MR. FERDINAND GONZALES LACUROM (NPI# 1902227655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902227655 |
| Entity Type | Individual |
| Full Name | MR. FERDINAND GONZALES LACUROM |
| Credential | MSN-FNP, BSP, FNP-C |
| Practice Address |
1313 Blue Sage Way Chula Vista CA 91915-1616 |
| Practice Telephone | 6199476418 |
| Mailing Telephone | 6199476418 |
| Enumeration Date | 2013-12-25 |
| Last Update Date | 2013-12-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95000164 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1313 BLUE SAGE WAY |
| City | CHULA VISTA |
| State | CA |
| Zip Code | 91915-1616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396382206 | Oscar Brian Castillo | Student in an Organized Health Care Education/Training Program | 9123 Stylus Street Apt 301, Chula Vista, CA 91915 | 2019-12-10 |
| 1912430596 | Jennifer Soriano | Respiratory Therapist, Registered | 2074 Barbados Cove #3, Chula Vista, CA 91915 | 2017-04-10 |
| 1801333992 | Us Navy | Military Hospital | 1752 Trellis Way, Chula Vista, CA 91915 | 2017-01-26 |
| 1447640750 | Lotus Behavioral Health and Rehabilitation Services Inc. | Community/Behavioral Health | 1612-4 Paseo Carina, Chula Vista, CA 91915 | 2015-01-26 |
| 1417376187 | Joshua Hervas | Military Health Care Provider | 2710 Apricot Court, Chula Vista, CA 91915 | 2014-04-10 |
| 1477844280 | Alredo Chavez | Military Health Care Provider | 2460 Steamboat Springs Ct., Chula Vista, CA 91915 | 2011-04-27 |
| 1821307612 | Reginald Alano Demapelis | Military Health Care Provider | 1510 Circulo Brindisi, Chula Vista, CA 91915 | 2010-09-28 |
| 1184872392 | Marietta Galang | Registered Nurse | 1249 Long View Drive, Chula Vista, CA 91915 | 2008-08-29 |
| 1952576456 | Eric John R Eusebio Dmd Inc | Dentist | 2127 Olympic Parkway, #1003, Chula Vista, CA 91915 | 2008-04-25 |
| 1932226115 | Jose Luis Guzman | Dentist | 1645 Hickory Nut Pl, Chula Vista, CA 91915 | 2007-03-23 |
| Find all providers in zip 91915 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316585649 | Beverly Anne Ramos | Nurse Practitioner | 1151 Santa Delphina Ave, Chula Vista, CA 91913-1713 | 2019-12-17 |
| 1982240420 | Carlynne Rivera Calleros | Nurse Practitioner | 765 Medical Center Ct Ste 218, Chula Vista, CA 91911-6600 | 2019-11-19 |
| 1164994240 | Aldrin Joe Juaneza Jaranilla | Nurse Practitioner | 892 Genevieve Ave, Chula Vista, CA 91913-3134 | 2018-12-29 |
| 1134696289 | Kathleen Mitchell | Nurse Practitioner | 2287 Calle Catarina, Chula Vista, CA 91914-4455 | 2018-10-26 |
| 1386120723 | Nezer B Belen | Nurse Practitioner | 1722 May Ave, Chula Vista, CA 91913-4309 | 2018-07-18 |
| 1285122721 | Romeo Andrew Virrey | Nurse Practitioner | 1840 Crossroads St, Chula Vista, CA 91915-2429 | 2018-04-30 |
| 1861980393 | Eileen Caoile Virrey | Nurse Practitioner | 1840 Crossroads Street, Chula Vista, CA 91915-2429 | 2018-04-30 |
| 1861989790 | Michael Salomon Radi | Nurse Practitioner | 1444 Carpinteria St, Chula Vista, CA 91913-2521 | 2018-04-17 |
| 1427565001 | Dianne Munoz | Nurse Practitioner | 855 Third Ave #3340, Chula Vista, CA 91911-1911 | 2018-01-04 |
| 1093253593 | Dao Nhiatou Vang | Nurse Practitioner | 608 Crescent Dr, Chula Vista, CA 91911-6855 | 2017-02-03 |
| Find all providers in CHULA VISTA | ||||
| City | CHULA VISTA |
| Zip Code | 91915 |
Please comment or provide details below to improve the information on MR. FERDINAND GONZALES LACUROM.
| 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.