KAREN BAE (NPI# 1013402098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013402098 |
| Entity Type | Individual |
| Full Name | KAREN BAE |
| Credential | PHARMD |
| Practice Address |
17284 Slover Ave Ste 204 Fontana CA 92337-7584 |
| Mailing Address |
2295 S Vineyard Ave Ste B Ontario CA 91761-7927 |
| Practice Telephone | 9096093313 |
| Mailing Telephone | 9097247661 |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2020-01-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 77569 | CA | Pharmacy Service Providers |
| Y | 1835P2201X |
Pharmacist Specialization: Ambulatory Care |
77568 | CA | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11450 Church St Apt 18, Rancho Cucamonga, CA 917303978 | 9099129698 |
| Street Address |
17284 SLOVER AVE STE 204 |
| City | FONTANA |
| State | CA |
| Zip Code | 92337-7584 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497013817 | Christopher Tjon | Pharmacist | 17284 Slover Ave Ste 204, Fontana, CA 92337-7584 | 2012-04-24 |
| 1992281067 | Susan Y Schroeter | Student in an Organized Health Care Education/Training Program | 17284 Slover Ave Ste 204, Fontana, CA 92337-7584 | 2018-07-12 |
| 1821469529 | Staci Tagawa | Pharmacist | 17284 Slover Ave Ste 204, Fontana, CA 92337-7584 | 2015-10-08 |
| 1174944565 | Carrie Bitterlich | Pharmacist | 17284 Slover Ave Ste 204, Fontana, CA 92337-7584 | 2014-01-02 |
| 1477801553 | Davina Lynn Garls | Pharmacist | 17284 Slover Ave Ste 204, Fontana, CA 92337-7584 | 2012-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437630324 | Bobby Lou Moll | Dietitian, Registered | 11967 Savona Dr., Fontana, CA 92337 | 2018-08-28 |
| 1629587001 | Esther Muteti | Registered Nurse | 11468 Old Spring Rd, Fontana, CA 92337 | 2017-09-28 |
| 1992158307 | Crystalina Alvarez | Marriage & Family Therapist | 17210 Slover Ave, Fontana, CA 92337 | 2016-07-20 |
| 1659782787 | Russell Laroy Johnson | Contractor | 11629 Sueno Ct., Fontana, CA 92337 | 2014-05-12 |
| 1295151363 | Mccall Stephens | Marriage & Family Therapist | 15511 Colt Ave, Fontana, CA 92337 | 2014-03-12 |
| 1356780803 | Cynthia Lee Wright I | Registered Nurse | 17216 Slover Avenue, Building L, Fontana, CA 92337 | 2013-06-18 |
| 1649459652 | Rebecca Ann Carpio-darshay | Nurse Practitioner | 17296 Slover Avenue, Fontana, CA 92337 | 2007-10-25 |
| 1205025731 | Karen Garcia-herrera | Dietitian, Registered | 17296 Slover Ave, Palm Court 1, Fontana, CA 92337 | 2007-10-22 |
| 1205914546 | Felecia Green | Physician Assistant | 10650 Sierra Ave Ste B, Fontana, CA 92337 | 2006-11-02 |
| 1417049933 | Shauna Nichele Lowry | Orthotist | 16200 Coleen St, Suite A, Fontana, CA 92337 | 2006-09-29 |
| Find all providers in zip 92337 | ||||
| Taxonomy Code | 1835P2201X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Ambulatory Care |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community. |
| Notes: Source: Board of Pharmacy Specialties, www.bpsweb.org [7/1/2015: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861929499 | Kaur Express | Pharmacist | 17099 Nile Lily Way, Fontana, CA 92337-6874 | 2017-05-13 |
| 1316312002 | Abigail Martin | Pharmacist | 7470 Cherry Ave Ste 111, Fontana, CA 92336-4272 | 2015-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619580909 | Maureen Elizabeth Shelley | Pharmacist | 1212 Pico St Rm 141, San Fernando, CA 91340-3503 | 2020-08-26 |
| 1295351419 | Alice Khalil | Pharmacist | 7555 Van Nuys Blvd # 1071, Van Nuys, CA 91405-1949 | 2020-06-23 |
| 1235752304 | Hang-thu Thi Nguyen | Pharmacist | 4131 Geary Blvd Ste B10, San Francisco, CA 94118-3101 | 2020-05-24 |
| 1861013609 | Karine Wong | Pharmacist | 8264 Noelle Dr, Huntington Beach, CA 92646-6928 | 2020-05-04 |
| 1023656683 | Kenny Tavoc | Pharmacist | 275 N El Cielo Rd Ste C325, Palm Springs, CA 92262-6972 | 2019-12-13 |
| 1124665294 | Paula Kyonghwa Kang | Pharmacist | 23444 Coyote Springs Dr, Diamond Bar, CA 91765-2652 | 2019-12-06 |
| 1194373985 | Louis Ho | Pharmacist | 1225 Wilshire Blvd Ste 201, Los Angeles, CA 90017-1901 | 2019-08-27 |
| 1669026076 | Alan Nguyen | Pharmacist | 1190 Veterans, Cypress Building, Medical Station E, Redwood City, CA 94603-9460 | 2019-07-25 |
| 1174175871 | Patrick Febre | Pharmacist | 3651 Business Dr Ste 100, Sacramento, CA 95820-2176 | 2019-07-12 |
| 1659835866 | Patti Chung | Pharmacist | 200 Medical Plaza Ste 426, Los Angeles, CA 90095-0001 | 2019-01-23 |
| Find all providers with the same taxonomy | ||||
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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.