REBECCA PECK (NPI# 1821423005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821423005 |
| Entity Type | Individual |
| Full Name | REBECCA PECK |
| Practice Address |
456 Elm Ave. Long Beach CA 90802 |
| Practice Telephone | 5624376717 |
| Mailing Telephone | 5624376717 |
| Enumeration Date | 2013-09-06 |
| Last Update Date | 2013-09-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477081982 | Rebecca Jeanne Peck | Speech-Language Pathologist | 2540 Billingsley Rd, Columbus, OH 43235-1990 | 2017-05-28 |
| 1063518991 | Rebecca Ann Peck | Family Medicine | 305 Memorial Medical Pkwy Ste 401, Daytona Beach, FL 32117-5169 | 2006-09-16 |
| 1164446985 | Rebecca Davis Peck | Specialist | 3009 N Ballas Rd, Ste. 208b, Saint Louis, MO 63131-2322 | 2006-07-26 |
| 1639104045 | Rebecca L Peck | Optometrist | 425 So 2nd St, Midwest Vision Clinic Plc, Clinton, IA 52732 | 2006-07-12 |
| Street Address |
456 ELM AVE. |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356786008 | Natalie Jayne Pierson | Rehabilitation Practitioner | 456 Elm Ave., Long Beach, CA 90802 | 2013-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255981791 | Nena Danieles Meador | Technician | 505 West 5th St. Unit 201, Long Beach, CA 90802 | 2019-09-17 |
| 1881241487 | Edward De La Cruz | Technician | 425 E 3rd St., 413, Long Beach, CA 90802 | 2019-08-20 |
| 1992350094 | Kaitlyn May Saephan | Student in an Organized Health Care Education/Training Program | 200 Pine Avenue, Suite 400, Long Beach, CA 90802 | 2019-08-06 |
| 1073175881 | David Coleman | Counselor | 735 West 4th St, Unit D, Long Beach, CA 90802 | 2019-07-01 |
| 1235612193 | Linda Nyagaya | Nurse Practitioner | 200 Oceangate, Suite 100 Long Beach, Ca 90802, Long Beach, CA 90802 | 2018-09-06 |
| 1669998670 | Jessica Huerta | Student in an Organized Health Care Education/Training Program | 456 Elm, Long Beach, CA 90802 | 2017-08-22 |
| 1316462484 | Kathlyn Pearl Parlet | Counselor | 351 E. 6th. Street, Long Beach, CA 90802 | 2017-08-09 |
| 1386168136 | Shena Young | Psychologist | 404 East First St #1191, Long Beach, CA 90802 | 2017-08-02 |
| 1215472758 | Vanessa Pons | Marriage & Family Therapist | 735 W 4th St Unit A, Long Beach, CA 90802 | 2016-12-19 |
| 1821459330 | Surabhi Shah | Occupational Therapist | 330 Golden Shores, Suite 250, Long Beach, CA 90802 | 2016-03-10 |
| Find all providers in zip 90802 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942811229 | Dwayne Tatnall | Student in an Organized Health Care Education/Training Program | 4110 Santa Fe Ave, Long Beach, CA 90810-1439 | 2020-08-11 |
| 1366067902 | Graciela Ignacio | Student in an Organized Health Care Education/Training Program | 1780 Aquarius St, Long Beach, CA 90810-3217 | 2020-06-09 |
| 1710506514 | Sabreen Onallah | Student in an Organized Health Care Education/Training Program | 5901 E 7th St Bldg 166, Long Beach, CA 90822-5201 | 2020-04-11 |
| 1437787009 | Cho Rok Kim | Student in an Organized Health Care Education/Training Program | Graduate Medical Education, 1050 Linden Ave., Long Beach, CA 90813 | 2020-03-30 |
| 1972131761 | James Tolentino | Student in an Organized Health Care Education/Training Program | 3218 Maine Ave, Long Beach, CA 90806-1236 | 2020-03-29 |
| 1720615560 | Andrew Cabrera | Student in an Organized Health Care Education/Training Program | 5901 E 7th St # 12160, Long Beach, CA 90822-5201 | 2020-03-23 |
| 1639717770 | Brucha Buff | Student in an Organized Health Care Education/Training Program | 70 W Beech St, Long Beach, NY 11561-3407 | 2019-12-19 |
| 1790333268 | Chandara Duongmeas | Student in an Organized Health Care Education/Training Program | 3565 Linden Ave Unit 220, Long Beach, CA 90807-4528 | 2019-08-28 |
| 1174179733 | Taureece James Wilson | Student in an Organized Health Care Education/Training Program | 135 E Eldridge St, Long Beach, CA 90807-5018 | 2019-08-09 |
| 1992350094 | Kaitlyn May Saephan | Student in an Organized Health Care Education/Training Program | 200 Pine Avenue, Suite 400, Long Beach, CA 90802 | 2019-08-06 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90802 |
Please comment or provide details below to improve the information on REBECCA PECK.
| 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.