MUKTI KADIWALA (NPI# 1841745833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841745833 |
| Entity Type | Individual |
| Full Name | MUKTI KADIWALA |
| Credential | PHARM.D. |
| Practice Address |
12900 Park Plaza Dr Ste 150 Cerritos CA 90703 |
| Mailing Address |
12900 Park Plaza Dr Ste 150 Cerritos CA 90703-9329 |
| Practice Telephone | 5626222800 |
| Practice Fax Number | 5626222814 |
| Mailing Telephone | 5626222800 |
| Mailing Fax Number | 5626222814 |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2019-05-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P2201X |
Pharmacist Specialization: Ambulatory Care |
73828 | CA | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 275 N El Cielo Rd, Palm Springs, CA 922626972 | 7609696560 |
| Street Address |
12900 PARK PLAZA DR STE 150 |
| City | CERRITOS |
| State | CA |
| Zip Code | 90703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508868324 | Angela Eng Jeong | Pharmacist | 12900 Park Plaza Dr Ste 150, Cerritos, CA 90703-9329 | 2005-08-11 |
| 1073110607 | Caremore Health Medical Partners West PC | Internal Medicine | 12900 Park Plaza Dr Ste 150, Cerritos, CA 90703-9329 | 2020-10-06 |
| 1992356109 | Sherry Jung | Registered Nurse | 12900 Park Plaza Dr Ste 150, Cerritos, CA 90703-9329 | 2019-09-28 |
| 1902465412 | Dawn Spann | Nurse Practitioner | 12900 Park Plaza Dr Ste 150, Cerritos, CA 90703-9329 | 2019-06-08 |
| 1427510155 | Rowena Cole | Nurse Practitioner | 12900 Park Plaza Dr Ste 150, Cerritos, CA 90703-9329 | 2019-04-02 |
| 1770070781 | Steve Yang | Nurse Practitioner | 12900 Park Plaza Dr Ste 150, Cerritos, CA 90703-9329 | 2018-04-16 |
| 1669988812 | Calina Ann Consolo | Nurse Practitioner | 12900 Park Plaza Dr Ste 150, Cerritos, CA 90703-9329 | 2017-12-26 |
| 1174046981 | Eric Francis Guenther-gleason | Pharmacist | 12900 Park Plaza Dr Ste 150, Cerritos, CA 90703-9329 | 2017-07-24 |
| 1245768340 | Maria Aurora Castellano | Nurse Practitioner | 12900 Park Plaza Dr Ste 150, Cerritos, CA 90703-9329 | 2017-06-01 |
| 1801332242 | Alyssa Flora Netto Rios | Registered Nurse | 12900 Park Plaza Dr Ste 150, Cerritos, CA 90703-9329 | 2017-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952909582 | Michael Wong Dental Corporation | Dentist | 11549 South Street, Cerritos, CA 90703 | 2020-10-15 |
| 1144837139 | Essential California Ipa Inc. | Health Maintenance Organization | 1800 Studebaker Rd., 100, Cerritos, CA 90703 | 2020-09-24 |
| 1447868377 | Auxilium Health Network, Inc. | Health Maintenance Organization | 18000 Studebaker Dr, Cerritos, CA 90703 | 2020-07-16 |
| 1154939098 | Absolute Medical Partners, A Professional Medical Corporation | Health Maintenance Organization | 18000 Studebaker Rd., Ste 100, Cerritos, CA 90703 | 2020-07-16 |
| 1558906487 | Vitruvian Care, Inc. | Health Maintenance Organization | 18000 Studebaker Road Suite 100, Cerritos, CA 90703 | 2019-11-14 |
| 1841843554 | Ha Tran Tsai Dental Corporation | Dentist | 16466 Norwalk Boulevard, Cerritos, CA 90703 | 2019-07-22 |
| 1457828097 | Angela Ofoegbu | Registered Nurse | 10733 Elgers St, Cerritos, CA 90703 | 2018-11-01 |
| 1689183352 | Zeela G Diwa | Occupational Therapist | 12736 Palm Street, Cerritos, CA 90703 | 2017-09-26 |
| 1114446119 | Cooper Lee | Physical Therapist | 18503 Noran Ave, Cerritos, CA 90703 | 2017-09-12 |
| 1295259141 | Miyeon Vivienne Lee | Nurse Practitioner | 13337 South Street #158, Cerritos, CA 90703 | 2017-08-02 |
| Find all providers in zip 90703 | ||||
| Taxonomy Code | 1835P2201X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Ambulatory Care |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community. |
| Notes: Source: Board of Pharmacy Specialties, www.bpsweb.org [7/1/2015: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619580909 | Maureen Elizabeth Shelley | Pharmacist | 1212 Pico St Rm 141, San Fernando, CA 91340-3503 | 2020-08-26 |
| 1295351419 | Alice Khalil | Pharmacist | 7555 Van Nuys Blvd # 1071, Van Nuys, CA 91405-1949 | 2020-06-23 |
| 1235752304 | Hang-thu Thi Nguyen | Pharmacist | 4131 Geary Blvd Ste B10, San Francisco, CA 94118-3101 | 2020-05-24 |
| 1861013609 | Karine Wong | Pharmacist | 8264 Noelle Dr, Huntington Beach, CA 92646-6928 | 2020-05-04 |
| 1023656683 | Kenny Tavoc | Pharmacist | 275 N El Cielo Rd Ste C325, Palm Springs, CA 92262-6972 | 2019-12-13 |
| 1124665294 | Paula Kyonghwa Kang | Pharmacist | 23444 Coyote Springs Dr, Diamond Bar, CA 91765-2652 | 2019-12-06 |
| 1194373985 | Louis Ho | Pharmacist | 1225 Wilshire Blvd Ste 201, Los Angeles, CA 90017-1901 | 2019-08-27 |
| 1669026076 | Alan Nguyen | Pharmacist | 1190 Veterans, Cypress Building, Medical Station E, Redwood City, CA 94603-9460 | 2019-07-25 |
| 1174175871 | Patrick Febre | Pharmacist | 3651 Business Dr Ste 100, Sacramento, CA 95820-2176 | 2019-07-12 |
| 1659835866 | Patti Chung | Pharmacist | 200 Medical Plaza Ste 426, Los Angeles, CA 90095-0001 | 2019-01-23 |
| Find all providers with the same taxonomy | ||||
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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.