GLORIA TATIANA DIXON


Address: 32366 Evening Primrose Trl, Campo, CA 91906-3162
Phone: 6196543389

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 224P00000X Prosthetist Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers GLORIA DIXON

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

Office Location

Street Address 32366 EVENING PRIMROSE TRL
City CAMPO
State CA
Zip Code 91906-3162

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 224P00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Prosthetist

Taxonomy Definition

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.

Providers in the same taxonomy and state

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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Competitor

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City CAMPO
Zip Code 91906

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Dataset Information

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.

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