JEANETTE FADERAN BALDONADO (NPI# 1518340751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518340751 |
| Entity Type | Individual |
| Full Name | JEANETTE FADERAN BALDONADO |
| Credential | RN |
| Practice Address |
4440 Brockton Ave Ste 420 Riverside CA 92501-4026 |
| Practice Telephone | 9516848020 |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2016-07-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0200X |
Registered Nurse Specialization: Pediatrics |
6894281 | NY | Nursing Service Providers |
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
95004133 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4440 BROCKTON AVE STE 420 |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92501-4026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821271412 | Mario Carcamo Md Inc | Specialist | 4440 Brockton Ave Ste 420, Riverside, CA 92501-4026 | 2007-12-06 |
| 1801312392 | Elizabeth Coleman | Nurse Practitioner | 4440 Brockton Ave Ste 420, Riverside, CA 92501-4026 | 2017-08-16 |
| 1780066480 | Naga Ramya Chowdary | Pediatrics | 4440 Brockton Ave Ste 420, Riverside, CA 92501-4026 | 2015-06-18 |
| 1851680078 | Kimberly Joy Buck | Nurse Practitioner | 4440 Brockton Ave Ste 420, Riverside, CA 92501-4026 | 2011-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700437605 | Mary Horvatin | Technician | 1811 Rivera Strret, Riverside, CA 92501 | 2019-09-23 |
| 1366905473 | Timothy Daniel Collins | Student in an Organized Health Care Education/Training Program | Riverside Community Hospital, 4445 Magnolia Ave., Gme, Office, Riverside, CA 92501 | 2019-04-08 |
| 1346709672 | Lourdes Adame | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Ave - Gme Office, Riverside, CA 92501 | 2019-03-16 |
| 1740759067 | Kristina Ferris-celosse | Counselor | 2452 Wilshire St., Riverside, CA 92501 | 2018-11-15 |
| 1750888095 | Arunmozhi Aravagiri | Student in an Organized Health Care Education/Training Program | Riverside Community Hospital, Gme Office, 4445 Magnolia Ave., Riverside, CA 92501 | 2018-04-12 |
| 1720585847 | Alan Huynh | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Avenue., Gme Office, Riverside, CA 92501 | 2018-04-06 |
| 1538664834 | Wilson Paul Frasca | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Avenue, Riverside, CA 92501 | 2018-03-28 |
| 1851896575 | Geethu Gopinathan Nair | Student in an Organized Health Care Education/Training Program | Riverside Community Hospital, 4445 Magnolia Ave., Gme Office, Riverside, CA 92501 | 2018-03-26 |
| 1316465560 | Thilini Anne Abeygunaratne | Marriage & Family Therapist | 1950 Market Street, Riverside, CA 92501 | 2017-09-07 |
| 1194257410 | Melissa Chitwood | Assistant Behavior Analyst | 3078 Cedar St., Riverside, CA 92501 | 2017-03-28 |
| Find all providers in zip 92501 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083259360 | Linda E Harrison | Nurse Practitioner | 6950 Brockton Ave Ste 5, Riverside, CA 92506-3830 | 2019-11-11 |
| 1306058714 | Mary Catherine Kelly | Nurse Practitioner | 275 Riverside Ave, Riverside, CT 06878-2313 | 2007-05-06 |
| 1801892542 | Nancy Lynn Hosek | Nurse Practitioner | 7140 Indiana Ave, Riverside, CA 92504-4544 | 2005-06-27 |
| 1801312392 | Elizabeth Coleman | Nurse Practitioner | 4440 Brockton Ave Ste 420, Riverside, CA 92501-4026 | 2017-08-16 |
| 1972048601 | Cynthia Maria Zavala | Nurse Practitioner | 1970 University Ave, Riverside, CA 92507-5202 | 2017-01-04 |
| 1184015133 | Pamela Hughes | Nurse Practitioner | 4440 Brockton Ave, Suite 420, Riverside, CA 92501-4068 | 2015-02-12 |
| 1831510353 | Lauren Seastrom Hunt | Nurse Practitioner | 6926 Brockton Ave, Suite 6, Riverside, CA 92506-3804 | 2013-12-31 |
| 1003246315 | Luamy Gabriela Cornejo | Nurse Practitioner | 4440 Brockton Ave Ste 100, Riverside, CA 92501-4026 | 2013-11-22 |
| 1174963177 | Manju Kaur | Nurse Practitioner | 3975 Jackson St, Riverside, CA 92503-3901 | 2013-07-05 |
| 1780023317 | Shannon Jones | Nurse Practitioner | 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061 | 2013-06-17 |
| Find all providers in RIVERSIDE | ||||
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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.