MR. MARIO PACHECO (NPI# 1568887669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568887669 |
Entity Type | Individual |
Full Name | MR. MARIO PACHECO |
Credential | NURSE PRACTITIONER |
Practice Address |
11012 Loch Avon Dr Whittier CA 90606-1530 |
Practice Telephone | 5627745351 |
Mailing Telephone | 5627745351 |
Enumeration Date | 2014-02-26 |
Last Update Date | 2014-02-26 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | 570465 | CA | Nursing Service Providers |
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
95000401 | CA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295703809 | Mario Francis Pacheco | Family Medicine | 455 Saint Michaels Dr, Santa Fe, NM 87505-7601 | 2006-03-09 |
Street Address |
11012 LOCH AVON DR |
City | WHITTIER |
State | CA |
Zip Code | 90606-1530 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003385113 | Adrian Garcia | Psychologist | 10800 E. Benavon St., Whittier, CA 90606 | 2018-11-19 |
1013424951 | Myra Cahambing | Physical Therapy Assistant | 12411 Slauson Ave., Unit G, Whittier, CA 90606 | 2017-12-31 |
1639698129 | Josephine Chang | Occupational Therapist | 12411 Slanson Ave. Unit H, Whittier, CA 90606 | 2017-09-15 |
1265950786 | Gladys J Lucero | Specialist/Technologist | 12411 Slauson Ave Unit H, Whittier, CA 90606 | 2017-09-05 |
1457807059 | Edward Montero | Student in an Organized Health Care Education/Training Program | 6220 Vicki Drive, Whittier, CA 90606 | 2016-09-01 |
1124495734 | Valerie Rodriguez | Occupational Therapist | 12421 Slauson Ave., Suite H, Whittier, CA 90606 | 2015-08-31 |
1114303104 | Katherine Jones | Occupational Therapist | 12411 Slauson Avenue Unit H, Whittier, CA 90606 | 2015-08-03 |
1356742589 | Michael Alberto Garcia | Specialist/Technologist | 12411 Slauson Ave. Unit H, Whittier, CA 90606 | 2014-09-08 |
1922414721 | Jeremiah Knapp | Student in an Organized Health Care Education/Training Program | 12291 Washington Blvd Fl 5, Whittier, CA 90606 | 2014-07-01 |
1407284193 | Editha Gutierrez | Nurse Practitioner | 12291 Washington Blvd Ste 205, Whittier, CA 90606 | 2013-10-16 |
Find all providers in zip 90606 |
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 |
---|---|---|---|---|
1407145576 | Samantha Lau | Nurse Practitioner | 7624 Painter Ave # 201, Whittier, CA 90602-2300 | 2011-03-29 |
1144836263 | Ferdinand Andy Rimando | Nurse Practitioner | 9829 Carmenita Rd Ste H, Whittier, CA 90605-3262 | 2020-09-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477154573 | Marcus Jang | Nurse Practitioner | 1130 E Colorado St Apt 214, Glendale, CA 91205-2092 | 2020-11-04 |
1033718580 | John Sylvanus Allieu Sr. | Nurse Practitioner | 2672 Merganser Ct, Los Banos, CA 93635-9473 | 2020-10-25 |
1316546930 | Chika U Oguagha | Nurse Practitioner | 16240 Carmine St, Fontana, CA 92336-1481 | 2020-10-23 |
1215534888 | Rosa Maria Aguero | Nurse Practitioner | 9841 Alburtis Ave Unit 29, Santa Fe Springs, CA 90670-3264 | 2020-10-06 |
1134726995 | Margarita Maghtesyan | Nurse Practitioner | 20251 Ventura Blvd Ste A, Woodland Hills, CA 91364-2564 | 2020-10-05 |
1043827140 | April Lopez Ortiz | Nurse Practitioner | 500 W Ashland Ct, Visalia, CA 93277-6609 | 2020-09-23 |
1477167666 | David Joseph Russell | Nurse Practitioner | 17846 Glenwood Rd, Manteca, CA 95336-9521 | 2020-09-03 |
1194339382 | Albert Liu | Nurse Practitioner | 43559 Southerland Way, Fremont, CA 94539-5931 | 2020-09-03 |
1407469554 | Andre Alexandrian | Nurse Practitioner | 1606 Winona Ave, Burbank, CA 91504-2823 | 2020-08-28 |
1790398238 | Heather Richardson | Nurse Practitioner | 112 S Park St Ste 1, San Francisco, CA 94107-1809 | 2020-08-25 |
Find all providers with the same taxonomy |
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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.