Nightingale Clinical Care, Pc | |
4361 Latham St Ste 270 Riverside CA 92501-4332 | |
(951) 774-0064 | |
Not Available |
Full Name | Nightingale Clinical Care, Pc |
---|---|
Speciality | Clinic/Center |
Location | 4361 Latham St Ste 270, Riverside, California |
Authorized Official Name and Position | Amy Gen (OWNER) |
Authorized Official Contact | 5599770953 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Nightingale Clinical Care, Pc 10690 San Pablo Ave El Cerrito CA 94530-2620 Ph: () - | Nightingale Clinical Care, Pc 4361 Latham St Ste 270 Riverside CA 92501-4332 Ph: (951) 774-0064 |
NPI Number | 1972159069 |
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Provider Enumeration Date | 08/14/2019 |
Last Update Date | 02/22/2023 |
Medicare PECOS PAC ID | 2365871464 |
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Medicare Enrollment ID | O20200409003495 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972159069 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Marielou Firma Belocura |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164639225 PECOS PAC ID: 7315905916 Enrollment ID: I20041229000588 |
Provider Name | Josephine M Martinez Ornum |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386681435 PECOS PAC ID: 9335244953 Enrollment ID: I20070410000390 |
Provider Name | Karen E Brabant |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871667337 PECOS PAC ID: 9830283803 Enrollment ID: I20070920000899 |
Provider Name | Debra L Hilburn |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235253733 PECOS PAC ID: 2264582485 Enrollment ID: I20090610000280 |
Provider Name | Eric Bradfield |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083924583 PECOS PAC ID: 2860677861 Enrollment ID: I20110505000646 |
Provider Name | Emily Angelica Dela Rosa |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336463652 PECOS PAC ID: 3173655248 Enrollment ID: I20120321000418 |
Provider Name | Lincy Abraham Maliyekkal |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518259480 PECOS PAC ID: 8224290713 Enrollment ID: I20120430000140 |
Provider Name | Lorene Ausman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215182340 PECOS PAC ID: 4183876824 Enrollment ID: I20130103000066 |
Provider Name | Nona P Santos |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164868931 PECOS PAC ID: 9638310253 Enrollment ID: I20130724000710 |
Provider Name | Elia Saleh Werthman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356527485 PECOS PAC ID: 8921223389 Enrollment ID: I20140627001574 |
Provider Name | Linda Vi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316251382 PECOS PAC ID: 8729263652 Enrollment ID: I20150520001652 |
Provider Name | Rani John |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104297803 PECOS PAC ID: 5294035598 Enrollment ID: I20151118000669 |
Provider Name | Dalia F Cano |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184072621 PECOS PAC ID: 2668765298 Enrollment ID: I20160720000571 |
Provider Name | Sandra Rowell-connors |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558735340 PECOS PAC ID: 5294017984 Enrollment ID: I20170112001109 |
Provider Name | Rizalina Albano |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811430820 PECOS PAC ID: 1254564594 Enrollment ID: I20170627001542 |
Provider Name | Priscilla Naamomo Otubuah |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437551561 PECOS PAC ID: 7911277876 Enrollment ID: I20170725004065 |
Provider Name | Sanju Neupane |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760933881 PECOS PAC ID: 1557622578 Enrollment ID: I20180307001596 |
Provider Name | Laura B Hamilton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952803462 PECOS PAC ID: 2961750625 Enrollment ID: I20180813001914 |
Provider Name | Grisell Ramirez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285987941 PECOS PAC ID: 3072819895 Enrollment ID: I20181115001978 |
Provider Name | Francis D Antigua |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346777695 PECOS PAC ID: 5991042061 Enrollment ID: I20190128001609 |
Provider Name | Sherin Ann Chakkalakel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104390053 PECOS PAC ID: 7719228287 Enrollment ID: I20190410000802 |
Provider Name | Jacqueline Wright |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871054858 PECOS PAC ID: 3072856152 Enrollment ID: I20190511000163 |
Provider Name | Meera Patel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639619497 PECOS PAC ID: 4183953573 Enrollment ID: I20190910003222 |
Provider Name | Jesus Valenzuela |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003474321 PECOS PAC ID: 1052641305 Enrollment ID: I20190930000923 |
Provider Name | Eugene Aguilar |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649718990 PECOS PAC ID: 8527399468 Enrollment ID: I20191008002254 |
Provider Name | Gina Sobretodo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184146243 PECOS PAC ID: 1759613391 Enrollment ID: I20191030003295 |
Provider Name | Erin O'rourke |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700435237 PECOS PAC ID: 1850723875 Enrollment ID: I20191113001657 |
Provider Name | Julie L Picking |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164064788 PECOS PAC ID: 3173951175 Enrollment ID: I20200324003218 |
Provider Name | Mai N Thao |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114401569 PECOS PAC ID: 4284062217 Enrollment ID: I20200325000731 |
Provider Name | Jennifer T Pineda |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346538592 PECOS PAC ID: 7012287493 Enrollment ID: I20200408003465 |
Provider Name | Ashkan Bastani |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164998886 PECOS PAC ID: 2668893561 Enrollment ID: I20200602000000 |
Provider Name | Victor De Guzman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740898386 PECOS PAC ID: 6800215625 Enrollment ID: I20200929000735 |
