MARIA GUADALUPE JIMENEZ (NPI# 1487110623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487110623 |
| Entity Type | Individual |
| Full Name | MARIA GUADALUPE JIMENEZ |
| Credential | REGISTERED NURSE |
| Practice Address |
6066 Civic Terrace Ave Newark CA 94560-3746 |
| Mailing Address |
930 Blossom Way Apt 1 Hayward CA 94541-2031 |
| Practice Telephone | 5104374800 |
| Practice Fax Number | 5104947240 |
| Mailing Telephone | 5100432933 |
| Enumeration Date | 2019-02-12 |
| Last Update Date | 2019-02-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP2201X |
Registered Nurse Specialization: Ambulatory Care |
801885 | CA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467092296 | Maria Juana Jimenez | Counselor | 255 S Carolina Ave, Lake Alfred, FL 33850-2923 | 2020-01-09 |
| 1124529490 | Maria Tranquilina Jimenez | Nurse Practitioner | 4206 S Interstate 35 E, Denton, TX 76207 | 2018-02-22 |
| 1073985297 | Maria L Jimenez | Counselor | A25 Calle Diana, Urbanizacion Santa Rosa, Caguas, PR 00725-4642 | 2015-10-27 |
| 1942672712 | Maria M. Jimenez | Pharmacist | 4490 Kmart Pharmacy San Patricio Plaza, Urb Caparra Heigths, San Juan, PR 00920 | 2015-10-20 |
| 1730564170 | Maria Dolores Jimenez | Social Worker | 9024 Orange Blossom Loop, Haines City, FL 33844 | 2015-07-28 |
| 1508154063 | Maria Isabel Jimenez | Assistant Behavior Analyst | 11820 Cypress Corner Ln, Houston, TX 77065-1132 | 2011-07-19 |
| 1669794335 | Maria E. Jimenez | Psychologist | Cond Condado, 607, San Juan, PR 00907-3808 | 2010-02-23 |
| 1295974426 | Maria Emil Jimenez | Psychologist | 13361 N 56th St Ofc B, Temple Terrace, FL 33617-1161 | 2009-02-11 |
| 1194929224 | Maria C Jimenez | Pediatrics | Hopital Pediatrico Universitario, Centro Medico De Puerto Rico, San Juan, PR 00919-1079 | 2007-06-13 |
| 1992914568 | Maria M Jimenez | Pharmacy Technician | X32 Calle Pensacola, Santa Juanita, Bayamon, PR 00956-4931 | 2007-05-21 |
| Street Address |
6066 CIVIC TERRACE AVE |
| City | NEWARK |
| State | CA |
| Zip Code | 94560-3746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316093362 | Peter Kusnierczyk | Nurse Practitioner | 6066 Civic Terrace Ave, Newark, CA 94560-3746 | 2007-01-25 |
| 1770113110 | Anh V Pham | Registered Nurse | 6066 Civic Terrace Ave, Newark, CA 94560-3746 | 2020-01-24 |
| 1497215362 | Tishu Sharma | Registered Nurse | 6066 Civic Terrace Ave, Newark, CA 94560-3746 | 2019-03-25 |
| 1063972974 | Tejinder Kaur Khaira | Registered Nurse | 6066 Civic Terrace Ave, Newark, CA 94560-3746 | 2019-03-25 |
| 1538610290 | Alameda Health System | Specialist | 6066 Civic Terrace Ave, Newark, CA 94560-3746 | 2016-10-18 |
| 1346577384 | Deepika Jannapureddy | Family Medicine | 6066 Civic Terrace Ave, Newark, CA 94560 | 2009-11-12 |
| 1689875478 | Alameda Health System | Clinic/Center | 6066 Civic Terrace Ave, Newark, CA 94560-3746 | 2007-05-30 |
| 1497956288 | Alameda Health System | Clinic/Center | 6066 Civic Terrace Ave, Newark, CA 94560-3746 | 2007-05-30 |
| 1821207796 | Stefanie T. Chu | Internal Medicine | 6066 Civic Terrace Ave, Newark, CA 94560-3746 | 2007-05-21 |
