MS. KATRINA MAE DIZON QUINTOS (NPI# 1184240707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184240707 |
Entity Type | Individual |
Full Name | MS. KATRINA MAE DIZON QUINTOS |
Credential | NP |
Practice Address |
959 E Walnut St Ste 120 Pasadena CA 91106-5364 |
Mailing Address |
9635 Woodman Ave Unit 8 Arleta CA 91331-6470 |
Practice Telephone | 6267955118 |
Enumeration Date | 2020-06-19 |
Last Update Date | 2020-06-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
824809 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
959 E WALNUT ST STE 120 |
City | PASADENA |
State | CA |
Zip Code | 91106-5364 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962586875 | Pang-chieh Eu | Internal Medicine | 959 E Walnut St Ste 120, Pasadena, CA 91106-5364 | 2006-10-25 |
1033721923 | Tim Nguyen | Nurse Practitioner | 959 E Walnut St Ste 120, Pasadena, CA 91106-5364 | 2020-08-20 |
1548885890 | Dalia A Cadena | Nurse Practitioner | 959 E Walnut St Ste 120, Pasadena, CA 91106-5364 | 2020-06-12 |
1104182542 | Andrew Lai Inc. | Internal Medicine | 959 E Walnut St Ste 120, Pasadena, CA 91106-5364 | 2012-04-10 |
1508050865 | Bahman Saatian | Internal Medicine | 959 E Walnut St Ste 120, 41 Mall Road, Pasadena, CA 91106-5364 | 2007-08-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922625987 | Alexa Ann Mettrick | Behavior Technician | 1055 E. Colorado Blcd., Suite 560, Pasadena, CA 91106 | 2020-06-25 |
1780205344 | Giovani Telusma | Behavior Technician | 1055 E Colorado Blvd Ste 560 Pasadena, Pasadena, CT 91106 | 2020-05-05 |
1356838973 | Susan Ende | Marriage & Family Therapist | 945 Hillcrest Place, Pasadena, CA 91106 | 2018-04-19 |
1639678287 | Sean C Velazco | Counselor | 1245 E. Walnut St., Pasadena, CA 91106 | 2018-02-09 |
1023558848 | Gregory Ohanian Dds Ms Inc. | Dentist | 225 North Allen Avenue, Pasadena, CA 91106 | 2017-02-27 |
1508308586 | Quik Care Express Inc | Non-emergency Medical Transport (VAN) | 592 N. Wilson Ave, 5, Pasadena, CA 91106 | 2016-11-08 |
1194119867 | Kimberly Ann Ebner | Dentist | 1060 E. Green St., Suite 105, Pasadena, CA 91106 | 2015-03-20 |
1346645512 | Neogenomics Laboratories Inc | Specialist | 840 Cameron Dr, Pasadena, CA 91106 | 2014-10-29 |
1255756524 | Tirso Deljunco Sr. | Surgery | 1010 E. Union St., #130, Pasadena, CA 91106 | 2014-02-24 |
1386072601 | Hiroko Ogura | Acupuncturist | 1224 E Green St Ste 100, Pasadena, CA 91106 | 2013-10-23 |
Find all providers in zip 91106 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861092504 | Kyle Kettle | Nurse Practitioner | 5030 Crenshaw Rd Ste 120, Pasadena, TX 77505-3141 | 2020-10-30 |
1013516640 | Heather Mekins | Nurse Practitioner | 721 Bridge Dr, Pasadena, MD 21122-4553 | 2020-10-24 |
1891394953 | Tammy Jean Bobbitt-gray | Nurse Practitioner | 10801 Choate Rd, Pasadena, TX 77507-1503 | 2020-10-20 |
1467067447 | Lizette Cabral | Nurse Practitioner | 1144 N Mentor Ave, Pasadena, CA 91104-3824 | 2020-09-15 |
1679188304 | Kimberly Yam | Nurse Practitioner | 1575 N Lake Ave Ste 208, Pasadena, CA 91104-2340 | 2020-09-10 |
1215569785 | Kristine Elizabeth Chesney | Nurse Practitioner | 1288 Holmespun Dr, Pasadena, MD 21122-2578 | 2020-02-12 |
1598304958 | Sophia A Phillip | Nurse Practitioner | 65 N Madison Ave Ste 800, Pasadena, CA 91101-2038 | 2020-01-03 |
1831748359 | Altagracia Garza | Nurse Practitioner | 908 Southmore Ave Ste 130, Pasadena, TX 77502-1100 | 2019-09-06 |
1548817919 | Ansela Chaluparambil | Nurse Practitioner | 3326 Watters Rd Bldg D, Pasadena, TX 77504-2053 | 2019-08-21 |
1972155828 | Michelle Elizabeth Hinkey | Nurse Practitioner | 8109 Ritchie Hwy # 100, Pasadena, MD 21122-6917 | 2019-07-11 |
Find all providers in PASADENA |
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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.