NANCY M HEJDE (NPI# 1336484781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336484781 |
| Entity Type | Individual |
| Full Name | NANCY M HEJDE |
| Other Name | NANCY M HEJDE |
| Credential | PA-C |
| Practice Address |
1001 S Seaside Ave San Pedro CA 90731-7333 |
| Practice Telephone | 3105216053 |
| Mailing Telephone | 3105216053 |
| Enumeration Date | 2012-12-11 |
| Last Update Date | 2014-06-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9107870 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1001 S SEASIDE AVE |
| City | SAN PEDRO |
| State | CA |
| Zip Code | 90731-7333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932185220 | Thomas Lee Bostwick | Emergency Medicine | 1001 S Seaside Ave, San Pedro, CA 90731-7333 | 2005-12-19 |
| 1992972186 | Bartholomew Jay Gaska | Technician, Other | 1001 S Seaside Ave, Bldg. 23, San Pedro, CA 90731-7333 | 2008-05-15 |
| 1972796324 | Stella Wisner | Dentist | 1001 S Seaside Ave, San Pedro, CA 90731-7333 | 2007-08-20 |
| 1821130113 | Isc San Pedro Blasser Clinic | Clinic/Center | 1001 S Seaside Ave, San Pedro, CA 90731-7333 | 2007-02-13 |
| 1811039001 | David Romero | Technician, Other | 1001 S Seaside Ave, San Pedro, CA 90731-7333 | 2007-02-13 |
| 1831253376 | Sara Marie Mindell | Registered Nurse | 1001 S Seaside Ave, Bldg 23, San Pedro, CA 90731-7333 | 2006-12-20 |
| 1366536898 | Paul E Kender | Physical Therapist | 1001 S Seaside Ave, Bldg #23, San Pedro, CA 90731-7333 | 2006-10-02 |
| 1205933066 | Us Coast Guard Finance Center | Military/U.S. Coast Guard Pharmacy | 1001 S Seaside Ave, San Pedro, CA 90731-7333 | 2006-09-20 |
| 1528038932 | Nohea L Villanueva | Technician, Other | 1001 S Seaside Ave, Isc San Pedro Medical, San Pedro, CA 90731-7333 | 2006-01-26 |
| 1275512733 | Christopher Warren Podratz | Specialist/Technologist, Other | 1001 S Seaside Ave, San Pedro, CA 90731-7333 | 2006-01-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962009464 | Jyoti Patel | Optometrist | 1701 Gaffey St., San Pedro, CA 90731 | 2020-10-07 |
| 1518513183 | Churairat Maffei | Technician | 1305 S Patton Ave, San Pedro, CA 90731 | 2019-08-09 |
| 1326692898 | Lori Marie Kroeker | Counselor | 235 W. 9th St, San Pedro, CA 90731 | 2019-08-01 |
| 1366960783 | Maria Elena Newcomer Dds Inc | Dentist | 847 W. 9th St., San Pedro, CA 90731 | 2017-09-06 |
| 1255875944 | Raymond J Mazuchowski Jr. | Dentist | 697 S Gaffery St, San Pedro, CA 90731 | 2016-12-14 |
| 1700235108 | Redina J Williams | Counselor | 559 W, 9th Street, San Pedro, CA 90731 | 2016-06-07 |
| 1649697764 | Leilani M. Sharpe | Psychiatry & Neurology | 222 W 6th St Ste 400, San Pedro, CA 90731 | 2014-03-26 |
| 1134418882 | Neema Rukiya Hardeman | Pediatrics | 2400 S Pacific Ave Bldg 30, San Pedro, CA 90731 | 2011-04-04 |
| 1477878148 | Karla Vanesa Cehua | Dental Assistant | 423n. Meyler St., San Pedro, CA 90731 | 2010-04-06 |
| 1023258183 | Deborah Anne Allsup | Acupuncturist | 732 W. 9th Street, #202, San Pedro, CA 90731 | 2009-03-03 |
| Find all providers in zip 90731 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720329758 | Redentor Prijoles Cornejo | Physician Assistant | 1299 S Seaside Ave, San Pedro, CA 90731-7359 | 2013-03-15 |
| 1316281280 | Jenny Luong | Physician Assistant | 1534 W. 25th St, San Pedro, CA 90732 | 2012-11-16 |
| 1871866848 | Christina Marina Ribao | Physician Assistant | 3031 S Denison Ave, San Pedro, CA 90731-6703 | 2012-02-21 |
| 1851425417 | Cindy Baldonado | Physician Assistant | 1294 W 6th St, Suite 200, San Pedro, CA 90731-2987 | 2007-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760089437 | Karine Harutyunyan | Physician Assistant | 500 E Colorado St Ste 101, Glendale, CA 91205-1607 | 2020-10-06 |
| 1437756228 | Kale Burket | Physician Assistant | Bldg 523, S 8th St, El Centro, CA 92243 | 2020-10-05 |
| 1548867666 | Heba Marzouk Al-shoubaki | Physician Assistant | 633 S Pepper St, Anaheim, CA 92802-1459 | 2020-10-01 |
| 1275140550 | Lisa Lynn Passalacqua | Physician Assistant | 431 7th St, Norco, CA 92860-1671 | 2020-09-30 |
| 1144833989 | Trisha Taylor | Physician Assistant | 10399 Tivoli Way, Yucaipa, CA 92399-6017 | 2020-08-30 |
| 1457963944 | Harlan William Monahan | Physician Assistant | 5210 Del Rio Rd, Sacramento, CA 95822-2519 | 2020-08-18 |
| 1275144313 | Sofia Carmen Bustillo | Physician Assistant | 1709 Coral Pl, Seal Beach, CA 90740-5712 | 2020-08-12 |
| 1124638663 | Gayaneh Gharakhani | Physician Assistant | 1323 E Broadway Apt 110, Glendale, CA 91205-4018 | 2020-08-07 |
| 1144830183 | Loc Bao Tran | Physician Assistant | 8937 Emerson Pl, Rosemead, CA 91770-2813 | 2020-08-04 |
| 1558997957 | Sarah Lubinsky | Physician Assistant | 1511 Montana Ave, Santa Monica, CA 90403-1891 | 2020-03-17 |
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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.