ELIZABETH MATHEW (NPI# 1700376548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700376548 |
| Entity Type | Individual |
| Full Name | ELIZABETH MATHEW |
| Other Name | ELIZABETH JOSEPH |
| Credential | AGACNP DNP |
| Practice Address |
210 W San Bernardino Rd Covina CA 91723-1515 |
| Mailing Address |
11883 Mount Harvard Ct Rancho Cucamonga CA 91737-7915 |
| Practice Telephone | 6263317331 |
| Mailing Telephone | 6263474465 |
| Enumeration Date | 2018-05-17 |
| Last Update Date | 2018-05-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
95009065 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447571393 | Elizabeth Mathew | Physical Medicine & Rehabilitation | 24739 Jericho Tpke, Bellerose, NY 11426-1541 | 2010-06-15 |
| 1508198862 | Elizabeth Mathew | Pharmacist | 80 Redschool House Rd, Suite #226, Chestnut Ridge, NY 10977 | 2010-02-11 |
| 1669618120 | Elizabeth Mathew | Nurse Practitioner | 414 Mountain Way, Morris Plains, NJ 07950-1104 | 2009-01-05 |
| 1891322863 | Elizabeth Mathew | Physical Therapist | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2020-03-26 |
| 1104389816 | Elizabeth Mathew | Family Medicine | 1111 6th Ave, Des Moines, IA 50314-2613 | 2019-04-09 |
| 1215471123 | Elizabeth Mathew | Social Worker | 13400 E Shea Blvd, Scottsdale, AZ 85259 | 2016-12-12 |
| 1043675234 | Elizabeth Mathew | Registered Nurse | 118 N Bedford Rd, Suite 200, Mount Kisco, NY 10549-2553 | 2015-12-15 |
| 1265819569 | Elizabeth Mathew | Pediatrics | 121 Dekalb Ave, Brooklyn, NY 11201 | 2015-05-06 |
| 1346589132 | Elizabeth Mathew | Internal Medicine | 613 23rd St Ste 310, Ashland, KY 41101-2877 | 2013-02-13 |
| 1750668158 | Elizabeth Mathew | Nurse Practitioner | 101 Second Street, Lakewood, NJ 08701-3324 | 2011-11-14 |
| Street Address |
210 W SAN BERNARDINO RD |
| City | COVINA |
| State | CA |
| Zip Code | 91723-1515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114921616 | Uri Martin Zisblatt | Radiology | 210 W San Bernardino Rd, Dept of Rad Onc, Covina, CA 91723-1515 | 2005-06-13 |
| 1164021457 | Kendira Villalobos | Occupational Therapist | 210 W San Bernardino Rd, Covina, CA 91723-1515 | 2020-10-19 |
| 1487260113 | Janet C Cruz | Nurse Practitioner | 210 W San Bernardino Rd, Covina, CA 91723-1515 | 2020-09-17 |
| 1730711037 | Shaheen Kaukab Akram | Registered Nurse | 210 W San Bernardino Rd, Covina, CA 91723-1515 | 2020-02-05 |
| 1538790340 | Annette Doria Lau | Registered Nurse | 210 W San Bernardino Rd, Covina, CA 91723-1515 | 2020-01-30 |
| 1760013858 | Frederick John Ruiz Go | Registered Nurse | 210 W San Bernardino Rd, Covina, CA 91723-1515 | 2020-01-28 |
| 1134750474 | Benjamin Herrick | Nurse Practitioner | 210 W San Bernardino Rd, Covina, CA 91723-1515 | 2020-01-27 |
| 1639729833 | Ryan Edward Estrada | Physician Assistant | 210 W San Bernardino Rd, Covina, CA 91723-1515 | 2019-09-19 |
| 1235787680 | Tatianna Elisa De Franco | Registered Nurse | 210 W San Bernardino Rd, Covina, CA 91723-1515 | 2019-08-29 |
| 1225685258 | Cristina Rusu | Registered Nurse | 210 W San Bernardino Rd, Covina, CA 91723-1515 | 2019-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316550593 | Joshua Mercado | Behavior Technician | 210 N. Citrus Ave., Covina, CA 91723 | 2020-08-26 |
| 1578104790 | Alda Shin Shin | Behavioral Analyst | 1343 S. Grand Avenue, Suite 200, Covina, CA 91723 | 2019-09-30 |
| 1063074490 | Julia De La Torre | Student in an Organized Health Care Education/Training Program | 540 S Eremland Drive, Covina, CA 91723 | 2019-07-05 |
| 1336639368 | Counseling Solutions for Children and Families, Psychology Corporation | Community/Behavioral Health | 271 E Workman St Ste 101, Covina, CA 91723 | 2018-05-15 |
| 1669995916 | Helen Wang Le | Optometrist | 554 E San Bernardino Rd Ste 102, Covina, CA 91723 | 2017-07-19 |
| 1992242879 | Donovan Kouthiraj | Behavior Technician | 210 N Citrus Ave Ste A1, Covina, CA 91723 | 2017-01-30 |
| 1427406339 | Robinson Baron Medical Clinic | Surgery | 274 W Badillo Street, Covina, CA 91723 | 2016-06-01 |
| 1306211123 | Absolute Senior Care Services, Inc | In Home Supportive Care | 599 S Barranca Ave Ste 205, Covina, CA 91723 | 2015-12-04 |
| 1780061135 | Mohan Ckd Clinic | Internal Medicine | 171 W Cottage St, Covina, CA 91723 | 2015-05-05 |
| 1992198915 | Toshihisa Takei | Otolaryngology | 202 West College Street, Covina, CA 91723 | 2015-03-16 |
| Find all providers in zip 91723 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578896734 | Janelle Meza | Nurse Practitioner | 515 S San Jose Ave, Covina, CA 91723-3145 | 2009-09-04 |
| 1538398789 | Hui-fen Frances Lee | Nurse Practitioner | 315 N 3rd Ave Ste 207, Covina, CA 91723 | 2009-07-09 |
| 1821466574 | George Dajkovich | Nurse Practitioner | 210 W San Bernardino Rd, Covina, CA 91723-1515 | 2015-09-11 |
| 1225389224 | Dolores Faviola Paredones | Nurse Practitioner | 315 N 3rd Ave Ste 207, Covina, CA 91723-1917 | 2012-10-01 |
| 1588775167 | Janet C Gacuya | Nurse Practitioner | 420 W Rowland St, Covina, CA 91723-2943 | 2006-08-31 |
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| 1063028298 | Kanokwan Kultan | Nurse Practitioner | 15850 Babcock St, San Diego, CA 92127-3680 | 2020-09-22 |
| 1538775093 | David Lee | Nurse Practitioner | 5710 S Glennie Ln Apt A, Los Angeles, CA 90016-1063 | 2020-09-21 |
| 1124634886 | Catherine Kestenian | Nurse Practitioner | 351 E Foothill Blvd Ste 250, Arcadia, CA 91006-7426 | 2020-09-18 |
| 1285249565 | Anu Tharoor | Nurse Practitioner | 505 Parnassus Ave Fl 9, San Francisco, CA 94143-2204 | 2020-09-13 |
| 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.