SHERRY ANN L. SANVICTORES (NPI# 1528226602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528226602 |
| Entity Type | Individual |
| Full Name | SHERRY ANN L. SANVICTORES |
| Credential | NP |
| Practice Address |
18546 Roscoe Blvd Suite 306 Northridge CA 91324-4663 |
| Practice Telephone | 8188850455 |
| Practice Fax Number | 8187018045 |
| Mailing Telephone | 8188850455 |
| Mailing Fax Number | 8187018045 |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2008-05-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
13507 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
18546 ROSCOE BLVD SUITE 306 |
| City | NORTHRIDGE |
| State | CA |
| Zip Code | 91324-4663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730177932 | Lawrence Osman | Dermatology | 18546 Roscoe Blvd, Ste 306, Northridge, CA 91324-4663 | 2005-10-11 |
| 1922514223 | Seeta Stacie Nanoo | Nurse Practitioner | 18546 Roscoe Blvd, Northridge, CA 91324-4663 | 2017-12-21 |
| 1598164659 | Alain Karaguezian Md PC | Family Medicine | 18546 Roscoe Blvd, Suite 304, Northridge, CA 91324-4663 | 2014-08-14 |
| 1477890291 | Innovative Dialysis Center of Northridge, LLC | Clinic/Center | 18546 Roscoe Blvd, Suite 108, Northridge, CA 91324-4663 | 2013-01-14 |
| 1285946046 | Minas Kochumian, Md, A Medical Corporation | Non-Pharmacy Dispensing Site | 18546 Roscoe Blvd, 312, Northridge, CA 91324-4663 | 2010-07-09 |
| 1700035193 | Stefanie A Proia | Nurse Practitioner | 18546 Roscoe Blvd, Suite 211, Northridge, CA 91324-4663 | 2008-09-10 |
| 1659537835 | California Kidney Medical Group Inc | Surgery | 18546 Roscoe Blvd, Suite 120, Northridge, CA 91324-4663 | 2008-08-06 |
| 1811023708 | Jirair Konialian Medical Corporation | Clinic/Center | 18546 Roscoe Blvd, Suite 220, Northridge, CA 91324-5455 | 2007-02-26 |
| 1295884088 | Ehab S Yacoub | Psychiatry & Neurology | 18546 Roscoe Blvd, Suite 210, Northridge, CA 91324-4663 | 2007-01-09 |
| 1184785297 | Michael W. Barsom, Md, Amc | Psychiatry & Neurology | 18546 Roscoe Blvd, Suite 210, Northridge, CA 91324-4663 | 2006-12-12 |
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|---|---|---|---|---|
| 1649803461 | Endeavor Recovery LLC | Clinic/Center | 8537 Yolanda Ave, Northridge, CA 91324 | 2020-02-20 |
| 1780227769 | Drs Concepts, Incorporated | Clinic/Center | 9335 Reseda Blvd. Suite 102, Northridge, CA 91324 | 2019-10-23 |
| 1023674421 | Expo Diagnostics, Inc. | Clinic/Center | 8619 Receda Blvd., Northridge, CA 91324 | 2019-05-13 |
| 1235601444 | Grace Peprah | Marriage & Family Therapist | 19037 Community Street, Northridge, CA 91324 | 2018-12-28 |
| 1336635531 | Kristel Fortuny Bushner | Specialist/Technologist | 9555 Reseda Blvd, 309, Northridge, CA 91324 | 2018-07-11 |
| 1710474358 | Rara Enterprises Inc | Pharmacy | 19331 Business Center Dr., Ste. 100, Northridge, CA 91324 | 2018-04-19 |
| 1205343670 | Mariana Nicol Valdez Castro | Behavior Technician | 9335 Reseda Blvd # 101, Northridge, CA 91324 | 2018-01-05 |
| 1033655220 | Benyaminy and Kashani Dds,inc. | Clinic/Center | 8954 Reseda Blvd #100, Northridge, CA 91324 | 2017-01-11 |
| 1366809915 | Tia Brisco | Counselor | 9700 Reseda Blvd Ste 208, Northridge, CA 91324 | 2016-01-26 |
| 1053780189 | Saloni Kadakia | Student in an Organized Health Care Education/Training Program | Ucla Olive View, 14445 Olive View Dr, Sylmar, Ca 91342, CA 91324 | 2015-09-18 |
| Find all providers in zip 91324 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073031605 | Jennifer Michelle Melman | Nurse Practitioner | 18433 Roscoe Blvd, Suite 240, Northridge, CA 91325 | 2017-09-04 |
| 1588003487 | Jennifer Gabrielle Bronson | Nurse Practitioner | 18350 Roscoe Blvd, 213, Northridge, CA 91325-4109 | 2013-06-24 |
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| 1063028298 | Kanokwan Kultan | Nurse Practitioner | 15850 Babcock St, San Diego, CA 92127-3680 | 2020-09-22 |
| 1538775093 | David Lee | Nurse Practitioner | 5710 S Glennie Ln Apt A, Los Angeles, CA 90016-1063 | 2020-09-21 |
| 1124634886 | Catherine Kestenian | Nurse Practitioner | 351 E Foothill Blvd Ste 250, Arcadia, CA 91006-7426 | 2020-09-18 |
| 1285249565 | Anu Tharoor | Nurse Practitioner | 505 Parnassus Ave Fl 9, San Francisco, CA 94143-2204 | 2020-09-13 |
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| City | NORTHRIDGE |
| Zip Code | 91324 |
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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.