NISHA PAGAN (NPI# 1972836054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972836054 |
| Entity Type | Individual |
| Full Name | NISHA PAGAN |
| Credential | DPT, PT, NCS |
| Practice Address |
4301 Atlantic Ave Suite 6 Long Beach CA 90807-2833 |
| Practice Telephone | 5622817369 |
| Practice Fax Number | 5622964963 |
| Mailing Telephone | 5622817369 |
| Mailing Fax Number | 5622964963 |
| Enumeration Date | 2009-09-08 |
| Last Update Date | 2016-09-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 2251N0400X |
Physical Therapist Specialization: Neurology |
PT29070 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
PT29070 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4301 ATLANTIC AVE SUITE 6 |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90807-2833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427184647 | Garth Thomas Reid | Dentist | 4301 Atlantic Ave, Suite 2, Long Beach, CA 90807-2833 | 2007-02-23 |
| 1457775660 | Marvis Sorrell, D.m.d., Inc. | Dentist | 4301 Atlantic Ave, Suite 3, Long Beach, CA 90807-2833 | 2014-02-07 |
| 1902157522 | Whole Hearted Pediatric Physical Therapy | Physical Therapist | 4301 Atlantic Ave, Suite 6, Long Beach, CA 90807-2833 | 2012-09-21 |
| 1346560547 | Miller and Kan, A Professional Dental Corporation | Dentist | 4301 Atlantic Ave, Suite 2, Long Beach, CA 90807-2833 | 2010-06-10 |
| 1083800783 | Greg Charles Miller | Dentist | 4301 Atlantic Ave, Suite 2, Long Beach, CA 90807-2833 | 2007-09-18 |
| 1164615480 | James Craig Serles | Dentist | 4301 Atlantic Ave, Suite #4, Long Beach, CA 90807-2833 | 2007-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992359434 | Kanna Lynn Curtis | Behavioral Analyst | 3491 Elm Avenue, Long Beach, CA 90807 | 2019-08-01 |
| 1891359394 | David Smith Samuel Tchon Dds Inc | Dentist | 4231 Long Beach Blvd, Long Beach, CA 90807 | 2019-04-30 |
| 1477038354 | Ryan Bacani | Registered Nurse | 4506 N Banner Drive Apt 3, Long Beach, CA 90807 | 2018-09-26 |
| 1508363516 | Joemari Salvani | Dentist | 4578 Atlantic Avenue, Long Beach, CA 90807 | 2018-04-07 |
| 1881110096 | Shafeeullah Hashim Gaines | Counselor | 4335 Altantic Ave, Long Beach, CA 90807 | 2017-08-18 |
| 1295259943 | Debresia Jackson | Community Health Worker | 900 E. Wardlow Rd, Long Beach, CA 90807 | 2017-08-02 |
| 1073036315 | United Mobile Rad LLC | Radiologic Technologist | 1720 E Cartagena St, Long Beach, CA 90807 | 2017-07-19 |
| 1336675800 | La-pham and Kansagra Dental Corporation | Dentist | 4578 Atlantic Ave, Long Beach, CA 90807 | 2017-05-03 |
| 1114462637 | Andunett Langhum | Counselor | 4335 Atlantic Blved, Long Beach, CA 90807 | 2016-12-20 |
| 1942742507 | Mt Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 3646 Long Beach Blvd Ste 212, Long Beach, CA 90807 | 2016-11-14 |
| Find all providers in zip 90807 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942658604 | Susan S Orr | Physical Therapist | 3833 Worsham Ave #301, Long Beach, CA 90808 | 2016-06-02 |
| 1912237231 | Karsti Anna Schelin | Physical Therapist | 4145 E Ransom St, Long Beach, CA 90804-3039 | 2010-01-08 |
| 1235383530 | Michael B Cohen | Physical Therapist | 38 W Penn St, Long Beach, NY 11561-4005 | 2008-11-13 |
| 1710131701 | Jill K Carroll | Physical Therapist | 458 W Market St, Long Beach, NY 11561-1814 | 2008-11-04 |
| 1063554160 | Felice Menchel | Physical Therapist | 25 Neptune Blvd Apt 2r, Long Beach, NY 11561-4644 | 2007-02-13 |
| 1902157522 | Whole Hearted Pediatric Physical Therapy | Physical Therapist | 4301 Atlantic Ave, Suite 6, Long Beach, CA 90807-2833 | 2012-09-21 |
| 1164669735 | Catherine Marie Hong | Physical Therapist | 585 Pine Ave, Long Beach, CA 90802 | 2009-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235745233 | Tejal Shah Chokshi | Physical Therapist | 7425 La Mantanza, San Diego, CA 92127-3636 | 2020-09-16 |
| 1487277992 | Katherine Anne Zweier | Physical Therapist | 4646 Van Dyke Ave, San Diego, CA 92116-4842 | 2020-05-19 |
| 1184246621 | Achieving Milestones Pediatric Therapy, Inc | Physical Therapist | 221 E Glenoaks Blvd # 225a, Glendale, CA 91207-2085 | 2020-05-07 |
| 1568094761 | Amanda Montoya | Physical Therapist | 58 Calle Escalon, Camarillo, CA 93010 | 2020-02-06 |
| 1215585690 | Maggie Christine Ridenhour | Physical Therapist | 1541 Old Bayshore Hwy, Burlingame, CA 94010-1602 | 2019-08-29 |
| 1477100162 | Fasia Ramirez | Physical Therapist | 35510 Schuber Ln, Temecula, CA 92592-8125 | 2019-08-19 |
| 1689229841 | Jaclyn Rymer | Physical Therapist | 1000 S Fremont Ave Bldg 10n10220, Alhambra, CA 91803 | 2019-08-05 |
| 1649836669 | Karin Stohn | Physical Therapist | 100 Mcgivern Way, Santa Cruz, CA 95060-9300 | 2019-05-15 |
| 1376108597 | Karen Dzierski Cruise | Physical Therapist | 10860 Topanga Canyon Blvd, Chatsworth, CA 91311-1350 | 2019-05-02 |
| 1326511064 | Lissett Rojas | Physical Therapist | 855 N Lark Ellen Ave Ste L, West Covina, CA 91791-1099 | 2019-01-04 |
| Find all providers with the same taxonomy | ||||
| City | LONG BEACH |
| Zip Code | 90807 |
Please comment or provide details below to improve the information on NISHA PAGAN.
| 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.