NATHAN ROBERTS (NPI# 1487172813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487172813 |
| Entity Type | Individual |
| Full Name | NATHAN ROBERTS |
| Practice Address |
12450 Van Nuys Blvd Ste 200 Pacoima CA 91331-1393 |
| Practice Telephone | (818) 896-1161 |
| Practice Fax Number | 8188965069 |
| Mailing Telephone | 8188961161 |
| Mailing Fax Number | 8188965069 |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2017-09-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 7068 | 05 | |
| CA | 6758 | 05 | |
| CA | 7420 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821455056 | Nathan Thomas Roberts | Specialist/Technologist | 501 W Laurel Ave, Pen Argyl, PA 18072-1052 | 2016-01-19 |
| 1598079873 | Nathan Bryan Roberts | Chiropractor | 125 W Monroe St, Bangor, MI 49013-1332 | 2010-07-29 |
| 1225089626 | Nathan L Roberts | Family Medicine | 301 E. Southline Road, Tuscola, IL 61953 | 2006-05-12 |
| 1811519556 | Nathan Roberts | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Dr., B1-380 Taubman Center, Ann Arbor, MI 48109-5305 | 2020-05-15 |
| 1629533880 | Nathan Roberts | Behavior Technician | 5943 Stadium Dr, Kalamazoo, MI 49009-3016 | 2019-02-01 |
| 1114405438 | Nathan Roberts | Physician Assistant | 2400 17th St, Columbus, IN 47201-5351 | 2018-07-30 |
| 1841728110 | Nathan Lee Roberts | Internal Medicine | 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2017-05-31 |
| 1871955427 | Nathan Roberts | Emergency Medicine | 400 S Santa Fe Ave, Salina, KS 67401 | 2016-03-23 |
| 1972884757 | Nathan J Roberts | Surgery | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2011-09-07 |
| 1942526165 | Nathan Roberts | Urology | 19415 Deerfield Ave, Suite 112, Lansdowne, VA 20176-8452 | 2010-04-13 |
| Street Address |
12450 VAN NUYS BLVD STE 200 |
| City | PACOIMA |
| State | CA |
| Zip Code | 91331-1393 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881643310 | Laura Duskin | Psychiatry & Neurology | 12450 Van Nuys Blvd Ste 200, Pacoima, CA 91331 | 2006-05-10 |
| 1538769831 | Jauton Wagner | Counselor | 12450 Van Nuys Blvd Ste 200, Pacoima, CA 91331-1393 | 2020-10-27 |
| 1205435104 | Caterin Munguia | Case Manager/Care Coordinator | 12450 Van Nuys Blvd Ste 200, Pacoima, CA 91331-1393 | 2020-10-21 |
| 1497353304 | Regina Grant | Licensed Vocational Nurse | 12450 Van Nuys Blvd Ste 200, Pacoima, CA 91331-1393 | 2020-10-13 |
| 1235744947 | Milena Tyler Von Wrangel | Student in an Organized Health Care Education/Training Program | 12450 Van Nuys Blvd Ste 200, Pacoima, CA 91331-1393 | 2020-09-10 |
| 1508471384 | Ratiana Karapet | Student in an Organized Health Care Education/Training Program | 12450 Van Nuys Blvd Ste 200, Pacoima, CA 91331-1393 | 2020-09-09 |
| 1093328619 | Reina Hernandez | Case Manager/Care Coordinator | 12450 Van Nuys Blvd Ste 200, Pacoima, CA 91331-1393 | 2020-08-24 |
| 1578199154 | Cynthia Manzo | Case Manager/Care Coordinator | 12450 Van Nuys Blvd Ste 200, Pacoima, CA 91331-1393 | 2020-03-16 |
| 1932734696 | Ashley Cameron | Case Manager/Care Coordinator | 12450 Van Nuys Blvd Ste 200, Pacoima, CA 91331-1393 | 2020-03-03 |
