KEIKO LILLY MIMURA (NPI# 1932142544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932142544 |
| Entity Type | Individual |
| Full Name | KEIKO LILLY MIMURA |
| Credential | MSN, APRN, BC |
| Practice Address |
11500 Nimitz Ave Los Angeles CA 90049-3566 |
| Practice Telephone | 4248328368 |
| Practice Fax Number | 4248328270 |
| Mailing Telephone | 4248328368 |
| Mailing Fax Number | 4248328270 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2013-05-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
14487 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
11500 NIMITZ AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90049-3566 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306897053 | Robert Elliot Neshkes | Psychiatry & Neurology | 11500 Nimitz Ave, Los Angeles, CA 90049-3566 | 2006-05-15 |
| 1174149231 | Parastoo Shadmani | Dietitian, Registered | 11500 Nimitz Ave, Los Angeles, CA 90049-3566 | 2020-06-24 |
| 1689192346 | Suzanne Marie Banda | Speech-Language Pathologist | 11500 Nimitz Ave, Los Angeles, CA 90049-3566 | 2017-09-01 |
| 1043659931 | Sun Chang | Occupational Therapist | 11500 Nimitz Ave, Los Angeles, CA 90049-3566 | 2013-06-24 |
| 1932447232 | Priscilla Park | Occupational Therapist | 11500 Nimitz Ave, Los Angeles, CA 90049-3566 | 2013-01-21 |
| 1639413503 | Robert Stephen Wilkes | Social Worker | 11500 Nimitz Ave, Los Angeles, CA 90049-3566 | 2012-11-16 |
| 1477826709 | Jennifer C Wu | Pharmacist | 11500 Nimitz Ave, Attn: Pharmacy, Los Angeles, CA 90049-3566 | 2012-02-16 |
| 1659691178 | Stanley T Nomura | Pharmacist | 11500 Nimitz Ave, Pharmacy Dept, Los Angeles, CA 90049-3566 | 2010-06-07 |
| 1821316076 | Department of Veterans Affairs of The State of California | Assisted Living Facility | 11500 Nimitz Ave, Los Angeles, CA 90049-3566 | 2010-05-12 |
| 1093942179 | Kistyn Joi Gritney | Social Worker | 11500 Nimitz Ave, Los Angeles, CA 90049-3566 | 2009-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316564339 | Kepp Family & Group Practice | Marriage & Family Therapist | 12011 San Vincente Blvd, 408, Los Angeles, CA 90049 | 2020-06-26 |
| 1386204493 | Steven J Lehrman | Marriage & Family Therapist | 179 S. Barrington Place, Office A, Los Angeles, CA 90049 | 2019-06-20 |
| 1922562990 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 860 S. Sepulveda Blvd., Los Angeles, CA 90049 | 2019-01-24 |
| 1851864946 | Christie Schnur | Marriage & Family Therapist | 11911 San Vicente Blvd., Los Angeles, CA 90049 | 2019-01-10 |
| 1669954012 | Barbara Jiji Schenk | Marriage & Family Therapist | 520 S. Sepulveda Blvd #402, Los Angeles, CA 90049 | 2018-09-02 |
| 1972090710 | Community Reflections Inc | Counselor | 10020 So. Western Ave, 10020 So. Western Ave, Los Angeles, CA 90049 | 2018-04-17 |
| 1245738830 | Dr. Shirin Tabib LLC | Marriage & Family Therapist | 61133 San Vincent Blvd, Suite 318 A, Los Angeles, CA 90049 | 2018-01-29 |
| 1295240679 | Robert A Brooks | Preventive Medicine | 149 South Barrington Ave, #346, Los Angeles, CA 90049 | 2017-12-07 |
| 1598286478 | Marvin S Serrano | Physical Therapy Assistant | 11740 San Vicente Boulevard Suite 205, Los Angeles, CA 90049 | 2017-06-30 |
| 1972055812 | Evolve Growth Initiatives, LLC | Psychiatric Residential Treatment Facility | 820 Moraga Drive, Los Angeles, CA 90049 | 2016-10-26 |
| Find all providers in zip 90049 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528605961 | Elsa L Pineda-flores | Nurse Practitioner | 1513 S Grand Ave Ste 306, Los Angeles, CA 90015-3075 | 2019-12-04 |
| 1326502196 | Myung Kang | Nurse Practitioner | 505 S Virgil Ave Ste 201, Los Angeles, CA 90020-1415 | 2019-01-25 |
| 1376913319 | Heather Jo | Nurse Practitioner | 919 S Wilton Pl Apt 3, Los Angeles, CA 90019-2130 | 2015-10-02 |
| 1164823266 | Katie Speer | Nurse Practitioner | 3000 S Robertson Blvd, Suite 270, Los Angeles, CA 90034-3158 | 2014-09-08 |
| 1174865729 | Erica Marie Jenkins | Nurse Practitioner | 100 Ucla Medical Plz Ste 760, Los Angeles, CA 90024-6990 | 2013-03-21 |
| 1407108061 | Lida Wachel | Nurse Practitioner | 5120 W Goldleaf Circle, Suite 250, Los Angeles, CA 90056-1278 | 2012-10-08 |
| 1215256011 | Tammi Lorraine Harris | Nurse Practitioner | 9233 W Pico Blvd, Suite 220, Los Angeles, CA 90035-1386 | 2010-05-19 |
| 1033440425 | Laura Elizabeth Mcvay | Nurse Practitioner | 1200 N State St Rm 8435, Los Angeles, CA 90033-1029 | 2010-01-25 |
| 1477729549 | Thuy Ngoc Nguyen | Nurse Practitioner | Ucla Brain Research Institute, 695 Charles Young Drive South Box 951761, Los Angeles, CA 90095-0001 | 2008-05-07 |
| 1700387891 | Young Soon Yang | Nurse Practitioner | 3663 W 6th St, 103, Los Angeles, CA 90020-3047 | 2018-02-23 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90049 |
Please comment or provide details below to improve the information on KEIKO LILLY MIMURA.
| 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.