JOETTA DESWARTE WALLCE (NPI# 1417258294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417258294 |
| Entity Type | Individual |
| Full Name | JOETTA DESWARTE WALLCE |
| Credential | NP |
| Practice Address |
2653 Elm Ave Suite 200 Long Beach CA 90806-1652 |
| Mailing Address |
6430 W Sunset Blvd Suite 600 Los Angeles CA 90028-7900 |
| Practice Telephone | 5627285000 |
| Practice Fax Number | 5625955296 |
| Mailing Telephone | 3233612337 |
| Mailing Fax Number | 3233618491 |
| Enumeration Date | 2010-11-09 |
| Last Update Date | 2010-11-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 244499 | CA | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | 15928 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364S00000X | Clinical Nurse Specialist | 787 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2653 ELM AVE SUITE 200 |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90806-1652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891788766 | Pediatric & Adolescent Hematology-oncology Associates | Specialist | 2653 Elm Ave, Suite 200, Long Beach, CA 90806-1652 | 2005-08-25 |
| 1588108781 | Susan Veronica Shannon | Nurse Practitioner | 2653 Elm Ave, Suite 200, Long Beach, CA 90806-1652 | 2016-12-07 |
| 1023462884 | Tiffany Green | Nurse Practitioner | 2653 Elm Ave, Suite 300, Long Beach, CA 90806-1652 | 2016-04-19 |
| 1780818369 | David C Simon | Pediatrics | 2653 Elm Ave, Suite 200, Long Beach, CA 90806-1652 | 2009-05-11 |
| 1710039953 | Oncology Hematology Consultants Medical Group, Inc. | Specialist | 2653 Elm Ave, Suite 300, Long Beach, CA 90806-1652 | 2007-01-17 |
| 1083727051 | Ramesh Patel | Pediatrics | 2653 Elm Ave, #200, Long Beach, CA 90806-1652 | 2006-08-16 |
| 1639139595 | William J Lyons | Specialist | 2653 Elm Ave, Ste 300, Long Beach, CA 90806-1652 | 2006-03-24 |
| 1922068881 | Anthony A. Ciarolla | Specialist | 2653 Elm Ave, Ste 300, Long Beach, CA 90806 | 2006-03-24 |
| 1841250719 | Cynthia Ann Forsthoff | Specialist | 2653 Elm Ave, Ste 300, Long Beach, CA 90806-1652 | 2006-03-24 |
| 1235118993 | Nicolann Lynn Hedgpeth | Nurse Practitioner | 2653 Elm Ave, Suite 300, Long Beach, CA 90806-1652 | 2006-01-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437624913 | Blanca C Gonzalez | Community Health Worker | 2600 Redondo Ave 6th Floor, Long Beach, CA 90806 | 2018-10-10 |
| 1780192740 | New Healthcare Supplies Inc | Durable Medical Equipment & Medical Supplies | 1001 E Pacific Coast Hwy Ste 117, Long Beach, CA 90806 | 2018-01-11 |
| 1265946586 | California Sleep Neurology Organization for Wellness | Clinic/Center | 2651 Elm Avenue, Suite 205, Long Beach, CA 90806 | 2017-11-22 |
| 1053820613 | Magnolia Cedeno-moreno | Counselor | 2600 Redondo Ave. 3rd Fl, Long Beach, CA 90806 | 2017-09-27 |
| 1144747569 | Kimberly Savanannah Rodriguez | Social Worker | 2600 Redondo Ave., 6th Floor, Long Beach, CA 90806 | 2017-08-25 |
| 1194257170 | Sarah Mahmood | Pediatrics | The Children's Clinic, 2360 Pacific Ave, Long Beach, CA 90806 | 2017-03-29 |
| 1801334784 | Denise Harbor | Student in an Organized Health Care Education/Training Program | 721 East 28th Street, Suite 401, Long Beach, CA 90806 | 2017-02-10 |
| 1083152839 | Kim Vu | Student in an Organized Health Care Education/Training Program | 701 East 28th Street Ste. 416, Long Beach, CA 90806 | 2017-02-01 |
| 1568910719 | Andrea Corona | Community Health Worker | 850 W Wardlow Rd, Long Beach, CA 90806 | 2016-09-16 |
| 1235589110 | Sarah Keihany-yazdy | Nurse Practitioner | 2000 San Gabriel Ave, Long Beach, CA 90806 | 2016-06-21 |
| Find all providers in zip 90806 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437700291 | Emily Colorado | Nurse Practitioner | 3810 Albury Ave, Long Beach, CA 90808-2044 | 2019-09-24 |
| 1356802292 | Sarah Akbar | Nurse Practitioner | 3711 Long Beach Blvd Ste 101b, Long Beach, CA 90807-3300 | 2019-03-25 |
| 1689132771 | Alicia Naomi Nishioka | Nurse Practitioner | 5950 Brayton Ave, Long Beach, CA 90805-4260 | 2019-03-07 |
| 1235612193 | Linda Nyagaya | Nurse Practitioner | 200 Oceangate, Suite 100 Long Beach, Ca 90802, Long Beach, CA 90802 | 2018-09-06 |
| 1780163188 | Marien Guadalupe Zavala | Nurse Practitioner | 2618 E Adams St, Long Beach, CA 90810-1503 | 2018-08-07 |
| 1023547452 | Tina Bayer | Nurse Practitioner | 427 East Chester Street 2nd Floor, Long Beach, NY 11561 | 2017-06-08 |
| 1205227089 | Katerina Perez | Nurse Practitioner | 6213 E Seaside Walk # A, Long Beach, CA 90803-5655 | 2015-02-14 |
| 1720498504 | Alan Jeff Baldrias | Nurse Practitioner | 3300 East South St. # 203, Long Beach, CA 90404 | 2014-05-02 |
| 1194943431 | Linda Ruth Goldstein | Nurse Practitioner | 206 West Park Ave, Long Beach, NY 11561 | 2007-04-23 |
| 1760542252 | Laurel Jean Babcock Gill | Nurse Practitioner | 1250 Bellflower Blvd, Shs, Long Beach, CA 90840-0201 | 2006-12-12 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90806 |
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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.