JESSICA VIVIANA ARDON (NPI# 1619528395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619528395 |
| Entity Type | Individual |
| Full Name | JESSICA VIVIANA ARDON |
| Credential | DNP |
| Practice Address |
1113 Alta Ave Ste 220 Upland CA 91786-2803 |
| Mailing Address |
7564 Rock Crest Ln Highland CA 92346-3975 |
| Practice Telephone | 9099851908 |
| Mailing Telephone | 8134519150 |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2019-09-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 95012806 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1113 ALTA AVE STE 220 |
| City | UPLAND |
| State | CA |
| Zip Code | 91786-2803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467407767 | Joanne Marie Lister | Nurse Practitioner | 1113 Alta Ave Ste 220, Upland, CA 91786-2803 | 2006-05-24 |
| 1821442393 | Christa Danielle Krellwitz | Clinic/Center | 1113 Alta Ave Ste 220, Upland, CA 91786-2803 | 2016-04-20 |
| 1912254210 | Nisreen Abdalla | Nurse Practitioner | 1113 Alta Ave Ste 220, Upland, CA 91786-2803 | 2012-08-06 |
| 1841425279 | Jody A Bouma | Nurse Practitioner | 1113 Alta Ave Ste 220, Upland, CA 91786-2803 | 2009-05-29 |
| 1366689762 | Yvonne Schwetz | Nurse Practitioner | 1113 Alta Ave Ste 220, Upland, CA 91786-2803 | 2009-01-07 |
| 1467632414 | Susan Biegel Md Inc | Internal Medicine | 1113 Alta Ave Ste 220, Upland, CA 91786-2803 | 2007-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366093254 | California Clinics, Inc | Physical Medicine & Rehabilitation | 818 N Mountain Ave Ste 102, Upland, CA 91786 | 2019-09-23 |
| 1699231621 | Lynn Keitz | Nurse Practitioner | 360 East 7th Street, Suite D, Upland, CA 91786 | 2019-02-14 |
| 1003386608 | Devin A Lockett | Counselor | 916 N, Mountain Ave. Suite D-1, Upland, CA 91786 | 2018-11-27 |
| 1265900096 | Right Ride | Driver | 1023 West Arrow Hwy Apt A, Upland, CA 91786 | 2018-11-09 |
| 1689142069 | Mike Sedat Safi | Driver | 1023 W Arrow Hwy, Apt A, Upland, CA 91786 | 2018-11-05 |
| 1902373640 | Barsoum Dental | Dentist | 258 E. 9th Street, Upland, CA 91786 | 2018-10-31 |
| 1346736600 | Jennifer Lynn Henshaw | Counselor | Rosewood Counseling Center, 288 W 9th Street, Upland, CA 91786 | 2018-07-10 |
| 1972099521 | Sadeg Aldolaim | Nurse Practitioner | 2086 W Arrow Route, Apt 824, Upland, CA 91786 | 2018-07-06 |
| 1831607332 | Sandra Sun | Pharmacist | 1445 E. Foothill Blvd., Upland, CA 91786 | 2018-01-18 |
| 1841713625 | Dynamic Performance Physical Therapy Inc | Clinic/Center | 2377 W. Foothill Blvd, Ste 20, Upland, CA 91786 | 2017-07-24 |
| Find all providers in zip 91786 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538708672 | Ali Alktaifi Md Inc | Internal Medicine | 327 Canterbury Ct, Upland, CA 91784-8912 | 2020-01-06 |
| 1962956094 | Prohealth Partners A Medical Group Inc | Internal Medicine | 1042 San Bernardino Rd, Upland, CA 91786-4921 | 2016-08-05 |
| 1982058178 | Carole L Eisen | Internal Medicine | One Medical Center Blvd., Care Management Dept., Crozer Chester Medical Center, Upland, PA 19013-3995 | 2016-04-14 |
| 1912293317 | Sadia Fatima Moinuddin | Internal Medicine | 901 San Bernardino Rd Ste 101, Upland, CA 91786-7299 | 2011-06-23 |
| 1215259221 | Larry C Chan | Internal Medicine | 685 N 13th Ave Ste 9, Upland, CA 91786-4963 | 2010-02-17 |
| 1891935862 | Parkside Medical Group Inc | Internal Medicine | 1310 San Bernardino Road, Suite 102, Upland, CA 91786-4985 | 2009-03-03 |
| 1881830784 | David Tran | Internal Medicine | 1113 Alta Ave Ste 103, Upland, CA 91786-2803 | 2008-12-23 |
| 1487813002 | Michael T. Creagan | Internal Medicine | 1527 Spyglass Dr, Upland, CA 91786-2422 | 2008-06-09 |
| 1326235136 | Nahel Al Bouz | Internal Medicine | 811 E 11th St Ste 203, Upland, CA 91786-4872 | 2007-09-26 |
| 1629272208 | Nischita Merla | Internal Medicine | 1330 San Bernardino Rd Ste L, Upland, CA 91786-4980 | 2007-06-14 |
| Find all providers in UPLAND | ||||
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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.