MARISA MEAD (NPI# 1639646383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639646383 |
| Entity Type | Individual |
| Full Name | MARISA MEAD |
| Practice Address |
43909 30th St W Lancaster CA 93536-5843 |
| Practice Telephone | 6615103929 |
| Enumeration Date | 2018-10-31 |
| Last Update Date | 2018-10-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255R0406X |
Specialist/Technologist Specialization: Rehabilitation, Blind |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DEPARTMENT OF MOTOR VEHICLES | F4524858 | 01 |
| Street Address |
43909 30TH ST W |
| City | LANCASTER |
| State | CA |
| Zip Code | 93536-5843 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013427103 | Lee Ann Carlisle | Community Health Worker | 43909 30th St W, Lancaster, CA 93536-5843 | 2017-10-03 |
| 1720624091 | Morgan C Griffin | Specialist/Technologist | 43909 30th St W, Lancaster, CA 93536-5843 | 2019-11-21 |
| 1598309056 | Maria Ines Juarez Ramirez | Specialist/Technologist | 43909 30th St W, Lancaster, CA 93536-5843 | 2019-10-28 |
| 1689218141 | Lorena Rubi Moreno | Rehabilitation Practitioner | 43909 30th St W, Lancaster, CA 93536-5843 | 2019-10-28 |
| 1245873355 | Gabriel Lopez | Specialist/Technologist | 43909 30th St W, Lancaster, CA 93536-5843 | 2019-10-21 |
| 1154964260 | Glorivell Zerpa | Specialist/Technologist | 43909 30th St W, Lancaster, CA 93536-5843 | 2019-10-21 |
| 1063055176 | Graciela Martinez | Specialist/Technologist | 43909 30th St W, Lancaster, CA 93536-5843 | 2019-10-21 |
| 1043853153 | Estrella Sanchez | Specialist/Technologist | 43909 30th St W, Lancaster, CA 93536-5843 | 2019-10-21 |
| 1952944068 | Shirley Wilson Boon | Specialist/Technologist | 43909 30th St W, Lancaster, CA 93536-5843 | 2019-10-21 |
| 1598308611 | Lakisha Rene Robertson | Specialist/Technologist | 43909 30th St W, Lancaster, CA 93536-5843 | 2019-10-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053921353 | Icgrit, LLC | Durable Medical Equipment & Medical Supplies | 42304 Columbia Court, Lancaster, CA 93536 | 2020-08-03 |
| 1346891827 | Rebecca Rozenberg | Nurse Practitioner | 7060 Hemlock Avenue, Lancaster, CA 93536 | 2019-09-25 |
| 1972078053 | Cherokee Hill | Social Worker | 42055 50th St. W, Quartz Hiu, CA 93536 | 2018-10-04 |
| 1932600954 | Alderbrook, Inc. | Skilled Nursing Facility | 2540 W Avenue K, Lancaster, CA 93536 | 2018-02-25 |
| 1679095244 | Maria Celeste Montebello | Registered Nurse | 335 E. Avenue I, Lancaster, CA 93536 | 2017-07-14 |
| 1073035994 | Letecia Bell | Registered Nurse | 6637 Lime Road, Lancaster, CA 93536 | 2017-07-12 |
| 1366890089 | Omolola Omishore | Physical Therapist | 43415 Hampton St, Quartz Hill, CA 93536 | 2016-06-03 |
| 1073976528 | May Chong Finley | Registered Nurse | 7027 W Avenue L6, Lancaster, CA 93536 | 2016-04-01 |
| 1043689904 | Til Lp | Skilled Nursing Facility | 2639 West Ave K4, Lancaster, CA 93536 | 2015-09-22 |
| 1497140222 | Oak Fence Senior Living, LLC | Skilled Nursing Facility | 6067 West Oak Fence Lane, Lancaster, CA 93536 | 2015-03-30 |
| Find all providers in zip 93536 | ||||
| Taxonomy Code | 2255R0406X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Rehabilitation, Blind |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225483001 | Tedrik Zadourian | Specialist/Technologist | 10410 Plainview Ave, Tujunga, CA 91042-1716 | 2016-04-28 |
| 1164060968 | Paola Santos | Specialist/Technologist | 5300 Angeles Vista Blvd, View Park, CA 90043-1648 | 2019-12-12 |
| 1508322108 | Damon W Boren | Specialist/Technologist | 17595 Almahurst St, City of Industry, CA 91748-1779 | 2019-02-19 |
| 1750846432 | Tracey Ethan Bailey | Specialist/Technologist | 131 E Huntington Dr, Arcadia, CA 91006-3212 | 2019-02-06 |
| 1528316783 | Elizabeth Anne Hilburn | Specialist/Technologist | 795 Willow Rd, Menlo Park, CA 94025-2539 | 2012-08-20 |
| 1699074906 | Sarah Anne Hudson | Specialist/Technologist | 3801 Miranda Ave, Wbrc (124), Palo Alto, CA 94304-1207 | 2011-03-25 |
| 1962612242 | Eureca Institute | Specialist/Technologist | 120 W Cerritos Ave, Building 3, Anaheim, CA 92805-6546 | 2007-05-23 |
| 1033121454 | David H Slay | Specialist/Technologist | 16111 Plummer Street, Sepulveda, CA 91343 | 2006-08-13 |
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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.