JORGE AVILA (NPI# 1558879452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558879452 |
| Entity Type | Individual |
| Full Name | JORGE AVILA |
| Practice Address |
4150 V Street Pssb 1200 Sacramento CA 95817 |
| Mailing Address |
2466 Halsey Cir Davis CA 95618-6125 |
| Practice Telephone | 9167345028 |
| Enumeration Date | 2018-01-14 |
| Last Update Date | 2019-03-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2315 Stockton Blvd, Sacramento, CA 958172201 | 9167342011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265031447 | Jorge Wilfrido Avila | Psychiatry & Neurology | 118 Emerald Key Ln., Palm Beach Gardens, FL 33418 | 2020-10-20 |
| 1255538187 | Jorge N Avila | Psychiatry & Neurology | 125 W Hague Rd Ste 250, El Paso, TX 79902-5814 | 2007-07-03 |
| 1558773036 | Jorge Luis Avila Jr. | Case Manager/Care Coordinator | 11721 Telegraph Rd, Santa Fe Springs, CA 90670-3674 | 2014-06-02 |
| Street Address |
4150 V STREET PSSB 1200 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114905502 | Elena Vasil Sudjian | Internal Medicine | 4150 V Street, Suite 3400, Sacramento, CA 95817 | 2006-01-05 |
| 1457988644 | Venea Tan Omandac | Student in an Organized Health Care Education/Training Program | 4150 V Street, Pssb 1200, Sacramento, CA 95817 | 2020-03-26 |
| 1326675836 | Jonathan Batsch | Student in an Organized Health Care Education/Training Program | 4150 V Street, Pssb 1200, Sacramento, CA 95817 | 2020-03-25 |
| 1861029381 | Jacqueline Chen | Student in an Organized Health Care Education/Training Program | 4150 V Street, Pssb 1200, Sacramento, CA 95817 | 2020-03-25 |
| 1306473723 | William Franklin Pierce V | Student in an Organized Health Care Education/Training Program | 4150 V Street, Pssb 1200, Sacramento, CA 95817 | 2020-03-25 |
| 1851928246 | Amaad Sulahria | Student in an Organized Health Care Education/Training Program | 4150 V Street, Pssb 1200, Sacramento, CA 95817 | 2020-03-25 |
| 1124655923 | Kelsey Taylor Walton | Student in an Organized Health Care Education/Training Program | 4150 V Street, Pssb 1200, Sacramento, CA 95817 | 2020-03-24 |
| 1245790427 | Lauren Marie Walden | Student in an Organized Health Care Education/Training Program | 4150 V Street, Pssb 1200, Sacramento, CA 95817 | 2019-03-22 |
| 1053871251 | Farikh Ali | Student in an Organized Health Care Education/Training Program | 4150 V Street, Pssb 1200, Sacramento, CA 95817 | 2019-03-22 |
| 1326508847 | Aaron Donald Brown | Student in an Organized Health Care Education/Training Program | 4150 V Street, Pssb 1200, Sacramento, CA 95817 | 2019-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346855103 | Quintin Kuse | Student in an Organized Health Care Education/Training Program | 4610 X Street, Sacramento, Sacramento, CA 95817 | 2020-09-09 |
| 1285259283 | Uc Davis Health | Dietitian, Registered | 2315 Stockton Blvd Sesp 0160, Sacramento, CA 95817 | 2020-06-15 |
| 1942840558 | Michael Marchand-gareau | Ophthalmology | Michael Marchand - Uc Davis Eye Center, 4860 Y Street, Suite 2400, Sacramento, CA 95817 | 2020-01-11 |
| 1467010728 | Jiunn Liang Jonathan Yap | Student in an Organized Health Care Education/Training Program | 4860 Y Str, Ste. 2820, Sacramento, CA 95817 | 2019-06-03 |
| 1083176614 | Kevin Lee | Student in an Organized Health Care Education/Training Program | 2315 Stockton Blvd, Op512, Sacramento, CA 95817 | 2019-04-02 |
| 1508326703 | Ritika Johal | Student in an Organized Health Care Education/Training Program | 4150 V Street, Pssb 1200, Sacramento, CA 95817 | 2019-03-22 |
| 1811468838 | Paige Palsgaard | Behavior Technician | 6730 4th Ave Apt 1731d, Sacramento, CA 95817 | 2018-12-17 |
| 1922503408 | Marie Rossi | Student in an Organized Health Care Education/Training Program | 4150 V Street #1100, Sacramento, CA 95817 | 2018-03-27 |
| 1639673791 | Sean Lam | Student in an Organized Health Care Education/Training Program | 4150 V Street #1200, Sacramento, CA 95817 | 2018-03-22 |
| 1124555388 | Tatyana Polyak | Surgery | 2335 Stockton Blvd., Naob 6th Floor, Sacramento, CA 95817 | 2017-05-18 |
| Find all providers in zip 95817 | ||||
| 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 |
|---|---|---|---|---|
| 1629676820 | Laraine K Koen | Student in an Organized Health Care Education/Training Program | 123 Brookshire Lane, Sacramento, CA 95820 | 2020-10-12 |
| 1811504533 | Joanna Ortega | Student in an Organized Health Care Education/Training Program | 3956 2nd Ave Unit C, Sacramento, CA 95817-3006 | 2020-09-27 |
| 1922615632 | Joshua Bloomstein | Student in an Organized Health Care Education/Training Program | 4610 X St # 6, Sacramento, CA 95817-2200 | 2020-09-26 |
| 1528674892 | Ariela Mascarinas | Student in an Organized Health Care Education/Training Program | 5131 Andrea Blvd Apt 27, Sacramento, CA 95842-2512 | 2020-09-21 |
| 1346855103 | Quintin Kuse | Student in an Organized Health Care Education/Training Program | 4610 X Street, Sacramento, Sacramento, CA 95817 | 2020-09-09 |
| 1053921569 | Asha Rachel Ellman-kassing | Student in an Organized Health Care Education/Training Program | 3053 Freeport Blvd # 427, Sacramento, CA 95818-4346 | 2020-08-10 |
| 1972113066 | Keely Rodriguez | Student in an Organized Health Care Education/Training Program | 18 Outer Banks Pl, Sacramento, CA 95835-2469 | 2020-08-04 |
| 1639788425 | Duy Nguyen | Student in an Organized Health Care Education/Training Program | 4101 Innovator Dr Apt 626, Sacramento, CA 95834-3861 | 2020-07-28 |
| 1023626314 | Veronica Gabriella Garcia Spandler | Student in an Organized Health Care Education/Training Program | 1510 16th St Apt 513, Sacramento, CA 95814-6041 | 2020-07-22 |
| 1235755620 | Hannah Greeley | Student in an Organized Health Care Education/Training Program | 4851 Kokomo Dr Apt 7523, Sacramento, CA 95835-1846 | 2020-06-22 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95817 |
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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.