GWENDOLYN PRESTON (NPI# 1053752485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053752485 |
| Entity Type | Individual |
| Full Name | GWENDOLYN PRESTON |
| Credential | FNP |
| Practice Address |
679 S New Hampshire Ave Los Angeles CA 90005-1355 |
| Mailing Address |
1491 N Mar Vista Ave Pasadena CA 91104-2506 |
| Practice Telephone | 2136390251 |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2019-10-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
21719 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
21719 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
679 S NEW HAMPSHIRE AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90005-1355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235205782 | Cipriano Edward Pinkney | Counselor | 679 S New Hampshire Ave, 400, Los Angeles, CA 90005-1355 | 2006-11-27 |
| 1366059669 | Catarina F Fleury | Registered Nurse | 679 S New Hampshire Ave, Los Angeles, CA 90005-1355 | 2020-09-30 |
| 1154941821 | Daniel Mendez | Case Manager/Care Coordinator | 679 S New Hampshire Ave, Los Angeles, CA 90005-1355 | 2020-04-22 |
| 1891320909 | Isabella Ballerini | Case Manager/Care Coordinator | 679 S New Hampshire Ave, Los Angeles, CA 90005-1355 | 2020-03-09 |
| 1619514239 | Shannon Michelle Sullivan | Rehabilitation Practitioner | 679 S New Hampshire Ave, Los Angeles, CA 90005-1355 | 2019-12-02 |
| 1396394094 | Jessica Destiny Jones | Student in an Organized Health Care Education/Training Program | 679 S New Hampshire Ave, Los Angeles, CA 90005-1355 | 2019-09-05 |
| 1518519313 | Edward K Cho | Case Manager/Care Coordinator | 679 S New Hampshire Ave, Los Angeles, CA 90005-1355 | 2019-07-11 |
| 1679134886 | Joshua Xiong | Counselor | 679 S New Hampshire Ave, Los Angeles, CA 90005-1355 | 2019-06-27 |
| 1114586310 | Alejandro De La Torre | Student in an Organized Health Care Education/Training Program | 679 S New Hampshire Ave, Los Angeles, CA 90005-1355 | 2019-06-11 |
| 1063078202 | Wendell Sacramento | Licensed Psychiatric Technician | 679 S New Hampshire Ave, Los Angeles, CA 90005-1355 | 2019-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255964680 | Hong Il Kim | Dentist | 610 South Havard Blvd, 101, Los Angeles, CA 90005 | 2020-02-13 |
| 1467929265 | Galina Vardanyan | Optometrist | 621 S Western Ave Ste 214, Los Angeles, CA 90005 | 2018-10-30 |
| 1740761642 | Kyung Sook Chung | Acupuncturist | 603 S Mariposa Ave #102, Los Angeles, CA 90005 | 2018-08-28 |
| 1891274155 | Chinese Healing Arts, Inc | Acupuncturist | 2837 Hyperion Ave, Los Angeles, CA 90005 | 2018-08-08 |
| 1992298624 | Hak S. Choi Dds Inc | Dentist | 680 Wilshire Pl Ste 314, Los Angeles, CA 90005 | 2018-06-07 |
| 1891287918 | Marlene Sanchez Torres | Counselor | 679 S New Hampshire Ave # 400, Los Angeles, CA 90005 | 2018-06-04 |
| 1255828562 | Arianna Houriani | Student in an Organized Health Care Education/Training Program | 714 S Plymouth Blvd, Los Angeles, CA 90005 | 2018-04-23 |
| 1548776404 | Destiny Ann Galvan | Licensed Psychiatric Technician | 679 New Hamshire Ave, Los Angeles, CA 90005 | 2017-12-14 |
| 1255859385 | Tiany Siao Tian So | Dietitian, Registered | 740 S St Andrew Pl, Apt 15, Los Angeles, CA 90005 | 2017-09-08 |
| 1962931246 | Jooyong Shin | Acupuncturist | 400 S Western Ave #203, Los Angeles, CA 90005 | 2017-06-08 |
| Find all providers in zip 90005 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750994323 | Gina Ameri | Nurse Practitioner | 10968 Rose Ave Apt 6, Los Angeles, CA 90034-5329 | 2020-08-24 |
| 1689203093 | Farooque Azam | Nurse Practitioner | 1654 Middleton Pl, Los Angeles, CA 90062-1033 | 2020-04-07 |
| 1336600410 | Karen Meske | Nurse Practitioner | 4295 Via Arbolada Unit 106, Los Angeles, CA 90042-5105 | 2019-03-29 |
| 1356822142 | Together Psychiatric Nurse Practitioner and Associates, A Nursing Corp | Nurse Practitioner | 3030 W Olympic Blvd Ste 217, Los Angeles, CA 90006-6507 | 2018-08-28 |
| 1588161129 | Louise Thompson | Nurse Practitioner | 512 S Park View St Apt 408, Los Angeles, CA 90057-2744 | 2018-04-10 |
| 1295248110 | Tehila Tanya Abrekov | Nurse Practitioner | 1539 S Shenandoah St Apt 303, Los Angeles, CA 90035-4479 | 2017-11-14 |
| 1649545328 | Dana Lynn Lambrose | Nurse Practitioner | 1055 Wilshire Blvd Ste 1705, Los Angeles, CA 90017-5600 | 2012-03-14 |
| 1427290030 | Gerald M Baltz | Nurse Practitioner | 8060 Melrose Ave Ste 200, Los Angeles, CA 90046-7037 | 2009-03-27 |
| 1568603256 | Jordan Swiskow | Nurse Practitioner | 1625 Schrader Blvd # 402, Los Angeles, CA 90028-6213 | 2009-03-10 |
| 1316018591 | Sharon Collette Mcdaniel | Nurse Practitioner | 550 S Vermont Ave Ste 601, Los Angeles, CA 90020-1912 | 2006-11-10 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90005 |
Please comment or provide details below to improve the information on GWENDOLYN PRESTON.
| 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.