MITHRA MOON (NPI# 1023587839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023587839 |
| Entity Type | Individual |
| Full Name | MITHRA MOON |
| Other Name | MARIA GOVIND |
| Credential | PA |
| Practice Address |
1600 Vine St Apt 543 Hollywood CA 90028-8825 |
| Practice Telephone | 2407788493 |
| Mailing Telephone | 2407788493 |
| Enumeration Date | 2018-11-21 |
| Last Update Date | 2020-01-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 56157 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1904 Wilshire Blvd, Santa Monica, CA 904035606 | 3103150180 | |
| 401 E Carrillo St, Santa Barbara, CA 931011460 | 8055633307 |
| Street Address |
1600 VINE ST APT 543 |
| City | HOLLYWOOD |
| State | CA |
| Zip Code | 90028-8825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154929859 | Luxottica of America Inc | Eyewear Supplier (Equipment, not the service) | 5500 W Sunset Blvd, Los Angeles, CA 90028 | 2020-10-14 |
| 1558993527 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 5500 West Sunset Boulevard, Los Angeles, CA 90028 | 2020-02-07 |
| 1639715030 | Michelle Jennifer Martinez | Case Manager/Care Coordinator | 6838 Sunset Blvd., Hollywood, CA 90028 | 2019-11-20 |
| 1821562315 | Ronnie Jerome Jackson | Case Manager/Care Coordinator | Bhs Hollywood Recovery Center, 6838 Sunset Blvd, Hollywood, CA 90028 | 2019-01-17 |
| 1669961595 | Danielle Arce | Dietitian, Registered | 6721 De Longpre Ave, Los Angeles, CA 90028 | 2018-05-07 |
| 1982124772 | Yoon Kyung Lee | Pharmacist | 7201 Hollywood Blvd, Los Angeles, CA 90028 | 2017-06-22 |
| 1982133245 | Julia West | Pharmacist | 6201 Hollywood Blvd #126, Los Angeles, CA 90028 | 2017-06-08 |
| 1720527971 | Melissa Susac | Marriage & Family Therapist | 1540 Schrader Blvd, Garden Suite 12, Hollywood, CA 90028 | 2017-02-21 |
| 1023554284 | Arlene Aranda | Social Worker | 1873 Taft Ave, Los Angeles, CA 90028 | 2017-01-12 |
| 1912304775 | Damon Dodge | Marriage & Family Therapist | 7083 Hollywood Blvd, Los Angeles, CA 90028 | 2014-11-21 |
| Find all providers in zip 90028 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629608047 | Sadelyn De Los Santos | Physician Assistant | 251 N 71st Ter, Hollywood, FL 33024-7364 | 2020-01-24 |
| 1306486873 | Selina Batchanoo | Physician Assistant | 2310 Mckinley St, Hollywood, FL 33020-3057 | 2020-01-13 |
| 1972168706 | Kelly Maria Munoz | Physician Assistant | 4102 Trenton Ave, Hollywood, FL 33026-4924 | 2019-05-07 |
| 1982268132 | Michelle Vann | Physician Assistant | 4501 Johnson St, Hollywood, FL 33021-5311 | 2019-04-23 |
| 1447741509 | Franziska Goetz | Physician Assistant | 3550 Washington St Apt 512, Hollywood, FL 33021-8264 | 2018-05-24 |
| 1740730779 | Priya Philip | Physician Assistant | 4184 Cascada Cir, Hollywood, FL 33024-8516 | 2016-10-13 |
| 1215480488 | Robyn Dauerman | Physician Assistant | 4340 Sheridan St Ste 201, Hollywood, FL 33021-3568 | 2016-07-25 |
| 1881066272 | Mariana Racovita | Physician Assistant | 3700 Washington St Ste 404, Hollywood, FL 33021-8249 | 2015-10-23 |
| 1902132145 | Kimberly Ann Monahan | Physician Assistant | 3440 Hollywood Blvd., Suite 460, Hollywood, FL 33021 | 2009-10-22 |
| 1215262464 | Ingrid Katarina Hudakova | Physician Assistant | 1442 Funston St, Hollywood, FL 33020-6428 | 2009-10-06 |
| Find all providers in HOLLYWOOD | ||||
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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.