HONEY MAE COSARE SURMILLON


Address: 5555 Grossmont Center Dr, La Mesa, CA 91942-3019
Phone: 6197406000

HONEY MAE COSARE SURMILLON (NPI# 1942828314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942828314
Entity Type Individual
Full Name HONEY MAE COSARE SURMILLON
Practice Address 5555 Grossmont Center Dr
La Mesa
CA 91942-3019
Mailing Address 848 Shadow Ridge Pl
Chula Vista
CA 91914-2513
Practice Telephone 6197406000
Mailing Telephone 2069006203
Enumeration Date 2020-07-11
Last Update Date 2020-07-11
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 164X00000X Licensed Vocational Nurse 257135 CA Nursing Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
5332 Jackson Dr, La Mesa, CA 919423040 6193030933

Office Location

Street Address 5555 GROSSMONT CENTER DR
City LA MESA
State CA
Zip Code 91942-3019

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770589293 Raed A Al-naser Internal Medicine 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 2005-06-21
1568062552 Justin Cantley Nurse Practitioner 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 2020-10-28
1922632801 Susan Daniels Occupational Therapist 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 2020-02-28
1457917791 Elpitha K Tsiskakis Physician Assistant 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 2019-05-13
1336601053 Diane Wade Bloomberg Dietitian, Registered 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 2019-04-02
1265992846 Vincent Crump Registered Nurse 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 2019-03-21
1295210029 United Urology Consultants, P.C. Urology 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 2018-09-27
1639660368 Aileen Cathy Chu Pharmacist 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 2018-05-29
1447767678 Leslie Ling Registered Nurse 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 2018-01-09
1235669268 Physician Assistant Surgassist, Inc. Orthopaedic Surgery 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 2017-06-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902453723 Nicole V Zappelli Case Manager/Care Coordinator 4990 William Ave., La Mesa, CA 91942 2019-08-26
1770059834 Natalie Ngoc Nguyen Physician Assistant 5555 Grosmont Center Dr., La Mesa, CA 91942 2018-10-16
1194204297 Courtney Pietsch Nurse Practitioner 8851 Health Center Circle, Suite #603, La Mesa, CA 91942 2018-08-09
1295214773 Megan Gordon Behavior Technician 6116 Horton Dr, La Mesa, CA 91942 2018-08-07
1356836548 Kimberly Denise Davis Counselor 3845 Avocado School Road, El Cajon, CA 91942 2018-06-29
1366932113 Melanie Joyce Shepard Physician Assistant 7051 Alvarado Road, Suite 201, La Mesa, CA 91942 2018-05-17
1871013532 Low Dental, A.p.c. Public Health or Welfare 7872 La Mesa Blvd., La Mesa, CA 91942 2017-06-23
1275069437 Ardel Ayala Respiratory Therapist, Registered 5800 Lake Murray Blvd. Unit 15, La Mesa, CA 91942 2017-05-10
1285007583 Counseling & Behavioral Specialists Marriage & Family Therapist 5520 Wellesley Street, Ste 204, La Mesa, CA 91942 2015-11-09
1285001875 Emily Shozaki Rizo Nurse Practitioner 6285 Meadowcrest Drive, La Mesa, CA 91942 2015-08-31
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Taxonomy Information

Taxonomy Code 164X00000X
Grouping Nursing Service Providers
Classification Licensed Vocational Nurse

Taxonomy Definition

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275142879 Teresa Gomez Licensed Vocational Nurse 5040 Colina Dr, La Mesa, CA 91942-9330 2020-07-29
1710535687 Mattison Brooke Johnson I Licensed Vocational Nurse 8615 Fletcher Pkwy Unit 406, La Mesa, CA 91942-5205 2019-09-03
1679034987 Justine Turner Licensed Vocational Nurse 5421 Lake Murray Blvd Apt 15, La Mesa, CA 91942-1554 2019-03-28
1235664731 Anneva Beathea Licensed Vocational Nurse 10878 Calle Verde, La Mesa, CA 91941-8506 2017-04-22
1134517451 Jenica Dale Licensed Vocational Nurse 5810 Amaya Dr Apt 18e, La Mesa, CA 91942-4143 2015-01-09
1093118473 Jennifer Bartindale Licensed Vocational Nurse 8470 Abilene Ter, La Mesa, CA 91942-2720 2014-09-30
1003167677 Sarah Christine Harback Licensed Vocational Nurse 9065 Campina Dr Apt D, La Mesa, CA 91942-3512 2012-09-24
1760791768 Tatiana Brodsky Licensed Vocational Nurse 4250 Nabal Dr, La Mesa, CA 91941-7169 2010-09-25
1114177698 Don Boudreaux Licensed Vocational Nurse 8420 Buckland St Apt 2, La Mesa, CA 91942-2874 2008-09-22
1497931901 Suginda Marie Hill Licensed Vocational Nurse 4395 70th St Apt 43, La Mesa, CA 91941-5937 2008-01-14
Find all providers in LA MESA

Competitor

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City LA MESA
Zip Code 91942

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Dataset Information

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.

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