JOSEPH MICA BENAVIDES (NPI# 1821587684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821587684 |
| Entity Type | Individual |
| Full Name | JOSEPH MICA BENAVIDES |
| Practice Address |
6425 Columbine Rd. Oak Hills CA 92344 |
| Mailing Address |
6425 Columbine Rd Oak Hills CA 92344-0753 |
| Practice Telephone | 7606867837 |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2018-05-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 116671 | AK | Nursing Service Providers |
| Street Address |
6425 COLUMBINE RD. |
| City | OAK HILLS |
| State | CA |
| Zip Code | 92344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821639246 | Carolyn Susan Shaw | Technician | 13312 Ranchero Rd #533, Oak Hills, CA 92344 | 2019-10-07 |
| 1841725280 | Ruben Sergio Padilla | Behavioral Analyst | 8794 Tustin Ave, Hesperia, CA 92344 | 2017-04-24 |
| 1184755233 | Virginia L Schwab | Counselor | 7657 Coleridge Road, Oak Hills, CA 92344 | 2007-03-08 |
| 1407347305 | Noel Norman Flowers Sr. | Driver | 13850 Rosemary St, Hesperia, CA 92344-0001 | 2018-05-25 |
| 1386015840 | Darin Saunders | Registered Nurse | 13842 Lemongrass Way, Hesperia, CA 92344-0042 | 2015-10-09 |
| 1629585856 | Amazing Grace Oasis | Intermediate Care Facility, Mentally Retarded | 13842 Lemongrass Way, Hesperia, CA 92344-0042 | 2018-01-09 |
| 1114572955 | Lighthouse Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 9184 Wild Horse Ave, Hesperia, CA 92344-0047 | 2019-08-08 |
| 1891212353 | Melissa Ann De Silva | Behavioral Analyst | 8546 Wagon Wheel Ct, Hesperia, CA 92344-0192 | 2017-08-25 |
| 1326695032 | Brooke A Palmer | Behavior Technician | 10720 Cedar St, Oak Hills, CA 92344-0660 | 2019-08-19 |
| 1437554714 | The Gaqthering Place Lionheart Ministries Inc | Counselor | 9345 Dragon Tree Dr, Hesperia, CA 92344-4680 | 2014-10-28 |
| Find all providers in zip 92344 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720832 | Shelina Hardwick-moses | Licensed Practical Nurse | 1391 Frost St, Edwards, CA 93523-2715 | 2020-11-08 |
| 1609476217 | Vonkisha Caviness | Licensed Practical Nurse | 28816 Beattie St, Highland, CA 92346-5084 | 2020-11-01 |
| 1073113619 | Saroj Bala Chohan | Licensed Practical Nurse | 21221 Oxnard St, Apt#619, Woodland Hills, CA 91367-5181 | 2020-10-30 |
| 1447857719 | Stanley Joseph | Licensed Practical Nurse | 16211 Downey Ave Unit 113, Paramount, CA 90723-5588 | 2020-10-08 |
| 1356953848 | Jaeson M Fetalvero | Licensed Practical Nurse | 3834 Colma Ave, Merced, CA 95348-8719 | 2020-08-18 |
| 1699398594 | John Rastad | Licensed Practical Nurse | 2201 River Trails Cir, Rancho Cordova, CA 95670-2222 | 2020-05-26 |
| 1992338552 | Ralph Kevin Roque | Licensed Practical Nurse | 614 W Manchester Blvd, Inglewood, Ca 90301, 104, Inglewood, CA 90301 | 2020-02-21 |
| 1851924021 | Fiera Ramsey | Licensed Practical Nurse | 1705 Dobell St, Perris, CA 92571-6502 | 2020-02-17 |
| 1922630425 | Sacred Hands Hospice Home Care, LLC | Licensed Practical Nurse | 3900 Delta Fair Blvd Ste 200e, Antioch, CA 94509-4010 | 2020-02-12 |
| 1659916476 | Zion N Workalemahu | Licensed Practical Nurse | 2151 Anson Way, West Covina, CA 91792-1504 | 2019-11-15 |
| 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.