MS. MARY JANE KOON (NPI# 1114175825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114175825 |
| Entity Type | Individual |
| Full Name | MS. MARY JANE KOON |
| Credential | FNP |
| Practice Address |
1430 San Julian St Nursing Services Building 2 Los Angeles CA 90015-3142 |
| Practice Telephone | 2137652800 |
| Practice Fax Number | 2137653861 |
| Mailing Telephone | 2137652800 |
| Mailing Fax Number | 2137653861 |
| Enumeration Date | 2008-09-05 |
| Last Update Date | 2008-09-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LS0200X |
Nurse Practitioner Specialization: School |
313818 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780773879 | Mary Elizabeth Koon | Counselor | 2013 Elm St, Pastoral Counseling Services, Manchester, NH 03104 | 2006-10-12 |
| Street Address |
1430 SAN JULIAN ST NURSING SERVICES BUILDING 2 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90015-3142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528010964 | Rosina Franco | Family Medicine | 1430 San Julian St, Los Angeles, CA 90015-3142 | 2006-05-16 |
| 1235404849 | Deborah Wynn Schultz | Registered Nurse | 1430 San Julian St, Nursing Services Bldg. 2, Los Angeles, CA 90015-3142 | 2012-03-14 |
| 1801173042 | Valerie Jo Griffin | Nurse Practitioner | 1430 San Julian St, Building 2, Los Angeles, CA 90015-3142 | 2011-11-15 |
| 1710272836 | Linda Mcclellan | Registered Nurse | 1430 San Julian St, Los Angeles, CA 90015-3142 | 2011-06-16 |
| 1285883272 | Patricia Nishikawa | Pediatrics | 1430 San Julian St, Building 2, Los Angeles, CA 90015-3142 | 2008-09-15 |
| 1780832808 | Connie S Whalley | Nurse Practitioner | 1430 San Julian St, Nursing Services Building 2, Los Angeles, CA 90015-3142 | 2008-09-03 |
| 1952559114 | Appolonia Olumba | Nurse Practitioner | 1430 San Julian St, Los Angeles, CA 90015-3142 | 2008-08-29 |
| 1558518068 | Annette Yukiko Takashima | Nurse Practitioner | 1430 San Julian St, Nursing Services, Building 2, Los Angeles, CA 90015-3142 | 2008-08-27 |
| 1043467228 | La Unified Schools Chdp Team | Registered Nurse | 1430 San Julian St, 2, Los Angeles, CA 90015-3142 | 2008-08-19 |
| 1811144140 | Karen Alice Pesci | Nurse Practitioner | 1430 San Julian St, Nursing Services, Building 2, Los Angeles, CA 90015-3142 | 2008-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184224156 | Via Care Community Health Center | Clinic/Center | 400 West Washington Blvd., The Hub D3-room 107, Los Angeles, CA 90015 | 2020-10-29 |
| 1225650955 | Luis Alvarado | Student in an Organized Health Care Education/Training Program | 1150 S. Olive Street, Suite 1400, Los Angeles, CA 90015 | 2020-05-15 |
| 1386290385 | Amy M Powell | Student in an Organized Health Care Education/Training Program | 1140 S.olive Street Ste #1427, Los Angeles, CA 90015 | 2019-08-15 |
| 1881170199 | Angie Andreina Trias Sanchez | Student in an Organized Health Care Education/Training Program | 936 S Olive St Apt 154, Los Angeles, CA 90015 | 2018-07-19 |
| 1083148753 | Central Neighborhood Health Foundation - Fontana | Clinic/Center | 714 W. Olympic Blvd Suite # 801, Los Angeles, CA 90015 | 2017-04-19 |
| 1255871711 | Ethan Lin | Student in an Organized Health Care Education/Training Program | 1401 S. Grand Ave. Suite 101, Residency Program, Los Angeles, CA 90015 | 2017-03-03 |
| 1972055093 | Yvonne Perez | Social Worker | 1150 South Hill St, Suite H-375, Los Angeles, CA 90015 | 2016-10-25 |
| 1356896492 | Mayano Ochi | Midwife | 1513 S Grand Ave Ste 250, Los Angeles, CA 90015 | 2016-08-18 |
| 1518321686 | Cielo Reyna-donaldson | Registered Nurse | 1520 South Olive Street, Los Angeles, CA 90015 | 2016-04-05 |
| 1891175774 | Amanecer Community Counseling Service | Community/Behavioral Health | 1500 S Olive St Rm 506, Los Angeles, CA 90015 | 2015-06-04 |
| Find all providers in zip 90015 | ||||
| Taxonomy Code | 363LS0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275977498 | George Lopez Chua | Nurse Practitioner | 121 N Beaudry Avenue, Nursing Services, Roybal Annex, Los Angeles, CA 90012-2009 | 2013-04-18 |
| 1639466832 | Jayne Ann Mas | Nurse Practitioner | 1 Lmu Drive Ms 8455, Los Angeles, CA 90045-2659 | 2011-07-08 |
| 1093948580 | Lori Jean Urbanec | Nurse Practitioner | 1430 San Julian St Bldg 2, Los Angeles, CA 90015-3142 | 2009-08-31 |
| 1003063819 | Sherry Hefner Medrano | Nurse Practitioner | 456 S Mathews St, Los Angeles, CA 90033-4326 | 2008-08-22 |
| 1215914577 | Jocelyn Lotho | Nurse Practitioner | 1430 San Julian St # 2, Los Angeles School District, Los Angeles, CA 90015-3142 | 2005-12-28 |
| 1801173042 | Valerie Jo Griffin | Nurse Practitioner | 1430 San Julian St, Building 2, Los Angeles, CA 90015-3142 | 2011-11-15 |
| 1780832808 | Connie S Whalley | Nurse Practitioner | 1430 San Julian St, Nursing Services Building 2, Los Angeles, CA 90015-3142 | 2008-09-03 |
| 1558518068 | Annette Yukiko Takashima | Nurse Practitioner | 1430 San Julian St, Nursing Services, Building 2, Los Angeles, CA 90015-3142 | 2008-08-27 |
| 1811144140 | Karen Alice Pesci | Nurse Practitioner | 1430 San Julian St, Nursing Services, Building 2, Los Angeles, CA 90015-3142 | 2008-08-18 |
| 1972759280 | Charna Elaine Turner | Nurse Practitioner | 1430 San Julian St Bldg 2, Los Angeles, CA 90015-3142 | 2008-08-18 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90015 |
Please comment or provide details below to improve the information on MS. MARY JANE KOON.
| 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.