JOSE LUIS DUARTE (NPI# 1417293283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417293283 |
| Entity Type | Individual |
| Full Name | JOSE LUIS DUARTE |
| Credential | PA-C |
| Practice Address |
9301 Wilshire Blvd Ste 404 Beverly Hills CA 90210-6137 |
| Mailing Address |
3036 Santa Fe Ave Long Beach CA 90810-2744 |
| Practice Telephone | 3102789171 |
| Mailing Telephone | 5625912785 |
| Enumeration Date | 2012-12-21 |
| Last Update Date | 2019-05-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA22674 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3036 Santa Fe Ave, Long Beach, CA 908102744 | 5625912785 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134653090 | Jose Jesus Duarte Jr. | Case Manager/Care Coordinator | 521 W 218th Pl Apt 16, Carson, CA 90745-2822 | 2017-04-18 |
| 1669604625 | Jose G Duarte | Anesthesiology | 197 N Larch Ave, Elmhurst, IL 60126-2724 | 2009-08-10 |
| 1982751616 | Jose Duarte | Physician Assistant | 7150 W 20th Ave, Suite 615, Hialeah, FL 33016-5529 | 2007-01-04 |
| 1720039274 | Jose A Duarte | Anesthesiology | 1110 N Buckner Blvd, Suite 100, Dallas, TX 75218-3487 | 2006-05-12 |
| Street Address |
9301 WILSHIRE BLVD STE 404 |
| City | BEVERLY HILLS |
| State | CA |
| Zip Code | 90210-6137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336318534 | Mikhail Yakov Rovensky | Chiropractor | 9301 Wilshire Blvd Ste 404, Beverly Hills, CA 90210-6137 | 2008-02-21 |
| 1013473073 | Rajdeep Sandhu | Family Medicine | 9301 Wilshire Blvd Ste 404, Beverly Hills, CA 90210-6137 | 2019-02-14 |
| 1639602378 | Jessica Kwan | Physician Assistant | 9301 Wilshire Blvd Ste 404, Beverly Hills, CA 90210-6137 | 2017-04-10 |
| 1871030858 | Michelle Porciuncula | Registered Nurse | 9301 Wilshire Blvd Ste 404, Beverly Hills, CA 90210-6137 | 2017-01-27 |
| 1871041798 | Mansi Mehta | Physician Assistant | 9301 Wilshire Blvd Ste 404, Beverly Hills, CA 90210-6137 | 2016-09-20 |
| 1497012421 | Uyen B Nguyen | Physician Assistant | 9301 Wilshire Blvd Ste 404, Beverly Hills, CA 90210-6137 | 2012-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225643786 | Diane Garcia | Social Worker | 436 N. Roxbury Drive, Suite 218, Beverly Hills, CA 90210 | 2020-09-11 |
| 1043834765 | Sheryl Kipper Weissberg | Marriage & Family Therapist | 9171 Wilshire Boulevard, Penthouse, Beverly Hills, CA 90210 | 2020-05-29 |
| 1093373912 | Jill Daloria | Speech-Language Pathologist | 201 N Crescent Drive, Beverly Hills, CA 90210 | 2019-06-05 |
| 1902363203 | Barry J Brock Md Inc. | Obstetrics & Gynecology | 421 N Rodeo Drive, Penthouse 1, Beverly Hills, CA 90210 | 2019-02-23 |
| 1861983884 | Beverly Hills Hair Free Corp | Contractor | 9301 Wilshire Blvd #310, Beverly Hills, CA 90210 | 2018-05-24 |
| 1245745389 | Richard L Gilbert | Marriage & Family Therapist | 301 North Bedford Drive Suite 401, Beverly Hills, CA 90210 | 2017-12-12 |
| 1588180970 | Richard Paul Braun IIi | Chiropractor | 9601 Wilshire Blvd., Within Equinox Spa, Beverly Hills, CA 90210 | 2017-08-17 |
| 1538683677 | Bh Therapy Corp. | Psychologist | 9107 Wilshire Blvd Suite 200, Beverly Hills, CA 90210 | 2017-07-31 |
| 1114374394 | Marvin Berkowitz | Family Medicine | 614 N Roxbury Dr., Beverly Hills, CA 90210 | 2016-05-18 |
| 1104287077 | Eva Silegy | Nurse Anesthetist, Certified Registered | 465 N. Roxbury Drive, Beverly Hills, CA 90210 | 2016-03-18 |
| Find all providers in zip 90210 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558986059 | Ariella Mahgerefteh | Physician Assistant | 261 S Maple Dr, Beverly Hills, CA 90212-4013 | 2020-06-10 |
| 1619507233 | Daniella Pourmoradi | Physician Assistant | 112 N Hamilton Dr Unit 210, Beverly Hills, CA 90211-2280 | 2020-01-23 |
| 1649817610 | Doris Yaghoubtil | Physician Assistant | 220 S. Hamel Dr., Beverly Hills, CA 90211 | 2019-12-09 |
| 1982255071 | Jasman Naziri | Physician Assistant | 510 Usher Pl, Beverly Hills, CA 90210-2639 | 2019-09-20 |
| 1205488475 | Dora Afrahim | Physician Assistant | 9012 Wilshire Blvd, Beverly Hills, CA 90211-1809 | 2019-07-09 |
| 1497316814 | Ashley Karimi | Physician Assistant | 630 Endrino Pl, Beverly Hills, CA 90210-1919 | 2019-06-26 |
| 1730650193 | Melissa Anne Lirag | Physician Assistant | 99 N La Cienega Blvd Ste 307, Beverly Hills, CA 90211-2283 | 2018-12-11 |
| 1568939940 | Ashley Wriedt | Physician Assistant | 3925 N Lecanto Hwy, Beverly Hills, FL 34465-3507 | 2018-10-24 |
| 1417443714 | Sharona Asal Mossazadeh | Physician Assistant | 344 S Rodeo Dr, Beverly Hills, CA 90212 | 2018-07-10 |
| 1730537374 | Dezeri Navarro | Physician Assistant | 436 N Roxbury Dr Ste 212, Beverly Hills, CA 90210-5017 | 2016-05-24 |
| Find all providers in BEVERLY HILLS | ||||
| City | BEVERLY HILLS |
| Zip Code | 90210 |
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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.