DESIREE MADUCDOC


Address: 1137 N Central Ave Apt 1524, Glendale, CA 91202-3683
Phone: 7023345517

DESIREE MADUCDOC (NPI# 1760819866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760819866
Entity Type Individual
Full Name DESIREE MADUCDOC
Practice Address 1137 N Central Ave Apt 1524
Glendale
CA 91202-3683
Practice Telephone 7023345517
Enumeration Date 2013-10-03
Last Update Date 2013-10-03
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 22850 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1137 N CENTRAL AVE APT 1524
City GLENDALE
State CA
Zip Code 91202-3683

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528538857 Forever Active Cbas Clinic/Center 1111 W Glenoaks Blvd, Glendale, CA 91202 2018-11-29
1144724436 Kristine Bustos Nurse Practitioner 1200 N Pacific Ave Ste 104, Glendale, CA 91202 2018-03-21
1295159614 Kevin Lew Dentist 1122 N. Brand Blvd. Suite 102, Glendale, CA 91202 2014-02-05
1568709350 Helen Chalakians Counselor 525 Glenwood Rd, Glendale, CA 91202 2013-01-14
1316216161 Teresa Eligio Nurse Practitioner 857 Grant Ave, Glendale, CA 91202 2011-12-23
1033486139 Advance Hospice Care, Inc. Home Health 1209 N. Central Ave Suite 204, Glendale, CA 91202 2011-11-18
1659518785 Sarine Davityan Marriage & Family Therapist 1010 N Central Ave # 310, Glendale, CA 91202 2009-01-12
1760635619 Tatiana Mikaelian Dds Inc Dentist 1209 N. Central Ave, #203, Glendale, CA 91202 2008-10-23
1669624219 Marine Demirjian Allergy & Immunology 1131 N Pacific Ave, Glendale, CA 91202 2008-10-15
1902055783 Lousine Vahagn Kirakosian Dentist 125 E. Glenoaks Blvd., Suite 103, Glendale, CA 91202 2008-09-16
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033724737 Stephanie Janice Blanks Nurse Practitioner 500 N Central Ave Ste 900, Glendale, CA 91203-3346 2020-09-10
1992341234 Kiran Latif Nurse Practitioner 1133 Justin Ave Apt 210, Glendale, CA 91201-1825 2019-11-21
1225597727 Sara Dyane Diaz- Ingram Nurse Practitioner 6702 W Bethany Home Rd Ste 14, Glendale, AZ 85303-4402 2019-03-14
1184198442 Vitality Medical Center Inc Nurse Practitioner 1648 W Glenoaks Blvd # 101, Glendale, CA 91201-1827 2019-01-18
1952870628 Svetlana Serebryanaya Nurse Practitioner 6007 W Potter Dr, Glendale, AZ 85308-6731 2018-11-24
1548765225 Noralie Pizarro Raudszus Nurse Practitioner 1505 Wilson Ter Ste 155, Glendale, CA 91206-4032 2018-03-26
1255836904 Shakeh Haghnazarian Nurse Practitioner 1163 Winchester Ave Apt 6, Glendale, CA 91201-1828 2018-03-26
1093261448 Marina Podlubnaya Nurse Practitioner 230 N Maryland Ave Ste 209, Glendale, CA 91206-4282 2016-08-26
1578874350 Silver Continence Care Ca, Nursing PC Nurse Practitioner 1010 N Central Ave, Glendale, CA 91202-2937 2010-06-28
1053648329 Gemma Hechanova-knipschild Nurse Practitioner 421 Hill Dr, Glendale, CA 91206-2838 2009-11-07
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Competitor

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City GLENDALE
Zip Code 91202

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Dataset Information

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.

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