MRS. KIMBERLY NUCUM (NPI# 1548784135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548784135 |
| Entity Type | Individual |
| Full Name | MRS. KIMBERLY NUCUM |
| Practice Address |
1983 Marengo St Los Angeles CA 90033-1370 |
| Practice Telephone | (323) 409-7974 |
| Mailing Telephone | 3234097974 |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2017-07-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WG0100X |
Registered Nurse Specialization: Gastroenterology |
702307 | CA | Nursing Service Providers |
| Street Address |
1983 MARENGO ST |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90033-1370 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578643870 | John Raymond Yuen | Pharmacist | 1983 Marengo St, Radiopharmacy - Lac/usc Medical Center, Los Angeles, CA 90033-1370 | 2006-10-17 |
| 1326648924 | Nnenna Caroline Iheaka | Registered Nurse | 1983 Marengo St, Los Angeles, CA 90033-1370 | 2020-11-01 |
| 1609496736 | Sinat Oyinkansola Aleje | Nurse Practitioner | 1983 Marengo St, Los Angeles, CA 90033-1370 | 2020-04-18 |
| 1841841368 | Jennifer Brizuela | Social Worker | 1983 Marengo St, Los Angeles, CA 90033-1370 | 2019-09-25 |
| 1902302318 | Charlton Ong | Student in an Organized Health Care Education/Training Program | 1983 Marengo St, D&t 3d321, Los Angeles, CA 90033 | 2018-04-04 |
| 1659872802 | Paul Triamarit | Nurse Practitioner | 1983 Marengo St, Los Angeles, CA 90033-1370 | 2018-02-23 |
| 1174040216 | Darren J May | Respiratory Therapist, Registered | 1983 Marengo St, Los Angeles, CA 90033-1370 | 2017-08-29 |
| 1205353737 | Jungyee Heo Park | Registered Nurse | 1983 Marengo St, Los Angeles, CA 90033-1370 | 2017-08-25 |
| 1255858700 | Susan Tang | Registered Nurse | 1983 Marengo St, Los Angeles, CA 90033-1370 | 2017-08-25 |
| 1699292086 | Yan Chen | Registered Nurse | 1983 Marengo St, Los Angeles, CA 90033-1370 | 2017-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376165050 | Noa Yee | Student in an Organized Health Care Education/Training Program | 1200 N. State Street, Gnh 1011, Los Angeles, CA 90033 | 2020-05-15 |
| 1629690144 | Monica Lopez | Respiratory Therapist, Registered | 1251 Marengo St, Los Angeles, CA 90033 | 2020-05-07 |
| 1649890401 | Antonio Hernandez Saenz | Student in an Organized Health Care Education/Training Program | 1200 N. State Street Gnh 1060k, Los Angeles, CA 90033 | 2020-04-22 |
| 1417585100 | Kelsey Grace Shea | Student in an Organized Health Care Education/Training Program | 1200 N State St Ird 112, Los Angeles, CA 90033 | 2020-03-30 |
| 1891322780 | Carolyn Kan | Student in an Organized Health Care Education/Training Program | 1200 North State Street Clinic Tower, Suite A7d, Los Angeles, CA 90033 | 2020-03-23 |
| 1902445786 | Maury M Hopkins | Registered Nurse | 1883 Marengo Street, Los Angeles, CA 90033 | 2019-12-27 |
| 1982259792 | Beverly Austin Mccabe | Registered Nurse | 1720 E. Cesar Chavez Ave., Los Angeles, CA 90033 | 2019-08-08 |
| 1093369399 | Christine Yoon | Pharmacist | 1611 E Cesar Chavez Ave, Los Angeles, CA 90033 | 2019-07-25 |
| 1073075339 | Johanna Keller | Student in an Organized Health Care Education/Training Program | La County +usc Medical Center, 2051 Marengo Street, Los Angeles, CA 90033 | 2019-04-04 |
| 1386115137 | Sonya Lorain Earley | Physician Assistant | 2020 Zonal Avenue, Ird 626, Los Angeles, CA 90033 | 2018-12-05 |
| Find all providers in zip 90033 | ||||
| Taxonomy Code | 163WG0100X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Gastroenterology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205353737 | Jungyee Heo Park | Registered Nurse | 1983 Marengo St, Los Angeles, CA 90033-1370 | 2017-08-25 |
| 1255858700 | Susan Tang | Registered Nurse | 1983 Marengo St, Los Angeles, CA 90033-1370 | 2017-08-25 |
| 1699292086 | Yan Chen | Registered Nurse | 1983 Marengo St, Los Angeles, CA 90033-1370 | 2017-08-25 |
| 1134646987 | Luz Basmajian | Registered Nurse | 1983 Marengo St, Los Angeles, CA 90033-1370 | 2017-08-23 |
| 1407373327 | Charisse Garcia Lacuzong | Registered Nurse | 1983 Marengo St, Los Angeles, CA 90033-1370 | 2017-08-23 |
| 1083131825 | Jaime Camacho | Registered Nurse | 1983 Marengo St, Los Angeles, CA 90033-1370 | 2017-08-23 |
| 1780100602 | Christopher Glindro | Registered Nurse | 1983 Marengo St, Los Angeles, CA 90033-1370 | 2017-08-22 |
| 1649796533 | Lilian Lemus | Registered Nurse | 1983 Marengo St, Los Angeles, CA 90033-1370 | 2017-08-22 |
| 1053837948 | Edgardo Domingo Regidor | Registered Nurse | 1983 Marengo St, Los Angeles, CA 90033 | 2017-08-22 |
| 1598281420 | Chaolien Hsu | Registered Nurse | 1983 Marengo St, Los Angeles, CA 90033-1370 | 2017-08-22 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90033 |
Please comment or provide details below to improve the information on MRS. KIMBERLY NUCUM.
| 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.