ANGELA M LUSTRICK (NPI# 1942436019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942436019 |
| Entity Type | Individual |
| Full Name | ANGELA M LUSTRICK |
| Credential | CN, CPT |
| Practice Address |
5225 Canyon Crest Dr Suite #62 Riverside CA 92507-6301 |
| Practice Telephone | 9516830448 |
| Practice Fax Number | 9516834381 |
| Mailing Telephone | 9516830448 |
| Mailing Fax Number | 9516834381 |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2009-06-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133N00000X | Nutritionist | 02907 | WA | Dietary & Nutritional Service Providers |
| Street Address |
5225 CANYON CREST DR SUITE #62 |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92507-6301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174513741 | Marsie Campbell | Marriage & Family Therapist | 5225 Canyon Crest Dr, Ste 152, Riverside, CA 92507-6301 | 2005-10-25 |
| 1639780869 | Tu Anh Nguyen | Pharmacist | 5225 Canyon Crest Dr, Riverside, CA 92507-6301 | 2020-08-12 |
| 1598384968 | Renee Colleen Davis | Marriage & Family Therapist | 5225 Canyon Crest Dr, Riverside, CA 92507-6301 | 2020-04-15 |
| 1295145662 | My Dentist and Me Pediatric Dentistry | Dentist | 5225 Canyon Crest Dr, #309, Riverside, CA 92507-6301 | 2014-05-06 |
| 1093146987 | Alexandra Kantor | Dentist | 5225 Canyon Crest Dr, Suite 209, Riverside, CA 92507-6301 | 2013-12-03 |
| 1205274354 | Cassandra Zeiler | Social Worker | 5225 Canyon Crest Dr, Bldg. 100, Suite 103, Riverside, CA 92507-6301 | 2013-06-11 |
| 1801230891 | Evita Marie Rocha | Psychiatry & Neurology | 5225 Canyon Crest Dr, Riverside, CA 92507-6301 | 2013-04-22 |
| 1053663278 | Alexandria Christine Brent | Dentist | 5225 Canyon Crest Dr, 209, Riverside, CA 92507-6301 | 2012-10-11 |
| 1992090989 | Tony Ho | Pharmacist | 5225 Canyon Crest Dr, Riverside, CA 92507-6301 | 2011-06-17 |
| 1619281706 | Adel F Zaki | Pharmacist | 5225 Canyon Crest Dr, Riverside, CA 92507-6301 | 2010-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205448917 | Rachel Nielson | Counselor | 1450 Spruce St, Suite A, Riverside, CA 92507 | 2020-08-24 |
| 1437769742 | Pakravan, Manavi & Cohen Dental Corporation | Dentist | 2862 Unit B Canyon Springs Parkway, Riverside, CA 92507 | 2020-08-03 |
| 1518577972 | Michael Vincent Laureola Dds Inc | Dentist | 2862 Unit A Canyon Springs Parkway, Riverside, CA 92507 | 2020-07-31 |
| 1164067567 | Audrey Gruen | Social Worker | Canyon Crest Mental Health, 5225 Canyon Crest Drive #100, Riverside, CA 92507 | 2019-11-10 |
| 1518432962 | Antonio Mixon | Specialist | 1405 Spruce Street, Suite A, Riverside, CA 92507 | 2018-10-11 |
| 1811479793 | New Day Counseling Services | Counselor | 20363 Harvard Way, Riverside, CA 92507 | 2018-09-06 |
| 1780176875 | Miriam Martinez | Case Manager/Care Coordinator | 2085 Rustin Ave., Riverside, CA 92507 | 2018-06-04 |
| 1518478874 | Lisa Manuel | Counselor | 2058 Rustin Ave, Riverside, CA 92507 | 2017-10-13 |
| 1497272942 | Yajaira Placensia | Behavioral Analyst | 1486 Everton Place, Riverside, CA 92507 | 2017-08-25 |
| 1841717691 | Stephanie Teuchert | Behavioral Analyst | 1080 Spruce Street Apartment 7c, Riverside, CA 92507 | 2017-08-23 |
| Find all providers in zip 92507 | ||||
| Taxonomy Code | 133N00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Nutritionist |
| A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation. |
| Notes: Source: (1) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
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| 1992311120 | Jessica Ellen Black | Nutritionist | 1239 Liberty St Apt 225, El Cerrito, CA 94530-2347 | 2020-09-22 |
| 1538774302 | Natalie Baugh | Nutritionist | 333 W Bastanchury Rd 110, Fullerton, CA 92835 | 2020-09-09 |
| 1003425596 | Cassandra Collins | Nutritionist | 2411 Via Mariposa, San Dimas, CA 91773-4421 | 2020-07-30 |
| 1326660432 | Evan Demarco | Nutritionist | 1524 38th St, Sacramento, CA 95816-6712 | 2020-05-12 |
| 1861020620 | Tooba Syed | Nutritionist | 1170 Beethoven Cmn Unit 307, Fremont, CA 94538-5613 | 2020-03-28 |
| 1588299853 | Susannah Johnson | Nutritionist | 539 San Bernardino Ave, Newport Beach, CA 92663-4812 | 2020-03-07 |
| 1740815471 | Mia Rigden | Nutritionist | 807 Navy St, Santa Monica, CA 90405-5638 | 2020-03-03 |
| 1427683184 | Christina S Blankenburg | Nutritionist | 1545 Pine St Apt 907, San Francisco, CA 94109-4684 | 2020-03-03 |
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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.