MARINA BOURKE (NPI# 1023493889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023493889 |
| Entity Type | Individual |
| Full Name | MARINA BOURKE |
| Credential | N.P. |
| Practice Address |
11165 Sepulveda Blvd Mission Hills CA 91345-1113 |
| Mailing Address |
Po Box 9602 Mission Hills CA 91346-9602 |
| Practice Telephone | 8183659531 |
| Mailing Telephone | 8188375559 |
| Mailing Fax Number | 8187924793 |
| Enumeration Date | 2015-07-22 |
| Last Update Date | 2019-02-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
95002759 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
11165 SEPULVEDA BLVD |
| City | MISSION HILLS |
| State | CA |
| Zip Code | 91345-1113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639168602 | Kathleen Wall | Dietitian, Registered | 11165 Sepulveda Blvd, Mission Hills, CA 91345-1113 | 2005-10-20 |
| 1366936262 | Deanna Zadorozny | Pharmacist | 11165 Sepulveda Blvd, Mission Hills, CA 91345-1113 | 2018-06-14 |
| 1558809509 | Samantha Wu | Pharmacist | 11165 Sepulveda Blvd, Mission Hills, CA 91345-1113 | 2017-02-09 |
| 1588020820 | Christopher Chung | Pharmacist | 11165 Sepulveda Blvd, Mission Hills, CA 91345-1125 | 2015-12-31 |
| 1457725145 | Nare Davoodi | Dietitian, Registered | 11165 Sepulveda Blvd, Mission Hills, CA 91345-1113 | 2015-11-18 |
| 1417334681 | Jenna Jackson | Dietitian, Registered | 11165 Sepulveda Blvd, Mission Hills, CA 91345-1113 | 2015-04-27 |
| 1942695515 | Armine Markarian Phillips | Pharmacist | 11165 Sepulveda Blvd, Mission Hills, CA 91345 | 2015-04-01 |
| 1811390024 | Nilda Benmaor | Dietitian, Registered | 11165 Sepulveda Blvd, Mission Hills, CA 91345-1113 | 2014-10-01 |
| 1134520125 | Ani Jacqueline Altounian | Pharmacist | 11165 Sepulveda Blvd, Mission Hills, CA 91345-1125 | 2014-09-09 |
| 1013344704 | Nina Young | Dietitian, Registered | 11165 Sepulveda Blvd, Mission Hills, CA 91345-1113 | 2013-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376141499 | Alpha Hospice | Hospice Care, Community Based | 15455 Devonshire St Suite 100a, Mission Hills, CA 91345 | 2020-10-12 |
| 1740725639 | Vivian Insua-lopez, Psy.d, Psychologist, Inc | Psychologist | 15455 San Fernando Misson Blvd., #308, Mission Hills, CA 91345 | 2016-12-30 |
| 1699162941 | Nancy M Kim Inc | Family Medicine | 11550 Indiana Hills Rd, 301, Mission Hills, CA 91345 | 2015-04-23 |
| 1881940088 | Prohealth-valley Occupational Medical Group | Clinic/Center | 10630 Sepulveda Blvd., Suite 100, Mission Hills, CA 91345 | 2012-07-25 |
| 1942588868 | Trauma & Critical Care Sfv Group Inc | Surgery | 11550 Indian Hills Road, Suite 310, Mission Hills, CA 91345 | 2011-07-26 |
| 1679860084 | Mirna G Villatoro | Residential Treatment Facility, Physical Disabilities | 11100 Sepulveda Blvd, # 232, Mission Hills, CA 91345 | 2011-07-06 |
| 1093010944 | Ana Yvette Alvarez | Rehabilitation Practitioner | 11565 Laurel Canyon Blvd. Suite 116, Mission Hills, CA 91345 | 2011-01-24 |
| 1811226392 | Tender Home Health | Home Health | 10117 Sepulveda Blvd Ste 205a, Mission Hills, CA 91345 | 2009-12-14 |
| 1033387279 | Jamal Elias Khoury | Chiropractor | 15336 Devonshire St. Ste 3, Mission Hills, CA 91345 | 2008-02-11 |
| 1043497282 | Ana Elena Aldana | Counselor | 10200 Sepulveda Blvd., Unit 100, Mission Hills, CA 91345 | 2008-01-30 |
| Find all providers in zip 91345 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316552615 | Monet Andrea Quon | Nurse Practitioner | 15031 Rinaldi St, Mission Hills, CA 91345-1207 | 2020-09-14 |
| 1770124406 | Sondra Yvette Ortiz | Nurse Practitioner | 15031 Rinaldi St, Mission Hills, CA 91345-1207 | 2019-10-03 |
| 1073175873 | Lorraine Margaret Estronick | Nurse Practitioner | 15031 Rinaldi St, Mission Hills, CA 91345-1207 | 2019-07-01 |
| 1265803944 | Monroe G. Tinker | Nurse Practitioner | 11333 Sepulveda Blvd, Mission Hills, CA 91345-1116 | 2015-10-07 |
| 1174810535 | Lisa Yen | Nurse Practitioner | 11165 Sepulveda Blvd, Mission Hills, CA 91345-1113 | 2011-07-06 |
| 1427357391 | Dewi Joyce Miranda | Nurse Practitioner | 15031 Rinaldi St Ste 150, Mission Hills, CA 91345-1207 | 2011-03-17 |
| 1164563953 | Brigitte Renee' Conde | Nurse Practitioner | 15031 Rinaldi St, Mission Hills, CA 91345-1207 | 2007-02-12 |
| 1043318496 | Deborah Mariko Tsunoda | Nurse Practitioner | 15031 Rinaldi St, Mission Hills, CA 91345-1207 | 2006-09-20 |
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| 1851990550 | Fernanda Monteon Ibarra | Nurse Practitioner | 30222 Belmont Ct, Agoura Hills, CA 91301-4611 | 2020-10-22 |
| 1780283168 | Brenda Rienru Rhima | Nurse Practitioner | 24657 Rockston Dr, Corona, CA 92883-1614 | 2020-10-18 |
| 1215535034 | Shiji John | Nurse Practitioner | 3765 Gunnison Cir, Corona, CA 92881-8486 | 2020-10-14 |
| 1053919258 | Lacey Etienne Neufeld | Nurse Practitioner | Marshall Transitional Care Unit, 1100 Marshall Way, Placerville, CA 95667 | 2020-10-12 |
| 1063028298 | Kanokwan Kultan | Nurse Practitioner | 15850 Babcock St, San Diego, CA 92127-3680 | 2020-09-22 |
| 1538775093 | David Lee | Nurse Practitioner | 5710 S Glennie Ln Apt A, Los Angeles, CA 90016-1063 | 2020-09-21 |
| 1124634886 | Catherine Kestenian | Nurse Practitioner | 351 E Foothill Blvd Ste 250, Arcadia, CA 91006-7426 | 2020-09-18 |
| 1285249565 | Anu Tharoor | Nurse Practitioner | 505 Parnassus Ave Fl 9, San Francisco, CA 94143-2204 | 2020-09-13 |
| Find all providers with the same taxonomy | ||||
| City | MISSION HILLS |
| Zip Code | 91345 |
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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.