BRETT ALLEN PROVENCE (NPI# 1003048026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003048026 |
| Entity Type | Individual |
| Full Name | BRETT ALLEN PROVENCE |
| Credential | D.O. |
| Practice Address |
1011 Baldwin Park Blvd 4 East Hospitalist Office Baldwin Park CA 91706-5806 |
| Practice Telephone | 6268511011 |
| Mailing Telephone | 6268511011 |
| Enumeration Date | 2009-08-10 |
| Last Update Date | 2016-04-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208M00000X | Hospitalist | 20A11220 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1011 BALDWIN PARK BLVD 4 EAST HOSPITALIST OFFICE |
| City | BALDWIN PARK |
| State | CA |
| Zip Code | 91706-5806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710987474 | Kirsten Jeanne Gardner | Pediatrics | 1011 Baldwin Park Blvd, Baldwin Park, CA 91706-5806 | 2005-07-26 |
| 1215556535 | Thuyet Xuan Nguyen | Pharmacy | 1011 Baldwin Park Blvd, Baldwin Park, CA 91706-5806 | 2020-04-16 |
| 1437797768 | David Leonel Orellana | Physical Therapist | 1011 Baldwin Park Blvd, Baldwin Park, CA 91706-5806 | 2019-12-17 |
| 1427695485 | Meera Khalil Alshamali | Pharmacist | 1011 Baldwin Park Blvd, Baldwin Park, CA 91706-5806 | 2019-12-09 |
| 1396382461 | Jin Hee Kim | Pharmacist | 1011 Baldwin Park Blvd, Baldwin Park, CA 91706-5806 | 2019-12-07 |
| 1104463470 | Diana Reyes | Pharmacist | 1011 Baldwin Park Blvd, Baldwin Park, CA 91706-5806 | 2019-12-05 |
| 1053958223 | Huu-tin Dang | Pharmacist | 1011 Baldwin Park Blvd, Baldwin Park, CA 91706-5806 | 2019-12-05 |
| 1578109401 | Frances Angelica Bono | Dietitian, Registered | 1011 Baldwin Park Blvd, Baldwin Park, CA 91706-5806 | 2019-11-26 |
| 1093365330 | Christopher Vu | Pharmacist | 1011 Baldwin Park Blvd, Baldwin Park, CA 91706-5806 | 2019-09-18 |
| 1629639638 | Stevie Lopez | Physical Medicine & Rehabilitation | 1011 Baldwin Park Blvd, Baldwin Park, CA 91706-5806 | 2019-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588206700 | Sistine Manor Inc | Assisted Living Facility | 12755 Torch St, Baldwin Park, CA 91706 | 2019-10-09 |
| 1891268850 | Rodriguez Cruz Dental, Inc. | Clinic/Center | 14323 Ramona Blvd., Baldwin Park, CA 91706 | 2019-01-02 |
| 1942788633 | Desiree Montoya | Counselor | 13030 Ramona Blvd Unit 65, Baldwin Park, CA 91706 | 2018-08-03 |
| 1861978215 | Cassidy Alyse Harton | Counselor | 4514 Grace Ave, Baldwin Park, CA 91706 | 2018-07-18 |
| 1881146751 | Melissa Valenzuela | Nurse Practitioner | 14362 E. Ramona Blvd, Baldwin Park, CA 91706 | 2016-10-26 |
| 1629524228 | Trosclair Seals | Counselor | 36 S Kinneola Ave, Pasad, CA 91706 | 2016-09-01 |
| 1487025854 | Janeth Estevez | Case Manager/Care Coordinator | 14123 Masline St, Baldwin Park, CA 91706 | 2015-10-12 |
| 1932579570 | Bls Dental Group | Clinic/Center | 14032 Ramona Blvd., Bladwin Park, CA 91706 | 2015-09-25 |
| 1487068748 | Prakash P. Patel D.ds Inc | Dentist | 4138 N. Maine Ave, Suite N-3, Baldwin Park, CA 91706 | 2014-06-16 |
| 1295076891 | Julia Lauria | Rehabilitation Practitioner | 11317 Rmaona Blvd., Ste.c, Irwindale, CA 91706 | 2013-03-06 |
| Find all providers in zip 91706 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417344383 | Kathleen Murray Teves | Hospitalist | 1011 Baldwin Park Blvd, Baldwin Park, CA 91706 | 2015-04-18 |
| 1407103054 | Asher Abraham Edwards | Hospitalist | 1011 Baldwin Park Blvd, Baldwin Park, CA 91706-5806 | 2012-08-13 |
| 1154626315 | Knd Development 59 LLC | Hospitalist | 14148 Francisquito Ave, Baldwin Park, CA 91706-6120 | 2011-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043830813 | Ikigai Physician Group Inc | Hospitalist | 1523 Main St, Fortuna, CA 95540-2430 | 2020-04-22 |
| 1760012959 | Mylea N Wiley Md Inc. | Hospitalist | 6246 N 1st St. Ste 101, Fresno, CA 93710-5480 | 2020-01-16 |
| 1972152072 | The Hospitalist Group, LLC | Hospitalist | 5150 E Pacific Coast Hwy Ste 500, Long Beach, CA 90804-3328 | 2019-09-10 |
| 1871092254 | Andrew Pascual | Hospitalist | 4929 Van Nuys Blvs, Sherman Oaks, CA 91403 | 2018-02-12 |
| 1871025957 | Saba Arshad | Hospitalist | 30924 Granger Ave, Union City, CA 94587-1621 | 2017-03-29 |
| 1124481098 | Clari Nguyen | Hospitalist | 9455 Clairemont Mesa Blvd # Ca92123, San Diego, CA 92123-1297 | 2016-03-30 |
| 1427410539 | Vrs Enterprises LLC | Hospitalist | 2088 Westminster Dr, Riverside, CA 92506-5526 | 2016-03-28 |
| 1912378324 | Huntington Specialist & Nursing Corporation | Hospitalist | 517 S Myrtle Ave, 101, Monrovia, CA 91016-2825 | 2015-10-12 |
| 1639551435 | Jaafar Al-dahwi | Hospitalist | 847 Lemieux Ln, Clovis, CA 93619-5702 | 2015-06-29 |
| 1578959318 | Hospitalist Group of Montebello Inc | Hospitalist | 817 S Main St Ste D, Corona, CA 92882-3407 | 2015-04-08 |
| Find all providers with the same taxonomy | ||||
| City | BALDWIN PARK |
| Zip Code | 91706 |
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| 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.