EN ROUTE MEDICAL STAFFING LLC (NPI# 1548884216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548884216 |
| Entity Type | Organization |
| Organization Name | EN ROUTE MEDICAL STAFFING LLC |
| Practice Address |
3705 W Pico Blvd Ste 1714 Los Angeles CA 90019-3451 |
| Practice Telephone | 3106514279 |
| Mailing Telephone | 3106514279 |
| Enumeration Date | 2020-05-29 |
| Last Update Date | 2020-05-29 |
| Authorized Official Name | JASON CALLOWAY (OWNER) |
| Authorized Official Telephone | 3106514279 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3705 W PICO BLVD STE 1714 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90019-3451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386299139 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 1302 South La Brea, Los Angeles, CA 90019 | 2019-08-08 |
| 1104383694 | 310 Recovery Inc. | Clinic/Center | 1723 1/2 Hauser Blvd, Los Angeles, CA 90019 | 2019-02-21 |
| 1184131328 | Sehyeong Son | Acupuncturist | 1722 Crenshaw Blvd, Los Angeles, CA 90019 | 2018-01-09 |
| 1285158154 | Vanessa A. Myrie | Social Worker | 5562 Packard St., Los Angeles, CA 90019 | 2017-08-01 |
| 1093241309 | Hamburger Home | Community/Behavioral Health | 4066 W. 17th Street, Los Angeles, CA 90019 | 2017-05-05 |
| 1639614779 | Jung Ho Kang | Acupuncturist | 903 S. Crenshaw Blvd #304a, Los Angeles, CA 90019 | 2016-12-28 |
| 1912353491 | Sung Won Lee | Acupuncturist | 4027 W. Pico Bl., Los Angeles, CA 90019 | 2016-05-13 |
| 1497188528 | Sfvcmhc | Community/Behavioral Health | 5754 San Vicente Blvd, 401, Los Angeles, CALIFORNIA 90019 | 2013-08-13 |
| 1467890160 | Denise Breheny | Lactation Consultant, Non-RN | 1053 Carmona Ave., Los Angeles, CA 90019 | 2013-06-05 |
| 1336483122 | Nancy Denise - Latten Davidson | Student in an Organized Health Care Education/Training Program | 4073-75 West Pico Blvd, Los Angeles, CA 90019 | 2012-11-16 |
| Find all providers in zip 90019 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003640 | Samira Kadri | Nurse Practitioner | 431 S Burnside Ave Apt 3g, Los Angeles, CA 90036-5343 | 2020-11-08 |
| 1528672110 | Christopher Tria Coronel | Nurse Practitioner | 3435 Garden Ave, Los Angeles, CA 90039-1919 | 2020-09-01 |
| 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 |
| 1922621432 | Latasha Tracy Warren | Nurse Practitioner | 1720 N Fuller Ave Apt 450, Los Angeles, CA 90046-3076 | 2020-05-19 |
| 1578184966 | Shin Il Kim | Nurse Practitioner | 450 Bauchet St Fl 8, Los Angeles, CA 90012-2907 | 2020-04-27 |
| 1457971160 | Karen Kim-chang | Nurse Practitioner | 450 Bauchet St Rm E815, Los Angeles, CA 90012-2907 | 2020-04-22 |
| 1912534033 | Anthony Felipe Banuelos Villa | Nurse Practitioner | 3437 Ellison St, Los Angeles, CA 90063-1901 | 2020-03-26 |
| 1629605506 | Ana Yely Nunez Nunez | Nurse Practitioner | 6017 Miramonte Blvd, Los Angeles, CA 90001-1327 | 2020-03-23 |
| 1154957769 | Maybel Deguzman Dumlao | Nurse Practitioner | 4371 Stewart Ave, Los Angeles, CA 90066-6133 | 2020-03-14 |
| 1821623521 | Eric James Bautista Bolisay | Nurse Practitioner | 3622 Clarington Ave Apt 4, Los Angeles, CA 90034-5095 | 2020-03-03 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90019 |
Please comment or provide details below to improve the information on EN ROUTE MEDICAL STAFFING LLC.
| 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.