KATHLEEN CONSTANTINO (NPI# 1487201083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487201083 |
| Entity Type | Individual |
| Full Name | KATHLEEN CONSTANTINO |
| Credential | NP-C |
| Practice Address |
11329 Yearling St Cerritos CA 90703-6560 |
| Mailing Address |
1701 Cesar Chavez Ave Ste 230 Los Angeles CA 90033-2496 |
| Practice Telephone | 5622778328 |
| Mailing Telephone | 3232261100 |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2020-01-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95012440 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
11329 YEARLING ST |
| City | CERRITOS |
| State | CA |
| Zip Code | 90703-6560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952909582 | Michael Wong Dental Corporation | Dentist | 11549 South Street, Cerritos, CA 90703 | 2020-10-15 |
| 1144837139 | Essential California Ipa Inc. | Health Maintenance Organization | 1800 Studebaker Rd., 100, Cerritos, CA 90703 | 2020-09-24 |
| 1447868377 | Auxilium Health Network, Inc. | Health Maintenance Organization | 18000 Studebaker Dr, Cerritos, CA 90703 | 2020-07-16 |
| 1154939098 | Absolute Medical Partners, A Professional Medical Corporation | Health Maintenance Organization | 18000 Studebaker Rd., Ste 100, Cerritos, CA 90703 | 2020-07-16 |
| 1558906487 | Vitruvian Care, Inc. | Health Maintenance Organization | 18000 Studebaker Road Suite 100, Cerritos, CA 90703 | 2019-11-14 |
| 1841843554 | Ha Tran Tsai Dental Corporation | Dentist | 16466 Norwalk Boulevard, Cerritos, CA 90703 | 2019-07-22 |
| 1457828097 | Angela Ofoegbu | Registered Nurse | 10733 Elgers St, Cerritos, CA 90703 | 2018-11-01 |
| 1689183352 | Zeela G Diwa | Occupational Therapist | 12736 Palm Street, Cerritos, CA 90703 | 2017-09-26 |
| 1114446119 | Cooper Lee | Physical Therapist | 18503 Noran Ave, Cerritos, CA 90703 | 2017-09-12 |
| 1295259141 | Miyeon Vivienne Lee | Nurse Practitioner | 13337 South Street #158, Cerritos, CA 90703 | 2017-08-02 |
| Find all providers in zip 90703 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902414691 | Connie Ju-hye Chung | Nurse Practitioner | 11911 Artesia Blvd Ste 101, Cerritos, CA 90701-4070 | 2020-07-19 |
| 1407407083 | Maria Nina Feniza Quimpo | Nurse Practitioner | 12041 Bertha St, Cerritos, CA 90703-7556 | 2019-09-24 |
| 1154802593 | Jean Michelle Mendiola Mayuga | Nurse Practitioner | 10952 Elena St, Cerritos, CA 90703-1509 | 2018-08-23 |
| 1295259141 | Miyeon Vivienne Lee | Nurse Practitioner | 13337 South Street #158, Cerritos, CA 90703 | 2017-08-02 |
| 1609224708 | Mark Christian Sampang | Nurse Practitioner | 19706 Ray Cir, Cerritos, CA 90703-7546 | 2016-05-31 |
| 1679935308 | Angela Ngozi Nwosu | Nurse Practitioner | 19719 Jacob Ave, Cerritos, CA 90703-7527 | 2016-03-22 |
| 1851775639 | Heather Crabtree Fitchner | Nurse Practitioner | 12989 Towne Center Dr, Cerritos, CA 90703-8549 | 2015-07-12 |
| 1134513997 | Janell Ocampo | Nurse Practitioner | 11402 South St, Cerritos, CA 90703-6611 | 2015-03-19 |
| 1023409620 | Cynthia De Jarnett | Nurse Practitioner | 12900 Park Center Dr., #150, Cerritos, CA 90703 | 2015-02-18 |
| 1407247505 | Nidia Aguilar Guadian | Nurse Practitioner | 11884 Bertha St, Cerritos, CA 90703-7517 | 2015-02-10 |
| Find all providers in CERRITOS | ||||
Please comment or provide details below to improve the information on KATHLEEN CONSTANTINO.
| 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.