MISS ELISE L. DINER (NPI# 1902237894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902237894 |
| Entity Type | Individual |
| Full Name | MISS ELISE L. DINER |
| Credential | P.A.-C |
| Practice Address |
2040 E Mariposa Ave El Segundo CA 90245-5027 |
| Mailing Address |
Po Box 5365 Beverly Hills CA 90209-5365 |
| Practice Telephone | 3104000645 |
| Practice Fax Number | 4242706232 |
| Mailing Telephone | 3104000645 |
| Mailing Fax Number | 4242706232 |
| Enumeration Date | 2013-12-03 |
| Last Update Date | 2019-12-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA51307 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2040 E MARIPOSA AVE |
| City | EL SEGUNDO |
| State | CA |
| Zip Code | 90245-5027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770581423 | Katayoun Moini | Nutritionist | 2040 E Mariposa Ave, El Segundo, CA 90245-5027 | 2005-07-07 |
| 1578037115 | House Medicine | Anesthesiology | 2040 E Mariposa Ave, El Segundo, CA 90245-5027 | 2019-01-16 |
| 1215463799 | Immuno-oncology Clinic Inc. | Internal Medicine | 2040 E Mariposa Ave, El Segundo, CA 90245-5027 | 2017-05-03 |
| 1437217767 | Jamie Latiolais Taylor | Anesthesiology | 2040 E Mariposa Ave, El Segundo, CA 90245 | 2006-12-06 |
| 1275601775 | Sandeep K Reddy | Specialist | 2040 E Mariposa Ave, El Segundo, CA 90245 | 2006-12-01 |
| 1952499741 | Leonard S Sender | Pediatrics | 2040 E Mariposa Ave, El Segundo, CA 90245 | 2006-10-10 |
| 1114910239 | John H Lee | Otolaryngology | 2040 E Mariposa Ave, El Segundo, CA 90245 | 2005-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366058976 | Britt'nee Cornelius | Massage Therapist | 222 North PCh, Suite 2000, El Segundo, CA 90245 | 2020-09-18 |
| 1750913778 | Laurie Ann Scoppetto | Dietitian, Registered | 482 N Aviation Blvd, El Segundo, CA 90245 | 2020-02-07 |
| 1972135283 | A Dabrowska Dds, Inc | Dentist | 390 N. Pacific Coast Hwy #1050, El Segundo, CA 90245 | 2020-02-05 |
| 1578023057 | Miles Bertumen | Pharmacist | 283 N Aviation Blvd, Building 210, El Segundo, CA 90245 | 2019-03-21 |
| 1831673201 | Kriss L. Killam | Marriage & Family Therapist | 302 W. Grand Ave., Suite 9, El Segundo, CA 90245 | 2018-09-20 |
| 1811487911 | Bright Light Recovery | Substance Abuse Rehabilitation Facility | 218 Concord St, Suite C, El Segundo, CA 90245 | 2018-05-14 |
| 1265950448 | Sarah Yuriko Mizuki | Physician Assistant | 390 N PCh, Suite 1000, El Segundo, CA 90245 | 2017-09-07 |
| 1326586462 | Jlp Interpreting Services | Interpreter | 963 Virginia St #5, El Segundo, CA 90245 | 2017-02-09 |
| 1619351707 | El Segundo Dermatology, Inc. | Specialist | 713 N Douglas St., El Segundo, CA 90245 | 2015-07-17 |
| 1083956635 | 24hr Homecare, LLC | Home Health | 200 N. Pacific Coast Highway, Suite 300, El Segundo, CA 90245 | 2013-03-21 |
| Find all providers in zip 90245 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265950448 | Sarah Yuriko Mizuki | Physician Assistant | 390 N PCh, Suite 1000, El Segundo, CA 90245 | 2017-09-07 |
| 1720508864 | Sarah Wrigley | Physician Assistant | 390 N Sepulveda Blvd Ste 1000, El Segundo, CA 90245-4401 | 2017-06-20 |
| 1033536594 | Elizabeth Meagan Hartman | Physician Assistant | 604 Illinois Ct Apt 1, El Segundo, CA 90245-3451 | 2014-03-23 |
| 1780985457 | Paul Tagashira | Physician Assistant | 390 N Pacific Coast Hwy, El Segundo, CA 90245-4475 | 2010-11-10 |
| 1396210969 | Mohammed Swissa | Physician Assistant | 898 N Pacific Coast Hwy Ste 600, El Segundo, CA 90245-2747 | 2018-10-09 |
| 1346743275 | Jikasha Mon'cie Walker | Physician Assistant | 483 N Aviation Blvd Bldg 210, El Segundo, CA 90245-2808 | 2018-03-16 |
| 1245774793 | Mahsa Monica Afrookhteh | Physician Assistant | 390 N Sepulveda Blvd, Ste. 1000, El Segundo, CA 90245-4475 | 2016-12-16 |
| 1841642253 | Matthew Zimmermann | Physician Assistant | 2101 Rosecrans Ave # 3230, El Segundo, CA 90245-4749 | 2016-07-09 |
| 1336526557 | David Ortega-endahl | Physician Assistant | 2101 Rosecrans Ave # 3230, El Segundo, CA 90245-4749 | 2015-04-27 |
| 1679751200 | Clifford C Souder | Physician Assistant | 483 N Aviation Blvd, El Segundo, CA 90245-2808 | 2008-02-06 |
| Find all providers in EL SEGUNDO | ||||
| City | EL SEGUNDO |
| Zip Code | 90245 |
Please comment or provide details below to improve the information on MISS ELISE L. DINER.
| 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.