VICTORIA ASHLEY JAKAUB (NPI# 1780292722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780292722 |
| Entity Type | Individual |
| Full Name | VICTORIA ASHLEY JAKAUB |
| Practice Address |
1160 S Grand Ave Glendora CA 91740-5000 |
| Practice Telephone | 6263355980 |
| Mailing Telephone | 6263355980 |
| Enumeration Date | 2020-07-15 |
| Last Update Date | 2020-07-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1160 S GRAND AVE |
| City | GLENDORA |
| State | CA |
| Zip Code | 91740-5000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790895092 | Pacific Clinics | Community/Behavioral Health | 1160 S Grand Ave, Glendora, CA 91740-5000 | 2006-08-30 |
| 1801414313 | Dania Salgado | Student in an Organized Health Care Education/Training Program | 1160 S Grand Ave, Glendora, CA 91740-5000 | 2020-07-10 |
| 1457979387 | Amanda Bianca Corral | Student in an Organized Health Care Education/Training Program | 1160 S Grand Ave, Glendora, CA 91740-5000 | 2020-07-07 |
| 1326670019 | Michelle Belling | Licensed Psychiatric Technician | 1160 S Grand Ave, Glendora, CA 91740-5000 | 2020-02-10 |
| 1215581657 | Chelcei Villarreal Muro | Case Manager/Care Coordinator | 1160 S Grand Ave, Glendora, CA 91740-5000 | 2019-07-24 |
| 1679139471 | Ahrum Kwon | Student in an Organized Health Care Education/Training Program | 1160 S Grand Ave, Glendora, CA 91740-5000 | 2019-05-16 |
| 1629539424 | Jessica Aileen Nuno | Counselor | 1160 S Grand Ave, Glendora, CA 91740-5000 | 2019-03-26 |
| 1366938243 | Amy Elizabeth Maljian | Counselor | 1160 S Grand Ave, Glendora, CA 91740-5000 | 2018-07-03 |
| 1316431083 | Angela Pei Wu | Counselor | 1160 S Grand Ave, Glendora, CA 91740-5000 | 2018-06-18 |
| 1801391818 | Cory Cruz | Counselor | 1160 S Grand Ave, Glendora, CA 91740-5000 | 2018-03-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215559638 | Kenny Tokuji Michioka | Nurse Practitioner | 1208 S Barranca Ave Unit C, Glendora, CA 91740 | 2020-05-07 |
| 1629535380 | Sudario Home Health Care, Inc. | Home Health | 620 W Riute 66 Suite 220a, Glendora, CA 91740 | 2019-02-28 |
| 1659872711 | Matthew Christian Mendoza | Counselor | 1160 S Grand Avenue, Glendora, CA 91740 | 2018-02-23 |
| 1972029981 | Keyauna C Thomas | Case Manager/Care Coordinator | 987 Shady Lane, Glendora, CA 91740 | 2017-08-21 |
| 1356891055 | Stephanie L Contreras | Counselor | 2200 E Route 66 Ste 200, Glendora, CA 91740 | 2016-10-06 |
| 1912454547 | Natalie Sayegh | Dentist | 102 W. Route 66, Suite G, Glendora, CA 91740 | 2016-09-01 |
| 1255715744 | Daily Care,llc | Non-emergency Medical Transport (VAN) | 623 Lemar Park Drive, B, Glendora, CA 91740 | 2015-07-14 |
| 1245661776 | Rjdj Hospice Care, Inc. | Hospice Care, Community Based | 631 E. Arrow Hwy Ste E, Glendora, CA 91740 | 2013-12-10 |
| 1285061168 | Nam Dao | Nurse Practitioner | 1377 S. Grand Ave, Glendora, CA 91740 | 2013-10-09 |
| 1508292384 | Keaunna Sonae Knox | Speech-Language Pathologist | 420 E. Baseline St Suite D & E, Glendora, CA 91740 | 2013-09-24 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285256545 | Kelley Lu | Student in an Organized Health Care Education/Training Program | 645 N Wildwood Ave, Glendora, CA 91741-1970 | 2020-05-09 |
| 1518460849 | Nathaniel Blakely Townsend | Student in an Organized Health Care Education/Training Program | 115 E Colorado Ave, Glendora, CA 91740-4411 | 2018-03-13 |
| 1366710683 | Lindsay Archuleta | Student in an Organized Health Care Education/Training Program | 1236 Indian Springs Dr, Glendora, CA 91741-2336 | 2011-12-01 |
| 1801414313 | Dania Salgado | Student in an Organized Health Care Education/Training Program | 1160 S Grand Ave, Glendora, CA 91740-5000 | 2020-07-10 |
| 1457979387 | Amanda Bianca Corral | Student in an Organized Health Care Education/Training Program | 1160 S Grand Ave, Glendora, CA 91740-5000 | 2020-07-07 |
| 1679139471 | Ahrum Kwon | Student in an Organized Health Care Education/Training Program | 1160 S Grand Ave, Glendora, CA 91740-5000 | 2019-05-16 |
| 1992237143 | Marina Atef Nemetalla | Student in an Organized Health Care Education/Training Program | 2025 E Route 66, Glendora, CA 91740-4670 | 2017-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679741 | Krista Lapidario | Student in an Organized Health Care Education/Training Program | 18602 Kings Row Ave, Cerritos, CA 90703-8048 | 2020-11-04 |
| 1548861818 | Masara Issa | Student in an Organized Health Care Education/Training Program | 2261 Runabout Pl, El Cajon, CA 92019-4250 | 2020-11-03 |
| 1245830736 | Khalid Bey | Student in an Organized Health Care Education/Training Program | 1st Dnbn Attn: Credentials 555221, Camp Pendleton, CA 92055-5221 | 2020-10-26 |
| 1538768221 | Judith Guarneros | Student in an Organized Health Care Education/Training Program | 47 Rogers Rd, Kernville, CA 93238-6021 | 2020-10-22 |
| 1174122048 | Vivian M. Arredondo | Student in an Organized Health Care Education/Training Program | 22656 Lark St, Grand Terrace, CA 92313-5714 | 2020-10-22 |
| 1861091621 | Kristen N Brauchler | Student in an Organized Health Care Education/Training Program | 2098 Cabot Ave, Merced, CA 95348-4023 | 2020-10-22 |
| 1215536206 | Marissa Burton | Student in an Organized Health Care Education/Training Program | 1759 Queenstown Dr, San Jose, CA 95132-1755 | 2020-10-21 |
| 1447859533 | Brooke Edelson | Student in an Organized Health Care Education/Training Program | 21 Waverley Ct Apt 4, Menlo Park, CA 94025-3551 | 2020-10-20 |
| 1891394987 | Shannon Shen | Student in an Organized Health Care Education/Training Program | 190 Ryland St Apt 3422, San Jose, CA 95110-2295 | 2020-10-20 |
| 1164020657 | Corinne Elizabeth Zachry | Student in an Organized Health Care Education/Training Program | 1149 S Hill St # H375, Los Angeles, CA 90015-2212 | 2020-10-15 |
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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.