PROMED PROVIDERS LLC (NPI# 1811267503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811267503 |
| Entity Type | Organization |
| Organization Name | PROMED PROVIDERS LLC |
| Practice Address |
1936 Pinehurst Rd Los Angeles CA 90068-3730 |
| Practice Telephone | 2138400123 |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2012-01-19 |
| Authorized Official Name | DONALD SHINZATO PORTER (PRESIDENT) |
| Authorized Official Telephone | 2138400123 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SC2300X |
Clinical Nurse Specialist Specialization: Chronic Care |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1936 PINEHURST RD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90068-3730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083029367 | Valley Creek Hospice, Inc. | Hospice Care, Community Based | 3179 Barbara Court, F, Los Angeles, CA 90068 | 2014-06-25 |
| 1376892299 | Julio C Rivas | Religious Nonmedical Practitioner | 6800 Treasure Trail, Los Angeles, CA 90068 | 2012-09-06 |
| 1477817708 | Beverly Hansen Weisblatt | Marriage & Family Therapist | 6491 Ivarene Ave., Los Angeles, CA 90068 | 2012-07-02 |
| 1306169180 | Kambiz Kamangar | Dentist | 3400 Cahuenga Bvld West, #310, Los Angeles, CA 90068 | 2010-03-08 |
| 1578891370 | Stepping Stones Pediatric Therapy | Home Health | 3301 Tareco Drive, Los Angeles, CA 90068 | 2009-12-07 |
| 1376724757 | Jonathan Everett Rubinow | Preventive Medicine | 2759 Creston Dr, Los Angeles, CA 90068 | 2007-11-14 |
| 1366653479 | Julie Elizabeth Berghofer | Music Therapist | 3855 Broadlawn Dr, Los Angeles, CA 90068 | 2007-05-24 |
| 1467484287 | Lanny Orlin | Marriage & Family Therapist | 3171 Los Feliz Blvd, Suite 200, Los Angeles, CA 90068 | 2006-07-06 |
| 1396880514 | Back In Balance Physical Therapy | Physical Therapist | 6711 Forest Lawn Dr, Suite 104, Los Angeles, CA 90068-1001 | 2007-02-21 |
| 1003941253 | Erin Mcguire | Physical Therapist | 6711 Forest Lawn Dr, Suite 104, Los Angeles, CA 90068-1001 | 2007-02-21 |
| Find all providers in zip 90068 | ||||
| Taxonomy Code | 364SC2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Chronic Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144670209 | Acorn Health Solutions | Clinical Nurse Specialist | 1174 Live Oak Blvd, Yuba City, CA 95991-3407 | 2016-06-20 |
| 1851572507 | Eunhwa K. Lee | Clinical Nurse Specialist | 1817 Professional Dr, Sacramento, CA 95825-2106 | 2007-11-23 |
| 1649549569 | Christina Marion Dilorenzo | Clinical Nurse Specialist | 4860 Y St, Sacramento, CA 95817-2307 | 2011-12-21 |
| 1831491034 | Jeanette Eleanor Kennedy | Clinical Nurse Specialist | 730 Welch Rd, Pediaric Rheumatology, Palo Alto, CA 94304-1503 | 2010-11-22 |
| City | LOS ANGELES |
| Zip Code | 90068 |
Please comment or provide details below to improve the information on PROMED PROVIDERS 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.