor, Crile Building, Cleveland Clinic Main Campus, Dept of Plastic Surgery, Cleveland, OH 44195-0001 | 2020-04-29 |
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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.