MS. MARIA MARTA VIRI RENOLAYAN (NPI# 1922568294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922568294 |
| Entity Type | Individual |
| Full Name | MS. MARIA MARTA VIRI RENOLAYAN |
| Credential | NP |
| Practice Address |
3325 Palo Verde Ave Ste 203 Long Beach CA 90808-4132 |
| Mailing Address |
555 Paularino Ave Apt L105 Costa Mesa CA 92626-3280 |
| Practice Telephone | 5624218283 |
| Mailing Telephone | 5628815127 |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2019-03-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
95010961 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BOARD OF REGISTERED NURSING | 95010961 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2650 S Bristol St Ste 101, Santa Ana, CA 927045751 | 7147541444 |
| Street Address |
3325 PALO VERDE AVE STE 203 |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90808-4132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558619718 | Christina Pearce | Nurse Practitioner | 3325 Palo Verde Ave Ste 203, Long Beach, CA 90808-4132 | 2012-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629558713 | Long Beach-lakewood Orthopedic Institute | Orthopaedic Surgery | 3828 Schaufele Ave Ste 320, Long Beach, CA 90808 | 2018-08-17 |
| 1376072710 | Premiere Cottages Inc. | Assisted Living Facility | 4815 Premiere Ave, Long Beach, CA 90808 | 2017-06-08 |
| 1760911184 | Collaborative Partners for Success, LLC | Speech-Language Pathologist | 3472 Tulane Avenue, Long Beach, CA 90808 | 2017-06-08 |
| 1942658604 | Susan S Orr | Physical Therapist | 3833 Worsham Ave #301, Long Beach, CA 90808 | 2016-06-02 |
| 1447611298 | Rac Brittany House | Alzheimer Center (Dementia Center) | 5641 Centralia Avenue, Long Beach, CA 90808 | 2016-03-08 |
| 1003234261 | Ray Ira Apter | Social Worker | 4333 N. Greenbrier Road, Long Beach, CA 90808 | 2014-04-03 |
| 1043590649 | Fonda Jiang | Allergy & Immunology | 3816 Woodruff Ave Ste 209, Long Beach, CA 90808 | 2011-08-26 |
| 1457640757 | Alexander Cristian Gavrila | Dentist | 4200 Lakewood Blvd, Long Beach, CA 90808 | 2011-04-07 |
| 1851629034 | Reyana Ewing | Dietitian, Registered | 4195 N Viking Way Ste D, Long Beach, CA 90808 | 2009-11-25 |
| 1548497597 | Veronika Lee Hoover | Social Worker | 4195 N. Viking Way, Suite F, Long Beach, CA 90808 | 2009-06-17 |
| Find all providers in zip 90808 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497361612 | Brandon Philip Obero Vinzon | Nurse Practitioner | 155 E 4th St Apt 206, Long Beach, CA 90802-2498 | 2020-09-22 |
| 1275004145 | Rayveion Laquita Medlock | Nurse Practitioner | 40 Cedar Walk Unit 2115, Long Beach, CA 90802-7922 | 2018-12-17 |
| 1528451820 | Marjorie Buencamino | Nurse Practitioner | 8140 E Token St, Long Beach, CA 90808-3355 | 2015-03-11 |
| 1063800480 | Lily Te Long | Nurse Practitioner | 2046 Atlantic Ave, Long Beach, CA 90806-4916 | 2015-01-07 |
| 1306278924 | Christopher Stephen Gentry | Nurse Practitioner | 2700 Bellflower Blvd, #112, Long Beach, CA 90822 | 2013-08-06 |
| 1558619718 | Christina Pearce | Nurse Practitioner | 3325 Palo Verde Ave Ste 203, Long Beach, CA 90808-4132 | 2012-08-20 |
| 1538202866 | Regina A. Clifton | Nurse Practitioner | 999 Atlantic Ave, Suite 203, Long Beach, CA 90813-4514 | 2007-02-15 |
| 1578173951 | Candace Cam | Nurse Practitioner | 2650 Elm Ave Ste 301, Long Beach, CA 90806-1600 | 2020-07-31 |
| 1609404110 | Amber Haney | Nurse Practitioner | 780 Atlantic Ave, Long Beach, CA 90813-4565 | 2020-03-30 |
| 1366083099 | Loren Rachel Chan | Nurse Practitioner | 701 E 28th St, Long Beach, CA 90806-2759 | 2019-10-03 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90808 |
Please comment or provide details below to improve the information on MS. MARIA MARTA VIRI RENOLAYAN.
| 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.