DR. CARMELITA CASISON NISPEROS (NPI# 1760594089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760594089 |
| Entity Type | Individual |
| Full Name | DR. CARMELITA CASISON NISPEROS |
| Credential | M.D. |
| Practice Address |
200 Cottage Ave Suite 202 Manteca CA 95336-4935 |
| Practice Telephone | 2092391996 |
| Practice Fax Number | 2092392876 |
| Mailing Telephone | 2092391996 |
| Mailing Fax Number | 2092392876 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | A51093 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A510930 | 05 |
| Street Address |
200 COTTAGE AVE SUITE 202 |
| City | MANTECA |
| State | CA |
| Zip Code | 95336-4935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225031693 | Michael Steven Davis | Internal Medicine | 200 Cottage Ave, Ste 203, Manteca, CA 95336-4935 | 2005-05-31 |
| 1548494974 | Greater Modesto Medical Surgical Associates, Inc. | Urology | 200 Cottage Ave, Suite 101, Manteca, CA 95336-4935 | 2009-05-13 |
| 1912183153 | Mchenry Medical Group, Inc. | Urology | 200 Cottage Ave, Sute 101, Manteca, CA 95336-4935 | 2008-01-17 |
| 1841471166 | Russell P Carter Jr Md Inc | Internal Medicine | 200 Cottage Ave, Suite 201, Manteca, CA 95336-4935 | 2007-11-15 |
| 1477675387 | Central Valley Eye Medical Group Inc. | Eyewear Supplier (Equipment, not the service) | 200 Cottage Ave, Ste 102, Manteca, CA 95336-4935 | 2007-04-04 |
| 1700942190 | Sleepmed of California | Durable Medical Equipment & Medical Supplies | 200 Cottage Ave, Ste 201, Manteca, CA 95336-4935 | 2006-12-29 |
| 1831206432 | Prabhjit S. Purewal, Md, Inc. | Non-Pharmacy Dispensing Site | 200 Cottage Ave, Ste 201, Manteca, CA 95336-4935 | 2006-08-23 |
| 1760494066 | Holly Noel Reece | Physician Assistant | 200 Cottage Ave, Ste 103, Manteca, CA 95336-4935 | 2006-08-13 |
| 1225073588 | Valley Associated Urology Medicare Group Inc | Urology | 200 Cottage Ave, Ste 101, Manteca, CA 95336-4935 | 2006-06-19 |
| 1649222118 | Prabhjit S. Purewal, Md, Inc | Specialist | 200 Cottage Ave, Ste 201, Manteca, CA 95336-4935 | 2006-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225687676 | Kasside Sahagun-escalante | Behavior Technician | 402 Victory Ave, Manteca, CA 95336 | 2019-09-09 |
| 1295253797 | Adriana Pena | Counselor | 129 E.center Street Ste.3, Manteca, CA 95336 | 2017-09-05 |
| 1104352277 | Native Directions Inc. | Substance Abuse Rehabilitation Facility | 13505 Union Rd, Manteca, CA 95336 | 2017-05-10 |
| 1437508389 | Anna Gavin | Contractor | 1256 W. Lathrop Rd #376, Manteca, CA 95336 | 2016-06-10 |
| 1164826137 | Michael M. Catz, M.d., Inc | Anesthesiology | 1205 E. North Street, Manteca, CA 95336 | 2014-10-20 |
| 1033518923 | Leanne Louis | Community Health Worker | 129 E Center Street, #3, Manteca, CA 95336 | 2014-08-18 |
| 1255684122 | Kenneth S. Ching, Md., Inc | Anesthesiology | 1205 East North Street, Manteca, CA 95336 | 2012-10-17 |
| 1629323043 | Harpradeep Ratia | Dentist | 1332 E Yosemite Ave, Manteca, CA 95336 | 2012-07-23 |
| 1750643664 | Shelley Marie Kohl | Specialist/Technologist, Other | 425 E. Center St Suite 1, Manteca, CA 95336 | 2012-06-15 |
| 1932488038 | Valerie Diane Segura | Behavioral Analyst | 1882 Cherrywood Pl, Manteca, CA 95336 | 2011-08-08 |
| Find all providers in zip 95336 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134353915 | Bhavin Doshi | Pediatrics | 250 Northgate Dr, Manteca, CA 95336-3161 | 2009-05-08 |
| 1477510097 | Betalina Blanco Bumatay | Pediatrics | 1260 E North St, Manteca, CA 95336-4962 | 2006-04-27 |
| 1184683302 | Florinda Galang Mallorca | Pediatrics | 250 Cherry Ln, Suite 111, Manteca, CA 95337-4395 | 2006-03-17 |
| 1306829296 | Eduardo Jaime Sumaquial | Pediatrics | 1079 Eucalyptus St, Suite A, Manteca, CA 95337-4369 | 2005-11-23 |
| 1659787877 | Princess Dela Pena | Pediatrics | 1144 Norman Dr Ste 203b, Manteca, CA 95336-5960 | 2014-07-08 |
| 1962833319 | First Choice Physician Partners | Pediatrics | 1079 Eucalyptus St, Suite #a, Manteca, CA 95337-4317 | 2013-12-11 |
| 1841550746 | Prachi Singh Chauhan | Pediatrics | 1144 Norman Dr, Suite 203b, Manteca, CA 95336-5925 | 2012-05-24 |
| 1588733786 | Mike Huang | Pediatrics | 1721 W Yosemite Ave, Manteca, CA 95337-5130 | 2006-11-06 |
| 1598843088 | Bao-chau T. Nguyen | Pediatrics | 1721 W Yosemite Ave, Manteca, CA 95337-5130 | 2006-11-01 |
| 1518045400 | Diana F. Enrile | Pediatrics | 1721 W Yosemite Ave, Manteca, CA 95337-5130 | 2006-11-01 |
| Find all providers in MANTECA | ||||
Please comment or provide details below to improve the information on DR. CARMELITA CASISON NISPEROS.
| 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.