MRS. MAVIS EFUETNGU (NPI# 1538787239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538787239 |
Entity Type | Individual |
Full Name | MRS. MAVIS EFUETNGU |
Credential | PMHNP |
Practice Address |
2670 N Main St. Ste 200 Santa Ana CA 92705-6639 |
Mailing Address |
2670 N Main St Ste 200 Santa Ana CA 92705-6639 |
Practice Telephone | 7146275477 |
Mailing Telephone | 7146275477 |
Enumeration Date | 2020-07-09 |
Last Update Date | 2020-07-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
95014162 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
2670 N MAIN ST. STE 200 |
City | SANTA ANA |
State | CA |
Zip Code | 92705-6639 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952919763 | John G. Alevizos, D.o., A Professional Medical Corporation | Preventive Medicine | 1530 East Edinger Avenue, Suite 1, Santa Ana, CA 92705 | 2020-07-17 |
1477186625 | Joyce Altman Interpreters, Inc. | Interpreter | 1971 East 4th Street, Ste 206, Santa Ana, CA 92705 | 2020-02-17 |
1588214688 | Cindy Mejia | Behavior Technician | 505 N. Tustin Ave., #152, Santa Ana, CA 92705 | 2019-09-19 |
1588210504 | Jennifer Ang Lim-quevedo | Nurse Practitioner | 18362 Whitney Dr, Santa Ana, CA 92705 | 2019-08-15 |
1962056820 | Melinda Acosta Black | Social Worker | 1526 Brookhollow Drive, Santa Ana, CA 92705 | 2019-07-30 |
1972069631 | Amy Marie Elit | Nurse Practitioner | 1751 E Harry Ave, Santa Ana, CA 92705 | 2019-02-18 |
1386118180 | Unified Behavioral Health, LLC | Substance Abuse Rehabilitation Facility | 1218 W Santa Ana Blvd, Santa Ana, CA 92705 | 2019-01-15 |
1952884736 | Javier Perales | Social Worker | 1652 Windsor Ln, Santa Ana, CA 92705 | 2018-09-08 |
1073009700 | Eva E Kuncewicki | Marriage & Family Therapist | 1001 S Grand Ave # B, Santa Ana, CA 92705 | 2018-07-05 |
1487149886 | Nimbus Medtransport Inc. | Non-emergency Medical Transport (VAN) | 2112 E 4th St Ste 235, Santa Ana, CA 92705 | 2018-06-27 |
Find all providers in zip 92705 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093284739 | Socal Sunny Hills, LLC | Nurse Practitioner | 2030 E 4th St Ste 140f, Santa Ana, CA 92705-3969 | 2018-11-23 |
1093005225 | Rohzan Grace Altre | Nurse Practitioner | 515 Cabrillo Park Dr Ste 120, Santa Ana, CA 92701 | 2011-04-08 |
1598943805 | Jeannie C. Blilie | Nurse Practitioner | 1530 E 1st St Ste 100, Santa Ana, CA 92701-6307 | 2008-02-08 |
1982229571 | Ronnie Alvarez Corona | Nurse Practitioner | 1030 W Warner Ave, Santa Ana, CA 92707-3147 | 2020-06-10 |
1295355154 | Gabrielle Gola Lewis | Nurse Practitioner | 505 N Tustin Ave Ste 150, Santa Ana, CA 92705-3735 | 2020-04-21 |
1437791381 | Charlotte Maria Primo Mizuta | Nurse Practitioner | 2001 E 4th St Ste 200, Santa Ana, CA 92705-3916 | 2019-10-11 |
1487152054 | Lauren Yvonne Azuela | Nurse Practitioner | 615 W Civic Center Dr Ste 200, Santa Ana, CA 92701-4052 | 2018-01-29 |
1093239436 | Shelly Aguilar | Nurse Practitioner | 1910 N Bush St, Santa Ana, CA 92706-2816 | 2017-07-27 |
1295257269 | Jamie Lee Plaxco | Nurse Practitioner | 550 N Flower St, Santa Ana, CA 92703-2361 | 2017-07-12 |
1518408335 | Jennifer Nam Phuong Nguyen | Nurse Practitioner | 1401 N Tustin Ave Ste 225, Santa Ana, CA 92705-8688 | 2017-03-13 |
Find all providers in SANTA ANA |
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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.