GLORIA TATIANA DIXON (NPI# 1790341915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790341915 |
Entity Type | Individual |
Full Name | GLORIA TATIANA DIXON |
Practice Address |
32366 Evening Primrose Trl Campo CA 91906-3162 |
Practice Telephone | 6196543389 |
Mailing Telephone | 6196543389 |
Enumeration Date | 2019-05-13 |
Last Update Date | 2019-05-13 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 224P00000X | Prosthetist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679748792 | Gloria Jean Dixon | Home Health Aide | 1424 Ellsworth Ave, Columbus, OH 43206-3228 | 2008-04-29 |
1821211467 | Gloria Dixon | Home Health | 115 Cherry St, Lake Providence, LA 71254-6303 | 2007-04-11 |
1023257037 | Gloria Dixon | Registered Nurse | 2600 Marble Ave Ne, Albuquerque, NM 87106-2058 | 2009-02-13 |
1114941515 | Gloria S Dixon | Registered Nurse | 601 N Elm St, High Point, NC 27262-4331 | 2006-07-27 |
Street Address |
32366 EVENING PRIMROSE TRL |
City | CAMPO |
State | CA |
Zip Code | 91906-3162 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316424351 | Jr Ranch | Substance Abuse Rehabilitation Facility | 1765 Buckman Springs Rd, Campo, CA 91906 | 2018-07-23 |
1336592740 | Mountain Health & Community Services, Inc. | Clinic/Center | 1388 Buckman Springs Road, Campo, CA 91906 | 2016-07-20 |
1932572385 | Joshua Knutson | Marriage & Family Therapist | 976 Sheridan Rd, Campo, CA 91906 | 2015-11-06 |
1093937591 | San Diego Freedom Ranch, Inc. | Substance Abuse Rehabilitation Facility | 1777 Buckman Springs Rd, Campo, CA 91906 | 2007-05-03 |
1760603740 | Linda Rae Anderson | Acupuncturist | 33446 Hwy 94, Campo, CA 91906 | 2007-05-01 |
1407887227 | Jay Mark Cool | Physician Assistant | 31115 Highway 94, Campo, CA 91906 | 2006-07-06 |
1518577493 | Billy Don Wilson | Counselor | 1777 Buckman Springs Rd, Campo, CA 91906-2022 | 2020-08-05 |
1043820202 | Marco Martinez | Counselor | 1777 Buckman Springs Rd, Campo, CA 91906-2022 | 2020-08-03 |
1831725779 | David M Pardue | Counselor | 1777 Buckman Springs Rd, Campo, CA 91906-2022 | 2020-03-22 |
1316505100 | Michael Derek Waters | Counselor | 1777 Buckman Springs Rd, Campo, CA 91906-2022 | 2019-06-05 |
Find all providers in zip 91906 |
Taxonomy Code | 224P00000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Prosthetist |
A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134752942 | Elizabeth Olajide | Prosthetist | 43536 Gadsden Ave Apt 324, Lancaster, CA 93534-6036 | 2020-02-20 |
1831733948 | Shayla R Williams | Prosthetist | 11050 Strathmore Dr Apt 422, Los Angeles, CA 90024-2319 | 2019-10-31 |
1578111290 | Charmie Johnson | Prosthetist | 7309 University Ave Ste B, La Mesa, CA 91942-0525 | 2019-08-27 |
1629633219 | Duana Robinson | Prosthetist | 1430 Brandon Dewey Ln, Tracy, CA 95304-5981 | 2019-05-08 |
1366908741 | Alicia Lander | Prosthetist | 5252 Foothill Blvd, Oakland, CA 94601-5438 | 2019-02-11 |
1154895944 | Keyonia K Paramore | Prosthetist | 735 W Pacific Coast Hwy, Long Beach, CA 90806-5240 | 2019-01-15 |
1629544499 | Alexander Hetherington | Prosthetist | 1500 Owens St Ste 115, San Francisco, CA 94158-2338 | 2018-10-19 |
1255815155 | Mary Alice Swiney | Prosthetist | 3437 Stocker St Apt 4, Los Angeles, CA 90008-3730 | 2018-09-18 |
1285113951 | Janet Miller | Prosthetist | 6662 Charlene Ave, San Diego, CA 92114 | 2018-08-13 |
1710482807 | John Vetter | Prosthetist | 5110 Whitsett Ave, Valley Village, CA 91607-3016 | 2018-03-29 |
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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.