| 1922131804 | Alameda Health System | Clinic/Center | 6066 Civic Terrace Ave, Newark, CA 94560-3746 | 2007-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538713086 | Newark Square Dental Care Inc | Dentist | 5678 Thornton Ave., Newark, CA 94560 | 2019-08-01 |
| 1942788971 | Evelyn Ibanez | Behavioral Analyst | 35201 Lido Blvd, Newark, CA 94560 | 2018-08-01 |
| 1851892954 | Chito Pascual | Nurse Practitioner | 7600 Gateway Blvd., Newark, CA 94560 | 2018-02-23 |
| 1700295466 | Juan Emanuel Tan Santos | Dentist | 5270 Newpark Mall Road, Newark, CA 94560 | 2014-08-07 |
| 1063761146 | Sarah Larae Devoe Scribner | Physical Therapist | 5600 John Muir Road, Newark, CA 94560 | 2012-09-05 |
| 1285983858 | Louie Crespo Ortiz-luis | General Practice | 35455 Dumbarton Court, Newark, CA 94560 | 2012-08-29 |
| 1184932535 | Annie Thanh-yen Du | Psychologist | 3900 Newpark Mall Rd, Ste 300, Newark, CA 94560 | 2010-09-20 |
| 1083931836 | Susan Elizabeth Hanaburgh | Marriage & Family Therapist | 39899 Balentine Drive #212, Family Service of The Tri-cities, Newark, CA 94560 | 2010-05-03 |
| 1306098694 | Maria Isabelle Santos Tuohy | Dentist | 5270 Newpark Plaza, Newark, CA 94560 | 2008-10-17 |
| 1699955765 | Jaspreet Kaur Harika | Dentist | 39736 Cedar Blvd, Newark, CA 94560 | 2007-11-06 |
| Find all providers in zip 94560 | ||||
| Taxonomy Code | 163WP2201X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Ambulatory Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063972974 | Tejinder Kaur Khaira | Registered Nurse | 6066 Civic Terrace Ave, Newark, CA 94560-3746 | 2019-03-25 |
| 1437352705 | Suzanne Tortoriello | Registered Nurse | 225 Warren St, 1 St Floor East Wing, Newark, NJ 07103-3535 | 2007-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013516558 | Angela Mauricio Torres | Registered Nurse | 9888 Carroll Centre Rd Ste 101, San Diego, CA 92126-4581 | 2020-10-24 |
| 1003445693 | Michelle Edwardson | Registered Nurse | 215 North Fresno Street, Suite 370, Fresno, CA 93701 | 2020-04-06 |
| 1386298529 | Anna Grigoryev | Registered Nurse | 20226 Lorne St, Winnetka, CA 91306-1887 | 2019-07-25 |
| 1063971448 | Guifang Shi | Registered Nurse | 1016 Contra Costa Dr, El Cerrito, CA 94530-2710 | 2019-03-15 |
| 1447717483 | Laura Rombach Rau | Registered Nurse | 6955 Foothill Blvd Ste 450, Oakland, CA 94605-2455 | 2019-02-26 |
| 1649764374 | Cristine Philina Ong | Registered Nurse | 2233 Huntington Dr Ste 12, San Marino, CA 91108 | 2018-06-16 |
| 1790276491 | Elizabeth Mercado Aquino | Registered Nurse | 7950 Caroline Ct, Dublin, CA 94568-1411 | 2018-05-29 |
| 1780191353 | Raynard Sterling | Registered Nurse | 2161 Van Wick St, Los Angeles, CA 90047-4644 | 2018-01-04 |
| 1346767076 | David A Alvarez | Registered Nurse | 1200n. State St., Los Angeles, CA 90033 | 2017-08-24 |
| 1346764230 | Roland Quero | Registered Nurse | 1000 W Carson St Rm 1m5, Torrance, CA 90502-2004 | 2017-08-01 |
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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.