ALEXANDRA KIRTCHIK (NPI# 1376093914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376093914 |
| Entity Type | Individual |
| Full Name | ALEXANDRA KIRTCHIK |
| Credential | NP |
| Practice Address |
1017 S Fair Oaks Ave Pasadena CA 91105-2621 |
| Practice Telephone | 6264036200 |
| Mailing Telephone | 6264036200 |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2018-04-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
95005127 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
95005127 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1017 S FAIR OAKS AVE |
| City | PASADENA |
| State | CA |
| Zip Code | 91105-2621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629060694 | Clayton Alexander Varga | Anesthesiology | 1017 S Fair Oaks Ave, Pasadena, CA 91105-2621 | 2005-08-16 |
| 1871138529 | Norman Wong | Physical Therapist | 1017 S Fair Oaks Ave, Pasadena, CA 91105-2621 | 2019-11-16 |
| 1346802840 | Shakeela Swaby | Nurse Practitioner | 1017 S Fair Oaks Ave, Pasadena, CA 91105-2621 | 2019-07-03 |
| 1801351531 | Rod William Young | Physical Therapist | 1017 S Fair Oaks Ave, Pasadena, CA 91105-2621 | 2019-02-06 |
| 1750890083 | Sioneh Paria | Nurse Practitioner | 1017 S Fair Oaks Ave, Pasadena, CA 91105-2621 | 2017-09-29 |
| 1831626043 | Faith Adole | Nurse Practitioner | 1017 S Fair Oaks Ave, Pasadena, CA 91105-2621 | 2017-05-18 |
| 1437696226 | Michela S. Termechi | Nurse Practitioner | 1017 S Fair Oaks Ave, Pasadena, CA 91105 | 2017-01-31 |
| 1649727587 | Amanda Miller | Occupational Therapist | 1017 S Fair Oaks Ave, Pasadena, CA 91105-2621 | 2016-09-08 |
| 1073960613 | Aparna Kuvalekar | Physical Therapist | 1017 S Fair Oaks Ave, Pasadena, CA 91105-2621 | 2016-05-24 |
| 1508227596 | Allison Mary Brown | Specialist/Technologist | 1017 S Fair Oaks Ave, Pasadena, CA 91105-2621 | 2016-03-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619451697 | Tonya Michlin | Registered Nurse | 800 Fairmount Ave Ste 110, Pasadena, CA 91105 | 2018-09-17 |
| 1639674161 | David Marcus Md, Inc. | Psychiatry & Neurology | 107 S. Fair Oaks Avenue, Suite #315, Pasadena, CA 91105 | 2018-03-27 |
| 1548778541 | Elias & Jun Dental Corp | Dentist | 301 S. Fair Oaks Ave., Ste 107, Pasadena, CA 91105 | 2018-01-12 |
| 1013429745 | Whitney Catalano | Dietitian, Registered | 100 S Orange Grove Blvd, 103, Pasadena, CA 91105 | 2017-11-03 |
| 1518485630 | Marlon O Miller | Counselor | 1020 South Arroyo Parkway, Pasadena, CA 91105 | 2017-09-08 |
| 1316469976 | Alexandra Scott | Speech-Language Pathologist | 235 La Vereda Road, Pasadena, CA 91105 | 2017-07-14 |
| 1346770443 | Amanda Grace Gentz | Rehabilitation Practitioner | 210 S De Lacey, Ste 110, Pasadena, CA 91105 | 2017-06-13 |
| 1427598390 | Melina Gomez Loza | Licensed Vocational Nurse | 66 Hilburt St #2, Pasadena, CA 91105 | 2017-02-27 |
| 1588115281 | Ramon Banuelos | Rehabilitation Practitioner | 210 S. Delacey Ave Suite 110, Pasadena, CA 91105 | 2016-10-18 |
| 1922554245 | Daniel Joseph Ybarra | Student in an Organized Health Care Education/Training Program | 100 W. California Blvd. Pasadena, Ca 91105, Pasadena, CA 91105 | 2016-08-28 |
| Find all providers in zip 91105 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013414564 | Jessica Alexandra Monzon | Nurse Practitioner | Planned Parenthood, 1045 N Lake Ave, Pasadena, CA 91104 | 2018-04-11 |
| 1437542149 | Charisse Danglacruz | Nurse Practitioner | 155 N Lake Ave, Pasadena, CA 91101-1849 | 2015-03-05 |
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| 1962014381 | Mario Javier Herrera | Nurse Practitioner | 2130 High Pointe Dr, Apt 108, Corona, CA 92879 | 2020-08-18 |
| 1952912131 | Norman Ivan Kier | Nurse Practitioner | 3834 Edison Ave, Sacramento, CA 95821-2728 | 2020-08-12 |
| 1942811377 | Thanhan Mathews | Nurse Practitioner | 114 W Cameron St Apt B, Hanford, CA 93230-2965 | 2020-08-10 |
| 1972113355 | Marine Mary Kademyan | Nurse Practitioner | 6528 Babcock Ave, North Hollywood, CA 91606 | 2020-07-31 |
| 1245849645 | Shannon Pereira | Nurse Practitioner | 2368 Honeysuckle Way, Hemet, CA 92545-4796 | 2020-07-31 |
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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.