Luis Servano Teoxon, NP-C

Primary specialty

Family Health Clinical Nurse SpecialistTaxonomy code 364SF0001X

License

22969 Issued in CA

Practice address

11750 Sterling Ave Ste C
Riverside, CA 92503

Phone

(951) 637-8752

NPI assigned

Dec 26, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Assumption Home Care, Inc.

  • Home Health Agency
  • Riverside, CA
  • NPI 1013182583
  NPD (past)

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

{
    "created_epoch": "1388016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388016000000",
    "number": "1700207388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3420 COUNCIL ST APT 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900043629",
            "telephone_number": "213-386-0654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11750 STERLING AVE STE C",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "92503",
            "telephone_number": "951-637-8752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEOXON",
        "first_name": "LUIS",
        "middle_name": "SERVANO",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-12-26",
        "last_updated": "2013-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "CA",
            "license": "22969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AANP CERTIFICATION",
            "identifier": "F1212085",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brooke Tenney
• Mikayla Tennison-Sullivan
• Janeira Tenorio Anguiano
• Jacklyn Teo
• Teodora Healthcare Inc.
• Jazmin Teque
• Shane Petite Teran, PSY.D., MSW, LCSW
• Terapia En Espanol Family Counseling Apc
• Christina Marie Teresa-Haynes, D. C.
• Cassie L Terrazone, RN

• Family Health Clinical Nurse Specialist in Riverside, CA
• Providers in Riverside, CA by specialty
• Family Health Clinical Nurse Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.