MR. ALDRICH LINGAT MUTUC (NPI# 1902103641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902103641 |
| Entity Type | Individual |
| Full Name | MR. ALDRICH LINGAT MUTUC |
| Practice Address |
1701 Mission Ave Ste A Oceanside CA 92058-7102 |
| Practice Telephone | 7609674475 |
| Mailing Telephone | 7609674475 |
| Enumeration Date | 2011-02-15 |
| Last Update Date | 2011-02-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1701 MISSION AVE STE A |
| City | OCEANSIDE |
| State | CA |
| Zip Code | 92058-7102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255723888 | Stavroula Stella Alatzas | Counselor | 1701 Mission Ave Ste A, Oceanside, CA 92058 | 2015-02-18 |
| 1992109730 | Danielle Benavides | Case Manager/Care Coordinator | 1701 Mission Ave Ste A, Oceanside, CA 92058-7102 | 2014-10-21 |
| 1306258975 | Danielle Rose | Licensed Vocational Nurse | 1701 Mission Ave Ste A, Oceanside, CA 92058-7102 | 2014-05-29 |
| 1801219902 | Israel Martinez Jr. | Registered Nurse | 1701 Mission Ave Ste A, Oceanside, CA 92058-7102 | 2014-01-24 |
| 1093143257 | Joanna Luisa Quezada | Licensed Vocational Nurse | 1701 Mission Ave Ste A, Oceanside, CA 92058-7102 | 2013-10-28 |
| 1104164375 | Jordan Gendelman | Counselor | 1701 Mission Ave Ste A, Oceanside, CA 92058-7102 | 2013-01-23 |
| 1528325289 | Laura Galindo | Marriage & Family Therapist | 1701 Mission Ave Ste A, Oceanside, CA 92058-7102 | 2012-04-19 |
| 1932472206 | Diana S Jamous | Counselor | 1701 Mission Ave Ste A, Oceanside, CA 92058-7102 | 2012-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508463555 | Michael William Baker | Dental Hygienist | 14th St., Oceanside, CA 92058 | 2020-10-02 |
| 1548877004 | Juliaisa Gisselle Caldero | Dental Assistant | Bldg 13128, Oceanside, CA 92058 | 2020-09-29 |
| 1932715836 | Leilani Viveros | Behavior Technician | 251 Airprort Road, Oceanside, CA 92058 | 2020-09-17 |
| 1043835952 | Emma Caitlin Johnson | Dentist | 92055 14th St, Bldg 13128, Oceanside, CA 92058 | 2020-06-16 |
| 1073135836 | Roxana Ivette Rodriguez | Military Health Care Provider | 22190 Marine Dr, Oceanside, CA 92058 | 2020-05-14 |
| 1699307744 | Rachael Bousman | Specialist/Technologist | 13129 14th St, Area 13, Camp Pendleton, CA 92058 | 2020-02-06 |
| 1811528359 | Misaael Valdes | Military Health Care Provider | Building, B St, Oceanside, CA 92058 | 2020-02-03 |
| 1497385736 | Phong Thanh Tran | Dental Hygienist | 599 A Ave #501, Oceanside, CA 92058 | 2020-01-24 |
| 1245796366 | Christian Thompson | Physician Assistant | 1st Med Bn, Camp Pendleton, Oceanside, CA 92058 | 2019-02-13 |
| 1104308568 | Caila Martin | Behavior Technician | 293 Douglas Dr Apt. 272, Oceanside, CA 92058 | 2018-09-02 |
| Find all providers in zip 92058 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043830763 | Gabriela Juache | Student in an Organized Health Care Education/Training Program | 525 Shadow Tree Dr, Oceanside, CA 92058-7030 | 2020-04-22 |
| 1508493560 | Mercedes Andreina Cardenas Pena | Student in an Organized Health Care Education/Training Program | 196 South Nassau, Oceanside, NY 11572 | 2020-03-26 |
| 1871143461 | Michael Alex Fisher | Student in an Organized Health Care Education/Training Program | 4241 Calle Del Vis, Oceanside, CA 92057-6475 | 2019-09-16 |
| 1992353585 | Janell Katherine Dulaney | Student in an Organized Health Care Education/Training Program | 738 S Tremont St, Oceanside, CA 92054 | 2019-08-28 |
| 1104482090 | Jennifer Rachel Virgile | Student in an Organized Health Care Education/Training Program | 361 Evans Ave, Oceanside, NY 11572-3831 | 2019-05-15 |
| 1962982736 | Jenna Leanne Griffin | Student in an Organized Health Care Education/Training Program | 553 Parker Rd, Oceanside, CA 92058-8022 | 2018-08-21 |
| 1437638947 | Amy Joanne Buckner | Student in an Organized Health Care Education/Training Program | 2204 S El Camino Real Ste 102, Oceanside, CA 92054 | 2018-08-07 |
| 1437682085 | Megan Chan | Student in an Organized Health Care Education/Training Program | 2466 Washington Ave, Oceanside, NY 11572-1533 | 2017-04-10 |
| 1922539394 | Jill Kupferman | Student in an Organized Health Care Education/Training Program | 441 Faller St, Oceanside, NY 11572-3508 | 2017-03-27 |
| 1386197671 | Kristina Fasano | Student in an Organized Health Care Education/Training Program | 3152 Benjamin Rd, Oceanside, NY 11572-4401 | 2016-08-03 |
| Find all providers in OCEANSIDE | ||||
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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.