LETICIA LACANILAO BALLESTEROS (NPI# 1912051442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912051442 |
| Entity Type | Individual |
| Full Name | LETICIA LACANILAO BALLESTEROS |
| Credential | RN |
| Practice Address |
1420 Willow Pass Rd Concord CA 94520-5223 |
| Mailing Address |
114 Matthew Ct Vallejo CA 94591-4171 |
| Practice Telephone | 9256465480 |
| Mailing Telephone | 7075531385 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
516042 | CA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518235852 | Leticia H Ballesteros | Nurse Practitioner | 308 S Cesar Chavez Ave, Crystal City, TX 78839-4200 | 2011-12-01 |
| Street Address |
1420 WILLOW PASS RD |
| City | CONCORD |
| State | CA |
| Zip Code | 94520-5223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447342902 | Douglas Eugene Hanlin | Psychiatry & Neurology | 1420 Willow Pass Rd, Suite 200, Concord, CA 94520-5223 | 2006-09-29 |
| 1912505314 | Tyler Evans | Registered Nurse | 1420 Willow Pass Rd, Concord, CA 94520-5823 | 2020-10-16 |
| 1356998132 | Dave Tingzon | Registered Nurse | 1420 Willow Pass Rd, Concord, CA 94520-5823 | 2019-08-26 |
| 1063985455 | Matthew Kubasta | Student in an Organized Health Care Education/Training Program | 1420 Willow Pass Rd, Concord, CA 94520 | 2019-01-08 |
| 1508388430 | Kirsten Heher | Counselor | 1420 Willow Pass Rd, 200, Concord, CA 94520 | 2017-07-12 |
| 1114459161 | Joy Witt | Counselor | 1420 Willow Pass Rd, 200, Concord, CA 94520-5823 | 2017-03-29 |
| 1306378401 | Keith Hall | Counselor | 1420 Willow Pass Rd, 200, Concord, CA 94520-5823 | 2017-03-29 |
| 1073064358 | John Kayode Ojewole | Counselor | 1420 Willow Pass Rd, Suite 200, Concord, CA 94520-5823 | 2016-10-20 |
| 1730540782 | Candelario Jack Castillo IIi | Social Worker | 1420 Willow Pass Rd, Suite 200, Concord, CA 94520-5823 | 2016-03-17 |
| 1881031896 | Mark R Patras | Registered Nurse | 1420 Willow Pass Rd, Suite 200, Concord, CA 94520-5823 | 2013-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275130163 | Jessica E. Hiers | Audiologist | 2280 Diamnond Blvd, Suite 520, Concord, CA 94520 | 2020-10-05 |
| 1538712690 | Melody Louise Todd | Student in an Organized Health Care Education/Training Program | 2112 Willow Pass Rd., Suite 500, Concord, CA 94520 | 2019-07-18 |
| 1497319446 | Nately Rose | Social Worker | Contra Costa County Behavioral Health, 2425 Bisso Lane, Ste 200, Concord, CA 94520 | 2019-04-25 |
| 1609331412 | Darien Mccollins Jr. | Case Manager/Care Coordinator | 2380 Salvio Street Stu 200, Concord, CA 94520 | 2019-02-06 |
| 1972072122 | Rocio Flores Neale | Physician Assistant | 2415 High School Avenue, Suite 800, Concord, CA 94520 | 2018-11-16 |
| 1386129138 | Vanessa Segovia | Registered Nurse | 2500 Bates Ave., Suite B, Concord, CA 94520 | 2018-09-27 |
| 1417442278 | Raquel Jihan Chiasson | Social Worker | 2900 Avon Avenue, Concord, CA 94520 | 2018-06-25 |
| 1184118143 | Angela Navarro | Behavioral Analyst | 1844 Overhill Rd, Concord, CA 94520 | 2018-06-21 |
| 1811498678 | Sherry Currie-proctor | Case Manager/Care Coordinator | 2380 Salvio Street, Concord, CA 94520 | 2018-02-26 |
| 1770082547 | Donna Christianson | Marriage & Family Therapist | 2401 Stanwell Drive, Suite 460, Office #2, Concord, CA 94520 | 2018-02-07 |
| Find all providers in zip 94520 | ||||
| Taxonomy Code | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700146255 | Mary J Sevigny | Registered Nurse | 190 Pleasant St, Concord, NH 03301-2946 | 2012-05-17 |
| 1144362492 | Kuljit Bhandal | Registered Nurse | 172 Park St, Concord, CA 94520-1158 | 2007-02-13 |
| 1134515745 | Debra Wilkins | Registered Nurse | 2425 Bisso Ln, Concord, CA 94520-4897 | 2015-04-09 |
| 1144610338 | Lachundra Pemberton | Registered Nurse | 284 Executive Park Dr, Suite 100, Concord, NC 28025-1894 | 2015-01-27 |
| 1881031896 | Mark R Patras | Registered Nurse | 1420 Willow Pass Rd, Suite 200, Concord, CA 94520-5823 | 2013-05-30 |
| 1891834115 | Kristi Mccahon | Registered Nurse | 2740 Grant St, Concord, CA 94520-2265 | 2007-02-05 |
| 1043364086 | Linda Lapierre | Registered Nurse | 10 West St, Concord, NH 03301-3548 | 2007-01-23 |
| 1215081443 | Roberta Barbara Hespen | Registered Nurse | 1420 Willow Pass Rd, Suite 200, Concord, CA 94520-5223 | 2007-01-23 |
| 1760536205 | Psyche Murillo | Registered Nurse | 1420 Willow Pass Rd, Concord, CA 94520-5223 | 2007-01-22 |
| 1871647396 | Andrew Charles Minutoli | Registered Nurse | 1420 Willow Pass Rd, Suite 200, Concord, CA 94520-5223 | 2007-01-22 |
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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.