KATHRYN ELIZABETH MARA (NPI# 1902364441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902364441 |
Entity Type | Individual |
Full Name | KATHRYN ELIZABETH MARA |
Practice Address |
309 W Beverly Blvd Montebello CA 90640-4308 |
Mailing Address |
817 S Main St Ste D Corona CA 92882-3407 |
Practice Telephone | 3237261222 |
Mailing Telephone | 9513398459 |
Mailing Fax Number | 9513398461 |
Enumeration Date | 2019-03-04 |
Last Update Date | 2019-03-04 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
95009403 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
309 W BEVERLY BLVD |
City | MONTEBELLO |
State | CA |
Zip Code | 90640-4308 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184628919 | Beverly Community Hospital Association | General Acute Care Hospital | 309 W Beverly Blvd, Montebello, CA 90640-4308 | 2005-06-09 |
1114537800 | Taylor Ann Oberlander | Registered Nurse | 309 W Beverly Blvd, Montebello, CA 90640-4308 | 2020-08-06 |
1225659642 | Daniel Rivera Tendido II | Respiratory Therapist, Registered | 309 W Beverly Blvd, Montebello, CA 90640-4308 | 2020-04-27 |
1801416672 | Paul Alvarez | Physical Therapy Assistant | 309 W Beverly Blvd, Montebello, CA 90640-4308 | 2020-04-22 |
1154983062 | Janet A Cheng | Pharmacist | 309 W Beverly Blvd, Montebello, CA 90640-4308 | 2019-07-01 |
1710475462 | Matthew Tan | Physician Assistant | 309 W Beverly Blvd, Montebello, CA 90640 | 2018-04-27 |
1164930228 | Michelle Niku Bensoussan | Physician Assistant | 309 W Beverly Blvd, Montebello, CA 90640-4308 | 2018-01-11 |
1285179960 | Mike Y Wang Medical Group | Anesthesiology | 309 W Beverly Blvd, Montebello, CA 90640-4308 | 2017-01-04 |
1326411349 | Wendy Tran Lin | Physician Assistant | 309 W Beverly Blvd, Montebello, CA 90640-4308 | 2015-11-13 |
1861893166 | Core Anesthesia Associates Inc. | Anesthesiology | 309 W Beverly Blvd, Montebello, CA 90640-4308 | 2014-09-06 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184242901 | Marie-christine Wiltord | Marriage & Family Therapist | 1447 W. Beverly Blvd., Montebello, CA 90640 | 2020-07-08 |
1366093668 | Ana Lesly Tavira-nava | Student in an Organized Health Care Education/Training Program | 3316 W. Beverly Blvd., Montebello, CA 90640 | 2019-09-27 |
1952803256 | America Alaniz | Marriage & Family Therapist | 3524 1/4 W. Beverly Blvd., Montebello, CA 90640 | 2018-03-02 |
1669987913 | Tender Loving Hospice Care, Inc. | Hospice Care, Community Based | 3528 W Beverly Blvd, Suite D, Montebello, CA 90640 | 2017-12-08 |
1518472869 | Healing Angels Nursing Services, Inc. | Home Health | 3538 W Beverly Blvd, Suite C, Montebello, CA 90640 | 2017-12-08 |
1427579143 | Paul Gonzales | Specialist/Technologist | 1525 Via Palermo, Montebello, CA 90640 | 2017-07-03 |
1942720859 | Rachel Lu | Pharmacist | 800 W. Whittier Blvd., Montebello, CA 90640 | 2017-06-21 |
1194254508 | Jill Tanigawa | Pharmacist | 2525 W Via Campo, Montebello, CA 90640 | 2017-06-08 |
1619406121 | Nutrition Care Consulting | Dietitian, Registered | 2605 Beverly Blvd, Montebello, CA 90640 | 2017-06-08 |
1992165815 | Hope Artificial Limb & Brace,llc | Prosthetic/Orthotic Supplier | 2609 W. Beverly Blvd #3, Montebello, CA 90640 | 2016-03-04 |
Find all providers in zip 90640 |
Taxonomy Code | 363LA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Acute Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962900233 | Pen Yi Tso | Nurse Practitioner | 224 S 10th St, Montebello, CA 90640-5128 | 2018-01-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023619442 | Dolores Josephine Meehan | Nurse Practitioner | South Bay Vascular Center, 2255 South Bascom Avenue Suite 200, Campbell, CA 95008-7800 | 2020-11-03 |
1013517960 | Kristina Pulliam Markey | Nurse Practitioner | 11234 Anderson Strreet, Loma Linda, CA 92354 | 2020-10-29 |
1851990550 | Fernanda Monteon Ibarra | Nurse Practitioner | 30222 Belmont Ct, Agoura Hills, CA 91301-4611 | 2020-10-22 |
1780283168 | Brenda Rienru Rhima | Nurse Practitioner | 24657 Rockston Dr, Corona, CA 92883-1614 | 2020-10-18 |
1215535034 | Shiji John | Nurse Practitioner | 3765 Gunnison Cir, Corona, CA 92881-8486 | 2020-10-14 |
1053919258 | Lacey Etienne Neufeld | Nurse Practitioner | Marshall Transitional Care Unit, 1100 Marshall Way, Placerville, CA 95667 | 2020-10-12 |
1063028298 | Kanokwan Kultan | Nurse Practitioner | 15850 Babcock St, San Diego, CA 92127-3680 | 2020-09-22 |
1538775093 | David Lee | Nurse Practitioner | 5710 S Glennie Ln Apt A, Los Angeles, CA 90016-1063 | 2020-09-21 |
1124634886 | Catherine Kestenian | Nurse Practitioner | 351 E Foothill Blvd Ste 250, Arcadia, CA 91006-7426 | 2020-09-18 |
1285249565 | Anu Tharoor | Nurse Practitioner | 505 Parnassus Ave Fl 9, San Francisco, CA 94143-2204 | 2020-09-13 |
Find all providers with the same taxonomy |
City | MONTEBELLO |
Zip Code | 90640 |
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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.