KHEMARA MEDICAL GROUP INC (NPI# 1013135201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013135201 |
| Entity Type | Organization |
| Organization Name | KHEMARA MEDICAL GROUP INC |
| Practice Address |
1533 Alamitos Ave Ste B Long Beach CA 90813-2214 |
| Practice Telephone | 5622185350 |
| Practice Fax Number | 5622181630 |
| Mailing Telephone | 5622185350 |
| Mailing Fax Number | 5622181630 |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KITTYA PAIGNE (PRESIDENT) |
| Authorized Official Telephone | 5622185350 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | G79550 | CA | Other Service Providers |
| Street Address |
1533 ALAMITOS AVE STE B |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90813-2214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861018491 | Marisol Zobler | Social Worker | 820 Long Beach Bvld, Long Beach, CA 90813 | 2020-06-19 |
| 1437787009 | Cho Rok Kim | Student in an Organized Health Care Education/Training Program | Graduate Medical Education, 1050 Linden Ave., Long Beach, CA 90813 | 2020-03-30 |
| 1316407596 | Vicky Sandhu | Student in an Organized Health Care Education/Training Program | Graduate Medical Education, 1050 Linden Ave, Long Beach, CA 90813 | 2019-03-22 |
| 1245734912 | Madiha Naseem | Internal Medicine | Graduate Medical Education, 1050 Linden Avenue, Long Beach, CA 90813 | 2018-03-19 |
| 1689194508 | Naomi Ruiz | Specialist/Technologist | 838 Pine Ave Apt. 314, Long Beach, CA 90813 | 2017-06-21 |
| 1851831531 | Tyler Lappen | Student in an Organized Health Care Education/Training Program | 830 Atlantic Ave., Long Beach, CA 90813 | 2017-03-01 |
| 1639628886 | Assavuth Kim | Community Health Worker | 1471 Cherry Avenue, Long Beach, CA 90813 | 2016-09-29 |
| 1881031300 | Stacy Nicole Delgado-willis | Marriage & Family Therapist | 851 Pine Ave Ste 103, Long Beach, CA 90813 | 2013-05-23 |
| 1740623453 | Paula Ann Di Thomas | Nurse Practitioner | 1043 Elm Ave #104, Long Beach, CA 90813 | 2013-04-11 |
| 1629322722 | David O Chavez | Case Manager/Care Coordinator | 820 Long Beach Blvd, Long Beach, CA 90813 | 2012-10-29 |
| Find all providers in zip 90813 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790323681 | Samantha Dylan Schustek | Specialist | 414 E Chester St, Long Beach, NY 11561-2304 | 2019-12-11 |
| 1780234914 | Esther Maria Salorio | Specialist | 26 W Broadway Apt 603, Long Beach, NY 11561-4063 | 2019-09-19 |
| 1043867740 | Elizabeth Fichtelman | Specialist | 513 E Fulton St, Long Beach, NY 11561-2416 | 2019-08-19 |
| 1245886340 | Jennifer Kolonkowski | Specialist | 450 Shore Rd Apt 4m, Long Beach, NY 11561-5335 | 2019-08-14 |
| 1700431293 | Amy L Eisenberg | Specialist | 666 Shore Rd Apt 6m, Long Beach, NY 11561-4616 | 2019-08-02 |
| 1063948081 | Helene Rodway | Specialist | 360 Shore Rd Apt 10h, Long Beach, NY 11561-4381 | 2017-05-11 |
| 1053866699 | Breanne Day | Specialist | 65 W Broadway Apt 10g, Long Beach, NY 11561-4021 | 2016-08-24 |
| 1205286101 | Wendina Mon Pech | Specialist | 1050 E 17th St, Long Beach, CA 90813-2110 | 2016-06-21 |
| 1457708596 | Maggie Aline Lanctot | Specialist | 1906 E 1st St, 4b, Long Beach, CA 90802-6109 | 2016-05-18 |
| 1740635697 | Elizabeth Judith Cantwell | Specialist | 700 Shore Rd Apt 6a, Long Beach, NY 11561-4718 | 2016-04-28 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90813 |
Please comment or provide details below to improve the information on KHEMARA MEDICAL GROUP INC.
| 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.