NICOLE SHIZU WATANABE (NPI# 1871012286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871012286 |
| Entity Type | Individual |
| Full Name | NICOLE SHIZU WATANABE |
| Practice Address |
25825 Vermont Ave Harbor City CA 90710-3518 |
| Mailing Address |
2353 Santa Fe Ave Torrance CA 90501-4318 |
| Practice Telephone | 3103255111 |
| Mailing Telephone | 3105085917 |
| Enumeration Date | 2017-09-18 |
| Last Update Date | 2017-09-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 77241 | CA | Pharmacy Service Providers |
| Street Address |
25825 VERMONT AVE |
| City | HARBOR CITY |
| State | CA |
| Zip Code | 90710-3518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578567178 | Jennifer Diane Armstrong | Internal Medicine | 25825 Vermont Ave, Harbor City, CA 90710-3518 | 2005-06-10 |
| 1972118263 | Mitos Rachel Roa Daling | Registered Nurse | 25825 Vermont Ave, Harbor City, CA 90710-3518 | 2020-09-13 |
| 1689285884 | Sarah Gong | Pharmacist | 25825 Vermont Ave, Harbor City, CA 90710-3518 | 2020-08-11 |
| 1578172607 | Daisy Lee | Pharmacist | 25825 Vermont Ave, Harbor City, CA 90710-3518 | 2020-07-24 |
| 1114558897 | David Seho Park | Pharmacist | 25825 Vermont Ave, Harbor City, CA 90710-3518 | 2020-01-30 |
| 1801446208 | Pamela Barron-zambrano | Nurse Anesthetist, Certified Registered | 25825 Vermont Ave, Harbor City, CA 90710-3518 | 2019-09-17 |
| 1760030076 | Tajmara Ismail | Respiratory Therapist, Registered | 25825 Vermont Ave, Harbor City, CA 90710-3518 | 2019-08-29 |
| 1518513423 | Alexa Ann Pepin | Dietitian, Registered | 25825 Vermont Ave, Harbor City, CA 90710-3518 | 2019-08-15 |
| 1184279119 | Martin Lavertu | Registered Nurse | 25825 Vermont Ave, Harbor City, CA 90710-3518 | 2019-08-06 |
| 1417515073 | Ulises Obregon | Respiratory Therapist, Registered | 25825 Vermont Ave, Harbor City, CA 90710-3518 | 2019-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164036018 | Eddie Blackmon IIi | Respiratory Therapist, Registered | 25820 Normandie Ave, Harbor City, CA 90710 | 2020-09-08 |
| 1316502099 | Jennifer Ilene Estey | Nurse Practitioner | 1403 Lomita Blvd Ste 307, Harbor City, CA 90710 | 2019-05-07 |
| 1104398643 | Active Life Home Care Inc | In Home Supportive Care | 760 W. Lomita Blvd., Suite 79, Harbor City, CA 90710 | 2018-12-21 |
| 1073088514 | Ez Access Transportation Corp. | Non-emergency Medical Transport (VAN) | 24328 S Vermont Ave, Suite #313, Harbor City, CA 90710 | 2018-10-11 |
| 1689192791 | County of Los Angeles Auditor Controller | Clinic/Center | 1403 Lomita Blvd., Suite 102, Rooms 1-26 & Conference Room, Harbor City, CA 90710 | 2017-09-08 |
| 1174041347 | Cb Carehome, Inc | Skilled Nursing Facility | 23331 Maltby Place, Harbor City, CA 90710 | 2017-09-07 |
| 1649705682 | Gina Guillaume | Student in an Organized Health Care Education/Training Program | 1403 West Lomita Blvd Suite 200, Harbor City, CA 90710 | 2017-04-27 |
| 1760843213 | Karen Savoni | Social Worker | 25975 Normandie Avenue, Harbor City, CA 90710 | 2016-03-11 |
| 1699148593 | Kaiser Permanente | Health Maintenance Organization | 25965 S. Normandie Aveune, Harbor City, CA 90710 | 2015-11-02 |
| 1164778148 | Thermon Lenelle Carrier | Driver | 1332 W. 254th St, Apt E, Harbor City, CA 90710 | 2012-07-27 |
| Find all providers in zip 90710 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255626 | Olakitan Adegbesan | Pharmacist | 1525 254th St, Harbor City, CA 90710-2716 | 2020-11-04 |
| 1750792305 | Stara Wong | Pharmacist | 26226 Belle Porte Ave, Harbor City, CA 90710-3735 | 2014-05-16 |
| 1619296290 | Duc Minh Duong | Pharmacist | 1207 Pacific Coast Hwy, Harbor City, CA 90710-2931 | 2010-05-22 |
| 1588737316 | Dabney Chun | Pharmacist | 25825 South Vermont Ave, Harbor City, CA 90710 | 2006-11-17 |
| 1861571358 | Gail Chung | Pharmacist | 25825 S. Vermont Ave, Normandie South Building-anticoagulation Service, Harbor City, CA 90710-3518 | 2006-11-03 |
| 1427136308 | Anh B Pham | Pharmacist | 25975 Normandie Ave, Harbor City, CA 90710-3416 | 2006-11-01 |
| 1407952088 | Diane Bao | Pharmacist | 1050 Pacific Coast Hwy, Harbor City, CA 90710-3509 | 2006-09-15 |
| 1689285884 | Sarah Gong | Pharmacist | 25825 Vermont Ave, Harbor City, CA 90710-3518 | 2020-08-11 |
| 1578172607 | Daisy Lee | Pharmacist | 25825 Vermont Ave, Harbor City, CA 90710-3518 | 2020-07-24 |
| 1114558897 | David Seho Park | Pharmacist | 25825 Vermont Ave, Harbor City, CA 90710-3518 | 2020-01-30 |
| Find all providers in HARBOR CITY | ||||
| City | HARBOR CITY |
| Zip Code | 90710 |
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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.