MRS. TYYEESHA ZHA VETTE ASISEH (NPI# 1679728752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679728752 |
| Entity Type | Individual |
| Full Name | MRS. TYYEESHA ZHA VETTE ASISEH |
| Practice Address |
13800 Heacock St Moreno Valley CA 92553-3339 |
| Mailing Address |
2655 Shadow Hills Dr Apt 47 San Bernardino CA 92407-2201 |
| Practice Telephone | 9516538951 |
| Mailing Telephone | 9099659003 |
| Enumeration Date | 2008-11-17 |
| Last Update Date | 2008-11-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
13800 HEACOCK ST |
| City | MORENO VALLEY |
| State | CA |
| Zip Code | 92553-3339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760536874 | Brenda M. Rees | Counselor | 13800 Heacock St, D117, Moreno Valley, CA 92553-3339 | 2007-01-23 |
| 1780071282 | Jeree Lotts | Case Manager/Care Coordinator | 13800 Heacock St, Suite C236, Moreno Valley, CA 92553-3339 | 2015-04-22 |
| 1184027112 | A.m.palanca-capistrano,m.d.inc. | Clinic/Center | 13800 Heacock St, Suite C-110, Moreno Valley, CA 92553-3339 | 2014-10-05 |
| 1558786277 | Ester Raha Ngeembi Nyaggah | Case Manager/Care Coordinator | 13800 Heacock St, Suite C236, Moreno Valley, CA 92553-3339 | 2014-03-04 |
| 1801211032 | Aumond L Archibald | Case Manager/Care Coordinator | 13800 Heacock St, C236, Moreno Valley, CA 92553-3339 | 2014-02-25 |
| 1225478266 | Jonathan Brian Fox | Case Manager/Care Coordinator | 13800 Heacock St, Suite C236, Moreno Valley, CA 92553-3339 | 2013-07-03 |
| 1396180212 | Sulmy Mayly Salazar Cifuentes | Rehabilitation Practitioner | 13800 Heacock St, Moreno Valley, CA 92553-3339 | 2013-05-06 |
| 1346582962 | C.l.s.non-emergency Medical Transportation Services | Non-emergency Medical Transport (VAN) | 13800 Heacock St, Bldg C, Suite 230-c, Moreno Valley, CA 92553-3339 | 2013-03-21 |
| 1194078238 | Jazmin Quintero | Case Manager/Care Coordinator | 13800 Heacock St, 236, Moreno Valley, CA 92553-3339 | 2012-10-25 |
| 1104184860 | Central Occupational Medicine Providers - Ontario, A Medical Corporati | Family Medicine | 13800 Heacock St, Suite C136, Moreno Valley, CA 92553-3339 | 2012-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104441559 | Tanya Gentle | Marriage & Family Therapist | 2319 Cottonwood Avenue, Building A Suite 110, Moreno Valley, CA 92553 | 2020-06-11 |
| 1275194227 | Antonio Pearce | Psychologist | 12968 Frederick Street, Suite D, Moreno Valley, CA 92553 | 2019-06-20 |
| 1346726486 | Elias Y. Rached | Chiropractor | 23846 Sunnymead Blvd Ste 4, Moreno Valley, CA 92553 | 2018-07-12 |
| 1952813420 | Shanaya Frederick | Driver | 14929 Spinnaker Lane, Moreno Valley, CA 92553 | 2017-10-24 |
| 1457879413 | R & C Logistic Services, LLC | Private Vehicle | 14768 Briana St, Moreno Valley, CA 92553 | 2017-08-30 |
| 1720505084 | Elda Pricila Hernandez | Behavioral Analyst | 24596 Atwood Ave.apt1, Moreno Valley, CA 92553 | 2017-08-28 |
| 1174044101 | Ps Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 24594 Sunnymead Blvd, Suite M, Moreno Valley, CA 92553 | 2017-06-29 |
| 1942736327 | Richard Pantoja Reyna | Licensed Vocational Nurse | 23119 Cottonwood Ave Bld A Suite 110, Moreno Valley, CA 92553 | 2017-05-04 |
