MICHELLE BROCK (NPI# 1235742446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235742446 |
| Entity Type | Individual |
| Full Name | MICHELLE BROCK |
| Credential | RN |
| Practice Address |
4508 Atlantic Ave Ste A-443 Long Beach CA 90807-1520 |
| Mailing Address |
23655 Aquacate Rd Corona CA 92883-4131 |
| Practice Telephone | 3045504962 |
| Mailing Telephone | 3045504962 |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2020-08-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 95100284 | CA | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CALIFORNIA BOARD OF REGISTERED NURSING | 95100284 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801923479 | Michelle Lynn Brock | Physical Therapist | 20952 E 12 Mile Rd Ste 110, Saint Clair Shores, MI 48081-3202 | 2007-02-28 |
| 1225581374 | Michelle Brock | Social Worker | 102 Compass Point Dr, Saint Charles, MO 63301-4404 | 2016-07-25 |
| Street Address |
4508 ATLANTIC AVE STE A-443 |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90807-1520 |
| 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 | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144834334 | Steven Sollie | Registered Nurse | 418 E Hullett St, Long Beach, CA 90805-3426 | 2020-09-04 |
| 1790395721 | Antonio Orellana | Registered Nurse | 106 La Verne Ave, Long Beach, CA 90803-3335 | 2020-08-04 |
| 1154949477 | Veronica Elizabeth Almeida | Registered Nurse | 245 W Broadway Apt 625, Long Beach, CA 90802-5049 | 2020-07-13 |
| 1518593128 | Elizabeth Yvonne Shouse | Registered Nurse | 3801 E Pacific Coast Hwy Apt 231, Long Beach, CA 90804-2041 | 2020-03-14 |
| 1750912432 | Kristopher Gavino | Registered Nurse | 3530 Magnolia Ave, Long Beach, CA 90806-1173 | 2020-01-30 |
| 1043854326 | Kathleen Ann Sweeney | Registered Nurse | 17 Indiana Ave, Long Beach, NY 11561-1205 | 2019-10-30 |
| 1174177232 | Christine Phuma | Registered Nurse | 4937 Daisy Ave, Long Beach, CA 90805-6711 | 2019-07-27 |
| 1407326119 | Anthony J Gann | Registered Nurse | 173 Santa Ana Ave, Long Beach, CA 90803-3461 | 2018-11-26 |
| 1477038354 | Ryan Bacani | Registered Nurse | 4506 N Banner Drive Apt 3, Long Beach, CA 90807 | 2018-09-26 |
| 1649769167 | Pamela Ann Damato X | Registered Nurse | 744 W Beech St, Long Beach, NY 11561-2806 | 2018-05-10 |
| 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.