SUZANNE RACHELLE BUTALA (NPI# 1366548372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366548372 |
| Entity Type | Individual |
| Full Name | SUZANNE RACHELLE BUTALA |
| Credential | NP |
| Practice Address |
20701 Beach Blvd #277 Huntington Beach CA 92648-4908 |
| Mailing Address |
19121 Beach Blvd Huntington Beach CA 92648-2307 |
| Practice Telephone | 7146618439 |
| Mailing Telephone | 7148481522 |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2014-02-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
NPF4529 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
256495 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | NP CERTIFICATION | NPC4529 | 01 |
| Street Address |
20701 BEACH BLVD #277 |
| City | HUNTINGTON BEACH |
| State | CA |
| Zip Code | 92648-4908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861009870 | Nutrition By Gwen Consulting | Dietitian, Registered | 11821 Delaware St. Ste. 236, Huntington Beach, CA 92648 | 2020-09-24 |
| 1679131668 | Honey Dixit | Marriage & Family Therapist | 18992 Florida Street, Apt No. G6, Huntington Beach, CA 92648 | 2019-06-04 |
| 1326525361 | Gold Standard Recovery Services, LLC | Substance Abuse Rehabilitation Facility | 2319 Whitesands Dr Unit 3 & 4, Huntington Beach, CA 92648 | 2018-07-23 |
| 1336690338 | Douglas Chee | Physician Assistant | 1400 Pacific Coast Hwy Apt 201, Huntington Beach, CA 92648 | 2016-10-14 |
| 1801343124 | Serena Trang Ta | Dentist | 18700 Main St Ste 203, Huntington Beach, CA 92648 | 2016-09-02 |
| 1659826485 | Griffo Chiropractic Center Inc | Chiropractor | 18811 Huntington St Ste 100b, Huntington Beach, CA 92648 | 2016-08-22 |
| 1184076143 | Kaely Mcdevitt | Dietitian, Registered | 19400 Beach Blvd Ste 1, Huntington Beach, CA 92648 | 2016-07-01 |
| 1699123885 | Jack Petti | Clinical Medical Laboratory | 226 6th Street, Huntington Beach, CA 92648 | 2016-05-27 |
| 1275980880 | David Whitehouse | Pharmacist | 7989 Aldea Circle, Huntington Beach, CA 92648 | 2016-05-24 |
| 1265886345 | Kimberly Lank | Pediatrics | 19582 Beach Blvd Ste 360, Huntington Beach, CA 92648 | 2016-04-14 |
| Find all providers in zip 92648 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386254910 | Trinh Nguyen | Nurse Practitioner | 15021 Capetown Ln, Huntington Beach, CA 92647-2444 | 2020-08-07 |
| 1528600079 | Steven Hsin-hui Sheu | Nurse Practitioner | 16152 Chipper Ln, Huntington Beach, CA 92649-2750 | 2019-10-16 |
| 1104398890 | George Damasco | Nurse Practitioner | 16162 Beach Blvd Ste 100, Huntington Beach, CA 92647-3828 | 2018-12-19 |
| 1508335761 | Janna Hunt | Nurse Practitioner | 626 Terrace Cir, Huntington Beach, CA 92648-2573 | 2018-11-17 |
| 1134628621 | Veronica Sezanov Ivelia | Nurse Practitioner | 9171 Browning Dr, Huntington Beach, CA 92646-5247 | 2018-02-09 |
| 1790217024 | Virginia Anne Zachary-bennett | Nurse Practitioner | 18800 Main St., Suite 103, Huntington Beach, CA 92648-1717 | 2017-03-27 |
| 1619415122 | Katia Oconnor | Nurse Practitioner | 20251 Sealpoint Ln, Unit#204, Huntington Beach, CA 92646-8565 | 2017-02-03 |
| 1740726082 | Claire Dellegrotti Liston | Nurse Practitioner | 21034 Pacific Coast Hwy # 2c230, Huntington Beach, CA 92648-5335 | 2017-01-10 |
| 1538539846 | Leah Barbara Sullivan | Nurse Practitioner | 17371 Whetmore Ln, Huntington Beach, CA 92647-5647 | 2015-09-29 |
| 1851770929 | Michael Soroudi | Nurse Practitioner | 7152 Sunlight Dr Sunlight, Huntington Beach, CA 92647 | 2015-05-22 |
| Find all providers in HUNTINGTON BEACH | ||||
| City | HUNTINGTON BEACH |
| Zip Code | 92648 |
Please comment or provide details below to improve the information on SUZANNE RACHELLE BUTALA.
| 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.