MR. DWAYNE TATNALL (NPI# 1942811229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942811229 |
| Entity Type | Individual |
| Full Name | MR. DWAYNE TATNALL |
| Practice Address |
4110 Santa Fe Ave Long Beach CA 90810-1439 |
| Mailing Address |
4404 W 59th Pl Los Angeles CA 90043-3427 |
| Practice Telephone | 3108476422 |
| Mailing Telephone | 3232958780 |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2020-08-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
4110 SANTA FE AVE |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90810-1439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013567262 | Arsenia Morante Ramos | Technician | 1928 W Lincoln Street, Long Beach, CA 90810 | 2019-09-18 |
| 1992263867 | Yesenia Llerenas | Counselor | Children's Institute Inc, 1500 Hughes Way #100, Long Beach, CA 90810 | 2019-03-08 |
| 1649746215 | Cassandra Whitney Dewey | Counselor | 2120 W. Williams Street, Long Beach, CA 90810 | 2018-10-22 |
| 1497204028 | Jose Carlos Garcia | Dental Assistant | 2636 E Dominguez St, Long Beach, CA 90810 | 2016-09-23 |
| 1255706560 | Sabrina Navarro | Rehabilitation Practitioner | 1501 Hughles Way, Suite 150, Long Beach, CA 90810 | 2015-12-11 |
| 1275917692 | The Childrens Clinic 'serving Children and Their Families' | Clinic/Center | 2000 San Gabriel Avenue, Long Beach, CA 90810 | 2015-07-15 |
| 1881932168 | Ronald Merton Sommer | Family Medicine | 1436 W. 23rd St., Westside Free Clinic, Long Beach, CA 90810 | 2013-01-22 |
| 1619241601 | Vander J. Dale Jr. | Counselor | 2090 River Avenue, Long Beach, CA 90810 | 2012-03-08 |
| 1205125606 | Maria Anna Castillo Tejada | Physical Therapist | 2679 N La Vere Dr, Long Beach, CA 90810 | 2011-04-06 |
| 1386973436 | Roosevelt Williams Jr. | Physical Therapy Assistant | 6444 East Spring St, # 247, Long Beach, CA 90810 | 2009-12-21 |
| Find all providers in zip 90810 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366067902 | Graciela Ignacio | Student in an Organized Health Care Education/Training Program | 1780 Aquarius St, Long Beach, CA 90810-3217 | 2020-06-09 |
| 1710506514 | Sabreen Onallah | Student in an Organized Health Care Education/Training Program | 5901 E 7th St Bldg 166, Long Beach, CA 90822-5201 | 2020-04-11 |
| 1437787009 | Cho Rok Kim | Student in an Organized Health Care Education/Training Program | Graduate Medical Education, 1050 Linden Ave., Long Beach, CA 90813 | 2020-03-30 |
| 1972131761 | James Tolentino | Student in an Organized Health Care Education/Training Program | 3218 Maine Ave, Long Beach, CA 90806-1236 | 2020-03-29 |
| 1720615560 | Andrew Cabrera | Student in an Organized Health Care Education/Training Program | 5901 E 7th St # 12160, Long Beach, CA 90822-5201 | 2020-03-23 |
| 1639717770 | Brucha Buff | Student in an Organized Health Care Education/Training Program | 70 W Beech St, Long Beach, NY 11561-3407 | 2019-12-19 |
| 1790333268 | Chandara Duongmeas | Student in an Organized Health Care Education/Training Program | 3565 Linden Ave Unit 220, Long Beach, CA 90807-4528 | 2019-08-28 |
| 1174179733 | Taureece James Wilson | Student in an Organized Health Care Education/Training Program | 135 E Eldridge St, Long Beach, CA 90807-5018 | 2019-08-09 |
| 1992350094 | Kaitlyn May Saephan | Student in an Organized Health Care Education/Training Program | 200 Pine Avenue, Suite 400, Long Beach, CA 90802 | 2019-08-06 |
| 1518512748 | Melissa Aguilera | Student in an Organized Health Care Education/Training Program | 5300 Linden Ave, Long Beach, CA 90805-6030 | 2019-08-05 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90810 |
Please comment or provide details below to improve the information on MR. DWAYNE TATNALL.
| 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.