Eusebia Ballestero Changcoco, R.N.

Primary specialty

Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X

License

724372 Issued in CA

Practice address

12237 Hillsdale Ave
Village Green
Sylmar, CA 91342-5136

Phone

(818) 833-8028

NPI assigned

Aug 12, 2013

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1376265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376265600000",
    "number": "1487087599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12237 HILLSDALE AVE",
            "address_2": "VILLAGE GREEN",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913425136",
            "telephone_number": "818-833-8028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12237 HILLSDALE AVE",
            "address_2": "VILLAGE GREEN",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913425136",
            "telephone_number": "818-833-8028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANGCOCO",
        "first_name": "EUSEBIA",
        "middle_name": "BALLESTERO",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-12",
        "last_updated": "2013-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "CA",
            "license": "724372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Yuri Chang, D.O.
• Danielle Chang, MD
• Rachelle Chang
• Simon Chang, DO
• William MZ Chang, MD
• Tise Chao, LMFT
• Nan Zhu Chapman, M.D.
• Usha Kiran Chaudhary, M.D.
• Kattia Chavarria
• Ana Lorena Chavez

• Adult Psychiatric/Mental Health Registered Nurse in Sylmar, CA
• Providers in Sylmar, CA by specialty
• Adult Psychiatric/Mental Health Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.