DR. PATRICIA KATHERINA SAN PEDRO TAMAYO (NPI# 1629604384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629604384 |
| Entity Type | Individual |
| Full Name | DR. PATRICIA KATHERINA SAN PEDRO TAMAYO |
| Credential | DNP |
| Practice Address |
4733 W Sunset Blvd Los Angeles CA 90027-6021 |
| Mailing Address |
369 N Lafayette Pk Pl Apt 3 Los Angeles CA 90026-4749 |
| Practice Telephone | 3232831399 |
| Mailing Telephone | 9514151972 |
| Enumeration Date | 2020-03-13 |
| Last Update Date | 2020-03-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
4812 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SG0600X |
Clinical Nurse Specialist Specialization: Gerontology |
4812 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4733 W SUNSET BLVD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90027-6021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578655908 | Sangeeta K. Aggarwal | Internal Medicine | 4733 W Sunset Blvd, Los Angeles, CA 90027-6021 | 2006-09-30 |
| 1326544313 | Justin Dong | Student in an Organized Health Care Education/Training Program | 4733 W Sunset Blvd, Los Angeles, CA 90027-6021 | 2018-03-30 |
| 1700380110 | Malerie Pratt | Student in an Organized Health Care Education/Training Program | 4733 W Sunset Blvd, Los Angeles, CA 90027-6021 | 2018-03-20 |
| 1528594405 | Jennifer Sakioka | Student in an Organized Health Care Education/Training Program | 4733 W Sunset Blvd, 3rd Floor, Los Angeles, CA 90027-6021 | 2017-05-11 |
| 1649707456 | Erica Simone Gabriel Tukiainen | Family Medicine | 4733 W Sunset Blvd, 3rd Floor, Los Angeles, CA 90027-6021 | 2017-05-11 |
| 1578099669 | Benjamin Bijan Pezeshki | Student in an Organized Health Care Education/Training Program | 4733 W Sunset Blvd, 3rd Floor, Los Angeles, CA 90027-6021 | 2017-05-10 |
| 1518492966 | Reshma Ramachandran | Student in an Organized Health Care Education/Training Program | 4733 W Sunset Blvd, 3rd Floor, Los Angeles, CA 90027-6021 | 2017-04-24 |
| 1467986919 | Russell Robinson Flato | Student in an Organized Health Care Education/Training Program | 4733 W Sunset Blvd, 3rd Floor, Los Angeles, CA 90027-6021 | 2017-04-11 |
| 1891228516 | Borna Mohabbatizadeh | Student in an Organized Health Care Education/Training Program | 4733 W Sunset Blvd, 3rd Floor, Los Angeles, CA 90027-6021 | 2017-04-10 |
| 1558894212 | Jacqueline Thieu Lanchi Nguyen | Student in an Organized Health Care Education/Training Program | 4733 W Sunset Blvd, 3rd Floor, Los Angeles, CA 90027-6021 | 2017-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326653593 | Lamia Binhuwaishel | Student in an Organized Health Care Education/Training Program | 4650 Sunset Blvd, Craniofacial and Special Needs Ortho, Los Angeles, CA 90027 | 2020-09-14 |
| 1285242594 | Rocio Jimenez | Case Manager/Care Coordinator | 4650 Sunset Blvd, Mailstop #53, Los Angeles, CA 90027 | 2020-07-22 |
| 1558984799 | Integrative Endodontics, Inc | Dentist | 10850 Wilshine Blvd Ste 301, Los Angeles, CA 90027 | 2020-05-22 |
| 1104450295 | Sarayana Sercarz | Marriage & Family Therapist | 4080 Woking Way, Los Angeles, CA 90027 | 2020-02-27 |
| 1457991143 | George Michaiel | Pediatrics | 4650 Sunset Blvd., Ms #54, Los Angeles, CA 90027 | 2020-01-09 |
| 1477199297 | Molly Rose Holmes | Marriage & Family Therapist | 3901 Los Feliz Boulevard, #303, Los Angeles, CA 90027 | 2019-11-27 |
| 1588206171 | Dental Help Solutions, LLC | Dentist | 4606 Hollywood Blvd, Suite A, Los Angeles, CA 90027 | 2019-10-15 |
| 1457905986 | Carmen L Ponce | Physical Therapy Assistant | 4867 Sunset Ave, Los Angeles, CA 90027 | 2019-08-01 |
| 1447729009 | Matthew Mendoza | Respiratory Therapist, Registered | 4867 Sunset Blvd, Los Angeles, Ca, Los Angeles, CA 90027 | 2018-11-13 |
| 1659856284 | Leticia Mendez | Nurse Practitioner | 1300 N Vermont Ave 606, Los Angeles, CA 90027 | 2018-09-29 |
| Find all providers in zip 90027 | ||||
| Taxonomy Code | 364SA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609924075 | Gloria Jean Mcneal | Clinical Nurse Specialist | 5245 Pacific Concourse Drive Suite 100, National University Nurse Managed Clinic, Los Angeles, CA 90054-6905 | 2007-01-08 |
| 1932568565 | Meital Nazarian | Clinical Nurse Specialist | 2300 Westwood Blvd, Los Angeles, CA 90064 | 2016-02-10 |
| 1396912937 | Ann Schloss | Clinical Nurse Specialist | 11301 Wilshire Blvd, Greater Los Angeles Va Hospital, Los Angeles, CA 90073-1003 | 2008-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588131759 | Loice A Ongwela | Clinical Nurse Specialist | 300 Pasteur Dr Rm H0105, Stanford, CA 94305-2200 | 2018-10-25 |
| 1245739283 | George Howard Herzog | Clinical Nurse Specialist | 4150 Clement St G1-111b1, San Francisco, CA 94121 | 2018-02-05 |
| 1285095018 | Yelena Pletmintseva | Clinical Nurse Specialist | 1701 Divisadero St # 120, San Francisco, CA 94115-3011 | 2016-03-07 |
| 1114300449 | Emma Avetisyan | Clinical Nurse Specialist | 6064 Hazelhurst Pl, Unit 1, North Hollywood, CA 91606-4858 | 2015-07-06 |
| 1326332313 | Mary Pasdar | Clinical Nurse Specialist | 3003 Dow Ave Suite 204, Tustin, CA 92780 | 2011-06-07 |
| 1073830899 | Lynn Marie Fontana | Clinical Nurse Specialist | 255 N El Cielo Rd # C326, Palm Springs, CA 92262-6992 | 2010-05-04 |
| 1497948814 | Catherine A Bayne | Clinical Nurse Specialist | H-100 Santa Margarita Road, Naval Hospital, Camp Pendleton, CA 92055 | 2007-08-20 |
| 1811055528 | Li W Steffensen | Clinical Nurse Specialist | 9360 N Name Uno Ste 240, Gilroy, CA 95020-3535 | 2006-12-05 |
| 1043327679 | Kathleen Ohanlon | Clinical Nurse Specialist | San Diego Veterans Healthcare System, 3350 La Jolla Village Drive, San Diego, CA 92161-0001 | 2006-08-23 |
| 1942279856 | Linda S. Brandewie | Clinical Nurse Specialist | 795 Willow Road, Menlo Park, CA 94025 | 2006-03-14 |
| Find all providers with the same taxonomy | ||||
| City | LOS ANGELES |
| Zip Code | 90027 |
Please comment or provide details below to improve the information on DR. PATRICIA KATHERINA SAN PEDRO TAMAYO.
| 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.