RICHELLE MARRACINO (NPI# 1861602021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861602021 |
Entity Type | Individual |
Full Name | RICHELLE MARRACINO |
Credential | M.D. |
Practice Address |
5500 University Parkway Csusb Student Health Center San Bernardino CA 92407 |
Mailing Address |
Po Box 7100 Redlands CA 92375-0100 |
Practice Telephone | 9095377444 |
Practice Fax Number | 9095377027 |
Mailing Telephone | 9095377444 |
Mailing Fax Number | 9095377027 |
Enumeration Date | 2007-05-23 |
Last Update Date | 2014-06-17 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
A67463 | CA | Allopathic & Osteopathic Physicians |
Street Address |
5500 UNIVERSITY PARKWAY CSUSB STUDENT HEALTH CENTER |
City | SAN BERNARDINO |
State | CA |
Zip Code | 92407 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952425316 | Yolanda A Mickevicius Ruokis | Internal Medicine | 5500 University Parkway, California State University San Bernardino Student Hlth, San Bernardino, CA 92407-2397 | 2007-03-19 |
1881142578 | Yolanda Nunez | Community/Behavioral Health | 5500 University Parkway, San Bernardino, CA 92407-2397 | 2016-09-12 |
1750608774 | Everett K. Kang | Family Medicine | 5500 University Parkway, Csusb Student Health Center, San Bernardino, CA 92407-2397 | 2010-04-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639789233 | Luis Enrique Macias | Case Manager/Care Coordinator | 26967 Beaumont Ave., Redlands Ca 92373, San Bernardino, CA 92407 | 2020-08-07 |
1619526209 | Louise E Curran | Social Worker | 6395 N Azalea Ave, San Bernardino, CA 92407 | 2019-09-06 |
1619496049 | Portia Monique Jackson | Licensed Vocational Nurse | 1022 Sunbrook Dr., San Bernardino, CA 92407 | 2017-09-18 |
1568988467 | Jon Michael Hensley | Behavior Technician | 1638 Windsor Street, San Bernardino, CA 92407 | 2017-08-22 |
1063933349 | Priority Rounds Transport, L.l.c | Non-emergency Medical Transport (VAN) | 18245 Evening Primrose Ln, San Bernardino, CA 92407 | 2017-06-27 |
1760927263 | Denkorach Inc | In Home Supportive Care | 1265 Kendall Drive, Unit 1614, San Bernardino, CA 92407 | 2016-12-20 |
1558606517 | Pradeep Amin | Pharmacist | 4150 N Sierra Way, San Bernardino, CA 92407 | 2012-12-03 |
1811231384 | Lucindy Thomasina Fuller | Rehabilitation Practitioner | 1265 Kendall Dr, San Bernardino, CA 92407 | 2012-11-21 |
1578793337 | Shareela Marie Allen | Social Worker | 6791 N. Ofeila Drive, San Bernardino, CA 92407 | 2009-07-15 |
1720239304 | Alejandro Paul Holguin | Social Worker | 6076 Norma Ln, San Bernardino, CA 92407 | 2008-10-01 |
Find all providers in zip 92407 |
Taxonomy Code | 207QA0505X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Adult Medicine |
Definition to come. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790237485 | Kate Donkor | Family Medicine | 2564 Winston Ct, San Bernardino, CA 92408 | 2016-10-27 |
1215182803 | Gospha G, Campbell Md Inc | Family Medicine | 1850 S Waterman Ave # F, San Bernardino, CA 92408-2877 | 2008-11-24 |
1689166241 | Premier Senior Medical Group of San Bernardino, Inc. | Family Medicine | 284 E Highland Ave, San Bernardino, CA 92404-3706 | 2018-05-30 |
1538592506 | Abigail Soto | Family Medicine | 598 N F St, San Bernardino, CA 92410-3110 | 2013-08-14 |
1801094149 | Mill-waterman Medical Corporation | Family Medicine | 385 E Mill St Ste 13, San Bernardino, CA 92408-1545 | 2007-07-09 |
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1386269306 | Universal Mobile Doctors Inc | Family Medicine | 15333 Sherman Way Ste P, Van Nuys, CA 91406-4204 | 2020-06-16 |
1619597671 | Harry Eisenbach | Family Medicine | 9312 Smoketree Ln, Villa Park, CA 92861-1011 | 2020-04-20 |
1669092854 | Wellbeing Clinic Inc | Family Medicine | 1621 S New Hampshire Ave, Los Angeles, CA 90006-4513 | 2020-04-17 |
1619513611 | Krista Mckinney | Family Medicine | 344o E. La Palma Avenue, Anaheim, CA 92806 | 2019-11-25 |
1457995565 | Ucsf Medical Group Business Services | Family Medicine | 1100 Park Pl Ste 100, San Mateo, CA 94403-7119 | 2019-10-31 |
1780237313 | Charles Kim Md Inc | Family Medicine | 3055 W Orange Ave Ste 204, Anaheim, CA 92804-3154 | 2019-07-23 |
1083277206 | Baum 5 Star Healthcare | Family Medicine | 560 W Grangeville Blvd Ste A, Hanford, CA 93230-2858 | 2019-04-15 |
1477025278 | Connexus Family Clinic Inc | Family Medicine | 1930 E. Anaheim Street, N/a, Long Beach, CA 90813-3908 | 2018-12-19 |
Find all providers with the same taxonomy |
City | SAN BERNARDINO |
Zip Code | 92407 |
Please comment or provide details below to improve the information on RICHELLE MARRACINO.
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.