MARY BETH SHWAYDER (NPI# 1902844566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902844566 |
| Entity Type | Individual |
| Full Name | MARY BETH SHWAYDER |
| Credential | MD |
| Practice Address |
19951 Mariner Ave Suite 150 Torrance CA 90503-1672 |
| Mailing Address |
2374 E Pacifica Pl Rancho Dominguez CA 90220-6214 |
| Practice Telephone | 3102253279 |
| Practice Fax Number | 3106987054 |
| Mailing Telephone | 3102253279 |
| Mailing Fax Number | 3106987054 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2016-01-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | G35464 | CA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | PHYSICIAN LICENSE | 01067369A | 01 |
| OH | PHYSICIAN LICENSE | 35.095330 | 01 |
| MI | PHYSICIAN LICENSE | 4301095576 | 01 |
| Street Address |
19951 MARINER AVE SUITE 150 |
| City | TORRANCE |
| State | CA |
| Zip Code | 90503-1672 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134113186 | Phillip M Cacheris | Pathology | 19951 Mariner Ave, Suite 155, Torrance, CA 90503-1672 | 2005-09-06 |
| 1598081424 | Soc Pathology Medical Group Inc. | Pathology | 19951 Mariner Ave, 155, Torrance, CA 90503-1672 | 2010-04-16 |
| 1730320649 | Beth Palla | Pathology | 19951 Mariner Ave, Suite 155, Torrance, CA 90503-1672 | 2009-03-23 |
| 1962650093 | John G. Vallone | Pathology | 19951 Mariner Ave, Suite 155, Torrance, CA 90503-1672 | 2008-09-03 |
| 1871768820 | Steven Jeffrey Ohsie | Pathology | 19951 Mariner Ave, Suite 155, Torrance, CA 90503-1672 | 2008-04-29 |
| 1891914529 | Pathology Business Services | Pathology | 19951 Mariner Ave, Suite 155, Torrance, CA 90503-1672 | 2007-04-24 |
| 1235222001 | Pathology, Inc. | Clinical Medical Laboratory | 19951 Mariner Ave, Suite 150, Torrance, CA 90503-1672 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013562180 | Jason Anthony Maglinao | Chiropractor | 21010 Anza Ave., #12, Torrance, CA 90503 | 2019-08-06 |
| 1891288890 | Ehab Samaan Dds Inc | Dentist | 19019 Hawthorne Blvd Ste 100b, Torrance, CA 90503 | 2018-06-13 |
| 1740771435 | Icare California House Call Practice LLC | Nurse Practitioner | 4460 Spencer St, Torrance, CA 90503 | 2018-05-29 |
| 1396258729 | South Bay Home Care, Inc., Dba Always Best Care - South Bay | In Home Supportive Care | 370 S. Crenshaw Blvd., Ste. E106, Torrance, CA 90503 | 2017-11-07 |
| 1770093023 | Home Care Professional Services, Inc. | In Home Supportive Care | 3838 West Carson Street, Suite 208, Torrance, CA 90503 | 2017-10-01 |
| 1003355686 | Mona Nejad | Dentist | 4305 Torrance Blvd Ste 103, Torrance, CA 90503 | 2017-02-16 |
| 1497114722 | Jacqueline Martinez | Technician, Other | 4201 Torrance Blvd Suite 190, Torrance, CA 90503 | 2016-02-15 |
| 1093196255 | Hanmo Gu | Chiropractor | 3510 Torrance Blvd., Ste 106, Torrance, CA 90503 | 2015-06-13 |
| 1164813341 | Aimee Y Miyazawa | Specialist/Technologist | 20501 Earl St. Ste. 3, Torrance, CA 90503 | 2015-02-10 |
| 1396145231 | Nicole Soghomonian | Social Worker | 5010 Merrill St, Torrance, CA 90503 | 2014-08-28 |
| Find all providers in zip 90503 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497280978 | C Edward Villasenor Castelo | Specialist | 1000 W Carson St # D5, Torrance, CA 90502 | 2017-04-21 |
| 1932505955 | Kayti Anne Corcoran | Specialist | 23105 Madison St, #212, Torrance, CA 90505-3922 | 2014-11-19 |
| 1740685247 | Larry Roberts | Specialist | 23433 Carlow Rd, Torrance, CA 90505-4557 | 2014-10-27 |
| 1205246659 | Sadhana Nayak-young | Specialist | Lac-dmh 1000 W. Carson Street, Box #498, Harbor Ucla Medical Center, Torrance, CA 90502-2004 | 2014-05-06 |
| 1497172332 | Amber Bridges | Specialist | 1000 W. Carson Street, Box 8, Torrance, CA 90509 | 2014-03-27 |
| 1962835504 | Jane Maureen Hamilton | Specialist | 3540 Redondo Beach Blvd, Torrance, CA 90504-1404 | 2013-08-19 |
| 1386903342 | Fred Bacon Rothell | Specialist | 23530 Arlington Ave, D, Torrance, CA 90501-6000 | 2012-05-11 |
| 1801036751 | Lifescape Imaging Cypress LLC | Specialist | 24584 Hawthorne Blvd, Torrance, CA 90505-6807 | 2009-03-04 |
| 1124263108 | Michelle Tawa | Specialist | 1000 W Carson St # 8, Torrance, CA 90502-2004 | 2008-12-05 |
| 1962667147 | Century Therapy Group | Specialist | 3525 Pacific Coast Hwy Ste C, Torrance, CA 90505-6656 | 2008-07-27 |
| Find all providers in TORRANCE | ||||
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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.