CARRIE NETTLES (NPI# 1477012474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477012474 |
| Entity Type | Individual |
| Full Name | CARRIE NETTLES |
| Credential | PA-C |
| Practice Address |
8825 Whittier Blvd Pico Rivera CA 90660-2657 |
| Mailing Address |
215 Covina Ave Apt 2 Long Beach CA 90803-1826 |
| Practice Telephone | 5626993333 |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2019-03-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 56635 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
8825 WHITTIER BLVD |
| City | PICO RIVERA |
| State | CA |
| Zip Code | 90660-2657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598781098 | Pacific Home Health Care Inc | Home Health | 8825 Whittier Blvd, Suite 205, Pico Rivera, CA 90660-2600 | 2006-07-15 |
| 1932428828 | Southern California Medical Center, Inc. | Clinic/Center | 8825 Whittier Blvd, Pico Rivera, CA 90660-2600 | 2010-05-18 |
| 1891830014 | Elmer Ivan Herrera | Social Worker | 8825 Whittier Blvd, Pico Rivera, CA 90660-2657 | 2007-02-21 |
| 1932253861 | Anees Fatima | Clinic/Center | 8825 Whittier Blvd, Pico Rivera, CA 90660 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073035705 | Breanna Marie Rodriguez | Social Worker | 4559 Bridgeview Avenue, Pico Rivera, CA 90660 | 2017-07-14 |
| 1538610928 | Ilce Guadalupe Lopez | Specialist | 7406 Rosemead Blvd. Apt 24, Pico Rivera, CA 90660 | 2016-10-20 |
| 1467809558 | Lizandra Vargas | Radiologic Technologist | 9414 Slauson Ave, Pico Rivera, CA 90660 | 2016-05-18 |
| 1376900340 | Cristian Gandara | Behavioral Analyst | 9625 Lochinvar Dr, Pico Rivera, CA 90660 | 2016-01-21 |
| 1306231352 | Shi Yan Xu | Acupuncturist | 9900 Tagus St., #27, Pico Rivera, CA 90660 | 2015-04-06 |
| 1174947873 | Spine & Joint Solutions | Chiropractor | 2739 Berkshire Rd, Pico Rivera, CA 90660 | 2014-02-17 |
| 1972938157 | Loreta Melkumyan | Student in an Organized Health Care Education/Training Program | 9101 Whittier Blvd., Pico Rivera, CA 90660 | 2013-09-06 |
| 1467702365 | Daisy Cruz | Counselor | 8743 Warvale St., Pico Rivera, CA 90660 | 2012-09-18 |
| 1508138850 | Laura Chow | Pharmacist | 8900 Washington Ave., Pico Rivera, CA 90660 | 2012-02-02 |
| 1386960060 | Medihand Acupuncture, Inc | Acupuncturist | 9519 Telegraph Rd. Suite A, Pico Rivera, CA 90660 | 2010-04-20 |
| Find all providers in zip 90660 | ||||
| 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 |
|---|---|---|---|---|
| 1073086344 | Sydney Skinner | Physician Assistant | 9315 Whittier Blvd, Pico Rivera, CA 90660-2746 | 2019-01-09 |
| 1063588507 | Melissa De Guzman Duag | Physician Assistant | 9436 E. Slauson Avenue, Pico Rivera, CA 90660-4748 | 2006-11-27 |
| 1477579142 | Rosalie M Endozo | Physician Assistant | 9436 Slauson Ave, Pico Rivera, CA 90660-4748 | 2006-07-14 |
| 1801852595 | Julio R Gonzalez | Physician Assistant | 5036 Passons Blvd, Suite 2, Pico Rivera, CA 90660 | 2006-04-22 |
| 1427031285 | Neil George Da Re | Physician Assistant | 9201 Whittier Blvd, Pico Rivera, CA 90660-2450 | 2005-11-25 |
| 1043456973 | Daniel Rivas-tejada | Physician Assistant | 6758 Passons Blvd, Pico Rivera, CA 90660-3666 | 2008-12-23 |
| 1881760320 | Gary Steven Ramirez | Physician Assistant | 9436 E. Slauson Avenue, Pico Rivera, CA 90660-4748 | 2006-11-27 |
| 1669556155 | Elizabeth Maugh | Physician Assistant | 9201 Whittier Blvd, Pico Rivera, CA 90660-2450 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407679 | Samantha Sidney Spinner | Physician Assistant | 1385 Shattuck Ave Apt 201, Berkeley, CA 94709-1468 | 2020-11-08 |
| 1134720972 | Alessandra Porfido | Physician Assistant | 733 Filbert St Apt 1, San Francisco, CA 94133-2767 | 2020-11-06 |
| 1992306872 | Kelsey Oberg | Physician Assistant | 1817 Oldfield Ct, El Cajon, CA 92019-4233 | 2020-11-05 |
| 1609477504 | Julia Claire Stiefel | Physician Assistant | 369 Orange St Apt A, Oakland, CA 94610-2979 | 2020-11-05 |
| 1164023347 | Wendy P Lewis | Physician Assistant | 10447 Highdale St, Bellflower, CA 90706-4122 | 2020-11-04 |
| 1245830181 | Lauren Bennett | Physician Assistant | 3360 Horizon St, Corona, CA 92881-0728 | 2020-10-29 |
| 1538769062 | Revital Ahl | Physician Assistant | 18141 Medley Dr, Encino, CA 91316-4447 | 2020-10-26 |
| 1922607423 | Emily Halla | Physician Assistant | 7473 Gresham Ct, San Jose, CA 95139-1424 | 2020-10-26 |
| 1386243889 | Ilaitia Lecia Namatasere | Physician Assistant | 614 Sycamore Ln Apt 225, Davis, CA 95616-7901 | 2020-10-26 |
| 1083213706 | Courtney Kathryn Hopp | Physician Assistant | 4060 Fourth Ave Ste 209, San Diego, CA 92103-2120 | 2020-10-23 |
| Find all providers with the same taxonomy | ||||
| City | PICO RIVERA |
| Zip Code | 90660 |
Please comment or provide details below to improve the information on CARRIE NETTLES.
| 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.