BLESSY SABU (NPI# 1841774817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841774817 |
Entity Type | Individual |
Full Name | BLESSY SABU |
Credential | AGAC-NP |
Practice Address |
4234 Riverwalk Pkwy Ste 230 Riverside CA 92505-3312 |
Mailing Address |
14539 Alder Dr Eastvale CA 92880-9616 |
Practice Telephone | 9517813672 |
Mailing Telephone | 7143292868 |
Enumeration Date | 2018-09-17 |
Last Update Date | 2018-09-17 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
NP95009183 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
4234 RIVERWALK PKWY STE 230 |
City | RIVERSIDE |
State | CA |
Zip Code | 92505-3312 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205829843 | Ali Mojaverian | Internal Medicine | 4234 Riverwalk Pkwy Ste 230, Riverside, CA 92505 | 2005-08-30 |
1093344004 | Tom A Bui | Physician Assistant | 4234 Riverwalk Pkwy Ste 230, Riverside, CA 92505-3312 | 2020-04-02 |
1407491574 | Michael Giles | Physician Assistant | 4234 Riverwalk Pkwy Ste 230, Riverside, CA 92505-3312 | 2019-11-13 |
1609424027 | Matthew Jordan Santa Cruz | Physician Assistant | 4234 Riverwalk Pkwy Ste 230, Riverside, CA 92505-3312 | 2019-08-28 |
1578125829 | Stephanie Dwyer | Physician Assistant | 4234 Riverwalk Pkwy Ste 230, Riverside, CA 92505-3312 | 2019-07-07 |
1659899813 | Jennifer Crystal Lievanos | Physician Assistant | 4234 Riverwalk Pkwy Ste 230, Riverside, CA 92505-3312 | 2017-09-07 |
1316460249 | Sammy Lei | Physician Assistant | 4234 Riverwalk Pkwy Ste 230, Riverside, CA 92505-3312 | 2017-07-23 |
1881085207 | Mohammad Malekzadegan | Internal Medicine | 4234 Riverwalk Pkwy Ste 230, Riverside, CA 92505-3312 | 2015-02-06 |
1669882130 | Sylvia Soo | Psychiatry & Neurology | 4234 Riverwalk Pkwy Ste 230, Riverside, CA 92505-3312 | 2014-05-05 |
1407273600 | Mindy Truc Bui | Internal Medicine | 4234 Riverwalk Pkwy Ste 230, Riverside, CA 92505-3312 | 2014-03-25 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205458460 | Mark Anthony Vargas | Behavioral Analyst | 94193 Flat Rock Dr Ste 220, Riverside, CA 92505 | 2020-05-11 |
1568099976 | Victoria Lee | Student in an Organized Health Care Education/Training Program | Riverside Family Medicine Residency, 10800 Magnolia Avenue, Riverside, CA 92505 | 2020-03-25 |
1588222087 | A Homecare Services, Inc | In Home Supportive Care | 4193 Flat Rock Road, Building 200 Suite 206, Riverside, CA 92505 | 2019-05-31 |
1609302397 | Tap Pharmacy, Inc. | Pharmacy | 4270 Riverwalk Pkwy Ste 102, Riverside, CA 92505 | 2017-05-02 |
1467998658 | Onofre Gascon | Behavior Technician | 11711 Collett Ave, #1614, Riverside, CA 92505 | 2017-01-11 |
1780038505 | Nash David Martinez | Emergency Medicine | 10800 Magnolia Ave Dept of Emergency Medicine, Kaiser Permanente Hospital, Riverside, CA 92505 | 2016-04-18 |
1447639901 | Jose Joel Manalese Dds Inc | Dentist | 3950 Pierce St., Suite L., Riverside, CA 92505 | 2015-05-29 |
1821493230 | Jean Huynh | Physician Assistant | 11725 State Ave., Suite 100, Riverside, CA 92505 | 2014-10-28 |
1003160649 | Elaf Farahat | Dietitian, Registered | 10800 Magnolia Avenue., Riverside, CA 92505 | 2012-11-05 |
1730458217 | Tammy Lynn Gilmore | Non-emergency Medical Transport (VAN) | 10770 Hole Avenue, 106, Riverside, CA 92505 | 2011-12-29 |
Find all providers in zip 92505 |
Taxonomy Code | 363LA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Acute Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518414275 | Sarah Jane Zoz | Nurse Practitioner | 6848 Magnolia Ave Ste 125, Riverside, CA 92506-2899 | 2016-09-09 |
1780917021 | Shoko Okado Nitta | Nurse Practitioner | 4500 Brockton Ave Ste 319, Riverside, CA 92501-4027 | 2009-09-17 |
1528624558 | Francois Takla | Nurse Practitioner | 4445 Magnolia Ave, Riverside, CA 92501-4135 | 2019-05-15 |
1447723879 | Hong T Tran | Nurse Practitioner | 4500 Brockton Ave Ste 319, Riverside, CA 92501-4027 | 2019-01-08 |
1306205208 | Lorena Herminia Ruiz | Nurse Practitioner | 4445 Magnolia Ave, Riverside, CA 92501-4135 | 2016-02-19 |
1295117141 | Darlene Noret | Nurse Practitioner | 375 Wampanoag Trl Ste 102, Riverside, RI 02915-2233 | 2015-06-26 |
1205231081 | Mary Whittenhall | Nurse Practitioner | 375 Wampanoag Trl, Suite 302b, Riverside, RI 02915-2232 | 2014-10-23 |
1154631687 | Cynthia Ranette Pitchford | Nurse Practitioner | 4234 Riverwalk Pkwy Ste 230, Riverside, CA 92505-3312 | 2010-10-18 |
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1023619442 | Dolores Josephine Meehan | Nurse Practitioner | South Bay Vascular Center, 2255 South Bascom Avenue Suite 200, Campbell, CA 95008-7800 | 2020-11-03 |
1013517960 | Kristina Pulliam Markey | Nurse Practitioner | 11234 Anderson Strreet, Loma Linda, CA 92354 | 2020-10-29 |
1851990550 | Fernanda Monteon Ibarra | Nurse Practitioner | 30222 Belmont Ct, Agoura Hills, CA 91301-4611 | 2020-10-22 |
1780283168 | Brenda Rienru Rhima | Nurse Practitioner | 24657 Rockston Dr, Corona, CA 92883-1614 | 2020-10-18 |
1215535034 | Shiji John | Nurse Practitioner | 3765 Gunnison Cir, Corona, CA 92881-8486 | 2020-10-14 |
1053919258 | Lacey Etienne Neufeld | Nurse Practitioner | Marshall Transitional Care Unit, 1100 Marshall Way, Placerville, CA 95667 | 2020-10-12 |
1063028298 | Kanokwan Kultan | Nurse Practitioner | 15850 Babcock St, San Diego, CA 92127-3680 | 2020-09-22 |
1538775093 | David Lee | Nurse Practitioner | 5710 S Glennie Ln Apt A, Los Angeles, CA 90016-1063 | 2020-09-21 |
1124634886 | Catherine Kestenian | Nurse Practitioner | 351 E Foothill Blvd Ste 250, Arcadia, CA 91006-7426 | 2020-09-18 |
1285249565 | Anu Tharoor | Nurse Practitioner | 505 Parnassus Ave Fl 9, San Francisco, CA 94143-2204 | 2020-09-13 |
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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.