SHOSHANA POLEVOY (NPI# 1326441817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326441817 |
| Entity Type | Individual |
| Full Name | SHOSHANA POLEVOY |
| Other Name | SHOSHANA AGATSTEIN |
| Credential | NURSE PRACTITIONER |
| Practice Address |
11411 Brookshire Ave Suite 508 Downey CA 90241-5026 |
| Practice Telephone | 5629230706 |
| Mailing Telephone | 9178171964 |
| Enumeration Date | 2014-09-29 |
| Last Update Date | 2015-02-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
NP95001296 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
11411 BROOKSHIRE AVE SUITE 508 |
| City | DOWNEY |
| State | CA |
| Zip Code | 90241-5026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194797381 | Ragaa Z Iskarous Md Inc | General Practice | 11411 Brookshire Ave, #201, Downey, CA 90241 | 2006-02-02 |
| 1346646619 | Vascular Access Center of South Los Angeles LLC | Surgery | 11411 Brookshire Ave, Suite 301, Downey, CA 90241-5026 | 2014-11-13 |
| 1750702270 | John Tilley | Pharmacist | 11411 Brookshire Ave, Suite #107, Downey, CA 90241-5026 | 2013-12-31 |
| 1225386915 | United Sleep Centers | Clinical Medical Laboratory | 11411 Brookshire Ave, Suite 505, Downey, CA 90241-5026 | 2012-08-28 |
| 1578811279 | Miracle Sleep Centers | Clinical Medical Laboratory | 11411 Brookshire Ave, Suite 505, Downey, CA 90241-5026 | 2012-08-28 |
| 1417240714 | Andrew D Rah, A California Medical Corp | Legal Medicine | 11411 Brookshire Ave, Suite 201, Downey, CA 90241-5026 | 2011-05-18 |
| 1821397670 | Omar & Yusuf Dental Corp | Dentist | 11411 Brookshire Ave, Suite 405, Downey, CA 90241-5026 | 2011-03-18 |
| 1508183872 | Stat Sleep Center | Clinical Medical Laboratory | 11411 Brookshire Ave, Suite 505, Downey, CA 90241-5026 | 2010-04-27 |
| 1487985818 | Drmc-western Osteopathic Center for Well-being | Neuromusculoskeletal Medicine & OMM | 11411 Brookshire Ave, Suite #304, Downey, CA 90241-5026 | 2010-01-25 |
| 1437489010 | Natalie Ann Nevins | Neuromusculoskeletal Medicine & OMM | 11411 Brookshire Ave, Suite #304, Downey, CA 90241-5026 | 2010-01-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029005 | Adam Lyle Barnhardt | Counselor | 11500 Paramont Blvd., Downey, CA 90241 | 2020-10-05 |
| 1922630482 | Betzabeth Benitez Perez | Counselor | Scadp, 11500 Paramount Blvd., Downey, CA 90241 | 2020-02-12 |
| 1457858714 | Diane Padre-gozun | Student in an Organized Health Care Education/Training Program | 11500 Brookshire Ave, Gme Office, Downey, CA 90241 | 2018-04-12 |
| 1295233963 | Community Family Guidance Center | Community/Behavioral Health | 12330 Woodruff Ave, Downey, CA 90241 | 2018-01-29 |
| 1487167433 | Progressive Medical Associates | Health Maintenance Organization | 6611 Seville Avenue, Huntington Park, CA 90241 | 2017-11-13 |
| 1194236018 | Dental Office of Downey Inc. | Clinic/Center | 10917 Paramounth Blvd, Downey, CA 90241 | 2017-10-18 |
| 1376063933 | Sophea Tim | Pharmacist | 11525 Brookshire Avenue Suite 400, Downey, CA 90241 | 2017-06-26 |
| 1952835282 | Dr. Jose Flores D.d.s Inc. | Preferred Provider Organization | 11510 Downey Ave, Downey, CA 90241 | 2017-04-13 |
| 1053844043 | Stephen Nealon Berberich | Internal Medicine | 1544 Downey Ave, Downey, CA 90241 | 2017-04-06 |
| 1225424187 | Davis Huang | Internal Medicine | 11500 Brookshire Ave., Downey, CA 90241 | 2015-04-07 |
| Find all providers in zip 90241 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225662398 | Angelie Vanessa Loza | Nurse Practitioner | 8255 Hondo St, Downey, CA 90242-3534 | 2020-02-27 |
| 1619528403 | Mary Divine Grace Dinsay Painaga | Nurse Practitioner | 12415 Rives Ave, Downey, CA 90242-3454 | 2019-09-24 |
| 1831634559 | Cherry Mae Endo | Nurse Practitioner | 8706 E. Imperial Highway, Downey, CA 90242-3906 | 2017-01-04 |
| 1811353071 | Perla Maria Cueva | Nurse Practitioner | 8066 7th St, Downey, CA 90241-3302 | 2016-01-04 |
| 1063807295 | Mebi Scaria | Nurse Practitioner | 9828 Tweedy Ln, Downey, CA 90240-3824 | 2015-04-03 |
| 1174935464 | Wendy Andreu | Nurse Practitioner | 12028 Old River School Rd, Downey, CA 90242-2113 | 2014-05-21 |
| 1437579547 | Roxanne Chavez | Nurse Practitioner | 10723 Pico Vista Rd, Downey, CA 90241-3056 | 2014-04-16 |
| 1760813380 | Nkechi Ikejiofor | Nurse Practitioner | 13012 Woodruff Ave, Downey, CA 90242-5039 | 2013-12-07 |
| 1588006373 | Saad Ghazi | Nurse Practitioner | 8130 Florence Avenue, Companion Hospice Care, Downey, CA 90420 | 2013-07-23 |
| 1871807933 | Anil Khurana | Nurse Practitioner | 7653 Coolgrove Dr, Downey, CA 90240-2625 | 2010-07-31 |
| Find all providers in DOWNEY | ||||
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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.