JESSE WILLIAMS (NPI# 1760831689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760831689 |
Entity Type | Individual |
Full Name | JESSE WILLIAMS |
Practice Address |
14553 Milestone St Moreno Valley CA 92555-5719 |
Practice Telephone | 5629224668 |
Mailing Telephone | 5629224668 |
Enumeration Date | 2016-06-10 |
Last Update Date | 2017-04-14 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2083S0010X |
Preventive Medicine Specialization: Sports Medicine |
2000027074 | CA | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528426152 | Jesse Williams | Counselor | 200 E Broadway Ave Ste 314b, Maryville, TN 37804-5709 | 2016-02-10 |
1649421611 | Jesse Anthony Williams IIi | Licensed Vocational Nurse | 3470 Landrew Rd, Perris, CA 92571-7311 | 2008-10-08 |
1760485056 | Jesse S Williams | Internal Medicine | 736 Irving Ave, Syracuse, NY 13210-1687 | 2005-05-31 |
1851863195 | Jesse Quinn Williams | Counselor | 25 Canterbury Rd, Rochester, NY 14607-3403 | 2018-12-27 |
1447796727 | Jesse Williams | Counselor | 4735 N Thanksgiving Way, Lehi, UT 84043-2936 | 2017-01-11 |
1477923241 | Jesse Williams | Nurse Practitioner | 1400 E Union St, Greenville, MS 38703-3246 | 2015-10-05 |
1821343708 | Jesse Carl Williams | Optometrist | 1208 Johnson Blvd, Murray, KY 42071-2961 | 2012-07-17 |
1902033129 | Jesse Edwards Williams | Speech-Language Pathologist | 1110 Prim Rd, Colchester, VT 05446-6403 | 2009-06-15 |
1275565848 | Jesse J. Williams | Physician Assistant | 701 Grove Rd, Greenville, SC 29605-5611 | 2006-07-06 |
Street Address |
14553 MILESTONE ST |
City | MORENO VALLEY |
State | CA |
Zip Code | 92555-5719 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043817935 | Jillian Mika Ogata | Social Worker | Riverside University Health System, 26520 Cactus Ave., Moreno Valley, CA 92555 | 2020-10-05 |
1114549144 | Providence Recovery Centers, Inc. | Substance Abuse Rehabilitation Facility | 11165 Bonnie View Ave, Moreno Valley, CA 92555 | 2020-05-13 |
1720645096 | Shahida Nawaz | Non-emergency Medical Transport (VAN) | 26528 Primrose Way, Moreno Valley, CA 92555 | 2019-05-22 |
1679139828 | Moses Lee | Student in an Organized Health Care Education/Training Program | Department of Orthopaedic Surgery Rm. B2042 Ruhs-mc, 26520 Cactus Ave., Moreno Valley, CA 92555 | 2019-05-14 |
1215419668 | Johannes Wattimena | Counselor | 26624 Saffron Circle, Moreno Valley, CA 92555 | 2018-09-02 |
1437676939 | Aleksandra Vargas | Behavioral Analyst | 12549 Atherton Dr, Moreno Valley, CA 92555 | 2017-08-25 |
1063938603 | Anthony I Odimegwu | Nurse Practitioner | 26062 Bercaw Ct, Moreno Valley, CA 92555 | 2017-08-16 |
1073036703 | Karen Parker | Licensed Psychiatric Technician | 12944 Dolomite Lane, Moreno Valley, CA 92555 | 2017-07-25 |
1861923674 | Elena Vizcaino | Behavior Technician | 15670 Turnberry St, Moreno Valley, CA 92555 | 2017-03-23 |
1154744522 | Nancy Chivichon | Dietitian, Registered | 28648 Avenue Ave., Moreno Valley, CA 92555 | 2014-01-21 |
Find all providers in zip 92555 |
Taxonomy Code | 2083S0010X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Preventive Medicine |
Specialization | Sports Medicine |
A preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Preventive Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881089910 | Ryan Michael Greene | Preventive Medicine | 8720 W Sunset Blvd Unit C, Los Angeles, CA 90069-2206 | 2015-04-06 |
1982093415 | Alyssa Wheeler | Preventive Medicine | 2280 Damien Ave, La Verne, CA 91750-5210 | 2015-01-21 |
1306988746 | California Occupational Medicine Practice Inc | Preventive Medicine | 1142 Rose Avenue, Selma, CA 93662 | 2007-02-13 |
1548889819 | Henry Haotian Pai | Preventive Medicine | 900 Lafayette St Ste 105, Santa Clara, CA 95050-4966 | 2020-04-15 |
1982242434 | Ashley Wood | Preventive Medicine | 12945 Marengo Rd, Galt, CA 95632-8422 | 2019-12-16 |
1306313085 | Masaaki Tsuruike | Preventive Medicine | One Washington Square, San Jose, CA 95192-0054 | 2018-10-31 |
1396259412 | Melissa Katherman | Preventive Medicine | 18111 Nordhoff St, Northridge, CA 91330-0001 | 2017-11-28 |
1174978688 | Jeffrey S Peterson Md Inc | Preventive Medicine | 490 Post St, Suite 336, San Francisco, CA 94102-1401 | 2016-05-03 |
1942655998 | Blue Path Acupuncture | Preventive Medicine | 3400 California St, Suite 100, San Francisco, CA 94118-1863 | 2016-04-27 |
1942682315 | Lynda Siemon | Preventive Medicine | 987 University Ave, 28, Los Gatos, CA 95032-7640 | 2015-06-22 |
Find all providers with the same taxonomy |
City | MORENO VALLEY |
Zip Code | 92555 |
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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.