SUSETTE GROSVELD (NPI# 1912253576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912253576 |
| Entity Type | Individual |
| Full Name | SUSETTE GROSVELD |
| Credential | PA-C |
| Practice Address |
12291 Washington Blvd Ste 201 Whittier CA 90606-2549 |
| Practice Telephone | 5626980306 |
| Mailing Telephone | 5626980306 |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2015-04-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA22432 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
12291 WASHINGTON BLVD STE 201 |
| City | WHITTIER |
| State | CA |
| Zip Code | 90606-2549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497013759 | Alex Gordon Shindel | Internal Medicine | 12291 Washington Blvd Ste 201, Whittier, CA 90606-2549 | 2012-04-24 |
| 1912410358 | Laura Kheng | Physician Assistant | 12291 Washington Blvd Ste 201, Whittier, CA 90606-2549 | 2017-11-07 |
| 1992148266 | Ahilan Arulanandan | Internal Medicine | 12291 Washington Blvd Ste 201, Whittier, CA 90606-2549 | 2013-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003385113 | Adrian Garcia | Psychologist | 10800 E. Benavon St., Whittier, CA 90606 | 2018-11-19 |
| 1013424951 | Myra Cahambing | Physical Therapy Assistant | 12411 Slauson Ave., Unit G, Whittier, CA 90606 | 2017-12-31 |
| 1639698129 | Josephine Chang | Occupational Therapist | 12411 Slanson Ave. Unit H, Whittier, CA 90606 | 2017-09-15 |
| 1265950786 | Gladys J Lucero | Specialist/Technologist | 12411 Slauson Ave Unit H, Whittier, CA 90606 | 2017-09-05 |
| 1457807059 | Edward Montero | Student in an Organized Health Care Education/Training Program | 6220 Vicki Drive, Whittier, CA 90606 | 2016-09-01 |
| 1124495734 | Valerie Rodriguez | Occupational Therapist | 12421 Slauson Ave., Suite H, Whittier, CA 90606 | 2015-08-31 |
| 1114303104 | Katherine Jones | Occupational Therapist | 12411 Slauson Avenue Unit H, Whittier, CA 90606 | 2015-08-03 |
| 1356742589 | Michael Alberto Garcia | Specialist/Technologist | 12411 Slauson Ave. Unit H, Whittier, CA 90606 | 2014-09-08 |
| 1922414721 | Jeremiah Knapp | Student in an Organized Health Care Education/Training Program | 12291 Washington Blvd Fl 5, Whittier, CA 90606 | 2014-07-01 |
| 1407284193 | Editha Gutierrez | Nurse Practitioner | 12291 Washington Blvd Ste 205, Whittier, CA 90606 | 2013-10-16 |
| Find all providers in zip 90606 | ||||
| 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 |
|---|---|---|---|---|
| 1265070023 | Jae Woo Seo | Physician Assistant | 13718 Russell St, Whittier, CA 90602-3149 | 2019-12-11 |
| 1346886538 | Alexander John Velarde | Physician Assistant | 10913 Bogardus Ave, Whittier, CA 90603-3153 | 2019-11-21 |
| 1710522941 | Jeffrey Jagiello | Physician Assistant | 12329 Breezewood Dr Apt 4, Whittier, CA 90604-3816 | 2019-11-12 |
| 1477194215 | Armando Aguiniga | Physician Assistant | 12291 Washington Blvd Ste 302, Whittier, CA 90606-2549 | 2019-10-02 |
| 1174183388 | Alexis Burciaga | Physician Assistant | 16503 Windsor Ave, Whittier, CA 90603-3077 | 2019-06-19 |
| 1386134542 | Melissa Lopez | Physician Assistant | 9209 Colima Rd Ste 2000b, Whittier, CA 90605-1816 | 2018-05-14 |
| 1376043133 | Allesa Rachelle Bumgardner | Physician Assistant | 12401 Washington Blvd Ste 400, Whittier, CA 90602-1006 | 2018-02-19 |
| 1518474816 | Sakshi Madan | Physician Assistant | 14442 Whittier Blvd Ste 105, Whittier, CA 90605 | 2018-01-08 |
| 1134538721 | Jeremy Jay Romaine | Physician Assistant | 6501 Greenleaf Ave, Whittier, CA 90601-4108 | 2014-08-07 |
| 1639582612 | Jacqueline Surrency LLC | Physician Assistant | 10131 Memphis Ave, Whittier, CA 90603-2024 | 2014-06-06 |
| Find all providers in WHITTIER | ||||
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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.