David Picella PHD Inc

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

DAVID PICELLA PHD INC

Doing business as

Omega Healthcare

Practice address

7121 Mackinaw CT
Eastvale, CA 91752-1492

Phone

(877) 241-8200

Fax

(909) 245-1751

NPI assigned

Aug 11, 2015

Last updated

Aug 3, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. David V Picella, PHD, NPNPI 1548426380

Title

President

Phone

(877) 241-8200

Specialties & licenses 3

Addresses

Other names 1

• Omega Healthcare Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• David Picella PHD Inc

  dba Omega Healthcare

  • Nurse Practitioner
  • Pomona, CA
  • NPI 1689057960

  O20150915001207

  Same enrollment

Tax ID family

David Picella PHD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• David Picella PHD Inc

  dba Omega Healthcare

  • Nurse Practitioner
  • Pomona, CA
  • NPI 1689057960
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Picella, PHD, FNP, GS-C, CPG

  • Family Nurse Practitioner
  • Diamond Bar, CA
  • NPI 1548426380
  Authorized official Same address or phone

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

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533254400000",
    "number": "1942686142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 N DEL SOL LN",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917651105",
            "telephone_number": "877-241-8200",
            "fax_number": "909-245-1751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7121 MACKINAW CT",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "917521492",
            "telephone_number": "877-241-8200",
            "fax_number": "909-245-1751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID PICELLA PHD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-11",
        "last_updated": "2018-08-03",
        "status": "A",
        "authorized_official_last_name": "PICELLA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "877-241-8200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHD, NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "364S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Omega Healthcare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Omega Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eric D Crothers, APRN, CRNA
• Jezreel Cruz, AGPCNP-BC
• Mark Cuenco
• Anish Dalal
• Mina Nghi Dang
• Davita Riverside II LLC (Eastvale Preserve Dialysis)
• Sabrina Dea
• Dellbrook Guest Home
• Dellbrook Guest Home II
• Palak Desai

• Nurse Practitioner in Eastvale, CA
• Providers in Eastvale, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.