KALA GRACE BROTHERTON (NPI# 1821519455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821519455 |
| Entity Type | Individual |
| Full Name | KALA GRACE BROTHERTON |
| Practice Address |
790 E Bonita Ave Pomona CA 91767-1906 |
| Mailing Address |
790 E. Bonita Avenue Pomona CA 91767 |
| Practice Telephone | 9096257207 |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2017-07-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | 283825 | CA | Nursing Service Providers |
| Street Address |
790 E BONITA AVE |
| City | POMONA |
| State | CA |
| Zip Code | 91767-1906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558335752 | Sarvotham K Reddy Md Inc | Colon & Rectal Surgery | 790 E Bonita Ave, # 230, Pomona, CA 91767 | 2006-02-14 |
| 1366060626 | Andrea Carbajal Flores | Student in an Organized Health Care Education/Training Program | 790 E Bonita Ave, Pomona, CA 91767-1906 | 2020-07-13 |
| 1033737184 | Pedro Garcia Bengochea | Student in an Organized Health Care Education/Training Program | 790 E Bonita Ave, Pomona, CA 91767-1906 | 2020-07-06 |
| 1255956314 | Gracie Ellen Jackson | Student in an Organized Health Care Education/Training Program | 790 E Bonita Ave, Pomona, CA 91767-1906 | 2020-06-14 |
| 1417582115 | Jazminne Robles | Counselor | 790 E Bonita Ave, Pomona, CA 91767-1906 | 2020-03-03 |
| 1306480173 | Claire Skomsvold | Counselor | 790 E Bonita Ave, Pomona, CA 91767-1906 | 2019-11-04 |
| 1841849148 | Elena Noemi Becerra | Counselor | 790 E Bonita Ave, Pomona, CA 91767-1906 | 2019-09-09 |
| 1265099428 | Ruby Martinez | Student in an Organized Health Care Education/Training Program | 790 E Bonita Ave, Pomona, CA 91767-1906 | 2019-05-23 |
| 1992368476 | Jessica Amber Alle-corliss | Social Worker | 790 E Bonita Ave, Pomona, CA 91767-1906 | 2019-04-19 |
| 1952868267 | Jonathan A Centeno | Counselor | 790 E Bonita Ave, Pomona, CA 91767-1906 | 2019-02-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807979 | Ayed Hawatmeh Dds Inc | Dentist | 322 E Foothill Blvd, Pomona, CA 91767 | 2020-10-02 |
| 1780205302 | Melanie Crystal Ramirez | Counselor | 845 East Arrow Hwy, Pomona, CA 91767 | 2020-05-05 |
| 1780249029 | Jean Hang | Pharmacist | 775 East Foothill Blvd, Pomona, CA 91767 | 2019-05-02 |
| 1679043269 | Christy Bloss | Counselor | 16029 Arrow Hwy. Suite G, Irwindale, CA 91767 | 2018-11-27 |
| 1740758895 | Pomona Community Health Center | Dentist | 1448 E Holt Avenue, Pomona, CA 91767 | 2018-11-07 |
| 1245749878 | Continental Post Acute LLC | Skilled Nursing Facility | 1912 N.san Antonio, Pomona, CA 91767 | 2017-09-26 |
| 1083134373 | Virginia Thompson | Counselor | 845 E. Arrow Hwy., Pomona, CA 91767 | 2017-06-27 |
| 1215489000 | Boys Republic - Pomona Residence | Community/Behavioral Health | 733 N Garey Ave, Pomona, CA 91767 | 2016-10-27 |
| 1164870499 | Karthikeyan Bhuvaneswaran | Psychiatry & Neurology | 255 E Bonita Ave Bldg Suite103, Pomona, CA 91767 | 2016-05-26 |
| 1679936777 | Nex's Traditional Chinese Medicine | Acupuncturist | 1150 N Garey Ave, Pomona, CA 91767 | 2016-04-05 |
| Find all providers in zip 91767 | ||||
| Taxonomy Code | 164X00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Vocational Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255972469 | Kamasha Monique Tanner | Licensed Vocational Nurse | 1745 Blue Ridge Dr, Pomona, CA 91766-4111 | 2019-09-30 |
| 1316509797 | Helen Haekyung Hwang | Licensed Vocational Nurse | 355 E Phillips Blvd, Pomona, CA 91766-4570 | 2019-07-05 |
| 1811445026 | Vena Aquino Baybay | Licensed Vocational Nurse | 1782 Rockview Way, Pomona, CA 91766-5285 | 2016-09-16 |
| 1124395116 | Jonathan Blic Arpon Masayon | Licensed Vocational Nurse | 2018 Las Vegas Ave Apt 9, Pomona, CA 91767-2735 | 2011-11-19 |
| 1346522349 | Felisa B Phillips | Licensed Vocational Nurse | 568 Wisconsin St, Pomona, CA 91768-3639 | 2011-09-15 |
| 1023310943 | Yesica Xiomara Ponce | Licensed Vocational Nurse | 2226 Concord Ave, Pomona, CA 91768-1018 | 2010-11-29 |
| 1043497365 | Selina Lopez Flores | Licensed Vocational Nurse | 1905 Yorba Dr, Pomona, CA 91768-1556 | 2008-01-29 |
| 1730377755 | Wendell Owen Findley | Licensed Vocational Nurse | 1204 W Mission Blvd, Pomona, CA 91766-1344 | 2007-10-04 |
| 1619163979 | Terri Ellyn Wakefield | Licensed Vocational Nurse | 272 San Luis St, Pomona, CA 91767-2712 | 2007-09-20 |
| 1235252503 | Sandra Veronica Gallardo | Licensed Vocational Nurse | 513 E La Verne Ave, Pomona, CA 91767-2809 | 2007-04-09 |
| Find all providers in POMONA | ||||
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| 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.