MR. ERIC WITHAM (NPI# 1760855233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760855233 |
| Entity Type | Individual |
| Full Name | MR. ERIC WITHAM |
| Credential | RN |
| Practice Address |
26673 Redhawk Ln Clovis CA 93619-9736 |
| Mailing Address |
26673 Red Hawk Lane Clovis CA 93619 |
| Practice Telephone | 5593144383 |
| Mailing Telephone | 5593144383 |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2015-11-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
490126 | CA | Nursing Service Providers |
| Street Address |
26673 REDHAWK LN |
| City | CLOVIS |
| State | CA |
| Zip Code | 93619-9736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639557655 | Esperanza Therapy Services, LLC | Community/Behavioral Health | 3293 Whiteash, Clovis, CA 93619 | 2015-05-11 |
| 1063828960 | Rose Scott | Rehabilitation Practitioner | 3675 Richmond Avenue, Clovis, CA 93619 | 2014-07-11 |
| 1538458237 | Paula Y. Mouanoutoua | Pharmacist | 1544 N. Cherrylane, Clovis, CA 93619 | 2011-04-04 |
| 1114041795 | Anagha Pathak | Contractor | 776 W Siena Ln, Clovis, CA 93619 | 2007-03-19 |
| 1497742555 | Mohammad H Rahman | Allergy & Immunology | 12365 N Via Tuscania, Clovis, CA 93619 | 2005-10-04 |
| 1285771238 | Iulia Vorobchevici | Dentist | 1305 N Willow Ave, Suite 110, Clovis, CA 93619 | 2007-01-31 |
| 1316194368 | Carlo Magno Arriba Paderna | Dentist | 1627 N Karen Ave, Clovis, CA 93619-0406 | 2008-08-21 |
| 1871952317 | Brenda Louise Munoz | Physical Therapy Assistant | 513 W Prescott Ave, Clovis, CA 93619-0423 | 2016-02-12 |
| 1023277126 | Rosa Petrosian | Non-emergency Medical Transport (VAN) | 2471 Deauville Cir, Clovis, CA 93619-2828 | 2008-06-03 |
| 1831463330 | H & A Medical Transportation | Non-emergency Medical Transport (VAN) | 2471 Deauville Cir, Clovis, CA 93619-2828 | 2012-02-29 |
| Find all providers in zip 93619 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417574278 | Kimberly Ann Justice | Registered Nurse | 2620 Fred Daugherty Ave, Clovis, NM 88101-8636 | 2020-06-28 |
| 1073862736 | Chylbert Magbanua Rosendo | Registered Nurse | 1102 Lester Ave, Clovis, CA 93619-7542 | 2012-09-10 |
| 1801951314 | Maria L Mallada | Registered Nurse | 342 W Trenton Ave, Clovis, CA 93619-3719 | 2006-12-26 |
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|---|---|---|---|---|
| 1568063998 | Jonathan Eguia | Registered Nurse | 10161 Croydon Way Ste 2, Sacramento, CA 95827-2107 | 2020-11-03 |
| 1396346961 | Patricia Yamilet Morales | Registered Nurse | 18300 Roscoe Blvd Dignity Health- Northridge Hospital M, Northridge, CA 91325 | 2020-11-02 |
| 1881292910 | Molly E Reid | Registered Nurse | 1000 S Grand Ave Apt 451, Los Angeles, CA 90015-3474 | 2020-10-12 |
| 1699372375 | Shawnalle Guadalupe Guzman | Registered Nurse | 125 Rowardennan Dr, Ben Lomond, CA 95005-9388 | 2020-10-06 |
| 1760091201 | Amara Michella Altman | Registered Nurse | 1796 Camino Verde Apt C, Walnut Creek, CA 94597-2291 | 2020-07-30 |
| 1609484476 | Loretta Lynn Ballard | Registered Nurse | 11514 Poema Pl Unit 102, Chatsworth, CA 91311-1114 | 2020-07-17 |
| 1174141550 | Aline Marie Bales | Registered Nurse | 1669 Marina Way, Brentwood, CA 94513-5133 | 2020-07-11 |
| 1447874730 | Deborah Colleen Rheinfurth | Registered Nurse | 25727 Mcbean Parkway, Valencia, CA 91355 | 2020-06-02 |
| 1235767393 | Julianne Vilardi | Registered Nurse | 3410 Birdsall Ave Unit B, Oakland, CA 94619-2621 | 2020-04-01 |
| 1275169328 | Jennifer Khan | Registered Nurse | 4201 Topanga Canyon Blvd Spc 113, Woodland Hills, CA 91364-5262 | 2020-03-20 |
| Find all providers with the same taxonomy | ||||
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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.