ELIZABETH QUEZADA (NPI# 1932673258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932673258 |
| Entity Type | Individual |
| Full Name | ELIZABETH QUEZADA |
| Practice Address |
1322 N Avalon Blvd Wilmington CA 90744-2639 |
| Mailing Address |
1584 Calle Andres Duarte CA 91010-3875 |
| Practice Telephone | 3105131300 |
| Enumeration Date | 2019-01-21 |
| Last Update Date | 2019-01-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
1322 N AVALON BLVD |
| City | WILMINGTON |
| State | CA |
| Zip Code | 90744-2639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972669257 | Aegis Treatment Centers, LLC | Clinic/Center | 1322 N Avalon Blvd, Wilmington, CA 90744-2639 | 2006-12-29 |
| 1225635774 | Kailisha Foreman | Licensed Vocational Nurse | 1322 N Avalon Blvd, Wilmington, CA 90744-2639 | 2020-10-07 |
| 1811507288 | Yanett Romero | Licensed Vocational Nurse | 1322 N Avalon Blvd, Wilmington, CA 90744 | 2020-07-31 |
| 1134769201 | Aiysha Jenkins | Licensed Vocational Nurse | 1322 N Avalon Blvd, Wilmington, CA 90744-2639 | 2020-01-07 |
| 1902453079 | Joann Dumas | Licensed Vocational Nurse | 1322 N Avalon Blvd, Wilmington, CA 90744-2639 | 2019-08-22 |
| 1114573888 | Jasmina De Jesus Valdivia | Licensed Vocational Nurse | 1322 N Avalon Blvd, Wilmington, CA 90744-2639 | 2019-08-17 |
| 1801442892 | Marilyn Denise Smith | Licensed Vocational Nurse | 1322 N Avalon Blvd, Wilmington, CA 90744-2639 | 2019-08-14 |
| 1649823766 | Karryn Gray-harris | Licensed Vocational Nurse | 1322 N Avalon Blvd, Wilmington, CA 90744-2639 | 2019-07-17 |
| 1114587466 | Rocio Gomez | Licensed Vocational Nurse | 1322 N Avalon Blvd, Wilmington, CA 90744-2639 | 2019-06-19 |
| 1083180467 | Melissa Grace Jones | Licensed Vocational Nurse | 1322 N Avalon Blvd, Wilmington, CA 90744-2639 | 2018-10-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649829441 | Kathleen Calderon | Technician | 1022 W. Robidoux St., Wilmington, CA 90744 | 2019-09-05 |
| 1083275838 | Jorge A Navarrete | Licensed Vocational Nurse | 117 E W Harry Bridges Blvd, Wilmington, CA 90744 | 2019-06-24 |
| 1457875528 | Sergio Manzo | Interpreter | 1131 Cary Ave, Wilmington, CA 90744 | 2017-08-01 |
| 1922461482 | Elma Estrada | Physician Assistant | 200 E. Anaheim Street, Wilmington, CA 90744 | 2016-04-01 |
| 1982074662 | Tomoko Araki | Acupuncturist | 640 Broad Avenue, Wilmington, CA 90744 | 2015-10-07 |
| 1003202516 | West Pacific Pharmacy Inc | Pharmacy | 505 West Pacific Coast Hwy, Wilmington, CA 90744 | 2015-04-10 |
| 1053733543 | Sally Ammar | Physician Assistant | 714 Avalon Blvd, Wilmington, CA 90744 | 2014-01-17 |
| 1548432487 | Julia Chase Vander Ploeg | Chiropractor | 123 E. F Street, Wilmingtnon, CA 90744 | 2008-04-01 |
| 1679775829 | Elvis Baquero | Dentist | 1455 N Avalon Blvd, Wilmington, CA 90744 | 2007-06-01 |
| 1740495233 | Dr Leonardo Chacon, M.d. Inc | Point of Service | 1721 Wilmington Blvd, Wilmington, CA 90744 | 2007-05-10 |
| Find all providers in zip 90744 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306443734 | Haylee Allen | Counselor | 2515 Costmary Ln Unit 11, Wilmington, NC 28412-2448 | 2020-10-08 |
| 1174130686 | Devan James Carroll | Counselor | 311 Judges Rd Ste E, Wilmington, NC 28405-3651 | 2020-09-29 |
| 1891306833 | Kyara Panula Beck | Counselor | 1104 N Adams St, Wilmington, DE 19801-1327 | 2020-08-13 |
| 1205447679 | Outreach Recovery II | Counselor | 1007 N Orange St Fl 4, Wilmington, DE 19801-1242 | 2020-08-11 |
| 1861010183 | Charles Franklin Lyon | Counselor | 3805 New Holland Dr, Wilmington, NC 28412-7155 | 2020-07-13 |
| 1407478092 | Samantha Renee Lomske | Counselor | 48 Randolph St, Wilmington, OH 45177-2731 | 2020-05-18 |
| 1659908853 | Andrena Caroline Cooley | Counselor | 3420 Wrightsville Ave, Wilmington, NC 28403-4118 | 2020-03-26 |
| 1376026559 | Debra Joy Frump | Counselor | 232 N South St, Wilmington, OH 45177-1649 | 2018-09-13 |
| 1831671791 | Kristin Jones | Counselor | 2206a Wrightsville Ave, Wilmington, NC 28403-2406 | 2018-09-06 |
| 1043798853 | Shareeda Cephas | Counselor | 2507 W 6th St, Wilmington, DE 19805-2908 | 2018-08-02 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 90744 |
Please comment or provide details below to improve the information on ELIZABETH QUEZADA.
| 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.