Provider Name | Lei Zhan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912510629 PECOS PAC ID: 7113347675 Enrollment ID: I20201021003235 |
Provider Name | Douangchay Phangrath |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902397045 PECOS PAC ID: 0143570382 Enrollment ID: I20201025000017 |
Provider Name | Jenna Anne Roberts |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568898542 PECOS PAC ID: 4486882131 Enrollment ID: I20201026002865 |
Provider Name | Pen Yi Tso |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962900233 PECOS PAC ID: 1658791942 Enrollment ID: I20201027001267 |
Provider Name | Dana Culp |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699213967 PECOS PAC ID: 1850701145 Enrollment ID: I20201027001619 |
Provider Name | Jeffensen Jay Timacdog |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083103956 PECOS PAC ID: 5890105076 Enrollment ID: I20201028002170 |
Provider Name | Madhu Francy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922588540 PECOS PAC ID: 0547670655 Enrollment ID: I20201030001848 |
Provider Name | Lea Lynette Pascual |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174786875 PECOS PAC ID: 9638589542 Enrollment ID: I20201104002313 |
Provider Name | Brett Campfield |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124642954 PECOS PAC ID: 1850702663 Enrollment ID: I20201201000153 |
Provider Name | Paulina M Atachian |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790303733 PECOS PAC ID: 3870905367 Enrollment ID: I20201207000654 |
Provider Name | Cindy Cam-phuoc Truong Tran |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396347324 PECOS PAC ID: 4385056050 Enrollment ID: I20201222001776 |
Provider Name | Heain H Aung |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457969032 PECOS PAC ID: 4789097163 Enrollment ID: I20201231001399 |
Provider Name | Deborah Chesmar |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689980864 PECOS PAC ID: 1355254277 Enrollment ID: I20210217001665 |
Provider Name | Maria D Ortiz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093312233 PECOS PAC ID: 1254751183 Enrollment ID: I20210222003002 |
Provider Name | Ivy Tuason |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174976559 PECOS PAC ID: 8224441399 Enrollment ID: I20210305002159 |
Provider Name | Karsten Michello Garduce |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437775418 PECOS PAC ID: 3173932852 Enrollment ID: I20210510001682 |
Provider Name | Carmen Flores |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891388948 PECOS PAC ID: 2961799523 Enrollment ID: I20210528000304 |
Provider Name | Jesus Sandoval |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821684580 PECOS PAC ID: 3577962232 Enrollment ID: I20210528001894 |
Provider Name | Amanda Loudenburg |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134747512 PECOS PAC ID: 6002234630 Enrollment ID: I20210610000874 |
Provider Name | Thuy Thi Phan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881103976 PECOS PAC ID: 0547660136 Enrollment ID: I20210618001812 |
Provider Name | Charmaine Orino Severo-guevarra |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780252270 PECOS PAC ID: 2466856844 Enrollment ID: I20210806001200 |
Provider Name | Esther Wanja Wachira |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740729805 PECOS PAC ID: 1254735590 Enrollment ID: I20210809000609 |
Provider Name | Maria Steiner-renoir |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881267227 PECOS PAC ID: 1850796798 Enrollment ID: I20210816002897 |
Provider Name | Sara Jabeen Mahmood |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790372829 PECOS PAC ID: 5092111989 Enrollment ID: I20210831003560 |
Provider Name | Lori Leann West |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659986024 PECOS PAC ID: 3870905417 Enrollment ID: I20211007002286 |
Provider Name | Ada Ndulaka |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912251687 PECOS PAC ID: 5294987111 Enrollment ID: I20211021001666 |
Provider Name | Cheryl Ann Johnson-fernandez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689343469 PECOS PAC ID: 2961891858 Enrollment ID: I20211115002724 |
Provider Name | Tameka Ann Gravesande |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386311330 PECOS PAC ID: 9335535715 Enrollment ID: I20220412001667 |
Provider Name | Annika Alvarez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578215398 PECOS PAC ID: 8224399761 Enrollment ID: I20220422000468 |
Provider Name | Sukhdeep Dhadwal |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538803473 PECOS PAC ID: 3678950409 Enrollment ID: I20220517003259 |
Provider Name | Erin Feig |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740845502 PECOS PAC ID: 3375872864 Enrollment ID: I20220913001260 |
Provider Name | Ilona Abramova |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588066179 PECOS PAC ID: 7810363033 Enrollment ID: I20221102003519 |
Provider Name | Jhenica Ronette Daniel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700480373 PECOS PAC ID: 4486066362 Enrollment ID: I20221201001472 |
Provider Name | Angela George |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669107215 PECOS PAC ID: 1658740865 Enrollment ID: I20221210000159 |
Provider Name | Valerie J Corvera |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427766625 PECOS PAC ID: 3870964620 Enrollment ID: I20230114000070 |
Provider Name | Christopher Coronel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528672110 PECOS PAC ID: 7911371687 Enrollment ID: I20230320001554 |
Provider Name | Jenny Kree Manimbo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528413903 PECOS PAC ID: 2860760949 Enrollment ID: I20230531000474 |
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