VICTORIA GANTAR (NPI# 1497125272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497125272 |
Entity Type | Individual |
Full Name | VICTORIA GANTAR |
Credential | C.R.T (R)(M)(F) |
Practice Address |
808 W 58th St Los Angeles CA 90037-3632 |
Mailing Address |
526 E Maple Ave El Segundo CA 90245-2424 |
Practice Telephone | 3235411600 |
Mailing Telephone | 7012133648 |
Enumeration Date | 2015-10-06 |
Last Update Date | 2015-10-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2471C3402X |
Radiologic Technologist Specialization: Radiography |
RHM00069343 | CA | Technologists, Technicians & Other Technical Service Providers |
Y | 2471M2300X |
Radiologic Technologist Specialization: Mammography |
RHM00069343 | CA | Technologists, Technicians & Other Technical Service Providers |
Street Address |
808 W 58TH ST |
City | LOS ANGELES |
State | CA |
Zip Code | 90037-3632 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356457550 | Adrienne L Hurley | Physician Assistant | 808 W 58th St, Suite A, Los Angeles, CA 90037-3632 | 2006-08-21 |
1942808654 | Kaitlynn Menjo | Nurse Practitioner | 808 W 58th St, Los Angeles, CA 90037-3632 | 2020-10-14 |
1508471723 | Elizabeth Reyes | Social Worker | 808 W 58th St, Los Angeles, CA 90037-3632 | 2020-09-14 |
1639788185 | Gina Hyung-jin Kim | Nurse Practitioner | 808 W 58th St, Los Angeles, CA 90037-3632 | 2020-07-29 |
1578189262 | Laorence Wassom | Nurse Practitioner | 808 W 58th St, Los Angeles, CA 90037-3632 | 2020-06-18 |
1780210807 | Jesica Viviana Cardiel | Counselor | 808 W 58th St, Los Angeles, CA 90037-3632 | 2020-03-20 |
1184250144 | Vernica Neche Foots | Nurse Practitioner | 808 W 58th St, Los Angeles, CA 90037-3632 | 2020-03-20 |
1528694957 | Audra Wong | Nurse Practitioner | 808 W 58th St, Los Angeles, CA 90037-3632 | 2020-03-17 |
1558996579 | Natalie Drorbaugh | Nurse Practitioner | 808 W 58th St, Los Angeles, CA 90037-3632 | 2020-03-10 |
1083248942 | Carly Rose Devirian | Nurse Practitioner | 808 W 58th St, Los Angeles, CA 90037-3632 | 2020-02-28 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871119701 | Carina Lizette Guerra | Nurse Practitioner | St. John's Well Child and Family Center, Inc., 808 W. 58th Street, Los Angeles, CA 90037 | 2020-06-16 |
1114556263 | Arm 4 Arm Foundation | Clinic/Center | 231 W Vernon Ave., Suite 101, 201, Los Angeles, CA 90037 | 2020-04-01 |
1407329766 | Lucidite Sleep Laboratory & Treatment Center Inc | Clinic/Center | 231 W Vernon Ave. Suite 108, Los Angeles, CA 90037 | 2019-01-09 |
1013491505 | Nancy Sandoval | Social Worker | 644 W 42nd Place, Los Angeles, CA 90037 | 2018-09-20 |
1932603081 | Adam Wiswell | Psychologist | 3982 S. Figueroa Street, Suite 203, Los Angeles, CA 90037 | 2018-03-22 |
1548764392 | St. John's Well Child and Family Center, Inc. | Clinic/Center | 1000 W. 50th St, Los Angeles, CA 90037 | 2018-03-19 |
1134637150 | Tamayo Inc & Lascoe Inc Dental Partnership | Dentist | 4400 S Broadway Ste #103, Los Angeles, CA 90037 | 2018-01-11 |
1295282283 | Catherine Azzopardi | Social Worker | 4601 S Broadway, Los Angeles, CA 90037 | 2016-09-07 |
1619423266 | Esmeralda Garcia | Dietitian, Registered | 808 W. 58th Street, 2nd Floor, Los Angeles, CA 90037 | 2016-09-01 |
1225405921 | Sophan Cheng | Nurse Practitioner | 808 W. 58th Street, Los Angeles, CA 90037 | 2015-08-28 |
Find all providers in zip 90037 |
Taxonomy Code | 2471M2300X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Radiologic Technologist |
Specialization | Mammography |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447309356 | Orange Imaging Medical Center | Radiologic Technologist | 500 S Anaheim Hills Rd Ste 121, Anaheim, CA 92807-4762 | 2007-01-09 |
1902304512 | Chelsea Murphy | Radiologic Technologist | 250 Bon Air Rd, Greenbrae, CA 94904-1702 | 2018-01-29 |
1013218825 | Women's Diagnostic Imaging Med. Center, Inc. | Radiologic Technologist | 333 S Fair Oaks Ave, Pasadena, CA 91105-2541 | 2010-11-10 |
1235305459 | Betty J Calvin | Radiologic Technologist | 3081 Teagarden St, San Leandro, CA 94577-5720 | 2008-05-07 |
1851573752 | Karine Gasparyan | Radiologic Technologist | 21740 Devonshire St, Suite #3, Chatsworth, CA 91311-2903 | 2007-12-03 |
1639359771 | Downey Breast Diagnostic Clinic Inc | Radiologic Technologist | 8301 Florence Ave, 101, Downey, CA 90240-3936 | 2007-11-06 |
City | LOS ANGELES |
Zip Code | 90037 |
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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.