NICOLE FISS (NPI# 1265905236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265905236 |
| Entity Type | Individual |
| Full Name | NICOLE FISS |
| Practice Address |
1045 N Lake Ave Pasadena CA 91104-4521 |
| Practice Telephone | 6267980706 |
| Mailing Telephone | 6267980706 |
| Enumeration Date | 2019-01-02 |
| Last Update Date | 2019-10-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1045 N LAKE AVE |
| City | PASADENA |
| State | CA |
| Zip Code | 91104-4521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588625404 | Jonalyn Than | Nurse Practitioner | 1045 N Lake Ave, Pasadena, CA 91104-4521 | 2006-03-30 |
| 1861022576 | Frances Ramas | Registered Nurse | 1045 N Lake Ave, Pasadena, CA 91104-4521 | 2020-01-22 |
| 1720555634 | Rachel Upton | Registered Nurse | 1045 N Lake Ave, Pasadena, CA 91104-4596 | 2018-10-29 |
| 1457895856 | Beth Courtney Allan | Nurse Practitioner | 1045 N Lake Ave, Pasadena, CA 91104-4521 | 2016-12-05 |
| 1447792890 | Rachel Murray | Nurse Practitioner | 1045 N Lake Ave, Pasadena, CA 91104-4521 | 2016-11-15 |
| 1386186153 | Gail Dewyn | Licensed Practical Nurse | 1045 N Lake Ave, Pasadena, CA 91104-4521 | 2016-11-10 |
| 1144686577 | Jung Woo Park | Registered Nurse | 1045 N Lake Ave, Pasadena, CA 91104-4521 | 2016-01-14 |
| 1134512270 | Diana Subdiaz | Registered Nurse | 1045 N Lake Ave, Pasadena, CA 91104-4521 | 2015-03-13 |
| 1609147156 | Shana Marie Mowery | Registered Nurse | 1045 N Lake Ave, Pasadena, CA 91104-4521 | 2012-01-14 |
| 1124332903 | Alexandra Hart Bente | Physician Assistant | 1045 N Lake Ave, Pasadena, CA 91104-4521 | 2010-08-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093284382 | Jack Lee Johnson II | Counselor | 1680 North Fair Oaks, Pasadena, CA 91104 | 2018-11-16 |
| 1699257055 | Aqueelah Russell | Lactation Consultant, Non-RN | 855 N. Catalina Ave, Pasadena, CA 91104 | 2018-09-02 |
| 1053893529 | Jordann Ashley Stewart | Case Manager/Care Coordinator | 691 East Washington Blvd, Pasadena, CA 91104 | 2018-08-31 |
| 1942789706 | Elmer Caballero | Case Manager/Care Coordinator | 691 E Washington Blvd, Pasadena, CA 91104 | 2018-08-12 |
| 1649759648 | Orlando Javier Sava Jr. | Case Manager/Care Coordinator | 1395 E. Orange Grove Blvd, Pasadena, CA 91104 | 2018-08-09 |
| 1669923611 | Grandview Foundation, Inc. | Substance Abuse Rehabilitation Facility | 225 Grandview Street, Pasadena, CA 91104 | 2016-10-14 |
| 1255734166 | Linhua Wang-kim | Massage Therapist | 1028 N. Lake Ave., Suite 108c, Pasadena, CA 91104 | 2014-10-06 |
| 1477893782 | Med Tec Diagnostic Inc. | Clinic/Center | 1310 N. Mar Vista Unit 3, Pasadena, CA 91104 | 2013-02-22 |
| 1750631321 | Gordon Sheldall | Marriage & Family Therapist | 1495 N Lake Avenue, Pasadena, CA 91104 | 2012-09-11 |
| 1699024521 | Sherry Lynn Wait | Marriage & Family Therapist | 1495 N. Lake Ave., Pasadena, CA 91104 | 2012-09-06 |
| Find all providers in zip 91104 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194175281 | Holly Stabler | Physician Assistant | 150 W Dayton St Apt 4037, Pasadena, CA 91105-4555 | 2016-06-20 |
| 1235551995 | Theresa Sivers-teixeira | Physician Assistant | 625 South Fair Oaks, #400, Pasadena, CA 91105 | 2014-01-15 |
| 1679704548 | Diana A Perez | Physician Assistant | 5213 Center St, Pasadena, TX 77505-1866 | 2009-07-27 |
| 1366677254 | Yana Yarchuk | Physician Assistant | 65 N Madison Ave Ste 310, Pasadena, CA 91101-2050 | 2009-05-20 |
| 1861545352 | Mihaela Varga | Physician Assistant | 473 N Fair Oaks Ave, Pasadena, CA 91103-3621 | 2007-01-19 |
| 1255436366 | Bertha Campos | Physician Assistant | 3801 Vista Rd Ste 100, Pasadena, TX 77504-2160 | 2006-09-13 |
| 1619970191 | Andrew Vargas | Physician Assistant | 3315 Burke Rd, Ste 202, Pasadena, TX 77504-1823 | 2005-05-27 |
| 1730670753 | Mary Katherine Byrd Armstrong | Physician Assistant | 4450 E Sam Houston Pkwy S Ste H2, Pasadena, TX 77505-3950 | 2018-05-24 |
| 1376086140 | Jasleen Kaur | Physician Assistant | 797 S Fair Oaks Ave, Pasadena, CA 91105-2617 | 2016-11-28 |
| 1245603059 | Crystal Tsai Teng | Physician Assistant | 3160 E Del Mar Blvd, Suite 110, Pasadena, CA 91107-4649 | 2015-11-03 |
| 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.