MELISSA MARY DE LA MORA (NPI# 1730493859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730493859 |
Entity Type | Individual |
Full Name | MELISSA MARY DE LA MORA |
Credential | APRN |
Practice Address |
6501 Coyle Ave Carmichael CA 95608 |
Mailing Address |
6501 Coyle Ave Carmichael CA 95608-0306 |
Practice Telephone | 9165375000 |
Mailing Telephone | 9165375000 |
Enumeration Date | 2010-07-30 |
Last Update Date | 2020-04-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
20747 | CA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 1730493859 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
1744 Alcatraz Ave, Berkeley, CA 947032713 | 5106521720 |
Street Address |
6501 COYLE AVE |
City | CARMICHAEL |
State | CA |
Zip Code | 95608 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306821228 | David L Wolf | Anesthesiology | 6501 Coyle Ave, Carmichael, CA 95608 | 2005-12-13 |
1336746130 | Emily Montandon | Registered Nurse | 6501 Coyle Ave, Carmichael, CA 95608-0306 | 2020-10-05 |
1235745688 | Lianna Petrosyan | Counselor | 6501 Coyle Ave, Carmichael, CA 95608-0306 | 2020-09-21 |
1215541131 | Desirae Rachelle Exendine | Registered Nurse | 6501 Coyle Ave, Carmichael, CA 95608-0306 | 2020-09-08 |
1992322374 | Karen Weber | Registered Nurse | 6501 Coyle Ave, Carmichael, CA 95608-0306 | 2020-07-01 |
1164049847 | Ashley Ann Diaz | Registered Nurse | 6501 Coyle Ave, Carmichael, CA 95608-0306 | 2020-06-29 |
1164048450 | Jennifer Saephanh | Physician Assistant | 6501 Coyle Ave, Carmichael, CA 95608-0306 | 2020-06-22 |
1992321525 | Amy Marie Montgomery | Registered Nurse | 6501 Coyle Ave, Carmichael, CA 95608-0306 | 2020-06-19 |
1912520891 | Patricia Allison Stiles | Registered Nurse | 6501 Coyle Ave, Carmichael, CA 95608-0306 | 2020-05-26 |
1235764457 | Diane Sandstrom Nance | Registered Nurse | 6501 Coyle Ave, Carmichael, CA 95608-0306 | 2020-03-09 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538776042 | Amari Home Health Care Inc. | Home Health | 6722 Fair Oaks Blvd., Suite 203, Carmichael, CA 95608 | 2020-09-29 |
1891333621 | Sonya Michelle Hernandez | Durable Medical Equipment & Medical Supplies | 5110 Ramona Vista Way, Carmichael, CA 95608 | 2019-12-11 |
1922640903 | Sacramento County Office of Education | Clinic/Center | Barrett Middle School/san Juan Unified School District, 4243 Barrett Road, School Counseling Office, Carmichael, CA 95608 | 2019-10-11 |
1558868927 | Gps Physician Group of California PC | Internal Medicine | American River Center, 3900 Garfield Ave, Carmichael, CA 95608 | 2018-04-11 |
1124534920 | Svitlana Plaschke | Nurse Practitioner | 5740 Windmill Way Ste 5, Carmichael, CA 95608 | 2017-12-17 |
1144770256 | Sacramento Foot and Ankle Center, Inc | Podiatrist | 5120 Manzanita Ave, Suite 100, Carmichael, CA 95608 | 2016-10-12 |
1457725202 | Sarah Beshay | Pharmacist | 4960 Heatherdale Ln, Carmichael, CA 95608 | 2015-11-17 |
1568835981 | Shivam Nand | Dentist | 2447 Mission Ave Ste B, Carmichael, CA 95608 | 2015-11-06 |
1487063434 | Alejandro Saropdas Mendoza | Pathology | Mercy San Juan Medical Center, 6501 Coyle Avenue, Carmichael, CA 95608 | 2014-08-04 |
1689014243 | Atkinson Youth Services, Inc. | Community/Behavioral Health | 4718 Engle Road, Carmichael, CA 95608 | 2013-06-27 |
Find all providers in zip 95608 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912451436 | April Michelle Ekes | Nurse Practitioner | 6555 Coyle Ave Ste 310, Carmichael, CA 95608-0303 | 2016-08-12 |
1023296951 | Celine Zehnder | Nurse Practitioner | 5841 Jameson Ct, Suite 1, Carmichael, CA 95608-0895 | 2008-02-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528668167 | Amber Briana Curry | Nurse Practitioner | 1336 6th Ave, San Francisco, CA 94122-2504 | 2020-10-30 |
1194325092 | Caitlin Pirruccello | Nurse Practitioner | 5400 Balboa Blvd Ste 210, Encino, CA 91316-5208 | 2020-10-29 |
1851990832 | Casey Domine | Nurse Practitioner | 1750 10th St., Apt. A, Oakland, CA 94607 | 2020-10-21 |
1184221798 | Larae Jean Hansen | Nurse Practitioner | 7805 Redondo St, Ventura, CA 93004-3814 | 2020-10-06 |
1497361612 | Brandon Philip Obero Vinzon | Nurse Practitioner | 155 E 4th St Apt 206, Long Beach, CA 90802-2498 | 2020-09-22 |
1538774070 | Emily Ruth Schoen | Nurse Practitioner | 110 Calle Balboa, San Clemente, CA 92672-3132 | 2020-09-11 |
1831715770 | Veronica Munoz-rivera I | Nurse Practitioner | 1327 Leopard Ct, Palmdale, CA 93551-4360 | 2020-06-16 |
1770102295 | Roxanna Arely Caballero | Nurse Practitioner | 185 N Douglas Ave, Fresno, CA 93727-3637 | 2020-04-14 |
1053949214 | Gina Louise James | Nurse Practitioner | 124 Stoney Hill Dr, Folsom, CA 95630-4614 | 2020-03-31 |
1831723519 | Patrinella Gonzales | Nurse Practitioner | 81833 Dr Carreon Blvd Ste 6, Indio, CA 92201-5590 | 2020-03-03 |
Find all providers with the same taxonomy |
City | CARMICHAEL |
Zip Code | 95608 |
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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.