DR. MARY ELIZABETH VANVOOREN (NPI# 1356303432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356303432 |
| Entity Type | Individual |
| Full Name | DR. MARY ELIZABETH VANVOOREN |
| Credential | DPM |
| Practice Address |
1045 Atlantic Ave Suite 807 Long Beach CA 90813-3408 |
| Mailing Address |
1045 Atlantic Ave Suite 807 Long Beach CA 90813-3414 |
| Practice Telephone | 5624373338 |
| Practice Fax Number | 5624371919 |
| Mailing Telephone | 5624373338 |
| Mailing Fax Number | 5624371919 |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2008-11-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | E4551 | CA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 000E45510 | 05 |
| Street Address |
1045 ATLANTIC AVE SUITE 807 |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90813-3408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841294733 | Merrill M Knopf | Ophthalmology | 1045 Atlantic Ave, Ste 1007, Long Beach, CA 90813-3413 | 2005-06-08 |
| 1760928329 | Ps Ahuja Dental Corp | Dentist | 1045 Atlantic Ave, Ste 602, Long Beach, CA 90813-3408 | 2017-01-06 |
| 1821448028 | Cardiovascular Innovation and Research Center Inc | Internal Medicine | 1045 Atlantic Ave, Suite 611, Long Beach, CA 90813-3408 | 2016-06-17 |
| 1285007419 | St. Mary Medical Center | Clinic/Center | 1045 Atlantic Ave, Suite 914, Long Beach, CA 90813-3408 | 2015-11-10 |
| 1508289158 | Healthy Foundations Medical Group | Pediatrics | 1045 Atlantic Ave, Ste 715, Long Beach, CA 90813-3408 | 2014-01-31 |
| 1649513961 | American Pacific Medical Group Inc | Internal Medicine | 1045 Atlantic Ave, Suite 902, Long Beach, CA 90813-3408 | 2013-04-04 |
| 1235436023 | Janet Do | Pediatrics | 1045 Atlantic Ave, #605, Long Beach, CA 90813-3408 | 2011-02-15 |
| 1578864211 | Amar S Kapoor M D Inc | Internal Medicine | 1045 Atlantic Ave, Suite 611, Long Beach, CA 90813-3408 | 2010-11-11 |
| 1063720324 | Coreen Marie Correa | Nurse Practitioner | 1045 Atlantic Ave, 508, Long Beach, CA 90813-3408 | 2010-09-21 |
| 1790002236 | Michael O Liff Md Inc | Internal Medicine | 1045 Atlantic Ave, Suite 902, Long Beach, CA 90813-3408 | 2010-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861018491 | Marisol Zobler | Social Worker | 820 Long Beach Bvld, Long Beach, CA 90813 | 2020-06-19 |
| 1437787009 | Cho Rok Kim | Student in an Organized Health Care Education/Training Program | Graduate Medical Education, 1050 Linden Ave., Long Beach, CA 90813 | 2020-03-30 |
| 1316407596 | Vicky Sandhu | Student in an Organized Health Care Education/Training Program | Graduate Medical Education, 1050 Linden Ave, Long Beach, CA 90813 | 2019-03-22 |
| 1245734912 | Madiha Naseem | Internal Medicine | Graduate Medical Education, 1050 Linden Avenue, Long Beach, CA 90813 | 2018-03-19 |
| 1689194508 | Naomi Ruiz | Specialist/Technologist | 838 Pine Ave Apt. 314, Long Beach, CA 90813 | 2017-06-21 |
| 1851831531 | Tyler Lappen | Student in an Organized Health Care Education/Training Program | 830 Atlantic Ave., Long Beach, CA 90813 | 2017-03-01 |
| 1639628886 | Assavuth Kim | Community Health Worker | 1471 Cherry Avenue, Long Beach, CA 90813 | 2016-09-29 |
| 1881031300 | Stacy Nicole Delgado-willis | Marriage & Family Therapist | 851 Pine Ave Ste 103, Long Beach, CA 90813 | 2013-05-23 |
| 1740623453 | Paula Ann Di Thomas | Nurse Practitioner | 1043 Elm Ave #104, Long Beach, CA 90813 | 2013-04-11 |
| 1629322722 | David O Chavez | Case Manager/Care Coordinator | 820 Long Beach Blvd, Long Beach, CA 90813 | 2012-10-29 |
| Find all providers in zip 90813 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366797789 | Lawrence F Kobak | Podiatrist | 781 W Park Ave, Long Beach, NY 11561-2880 | 2012-07-23 |
| 1003028101 | Kenneth B Katz | Podiatrist | 270 Edwards Blvd, Long Beach, NY 11561-3402 | 2007-05-03 |
| 1306991922 | Broadway Podiatry Clinic | Podiatrist | 915 Redondo Ave, Long Beach, CA 90804-5132 | 2007-01-24 |
| 1013953041 | Ben Buchholtz | Podiatrist | 4100 Long Beach Blvd, #200, Long Beach, CA 90807-2696 | 2006-06-20 |
| 1912975434 | Richard Henry Graves IIi | Podiatrist | 304 Cherry Ave, Long Beach, CA 90802-3848 | 2006-03-10 |
| 1528054376 | Jay L Duhl | Podiatrist | 225 Long Beach Blvd, Long Beach, NY 11561-3505 | 2005-09-26 |
| 1225035769 | Bob S Biller | Podiatrist | 756 E Park Ave, Long Beach, NY 11561-2605 | 2005-06-30 |
| 1225674260 | Richard H Graves Dpm Inc | Podiatrist | 2333 Pacific Ave, Long Beach, CA 90806-3025 | 2019-11-25 |
| 1245684844 | Richard H Graves Dpm Inc | Podiatrist | 304 Cherry Ave, Long Beach, CA 90802-3848 | 2016-04-20 |
| 1912346099 | Steven La | Podiatrist | 5901 E 7th St, Long Beach, CA 90822-5201 | 2013-06-21 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90813 |
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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.