ASHLEY BETH CICCARELLO


Address: 1718 Esplanade Apt 524, Redondo Beach, CA 90277-5339
Phone: 3109442405

ASHLEY BETH CICCARELLO (NPI# 1801368626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801368626
Entity Type Individual
Full Name ASHLEY BETH CICCARELLO
Credential FNP-BC
Practice Address 1718 Esplanade Apt 524
Redondo Beach
CA 90277-5339
Practice Telephone 3109442405
Mailing Telephone 3109442405
Enumeration Date 2018-12-18
Last Update Date 2018-12-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
95010703 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1718 ESPLANADE APT 524
City REDONDO BEACH
State CA
Zip Code 90277-5339

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1275981326 Carla Marie Vasquez Marriage & Family Therapist 901 N. Pacific Coast Highway, 200a, Redondo Beach, CA 90277 2016-05-31
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1841682994 Mary Schopfel Counselor 901 Pacific Coast Highway, 200a, Redondo Beach, CA 90277 2015-02-26
1700287141 Rose Ross Marriage & Family Therapist 901 North Pacific Coast Highway, Suite 200a, Redondo Beach, CA 90277 2014-09-04
1912307661 Gale Hazeltine Physical Therapist 409 N PCh Hwy # 308, Redondo Beach, CA 90277 2014-08-31
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689273385 Kia Jean Sonne Nurse Practitioner 2407 Mathews Ave Unit B, Redondo Beach, CA 90278-3284 2020-10-22
1447667886 Maria Paz Goco Reyes Nurse Practitioner 1700 Wollacott St, Redondo Beach, CA 90278-2836 2014-07-17
1619904760 Judith Ann Johnson Nurse Practitioner 205 S Francisca Ave, #4, Redondo Beach, CA 90277-3354 2006-06-26
1811530959 Sokmom Lim Ung Nurse Practitioner 1959 Kingsdale Ave, Redondo Beach, CA 90278-3417 2019-10-22
1740849967 Diana Marjan Yashar Nurse Practitioner 1959 Kingsdale Ave, Redondo Beach, CA 90278-3417 2019-06-11
1992218101 Redondo Beach Physical Medicine Nurse Practitioner 901 N Pacific Coast Hwy Ste 101, Redondo Beach, CA 90277-2162 2017-11-09
1912444225 Eva Li Nurse Practitioner 502 Torrance Blvd, Redondo Beach, CA 90277 2017-01-24
1750795902 Joanne Ostrea Pasco Nurse Practitioner 502 Torrance Blvd, Redondo Beach, CA 90277-3413 2014-06-16
1336585819 Josephine Reyes Cabugnason Nurse Practitioner 1959 Kingsdale Ave, Redondo Beach, CA 90278-3417 2013-05-10
1073958070 Tina Marie Johnson Nurse Practitioner 1300 S Pacific Coast Hwy, Suite 201, Redondo Beach, CA 90277-5003 2013-05-03
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Competitor

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City REDONDO BEACH
Zip Code 90277

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Dataset Information

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.

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