WALLY JOSEPH (NPI# 1326595125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326595125 |
| Entity Type | Individual |
| Full Name | WALLY JOSEPH |
| Credential | NURSE PRACTITIONER |
| Practice Address |
5955 E Pacific Coast Hwy Apt 1 Long Beach CA 90803-4935 |
| Practice Telephone | 9093447440 |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2016-09-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95004317 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5955 E PACIFIC COAST HWY APT 1 |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90803-4935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568011377 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 6440 E. Pacific Coast Highway, Space B-165, Long Beach, CA 90803 | 2019-09-05 |
| 1518426931 | Quashanika Marin | Behavior Technician | 55555 Anton Blvd, Costa Mesa, CA 90803 | 2019-03-15 |
| 1629569405 | Shiori Koga Lange | Social Worker | 6615 E Pacific Coast Hwy Ste 225, Long Beach, CA 90803 | 2018-05-29 |
| 1083117832 | Amos Hirsh | Specialist/Technologist | 3409 E 1st St., B, Long Beach, CA 90803 | 2018-03-16 |
| 1972029130 | Lilia Bolgov | Dietitian, Registered | 3528 E 2nd St, Apt 1, Long Beach, CA 90803 | 2017-08-19 |
| 1669907523 | Ashley Clary | Substance Abuse Rehabilitation Facility | 6621 Pacific Coast Highway, Long Beach, CA 90803 | 2017-04-27 |
| 1629438247 | Victoria Nguyen Dental Corporation | Dentist | 6437 E. Pacific Coast Highway, Unit A-6, Long Beach, CA 90803 | 2016-02-24 |
| 1548633829 | Anne Yeakel | Chiropractor | 6234 E Pacific Coast Hwy, Unit C, Long Beach, CA 90803 | 2015-11-09 |
| 1376921023 | Lauren Katherine Mills | Registered Nurse | 6000 Bixby Village Drive #5, Long Beach, CA 90803 | 2015-05-14 |
| 1205173317 | Richard Stuart Egan | Otolaryngology | 310 Blue Cavern Point, Long Beach, CA 90803 | 2013-01-09 |
| Find all providers in zip 90803 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568061117 | Charisse Christie Magsaysay | Nurse Practitioner | 4508 Atlantic Ave Ste 468a, Long Beach, CA 90807-1520 | 2020-10-23 |
| 1780293886 | Christina Balladin | Nurse Practitioner | 37 E Hudson St, Long Beach, NY 11561-2106 | 2020-07-24 |
| 1598391518 | Samantha Lynne Band | Nurse Practitioner | 360 W Ocean Blvd Apt 406, Long Beach, CA 90802-4606 | 2020-03-21 |
| 1144854472 | Terezia Marie Tarantino | Nurse Practitioner | 542 E Market St, Long Beach, NY 11561-2421 | 2020-02-25 |
| 1619500196 | Mns Healthcare Solutions LLC | Nurse Practitioner | 3802 Hathaway Ave Apt 812, Long Beach, CA 90815-5117 | 2020-02-12 |
| 1588228738 | Jeannet D Ly | Nurse Practitioner | 2100 E Anaheim St Ste B, Long Beach, CA 90804-3419 | 2019-04-23 |
| 1730642166 | Justin Kimberland Jourdan | Nurse Practitioner | 523 Arbor Station Dr, Long Beach, MS 39560-5734 | 2019-04-11 |
| 1447711460 | Giselle Ann Rodriguez Zaragoza | Nurse Practitioner | 5920 Gardenia Ave, Long Beach, CA 90805-4210 | 2019-03-31 |
| 1427515998 | Saury Mamisay | Nurse Practitioner | 3145 Julian Ave, Long Beach, CA 90808-4436 | 2019-02-20 |
| 1932663630 | Agatha Chinyere Osuji | Nurse Practitioner | 3530 Atlantic Ave Ste 101, Long Beach, CA 90807-4569 | 2019-01-27 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90803 |
Please comment or provide details below to improve the information on WALLY JOSEPH.
| 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.