STEPHANIE RENEE BOOTH (NPI# 1851567739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851567739 |
| Entity Type | Individual |
| Full Name | STEPHANIE RENEE BOOTH |
| Other Name | STEPHANIE RENEE BOOTH-MILLEN |
| Credential | MD |
| Practice Address |
4580 Atlantic Avenue Long Beach CA 90807-0503 |
| Mailing Address |
Po Box 7503 Long Beach CA 90807-0503 |
| Practice Telephone | 5623350551 |
| Mailing Telephone | 5623350551 |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2008-05-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | G062886 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003367996 | Stephanie Booth | Technician, Other | 5301 Dublin Ave Apt 706, Midland, MI 48640-3133 | 2016-10-17 |
| 1669413597 | Stephanie Lynn Booth | Speech-Language Pathologist | 2001 E Grace St, #230, Richmond, VA 23223-7062 | 2006-06-10 |
| 1356300990 | Stephanie Ann Booth | Specialist | 1301 W 38th St, Suite 110, Austin, TX 78705-1000 | 2006-03-22 |
| Street Address |
4580 ATLANTIC AVENUE |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90807-0503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992359434 | Kanna Lynn Curtis | Behavioral Analyst | 3491 Elm Avenue, Long Beach, CA 90807 | 2019-08-01 |
| 1891359394 | David Smith Samuel Tchon Dds Inc | Dentist | 4231 Long Beach Blvd, Long Beach, CA 90807 | 2019-04-30 |
| 1477038354 | Ryan Bacani | Registered Nurse | 4506 N Banner Drive Apt 3, Long Beach, CA 90807 | 2018-09-26 |
| 1508363516 | Joemari Salvani | Dentist | 4578 Atlantic Avenue, Long Beach, CA 90807 | 2018-04-07 |
| 1881110096 | Shafeeullah Hashim Gaines | Counselor | 4335 Altantic Ave, Long Beach, CA 90807 | 2017-08-18 |
| 1295259943 | Debresia Jackson | Community Health Worker | 900 E. Wardlow Rd, Long Beach, CA 90807 | 2017-08-02 |
| 1073036315 | United Mobile Rad LLC | Radiologic Technologist | 1720 E Cartagena St, Long Beach, CA 90807 | 2017-07-19 |
| 1336675800 | La-pham and Kansagra Dental Corporation | Dentist | 4578 Atlantic Ave, Long Beach, CA 90807 | 2017-05-03 |
| 1114462637 | Andunett Langhum | Counselor | 4335 Atlantic Blved, Long Beach, CA 90807 | 2016-12-20 |
| 1942742507 | Mt Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 3646 Long Beach Blvd Ste 212, Long Beach, CA 90807 | 2016-11-14 |
| Find all providers in zip 90807 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134635667 | Selem Care | Pediatrics | 2700 N Bellflower Blvd Ste 201, Long Beach, CA 90815-1144 | 2017-12-20 |
| 1194257170 | Sarah Mahmood | Pediatrics | The Children's Clinic, 2360 Pacific Ave, Long Beach, CA 90806 | 2017-03-29 |
| 1487997334 | Dominick Figueroa | Pediatrics | 500 W Willow St Ste 101, Long Beach, CA 90806-2831 | 2013-03-28 |
| 1871833228 | Paul Russell Thompson | Pediatrics | 3030 Marna Ave, Long Beach, CA 90808-4401 | 2013-02-21 |
| 1093068330 | Solomon Laktineh, M.d. A Medical Corporation | Pediatrics | 6624 Cherry Ave, Long Beach, CA 90805-1715 | 2012-10-24 |
| 1013274679 | Tara Sutherland | Pediatrics | 2650 Elm Ave Ste 301, Long Beach, CA 90806-1600 | 2012-04-19 |
| 1215208962 | Joseph M Molina Md Professional Corporation-southern California | Pediatrics | 540 E. Artesia Boulevard, Long Beach, CA 90805-1476 | 2012-01-25 |
| 1053681544 | Karing Pediatrics Medical Group | Pediatrics | 6628 Cherry Ave, Long Beach, CA 90805-1715 | 2011-12-30 |
| 1750612719 | Cindy Ugochi Njemanze | Pediatrics | 5191 Cherry Ave, Apt 1, Long Beach, CA 90805-6243 | 2010-01-14 |
| 1609004530 | Elaine Yang | Pediatrics | 455 E Columbia St Ste 201206, Long Beach, CA 90806-1620 | 2009-06-30 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90807 |
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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.