PRISMA OTANEZ (NPI# 1992318315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992318315 |
| Entity Type | Individual |
| Full Name | PRISMA OTANEZ |
| Credential | FNP |
| Practice Address |
4670 Gage Ave Bell CA 90201-1360 |
| Mailing Address |
14419 Arthur St Oak Hills CA 92344-9507 |
| Practice Telephone | 3235623135 |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2020-08-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95014990 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4670 GAGE AVE |
| City | BELL |
| State | CA |
| Zip Code | 90201-1360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801935622 | Jose Milton Lara | Internal Medicine | 4670 Gage Ave, Bell, CA 90201-1360 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073087235 | St Jude Medical Center | Clinic/Center | 4946 E Florence Ave, Bell, CA 90201 | 2019-01-21 |
| 1912404708 | Zoe Kiklis | Dentist | 7903 Atlantic Ave Ste G, Cudahy, CA 90201 | 2018-04-09 |
| 1508373002 | Ki Baek Lee, Dds. Inc. | Dentist | 6501 Eastern Ave., #b, Bell Gardens, CA 90201 | 2018-01-05 |
| 1003289299 | Ching-yi Chiu | Nurse Practitioner | 6513 S Garfield Ave, Bell Gardens, CA 90201 | 2015-11-10 |
| 1215310008 | Family Health Care Centers of Greater Los Angeles, Inc. | Clinic/Center | 6119 Agra St., Bell Gardens, CA 90201 | 2015-06-30 |
| 1932506201 | Helen Van | Nurse Practitioner | 6501 S. Garfield Ave, Bell Gardens, CA 90201 | 2014-12-02 |
| 1558768358 | Behrooz Zinati Dds Inc | Dentist | 7607 Atlantic Ave., Cudahy, CA 90201 | 2014-11-24 |
| 1205230661 | Aditi Mathur | Dentist | 6320 E.florence Ave, Suite G, Bell Gardens, CA 90201 | 2014-10-14 |
| 1487075461 | Yang H Kim Dds Inc | Dentist | 4021 Florence Ave, Bell, CA 90201 | 2013-12-18 |
| 1265706261 | Patricia Walker | Health Maintenance Organization | 6533 Carmelita Ave, Bell, CA 90201 | 2012-03-08 |
| Find all providers in zip 90201 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083254627 | Helana Therese Shanks | Nurse Practitioner | 2049 Sw 75th Ave, Bell, FL 32619-4635 | 2020-01-12 |
| 1508400987 | Danila Yesenia Portillo | Nurse Practitioner | 4566 Florence Ave Ste 5, Bell, CA 90201-4346 | 2019-10-29 |
| 1801967393 | Alberto Aguilar | Nurse Practitioner | 4129 Gage Ave, Bell, CA 90201-1128 | 2006-11-13 |
| 1447634233 | Shelly Kate Hicks | Nurse Practitioner | 1830 N Main St, Bell, FL 32619-4713 | 2015-07-12 |
| 1215103882 | Crystal Breeze Boyd | Nurse Practitioner | 1830 N Main St, Bell, FL 32619-4713 | 2008-05-05 |
| 1295884575 | Vanessa Lynn Miller | Nurse Practitioner | 1830 N Main St, Bell, FL 32619-4713 | 2007-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003640 | Samira Kadri | Nurse Practitioner | 431 S Burnside Ave Apt 3g, Los Angeles, CA 90036-5343 | 2020-11-08 |
| 1801497706 | Ana Maria Cajigas De Jesus | Nurse Practitioner | 313 S Velva Pl, Anaheim, CA 92804-2647 | 2020-11-06 |
| 1609477421 | Taylor Mcknight | Nurse Practitioner | 5073 Oxford Dr, Cypress, CA 90630-3653 | 2020-11-06 |
| 1619578465 | Roslyn Dykes-barrow | Nurse Practitioner | 17631 Mulberry Dr, Carson, CA 90746-7403 | 2020-11-06 |
| 1861093601 | Philana P Mcdonald | Nurse Practitioner | 183 Stonebridge Ln, Paso Robles, CA 93446-1926 | 2020-11-06 |
| 1386245264 | Annie Parikh | Nurse Practitioner | 11675 Lambert Ave, El Monte, CA 91732-1955 | 2020-11-05 |
| 1073114096 | Blanca De Jesus Serrano | Nurse Practitioner | 18144 Outer Hwy 18 Ste 200, Apple Valley, CA 92307-2212 | 2020-11-05 |
| 1578164166 | Aimon Sangwanpanich | Nurse Practitioner | 8520 Shirley Ave, Northridge, CA 91324-4149 | 2020-11-02 |
| 1043810757 | Casie Lee Mcguire | Nurse Practitioner | 1826 Rainbow Terrace Ln, Montebello, CA 90640-1953 | 2020-10-30 |
| 1295335099 | Jail Lopez | Nurse Practitioner | 3171 Lynwood Rd, Lynwood, CA 90262-4118 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
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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.