| 1629601323 | Jessica Jimenez | Case Manager/Care Coordinator | 12450 Van Nuys Blvd Ste 200, Pacoima, CA 91331-1393 | 2020-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992315956 | Kimberly Marie Tallas | Dental Assistant | 9745 Laurel Canyon, Pacoima, CA 91331 | 2020-08-05 |
| 1841822574 | Hathaway-sycamores Child and Family Services | Psychologist | 11505 Herrick Ave, Pacoima, CA 91331 | 2020-02-11 |
| 1649810995 | Amaris Care Inc | Home Health | 8953 Woodman Ave Ste 201, Arleta, CA 91331 | 2020-01-14 |
| 1801453758 | Hathaway Sycamores Child and Family Services | Psychologist | 13233 Eustace St., Pacoima, CA 91331 | 2019-05-28 |
| 1083189807 | Angelina Rosina Guzman | Student in an Organized Health Care Education/Training Program | 13459 Filmore St, 1/4, Pacoima, CA 91331 | 2018-10-08 |
| 1467972364 | Msa Pharmaceutical Services Corporation | Pharmacy | 9720 Woodman Ave, Arleta, CA 91331 | 2017-06-21 |
| 1508213588 | Yari Meita Fanusie | Counselor | 11643 Glenoaks Blvd., Pacoima, CA 91331 | 2016-05-19 |
| 1972992915 | Ray Ayala | Counselor | 16643 Glenoaks Bl., Pacoima, CA 91331 | 2015-01-14 |
| 1538569249 | Ludivina Gutierrez | Occupational Therapist | 14061 Terra Bella Street, Arleta, CA 91331 | 2014-08-29 |
| 1043646557 | Umoh-chidi Daniel | Physical Therapist | 12418 Gain St., Pacoima, CA 91331 | 2013-09-17 |
| Find all providers in zip 91331 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083189807 | Angelina Rosina Guzman | Student in an Organized Health Care Education/Training Program | 13459 Filmore St, 1/4, Pacoima, CA 91331 | 2018-10-08 |
| 1457784324 | Victor Hugo Gone | Student in an Organized Health Care Education/Training Program | 9903 El Dorado Ave, Pacoima, CA 91331-3414 | 2013-08-15 |
| 1235744947 | Milena Tyler Von Wrangel | Student in an Organized Health Care Education/Training Program | 12450 Van Nuys Blvd Ste 200, Pacoima, CA 91331-1393 | 2020-09-10 |
| 1508471384 | Ratiana Karapet | Student in an Organized Health Care Education/Training Program | 12450 Van Nuys Blvd Ste 200, Pacoima, CA 91331-1393 | 2020-09-09 |
| 1861039125 | Benjamin Joly | Student in an Organized Health Care Education/Training Program | 12450 Van Nuys Blvd Ste 200, Pacoima, CA 91331-1393 | 2019-12-05 |
| 1982240610 | Rebecca Robles | Student in an Organized Health Care Education/Training Program | 12450 Van Nuys Blvd Ste 200, Pacoima, CA 91331-1393 | 2019-11-18 |
| 1588213466 | Eric Bridges | Student in an Organized Health Care Education/Training Program | 12450 Van Nuys Blvd Ste 200, Pacoima, CA 91331-1393 | 2019-09-04 |
| 1376192245 | Allan Phillips | Student in an Organized Health Care Education/Training Program | 12450 Van Nuys Blvd Ste 200, Pacoima, CA 91331-1393 | 2019-09-04 |
| 1396394268 | Giselle Gomez | Student in an Organized Health Care Education/Training Program | 12450 Van Nuys Blvd Ste 200, Pacoima, CA 91331-1393 | 2019-09-04 |
| 1679121784 | Adela Gharabeki | Student in an Organized Health Care Education/Training Program | 12450 Van Nuys Blvd Ste 200, Pacoima, CA 91331-1393 | 2019-09-01 |
| Find all providers in PACOIMA | ||||
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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.