KIMBERLY HAGEN TILLAR (NPI# 1104944420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104944420 |
| Entity Type | Individual |
| Full Name | KIMBERLY HAGEN TILLAR |
| Credential | R.N. |
| Practice Address |
2021 Santa Monica Blvd Suit 400e Santa Monica CA 90404-2208 |
| Mailing Address |
7819 Bleriot Ave Los Angeles CA 90045-2904 |
| Practice Telephone | 3104535654 |
| Mailing Telephone | 3106493239 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WX0200X |
Registered Nurse Specialization: Oncology |
375548 | CA | Nursing Service Providers |
| Street Address |
2021 SANTA MONICA BLVD SUIT 400E |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90404-2208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538163878 | Orthopros Inc | Prosthetic/Orthotic Supplier | 2021 Santa Monica Blvd, Ste 104e, Santa Monica, CA 90404-2208 | 2005-06-01 |
| 1184179129 | Pacific Orthodontics, LLC | Dentist | 2021 Santa Monica Blvd, Suite 340e, Santa Monica, CA 90404-2208 | 2016-08-19 |
| 1043693245 | Cristina Shallenberger | Nurse Practitioner | 2021 Santa Monica Blvd, Suite 600 East, Santa Monica, CA 90404-2208 | 2015-07-07 |
| 1922412634 | Karla G. Iacampo, M.d., Inc. | Obstetrics & Gynecology | 2021 Santa Monica Blvd, Suite 240e, Santa Monica, CA 90404-2208 | 2014-06-20 |
| 1740628866 | Stanley Brosman Medical Corporation | Urology | 2021 Santa Monica Blvd, Suite 510, Santa Monica, CA 90404-2219 | 2013-06-11 |
| 1568716363 | Caroline M Colin, Md PC | Obstetrics & Gynecology | 2021 Santa Monica Blvd, Suite 304-e, Santa Monica, CA 90404-2208 | 2012-10-31 |
| 1275893521 | Hyman Gross, Md, Inc | Psychiatry & Neurology | 2021 Santa Monica Blvd, Suite 320e, Santa Monica, CA 90404-2208 | 2012-05-21 |
| 1144500398 | Holly Michell Gruwell | Nurse Practitioner | 2021 Santa Monica Blvd, Ste 600e, Santa Monica, CA 90404-2208 | 2011-08-19 |
| 1023326238 | Bella Doshi | Dentist | 2021 Santa Monica Blvd, Suite 500e, Santa Monica, CA 90404-2208 | 2010-09-22 |
| 1194031195 | Thomas Susko M.d., Inc. | Internal Medicine | 2021 Santa Monica Blvd, Suite 200e, Santa Monica, CA 90404-2208 | 2010-08-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306453352 | Jasmine Burton | Physical Therapist | 1714 17th Street, Santa Monica, CA 90404 | 2020-09-24 |
| 1003431685 | Cintia Haydee Ctibor | Behavior Technician | 1869 9th Street, Santa Monica, CA 90404 | 2020-06-10 |
| 1073137261 | Sydney Kristine Valerio | Counselor | 1869 9th St, Santa Monica, CA 90404 | 2020-06-03 |
| 1710507082 | James Gilbert Cunningham | Marriage & Family Therapist | 1708 Olympic Blvd, Santa Monica, CA 90404 | 2020-04-16 |
| 1841763687 | Crystal Monique Mckinley X | Counselor | 1865 9th St, Santa Monica, CA 90404 | 2019-01-04 |
| 1952872749 | Cesar O Munoz | Licensed Vocational Nurse | 1865 9th St., Santa Monica, CA 90404 | 2018-12-06 |
| 1023596574 | Joseph J Pinzone Md Inc | Internal Medicine | 2001 Santa Monica Blvd Ste 1190, Santa Monica, CA 90404 | 2018-08-06 |
| 1548763535 | Alan Rubenstein Dds Inc | Dentist | 1260 15th St., #703, Santa Monica, CA 90404 | 2018-03-15 |
| 1669993382 | Aaron Wilson | Counselor | 1453 16th Street, Santa Monica, CA 90404 | 2017-07-03 |
| 1922472471 | Chianni Lin | Acupuncturist | 2222 Santa Monica Blvd, Ste. 105, Santa Monica, CA 90404 | 2015-11-20 |
| Find all providers in zip 90404 | ||||
| Taxonomy Code | 163WX0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Oncology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881155653 | Danielle Larkin | Registered Nurse | 943 2nd St Apt 4, Santa Monica, CA 90403-2488 | 2019-03-26 |
| 1487779377 | Marilyn Mulay | Registered Nurse | Premiere Oncology, 2020 Santa Monica Blvd, Santa Monica, CA 90404 | 2007-03-20 |
| 1538687462 | Laura Beth Bittner Larose | Registered Nurse | 2021 Santa Monica Blvd Ste 400e, Santa Monica, CA 90404-2103 | 2017-08-30 |
| 1760607212 | Nancy Jo Bush | Registered Nurse | 2020 Santa Monica Blvd, Suite 600, Santa Monica, CA 90404-2023 | 2007-04-17 |
| 1740405372 | Elizabeth Ann Cray | Registered Nurse | 2020 Santa Monica Blvd, Suite 600, Santa Monica, CA 90404-2023 | 2007-04-17 |
| 1205953833 | Mary Hoban | Registered Nurse | 1328 22nd St, Santa Monica, CA 90404-2032 | 2007-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083240881 | Venice Ababat | Registered Nurse | 1449 Linville Ln, Colton, CA 92324-6720 | 2020-03-12 |
| 1730749201 | Lydia Nasimiyu Khakali | Registered Nurse | 34360 Crenshaw St, Beaumont, CA 92223-7448 | 2019-06-17 |
| 1679037543 | Quan Cao | Registered Nurse | 34804 Blackstone Way, Fremont, CA 94555-3210 | 2019-01-25 |
| 1295200970 | Nick Salazar Biala | Registered Nurse | 11163 Springdale Ct, Riverside, CA 92505-2787 | 2018-10-09 |
| 1487136909 | Nelli Akopyan | Registered Nurse | 19009 Kinbrace St, Porter Ranch, CA 91326-1034 | 2018-08-31 |
| 1912422528 | Maria H Cho | Registered Nurse | 2511 Market St, Oakland, CA 94607 | 2017-08-04 |
| 1558891770 | Hamza Abid | Registered Nurse | 937 Shorepoint Ct Apt G302, Alameda, CA 94501-5822 | 2017-06-20 |
| 1063867547 | Rosanna Luca Pillari | Registered Nurse | 116 Teresita Way, Los Gatos, CA 95032-6517 | 2016-05-03 |
| 1558650937 | Angela Marie Brooks | Registered Nurse | 4521 Pronghorn Way, Antioch, CA 94509-8923 | 2011-04-06 |
| 1104156561 | Robert Bruce Ankeny | Registered Nurse | 135 Catalpa Ln, Campbell, CA 95008-3407 | 2010-01-07 |
| Find all providers with the same taxonomy | ||||
| City | SANTA MONICA |
| Zip Code | 90404 |
Please comment or provide details below to improve the information on KIMBERLY HAGEN TILLAR.
| 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.