KATHLEEN MAHAN (NPI# 1053488809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053488809 |
| Entity Type | Individual |
| Full Name | KATHLEEN MAHAN |
| Credential | NP |
| Practice Address |
400 W 30th St Los Angeles CA 90007-3320 |
| Practice Telephone | 2132843245 |
| Mailing Telephone | 2132843245 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2012-12-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | NP14735 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467989590 | Kathleen Mahan | Behavior Technician | 5500 Tramore Ct, Fairfax, VA 22032-3126 | 2017-05-19 |
| 1639100464 | Kathleen A Mahan | Family Medicine | 1801 S Highland Ave Ste 130, Lombard, IL 60148-4932 | 2006-07-06 |
| 1669474532 | Kathleen Ellen Mahan | Nurse Practitioner | 7381 College Pkwy, Suite 110, Fort Myers, FL 33907-5548 | 2005-08-11 |
| 1184068298 | Kathleen Mahan | Internal Medicine | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2013-04-18 |
| Street Address |
400 W 30TH ST |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90007-3320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427030386 | Simone Cox | Nurse Practitioner | 400 W 30th St, Los Angeles, CA 90007-3320 | 2005-11-16 |
| 1700485265 | Phoebedel Castro Reyes | Nurse Practitioner | 400 W 30th St, Los Angeles, CA 90007-3320 | 2020-10-25 |
| 1093322588 | Marisa Marcarello | Nurse Practitioner | 400 W 30th St, Los Angeles, CA 90007-3320 | 2020-09-28 |
| 1235750183 | Nadasha M Scott | Registered Nurse | 400 W 30th St, Los Angeles, CA 90007-3320 | 2020-05-01 |
| 1962036822 | Vyvyan Mai Huynh | Registered Nurse | 400 W 30th St, Los Angeles, CA 90007-3320 | 2020-02-28 |
| 1447882717 | Ashley Rose Lowe | Physician Assistant | 400 W 30th St, Los Angeles, CA 90007-3320 | 2020-02-05 |
| 1942847272 | Yashica Warren | Nurse Practitioner | 400 W 30th St, Los Angeles, CA 90007-3320 | 2019-12-05 |
| 1295370112 | Rebecca Geoula | Physician Assistant | 400 W 30th St, Los Angeles, CA 90007-3320 | 2019-11-14 |
| 1215570544 | Sue Hee Chong | Nurse Practitioner | 400 W 30th St, Los Angeles, CA 90007-3320 | 2019-10-18 |
| 1073154258 | Jonathan Allan Rivas | Registered Nurse | 400 W 30th St, Los Angeles, CA 90007-3320 | 2019-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093278632 | St. John's Well Child and Family Center, Inc. | Clinic/Center | 1060 West Exposition Blvd., Los Angeles, CA 90007 | 2019-04-10 |
| 1639690803 | Michelle Pittman | Registered Nurse | 2829 South Grand Ave., H. Claude Hudson Chc, Los Angeles, CA 90007 | 2017-06-28 |
| 1568983773 | Debbie Sharon Gillett | Registered Nurse | 2829 South Grand Avenue, H. Claude Hudson Health Center, Los Angeles, CA 90007 | 2017-06-28 |
| 1043749435 | Tamika Brown | Driver | 2947 Van Buren Place, Los Angeles, CA 90007 | 2017-06-08 |
| 1356891857 | Eli Gendler | General Practice | 2501 South Hill St., Los Angeles, CA 90007 | 2016-10-07 |
| 1770037715 | Jennifer R Knutson | Nurse Practitioner | 2409 S. Vermont Ave., Los Angeles, CA 90007 | 2016-08-08 |
| 1386006088 | Matthew Welzenbach | Internal Medicine | St. John's Well Child, 1910 Magnolia Ave #101, Los Angeles, CA 90007 | 2016-03-22 |
| 1316315765 | Gary L Nollins | Counselor | 145 W 22ns Street, Los Angeles, CA 90007 | 2015-09-02 |
| 1861882698 | Tarlan, P. Akhavan Dds A Prof Corp | Dentist | 2407 South Vermont Ave, Los Angeles, CA 90007 | 2015-02-02 |
| 1316341258 | Jessica Huang | Student in an Organized Health Care Education/Training Program | 854 West Adams Blvd, Los Angeles, CA 90007 | 2014-10-21 |
| Find all providers in zip 90007 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245845700 | Amber Li | Nurse Practitioner | 3852 Bostwick St, Los Angeles, CA 90063-1765 | 2020-09-11 |
| 1750995916 | Yeranui Stepanyan Np Advance Practice Nursing Apc | Nurse Practitioner | 1711 W Temple St Fl 1, Los Angeles, CA 90026-7329 | 2020-09-04 |
| 1255943452 | Emily Wright | Nurse Practitioner | 11500 W Olympic Blvd Ste 570, Los Angeles, CA 90064-1536 | 2020-08-19 |
| 1174134472 | Hanna Song | Nurse Practitioner | 1234 Wilshire Blvd Apt 437, Los Angeles, CA 90017-1983 | 2020-08-11 |
| 1760090351 | Katherine Tran | Nurse Practitioner | 11120 Queensland St Unit B11, Los Angeles, CA 90034-5230 | 2020-07-20 |
| 1811512072 | Annabel Jeng | Nurse Practitioner | 3360 Isabel Dr, Los Angeles, CA 90065-1931 | 2020-06-13 |
| 1205465994 | Tania Parhami | Nurse Practitioner | 2045 S Bentley Ave Apt 201, Los Angeles, CA 90025-5673 | 2020-04-03 |
| 1205466349 | Laura Madeline Locke | Nurse Practitioner | 127 S San Vicente Blvd Ste 6600, Los Angeles, CA 90048-3311 | 2020-01-16 |
| 1629616412 | Marcie Lynn Hulpa | Nurse Practitioner | 11812 Gorham Ave Apt 203, Los Angeles, CA 90049-5491 | 2019-12-12 |
| 1457901183 | Alexandria Rebecca Borys | Nurse Practitioner | 200 Ucla Medical Plz Ste B265b2, Los Angeles, CA 90095-8344 | 2019-09-15 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90007 |
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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.