Ms. Mary J Tichacek
Ms. Marcy J Tichacek · Registered Nurse

Address: University of Southern California 3551 Trousdale Parkwa, Work Based From Home In San Diego To Visit Patients In, Los Angeles, CA 90089-5013
Phone: 8582451195

Ms. Mary J Tichacek (NPI# 1841836244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1841836244
Entity Type Individual
Full Name Ms. Mary J Tichacek
Other Name Ms. Marcy J Tichacek
Credential RN, MN, APRN, PMHCNS
Gender Female
Practice Address University of Southern California 3551 Trousdale Parkwa
Work Based From Home In San Diego To Visit Patients In
Los Angeles
CA 90089-5013
Practice Telephone 8582451195
Mailing Address 7770 Regents Road
No 113514
San Diego
CA 92122
Mailing Telephone 8582451195
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2019-11-20
Last Update Date 2019-11-20

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 163W00000X Registered Nurse Nursing Service Providers 202048 CA
No 364S00000X Clinical Nurse Specialist Physician Assistants & Advanced Practice Nursing Providers 207 CA

Taxonomy Information

Taxonomy Code 163W00000X
Grouping Nursing Service Providers
Classification Registered Nurse

Taxonomy Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

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Office Location

State CA
Zip Code 90089-5013

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962980201 Brittany Nicole Beasley Psychologist 1031 W. 34th St., 3rd Floor, Suite 304, Los Angeles, CA 90089 2018-07-30
1548763675 Tien Ng Pharmacist Usc School of Pharmacy, 1985 Zonal Ave, Los Angeles, CA 90089 2018-03-15
1821503236 Theodore James Goldsmith Psychologist 1031 W 34th St Fl 3, Los Angeles, CA 90089 2017-12-07
1831645571 Alyssa Cantal Student in an Organized Health Care Education/Training Program 1540 Alcazar St., Chp-133, Los Angeles, CA 90089 2016-09-01
1841744638 Cheryl Jonghee Park Dentist 925 W. 34th Street, Room 4363, Los Angeles, CA 90089 2016-08-09
1851766679 Samantha Trout Student in an Organized Health Care Education/Training Program 1540 Alcazar St Chp-133, Los Angeles, CA 90089 2015-12-04
1215324363 Upama Giri Student in an Organized Health Care Education/Training Program 1441 Eastlake Ave Ste 3470, Los Angeles, CA 90089 2015-04-15
1982015004 Martrice Ways Student in an Organized Health Care Education/Training Program 3375 South Hoover Street, Suite H201, Los Angeles, CA 90089 2014-05-12
1982047163 Stefania Antonella Pirrotta Internal Medicine 2020 Zonal Ave Ste Ird723, Los Angeles, CA 90089 2013-04-08
1841596673 Reza Mahmoudiani Dentist 925 West 34th Street, Usc School of Dentistry, La, CA 90089 2011-01-26
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Zip Code 90089

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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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