MS. KAITLIN ROSE MATTICE (NPI# 1093261547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093261547 |
| Entity Type | Individual |
| Full Name | MS. KAITLIN ROSE MATTICE |
| Credential | NP |
| Practice Address |
127 S San Vicente Blvd Suite A3600 Los Angeles CA 90048-3311 |
| Mailing Address |
861 N Vista St Los Angeles CA 90046-7518 |
| Practice Telephone | 3104238317 |
| Mailing Telephone | 4029908438 |
| Enumeration Date | 2016-08-25 |
| Last Update Date | 2016-08-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
95004784 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
127 S SAN VICENTE BLVD SUITE A3600 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90048-3311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245237379 | Aamir S Shah | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 127 S San Vicente Blvd, A3600, Los Angeles, CA 90048-3311 | 2005-07-05 |
| 1336754746 | Judy Luu | Specialist | 127 S San Vicente Blvd, Los Angeles, CA 90048-3311 | 2020-09-11 |
| 1063026185 | Linda Ok | Nurse Practitioner | 127 S San Vicente Blvd, Los Angeles, CA 90048-3311 | 2020-09-04 |
| 1851887566 | Inigo Ernesto Noriega | Nurse Practitioner | 127 S San Vicente Blvd, Los Angeles, CA 90048 | 2018-07-05 |
| 1164966255 | Pamela Shieh | Pharmacist | 127 S San Vicente Blvd, Suite A2403, Los Angeles, CA 90048-3311 | 2016-12-08 |
| 1730637729 | Ainslie Cheung | Pharmacist | 127 S San Vicente Blvd, Suite 2403, Los Angeles, CA 90048-3311 | 2016-09-19 |
| 1457808842 | Eric Norman Chiu | Pharmacist | 127 S San Vicente Blvd, Suite A2400, Los Angeles, CA 90048-3311 | 2016-09-02 |
| 1538615778 | Katie Dung Tran | Nurse Practitioner | 127 S San Vicente Blvd, A3100, Los Angeles, CA 90048 | 2016-08-28 |
| 1972058451 | Irina Vaynter | Pharmacist | 127 S San Vicente Blvd, 2400, Los Angeles, CA 90048-3311 | 2016-08-24 |
| 1245785781 | Nhu Nguyen | Pharmacist | 127 S San Vicente Blvd, A2400, Los Angeles, CA 90048-3311 | 2016-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609473420 | Alden Advanced Surgicenter LLC | Clinic/Center | 8741 Alden Drive, Suite B, Los Angeles, CA 90048 | 2020-10-05 |
| 1760090062 | New Dawn Tms Psychiatry | Clinic/Center | 640 S San Vincente Blvd, Ste. 210, Los Angeles, CA 90048 | 2020-07-22 |
| 1114547312 | Savannah Marie Gonzales | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd Suite 3636, Los Angeles, CA 90048 | 2020-04-17 |
| 1861048613 | Sam Dawkins | Internal Medicine | Suite 415e, 8631 West Third Street, Los Angeles, CA 90048 | 2019-08-16 |
| 1295202638 | Caleb Rogers Penn | Anesthesiology | Cedars-sinai Department of Anesthesiology, 8700 Beverly Blvd, Los Angeles, CA 90048 | 2018-10-24 |
| 1437641727 | Medical Imaging Center of Southern California-beverly Hills, Inc | Radiology | 8727 Beverly Blvd, Los Angeles, CA 90048 | 2018-06-01 |
| 1689164121 | Maulin Shah | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd Suite 5512, Los Angeles, CA 90048 | 2018-05-10 |
| 1013423631 | Abdul Ali Qaderi | Anesthesiology | 8700 Beverly Blvd Suite 4209, Los Angeles, CA 90048 | 2017-12-19 |
| 1619483559 | Sakeenah Hakim | Social Worker | 292 S. La Cienega Blvd, Suite 102, Los Angeles, CA 90048 | 2017-12-14 |
| 1851805048 | West Hollywood Medical Group Inc | General Practice | 8733 Beverly Blvd Suite #203, West Hollywood, CA 90048 | 2017-11-27 |
| Find all providers in zip 90048 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538775093 | David Lee | Nurse Practitioner | 5710 S Glennie Ln Apt A, Los Angeles, CA 90016-1063 | 2020-09-21 |
| 1679123426 | Joanne Lan Yun Yang | Nurse Practitioner | 1540 Alcazar St Ste 215, Los Angeles, CA 90089-1029 | 2019-09-13 |
| 1265085773 | Linda M Kim | Nurse Practitioner | 1123 S Windsor Blvd, Los Angeles, CA 90019-3158 | 2019-07-23 |
| 1780157032 | Ana Valentinova Tchicaya | Nurse Practitioner | 300 Stein Plaza, Los Angeles, CA 90009 | 2019-01-09 |
| 1518435288 | Sariya Chayutipun | Nurse Practitioner | 2955 Veteran Ave, Los Angeles, CA 90064-9006 | 2018-11-11 |
| 1659856284 | Leticia Mendez | Nurse Practitioner | 1300 N Vermont Ave 606, Los Angeles, CA 90027 | 2018-09-29 |
| 1427531490 | Izabela Harutyunyan | Nurse Practitioner | 127 S San Vicente Blvd Ste A3629, Los Angeles, CA 90048-3311 | 2018-09-14 |
| 1265923155 | Rose Moss | Nurse Practitioner | Ronald Regan Ucla Medical Center 757 Westwood Plaza, Los Angeles, CA 90095-1003 | 2018-05-25 |
| 1821514811 | Simran Grewal | Nurse Practitioner | 127 S San Vicente Blvd Ste A6100, Los Angeles, CA 90048-3311 | 2017-08-21 |
| 1902320450 | Arielle Donner | Nurse Practitioner | 8540 S Sepulveda Blvd Ste 1010, Los Angeles, CA 90045-3808 | 2017-07-26 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90048 |
Please comment or provide details below to improve the information on MS. KAITLIN ROSE MATTICE.
| 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.