JESSICA GERNER VADOVICKY (NPI# 1164088944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164088944 |
| Entity Type | Individual |
| Full Name | JESSICA GERNER VADOVICKY |
| Other Name | JESSICA GERNER |
| Credential | NP |
| Practice Address |
4201 Long Beach Blvd Ste 203 Long Beach CA 90807-2020 |
| Practice Telephone | 5624273897 |
| Practice Fax Number | 5625957703 |
| Mailing Telephone | 5624273897 |
| Mailing Fax Number | 5625957703 |
| Enumeration Date | 2019-05-16 |
| Last Update Date | 2019-05-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
95011038 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4201 LONG BEACH BLVD STE 203 |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90807-2020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861688616 | Golnar Zahedin-labbaf | Marriage & Family Therapist | 4201 Long Beach Blvd Ste 203, Long Beach, CA 90807-2020 | 2007-09-14 |
| 1861979361 | Annabelle Alcayaga Carino | Registered Nurse | 4201 Long Beach Blvd Ste 203, Long Beach, CA 90807-2020 | 2018-07-26 |
| 1265960512 | Love and Light Couseling Services | Clinic/Center | 4201 Long Beach Blvd Ste 203, Long Beach, CA 90807 | 2017-05-31 |
| 1861716953 | Aleksandra Wirga, M.d., Inc. | Psychiatry & Neurology | 4201 Long Beach Blvd Ste 203, Long Beach, CA 90807-2020 | 2010-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992359434 | Kanna Lynn Curtis | Behavioral Analyst | 3491 Elm Avenue, Long Beach, CA 90807 | 2019-08-01 |
| 1891359394 | David Smith Samuel Tchon Dds Inc | Dentist | 4231 Long Beach Blvd, Long Beach, CA 90807 | 2019-04-30 |
| 1477038354 | Ryan Bacani | Registered Nurse | 4506 N Banner Drive Apt 3, Long Beach, CA 90807 | 2018-09-26 |
| 1508363516 | Joemari Salvani | Dentist | 4578 Atlantic Avenue, Long Beach, CA 90807 | 2018-04-07 |
| 1881110096 | Shafeeullah Hashim Gaines | Counselor | 4335 Altantic Ave, Long Beach, CA 90807 | 2017-08-18 |
| 1295259943 | Debresia Jackson | Community Health Worker | 900 E. Wardlow Rd, Long Beach, CA 90807 | 2017-08-02 |
| 1073036315 | United Mobile Rad LLC | Radiologic Technologist | 1720 E Cartagena St, Long Beach, CA 90807 | 2017-07-19 |
| 1336675800 | La-pham and Kansagra Dental Corporation | Dentist | 4578 Atlantic Ave, Long Beach, CA 90807 | 2017-05-03 |
| 1114462637 | Andunett Langhum | Counselor | 4335 Atlantic Blved, Long Beach, CA 90807 | 2016-12-20 |
| 1942742507 | Mt Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 3646 Long Beach Blvd Ste 212, Long Beach, CA 90807 | 2016-11-14 |
| Find all providers in zip 90807 | ||||
| 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 |
|---|---|---|---|---|
| 1720687015 | Ashley Winn | Nurse Practitioner | 367 E Chester St, Long Beach, NY 11561-2324 | 2020-10-19 |
| 1851458913 | Maryann B Powers | Nurse Practitioner | 59 W Olive St, Long Beach, NY 11561-3410 | 2007-01-01 |
| 1710085428 | Julie Valins | Nurse Practitioner | 871 E Park Ave, Long Beach, NY 11561-2709 | 2006-09-20 |
| 1083673545 | Shannon Kathryn Gilmer | Nurse Practitioner | 4013 Beatline Rd Ste A, Long Beach, MS 39560-4135 | 2006-03-22 |
| 1508825761 | Jill Schmidt | Nurse Practitioner | 3416 Fela Ave, Long Beach, CA 90808-3209 | 2006-03-17 |
| 1295385581 | Adaobi Judith Afonta | Nurse Practitioner | 333 W Broadway Ste 310, Long Beach, CA 90802-4438 | 2019-09-18 |
| 1700399524 | Isis Alexandra Acosta | Nurse Practitioner | 200 Oceangate Ste 100, Long Beach, CA 90802-4317 | 2017-11-15 |
| 1225565104 | Sherwin Imperio | Nurse Practitioner | 4525 E Atherton St, Long Beach, CA 90815 | 2017-05-22 |
| 1528593340 | Diane Catherine Defilippo Nurse Practitioner In Psychiatry Pllc | Nurse Practitioner | 126 E Park Ave, Long Beach, NY 11561-3510 | 2017-04-30 |
| 1194275180 | Mhla, A Nursing Corporation | Nurse Practitioner | 5848 E Naples Plz, 201, Long Beach, CA 90803-5000 | 2016-10-13 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90807 |
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| 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.