DESIREE MADUCDOC (NPI# 1760819866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 22850 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1137 N CENTRAL AVE APT 1524 |
City | GLENDALE |
State | CA |
Zip Code | 91202-3683 |
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 |
Find all providers in zip 91202 |
Taxonomy Code | 363L00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
(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. |
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 |
Find all providers in GLENDALE |
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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.