MR. FERDINAND FORTUNE CUICO (NPI# 1902349020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902349020 |
Entity Type | Individual |
Full Name | MR. FERDINAND FORTUNE CUICO |
Credential | FNP |
Practice Address |
421 Brister Park Ct Camarillo CA 93012 |
Mailing Address |
421 Brister Park Court Camarillo CA 93012 |
Practice Telephone | 8055120229 |
Mailing Telephone | 8055120229 |
Enumeration Date | 2016-11-21 |
Last Update Date | 2018-08-02 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | 792153 | CA | Nursing Service Providers |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95007653 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
421 BRISTER PARK CT |
City | CAMARILLO |
State | CA |
Zip Code | 93012 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992322895 | Natasha Nichole Johnson | Licensed Vocational Nurse | 1750 A S Lewis Rs, Camarillo, CA 93012 | 2020-06-26 |
1609392604 | Dain Emmanuel Acevedo | Counselor | 5284 Adolfo Road Suite 100, Camarillo, CA 93012 | 2017-08-21 |
1679093751 | Emily Sophia Rodriguez | Counselor | 5284 Adolfo Rd. Suite 100, Camarillo, CA 93012 | 2017-06-21 |
1164952750 | Valerie Marie Inez Rivera | Counselor | 5284 Adolfo Rd #100, Camarillo, CA 93012 | 2017-06-15 |
1457890709 | Constance Walsh | Prosthetic/Orthotic Supplier | 795 Camarillo Springs Rd, Suite C, Carmarillo, CA 93012 | 2017-02-20 |
1699226795 | Lauren Streiter | Counselor | 1750b S Lewis Rd, Camarillo, CA 93012 | 2016-10-24 |
1972955649 | Evolve Growth Initiatives, LLC | Community Based Residential Treatment Facility, Mental Illness | 799 Camarillo Springs Road, Ventura, CA 93012 | 2016-07-06 |
1083075089 | Justin Rodriguez Urbano | Dental Hygienist | 4422 Corte Arbusto, Camarillo, CA 93012 | 2016-03-18 |
1578924619 | Leslie Winn | Counselor | 291 Camino Leon, Camarillo, CA 93012 | 2016-03-17 |
1417355496 | Jessieka Mata | Social Worker | 5284 Aldolfo Rd., Camarillo, CA 93012 | 2014-12-08 |
Find all providers in zip 93012 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881173250 | Megan Reider | Nurse Practitioner | 268 Village Commons Blvd Unit 19, Camarillo, CA 93012-6828 | 2018-08-07 |
1811480502 | Aaron Mehlman | Nurse Practitioner | 415 W Ventura Blvd Ste 200, Camarillo, CA 93010-9128 | 2018-06-07 |
1275991184 | Lauren Elizabeth Mcwhorter | Nurse Practitioner | 1040 Flynn Rd, Camarillo, CA 93012-5092 | 2016-02-05 |
1780084483 | Karen Vordale | Nurse Practitioner | 3901 East Las Posas Rd, Ste #204, Camarillo, CA 93010-1501 | 2014-08-29 |
1427460856 | Aristotle Ibarra Tuano | Nurse Practitioner | 3406 Rockhampton Dr, Camarillo, CA 93012-7735 | 2014-05-20 |
1023323334 | Brenda Kim Means | Nurse Practitioner | 3801 Las Posas Rd Ste 106, Camarillo, CA 93010-1425 | 2010-08-11 |
1699086769 | Terry L Schneider | Nurse Practitioner | 751 E Daily Dr, Suite 120, Camarillo, CA 93010-6076 | 2010-06-23 |
1558691667 | Laurel Jean Coppage | Nurse Practitioner | 1051 Centennial Ave, Camarillo, CA 93010-4715 | 2010-01-12 |
1427240738 | Leslie Ann Somma | Nurse Practitioner | 1901 North Solar Dr, Suite 115, Camarillo, CA 93036 | 2007-08-10 |
1154322311 | Rosalind S. Ng | Nurse Practitioner | 1 University Dr, Cal State University Channel Islands Student Health, Camarillo, CA 93012-8599 | 2005-08-09 |
Find all providers in CAMARILLO |
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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.