CHAD R HICKERSON (NPI# 1760982128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760982128 |
| Entity Type | Individual |
| Full Name | CHAD R HICKERSON |
| Credential | MAOD |
| Practice Address |
2250 Soquel Ave Santa Cruz CA 95062-1402 |
| Practice Telephone | 8316002801 |
| Practice Fax Number | 8316002801 |
| Mailing Telephone | 8316002801 |
| Enumeration Date | 2018-02-12 |
| Last Update Date | 2018-06-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 376G00000X | Nursing Home Administrator | Nursing Service Related Providers |
| Street Address |
2250 SOQUEL AVE |
| City | SANTA CRUZ |
| State | CA |
| Zip Code | 95062-1402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417085366 | Jo Elizabeth Morel | Marriage & Family Therapist | 2250 Soquel Ave, Ste 100, Santa Cruz, CA 95062-1402 | 2007-03-01 |
| 1437759958 | Charmaine Lugartos | Psychiatric Residential Treatment Facility | 2250 Soquel Ave, Santa Cruz, CA 95062-1402 | 2020-10-26 |
| 1609480730 | Amalia Lucas | Licensed Vocational Nurse | 2250 Soquel Ave, Santa Cruz, CA 95062-1402 | 2020-09-05 |
| 1336767102 | Yesi Serrato | Licensed Vocational Nurse | 2250 Soquel Ave, Santa Cruz, CA 95062-1402 | 2020-07-08 |
| 1669094058 | Natalia N Vikhliantseva | Registered Nurse | 2250 Soquel Ave, Santa Cruz, CA 95062-1402 | 2020-05-08 |
| 1073132304 | Lilia Ha'ena Williams | Registered Nurse | 2250 Soquel Ave, Santa Cruz, CA 95062-1402 | 2020-04-16 |
| 1982236832 | Elizabeth R Salter | Registered Nurse | 2250 Soquel Ave, Santa Cruz, CA 95062-1402 | 2020-02-09 |
| 1093347163 | Maria Molina | Licensed Vocational Nurse | 2250 Soquel Ave, Santa Cruz, CA 95062-1402 | 2020-02-06 |
| 1740823764 | Ethel Lucille Newton-bascomb | Social Worker | 2250 Soquel Ave, Santa Cruz, CA 95062-1402 | 2019-10-22 |
| 1285277699 | Kyle James O'hagan | Registered Nurse | 2250 Soquel Ave, Santa Cruz, CA 95062-1402 | 2019-10-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730706698 | Laura Lynn Rabb-jancola | Home Health | 275 Lake Ave #8, Santa Cruz, CA 95062 | 2020-06-26 |
| 1043792740 | New Life Community Services, Inc | Substance Abuse Rehabilitation Facility | 521 Capitola Rd Ext, Santa Cruz, CA 95062 | 2018-08-30 |
| 1780180380 | Philips Patton | Acupuncturist | 129 Dake Ave, Santa Cruz, CA 95062 | 2018-04-03 |
| 1477069896 | Wei Jiang | Acupuncturist | 1099 38th Ave #46, Santa Cruz, CA 95062 | 2017-12-21 |
| 1336679885 | Camm Nelsen | Counselor | 200 7th Avenue. Suite 150, Santa Cruz, CA 95062 | 2017-06-18 |
| 1639601784 | Catharine Lee Sheets | Registered Nurse | 21507 East Cliff Drive, Santa Cruz, CA 95062 | 2017-03-29 |
| 1972968857 | Brenda M. Williams | Counselor | 941 Eldorado Ave, Santa Cruz, CA 95062 | 2015-12-21 |
| 1124490347 | Emily Fittante | Social Worker | 343 Soquel Ave #195, Santa Cruz, CA 95062 | 2015-10-27 |
| 1578935839 | Jennifer Langon, Lmft | Community/Behavioral Health | 5905 Soquel Ave Suite 400, Aptos, CA 95062 | 2015-10-27 |
| 1255718581 | Joanne Gramo | Acupuncturist | 316a Oceanview Ave., Santa Cruz, CA 95062 | 2015-05-06 |
| Find all providers in zip 95062 | ||||
| Taxonomy Code | 376G00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Nursing Home Administrator |
| An individual, often licensed by the state, who is responsible for the management of a nursing home. |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations, and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL, 1994, p. 552. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861901282 | Rudolph Vincent Escalante | Nursing Home Administrator | 200 7th Avenue, Suite 150, Santa Cruz, CA 95062 | 2017-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538760210 | Vanessa Nunez | Nursing Home Administrator | 1697 Donax Ave, San Diego, CA 92154-1004 | 2020-11-08 |
| 1225637622 | Elizabeth Memoracion | Nursing Home Administrator | 2140 Ceres Ave, Chico, CA 95926-1403 | 2020-10-19 |
| 1659903037 | Noelia Garcia | Nursing Home Administrator | 2755 Thacker Dr, Corona, CA 92881-3634 | 2020-02-04 |
| 1164054557 | Romulo L Garcia | Nursing Home Administrator | 1540 Heartland Way, Corona, CA 92881-4179 | 2020-02-04 |
| 1902436058 | Musarrat Khan | Nursing Home Administrator | 14736 Willow Grove Pl, Moreno Valley, CA 92555-5746 | 2020-01-16 |
| 1295378818 | Yaninee Asawadilokchai | Nursing Home Administrator | 8191 Lambert Dr, Huntington Beach, CA 92647-4816 | 2019-10-27 |
| 1043861313 | Mary Grace P Trias | Nursing Home Administrator | 31485 Mandy Ct, Lake Elsinore, CA 92530-5124 | 2019-09-26 |
| 1982250635 | Lilibeth Mesa | Nursing Home Administrator | 8890 Harlow Ct, Elk Grove, CA 95624-3225 | 2019-08-16 |
| 1295380467 | Riverside Elite Advantage Care Home LLC | Nursing Home Administrator | 17085 Birch Hill Rd, Riverside, CA 92504-8823 | 2019-08-05 |
| 1275194284 | Kathy J Maghbouleh | Nursing Home Administrator | 26545 Avenida Deseo, Mission Viejo, CA 92691-3303 | 2019-06-21 |
| Find all providers with the same taxonomy | ||||
| City | SANTA CRUZ |
| Zip Code | 95062 |
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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.