JACQUELYN KAUILANI PAIGE


Address: 1520 San Pablo St Ste 4300, Los Angeles, CA 90033-5330
Phone: 3238651544

JACQUELYN KAUILANI PAIGE (NPI# 1164945598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164945598
Entity Type Individual
Full Name JACQUELYN KAUILANI PAIGE
Credential NP
Practice Address 1520 San Pablo St Ste 4300
Los Angeles
CA 90033-5330
Mailing Address Po Box 31309
Los Angeles
CA 90031-0309
Practice Telephone 3238651544
Practice Fax Number 3234425735
Mailing Telephone 3234425849
Enumeration Date 2017-07-18
Last Update Date 2020-08-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
NP95006975 CA Physician Assistants & Advanced Practice Nursing Providers
N 363LA2100X Nurse Practitioner
Specialization: Acute Care
95006975 CA Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1500 San Pablo St, Los Angeles, CA 900335313 3234428500

Office Location

Street Address 1520 SAN PABLO ST STE 4300
City LOS ANGELES
State CA
Zip Code 90033-5330

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922020833 Craig J. Baker Thoracic Surgery (Cardiothoracic Vascular Surgery) 1520 San Pablo St Ste 4300, Los Angeles, CA 90033-5330 2006-07-24
1275141657 Kori Ann Elise Johnston Nurse Practitioner 1520 San Pablo St Ste 4300, Los Angeles, CA 90033-5330 2020-07-21
1215565726 Chace Barrett Mitchell Student in an Organized Health Care Education/Training Program 1520 San Pablo St Ste 4300, Los Angeles, CA 90033-5330 2020-03-30
1053953497 Jaynita Hasmukh Patel Dietitian, Registered 1520 San Pablo St Ste 4300, Los Angeles, CA 90033-5330 2019-10-16
1285288183 Keeley Brianna Reitnouer Physician Assistant 1520 San Pablo St Ste 4300, Los Angeles, CA 90033-5330 2019-07-29
1275093312 Alexander Dibartolomeo Student in an Organized Health Care Education/Training Program 1520 San Pablo St Ste 4300, Los Angeles, CA 90033 2019-03-24
1962967695 Elizabeth Guillen Nurse Practitioner 1520 San Pablo St Ste 4300, Los Angeles, CA 90033-5330 2019-02-06
1447749809 Anna Christine Santos Nurse Practitioner 1520 San Pablo St Ste 4300, Los Angeles, CA 90033 2018-05-01
1609371376 Anand Ganapathy Student in an Organized Health Care Education/Training Program 1520 San Pablo St Ste 4300, Los Angeles, CA 90033-5330 2018-03-26
1942704341 Kemp Mctier Anderson Surgery 1520 San Pablo St Ste 4300, Los Angeles, CA 90033-5330 2018-03-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376165050 Noa Yee Student in an Organized Health Care Education/Training Program 1200 N. State Street, Gnh 1011, Los Angeles, CA 90033 2020-05-15
1629690144 Monica Lopez Respiratory Therapist, Registered 1251 Marengo St, Los Angeles, CA 90033 2020-05-07
1649890401 Antonio Hernandez Saenz Student in an Organized Health Care Education/Training Program 1200 N. State Street Gnh 1060k, Los Angeles, CA 90033 2020-04-22
1417585100 Kelsey Grace Shea Student in an Organized Health Care Education/Training Program 1200 N State St Ird 112, Los Angeles, CA 90033 2020-03-30
1891322780 Carolyn Kan Student in an Organized Health Care Education/Training Program 1200 North State Street Clinic Tower, Suite A7d, Los Angeles, CA 90033 2020-03-23
1902445786 Maury M Hopkins Registered Nurse 1883 Marengo Street, Los Angeles, CA 90033 2019-12-27
1982259792 Beverly Austin Mccabe Registered Nurse 1720 E. Cesar Chavez Ave., Los Angeles, CA 90033 2019-08-08
1093369399 Christine Yoon Pharmacist 1611 E Cesar Chavez Ave, Los Angeles, CA 90033 2019-07-25
1073075339 Johanna Keller Student in an Organized Health Care Education/Training Program La County +usc Medical Center, 2051 Marengo Street, Los Angeles, CA 90033 2019-04-04
1386115137 Sonya Lorain Earley Physician Assistant 2020 Zonal Avenue, Ird 626, Los Angeles, CA 90033 2018-12-05
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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City LOS ANGELES
Zip Code 90033

Improve Information

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Dataset Information

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.

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