| 1255872719 | Sibonisiwe Moyo Johnson | Nurse Practitioner | 22555 Alessandro Blvd Ste B, Moreno Valley, CA 92553 | 2017-03-16 |
| 1518311190 | Ryan Macavinta | Nurse Practitioner | 22765 Alessandro Blvd., Moreno Valley, CA 92553 | 2016-04-20 |
| Find all providers in zip 92553 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316183908 | Mary Ann Zimmerman | Rehabilitation Practitioner | 13800 Heacock St. Ste. C236, Moreno Valley, CA 92553 | 2009-01-02 |
| 1396180212 | Sulmy Mayly Salazar Cifuentes | Rehabilitation Practitioner | 13800 Heacock St, Moreno Valley, CA 92553-3339 | 2013-05-06 |
| 1821365388 | Diana Ramirez | Rehabilitation Practitioner | 13800 Heacock St, Suite C236, Moreno Valley, CA 92553-3339 | 2011-11-28 |
| 1649592338 | Michael David Foust | Rehabilitation Practitioner | 13800 Heacock St Ste C236, Moreno Valley, CA 92553-3364 | 2010-02-22 |
| 1366686420 | Paul Curtis Seltzer | Rehabilitation Practitioner | 13800 Heacock St, Suite C236, Moreno Valley, CA 92553-3339 | 2009-04-20 |
| 1942442959 | Arlene Adrienne Longoria | Rehabilitation Practitioner | 13800 Heacock St, Suite #c236, Moreno Valley, CA 92553-3339 | 2009-04-06 |
| 1336385194 | Benjamin Rutanhira | Rehabilitation Practitioner | 13800 Heacock St, Suite # C236, Moreno Valley, CA 92553-3339 | 2008-12-29 |
| 1144466905 | Robert Douglas Yarbrough | Rehabilitation Practitioner | 13800 Heacock St, Suite C236, Moreno Valley, CA 92553-3339 | 2008-12-29 |
| 1063697878 | Terylyn Denise Smith | Rehabilitation Practitioner | 13800 Heacock St, Ste. C236, Moreno Valley, CA 92553-3339 | 2007-12-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861092447 | Isaiah Daniel Clark | Rehabilitation Practitioner | 33600 Mapleton Ave # D2018, Murrieta, CA 92563-4434 | 2020-10-31 |
| 1760089122 | Leslie Ann Showalter | Rehabilitation Practitioner | 6720 Tampa Ave, Reseda, CA 91335-5014 | 2020-10-07 |
| 1508477019 | Brenda Cabrera | Rehabilitation Practitioner | 127 W Hillcrest Blvd, Inglewood, CA 90301-2623 | 2020-08-10 |
| 1669082202 | Brenda Vargas | Rehabilitation Practitioner | 16650 Sherman Way # 201, Van Nuys, CA 91406-3782 | 2020-08-07 |
| 1629696042 | Ashlie Renee Javier | Rehabilitation Practitioner | 1266 Calle Estrella, San Dimas, CA 91773-4080 | 2020-07-13 |
| 1861013757 | Terrisa Noel-rivera Luna | Rehabilitation Practitioner | 11303 Wilshire Blvd Bld 116, Los Angeles, CA 90025-5069 | 2020-05-01 |
| 1780212852 | Isaiah Sanchez | Rehabilitation Practitioner | 10535 Zelzah Ave, Granada Hills, CA 91344-5902 | 2020-04-01 |
| 1235766015 | Theresa Matheson | Rehabilitation Practitioner | 15533 Ryon Ave, Bellflower, CA 90706-3624 | 2020-03-24 |
| 1669008991 | Delman Lee Williams | Rehabilitation Practitioner | 456 E Orange Grove Blvd Ste 140, Pasadena, CA 91104-5235 | 2020-03-18 |
| 1356976864 | Millea Jewel Betts | Rehabilitation Practitioner | 801 E Chapman Ave # Sut203, Fullerton, CA 92831-3839 | 2020-03-04 |
| Find all providers with the same taxonomy | ||||
| City | MORENO VALLEY |
| Zip Code | 92553 |
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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.