CARLY ROSE DEVIRIAN (NPI# 1083248942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083248942 |
| Entity Type | Individual |
| Full Name | CARLY ROSE DEVIRIAN |
| Practice Address |
808 W 58th St Los Angeles CA 90037-3632 |
| Practice Telephone | 3235411411 |
| Mailing Telephone | 3105608570 |
| Enumeration Date | 2020-02-28 |
| Last Update Date | 2020-07-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
95013513 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
808 W 58TH ST |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90037-3632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356457550 | Adrienne L Hurley | Physician Assistant | 808 W 58th St, Suite A, Los Angeles, CA 90037-3632 | 2006-08-21 |
| 1942808654 | Kaitlynn Menjo | Nurse Practitioner | 808 W 58th St, Los Angeles, CA 90037-3632 | 2020-10-14 |
| 1508471723 | Elizabeth Reyes | Social Worker | 808 W 58th St, Los Angeles, CA 90037-3632 | 2020-09-14 |
| 1639788185 | Gina Hyung-jin Kim | Nurse Practitioner | 808 W 58th St, Los Angeles, CA 90037-3632 | 2020-07-29 |
| 1578189262 | Laorence Wassom | Nurse Practitioner | 808 W 58th St, Los Angeles, CA 90037-3632 | 2020-06-18 |
| 1780210807 | Jesica Viviana Cardiel | Counselor | 808 W 58th St, Los Angeles, CA 90037-3632 | 2020-03-20 |
| 1184250144 | Vernica Neche Foots | Nurse Practitioner | 808 W 58th St, Los Angeles, CA 90037-3632 | 2020-03-20 |
| 1528694957 | Audra Wong | Nurse Practitioner | 808 W 58th St, Los Angeles, CA 90037-3632 | 2020-03-17 |
| 1558996579 | Natalie Drorbaugh | Nurse Practitioner | 808 W 58th St, Los Angeles, CA 90037-3632 | 2020-03-10 |
| 1508498148 | Joselyn Diaz | Physician Assistant | 808 W 58th St, Los Angeles, CA 90037-3632 | 2020-02-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871119701 | Carina Lizette Guerra | Nurse Practitioner | St. John's Well Child and Family Center, Inc., 808 W. 58th Street, Los Angeles, CA 90037 | 2020-06-16 |
| 1114556263 | Arm 4 Arm Foundation | Clinic/Center | 231 W Vernon Ave., Suite 101, 201, Los Angeles, CA 90037 | 2020-04-01 |
| 1407329766 | Lucidite Sleep Laboratory & Treatment Center Inc | Clinic/Center | 231 W Vernon Ave. Suite 108, Los Angeles, CA 90037 | 2019-01-09 |
| 1013491505 | Nancy Sandoval | Social Worker | 644 W 42nd Place, Los Angeles, CA 90037 | 2018-09-20 |
| 1932603081 | Adam Wiswell | Psychologist | 3982 S. Figueroa Street, Suite 203, Los Angeles, CA 90037 | 2018-03-22 |
| 1548764392 | St. John's Well Child and Family Center, Inc. | Clinic/Center | 1000 W. 50th St, Los Angeles, CA 90037 | 2018-03-19 |
| 1134637150 | Tamayo Inc & Lascoe Inc Dental Partnership | Dentist | 4400 S Broadway Ste #103, Los Angeles, CA 90037 | 2018-01-11 |
| 1295282283 | Catherine Azzopardi | Social Worker | 4601 S Broadway, Los Angeles, CA 90037 | 2016-09-07 |
| 1619423266 | Esmeralda Garcia | Dietitian, Registered | 808 W. 58th Street, 2nd Floor, Los Angeles, CA 90037 | 2016-09-01 |
| 1225405921 | Sophan Cheng | Nurse Practitioner | 808 W. 58th Street, Los Angeles, CA 90037 | 2015-08-28 |
| Find all providers in zip 90037 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083260087 | Liezl Ann Bobila Bautista | Nurse Practitioner | 3317 Bagley Ave Apt 6, Los Angeles, CA 90034-2866 | 2019-08-15 |
| 1780155085 | Amy Parker | Nurse Practitioner | 1160 N Westmoreland Ave, Los Angeles, CA 90029-1909 | 2018-12-12 |
| 1285100172 | Kellie Ann Loera | Nurse Practitioner | 4650 W Sunset Blvd # Ms, Los Angeles, CA 90027-6062 | 2018-10-17 |
| 1629553649 | Jamie Duly | Nurse Practitioner | 4650 W Sunset Blvd # 66, Los Angeles, CA 90027-6062 | 2018-09-25 |
| 1942788047 | Annie Lee Thomson | Nurse Practitioner | 757 Westwood Plz Rm 5411, Los Angeles, CA 90095-8358 | 2018-07-31 |
| 1205347739 | Carrie Locken Collins | Nurse Practitioner | 4650 W Sunset Blvd # 170, Los Angeles, CA 90027-6062 | 2017-10-24 |
| 1053821553 | Kimberly Brooke Adams | Nurse Practitioner | 3131 Bagley Ave Apt 7, Los Angeles, CA 90034-2931 | 2017-10-10 |
| 1013360213 | Kelly Barth | Nurse Practitioner | 1880 Century Park E, Suite 425, Los Angeles, CA 90067-1600 | 2016-07-22 |
| 1003261272 | Laura Elvira Espinosa | Nurse Practitioner | 2831 Vaquero Ave, Los Angeles, CA 90032-3008 | 2016-04-25 |
| 1689059016 | Sandra Moon | Nurse Practitioner | 3810 Wilshire Blvd Apt 2211, #2211, Los Angeles, CA 90010-3230 | 2015-07-27 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90037 |
Please comment or provide details below to improve the information on CARLY ROSE DEVIRIAN.
| 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.