Jimyra Pascua Chanliongco
Registered Nurse in Cherryland, CA. Individual provider (NPI-1).
NPI number1922813617
StatusActive
Last updated in NPPESSep 30, 2026
Details
- NPI
- 1922813617
- Entity type
- Individual (NPI-1)
- Name
- Jimyra Pascua Chanliongco
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 10, 2025
- Certification date
- Sep 30, 2026
- Last updated
- Sep 30, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 95113174 | CA | Yes |
Practice location
494 Blossom WayCherryland, CA 94541-1948
Phone 510-582-7676
Mailing address
2262 Eric Ct Apt 1Union City, CA 94587-3062
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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