Collette King (NPI# 1194857656, PAC ID# 1052568656) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1194857656 |
| PAC ID by PECOS | 1052568656 |
| Professional Enrollment ID | I20120905000198 |
| Full Name | Collette King |
| Organization Legal Name | PROVIDENCE MEDICAL INSTITUTE |
| Address |
21501 Avalon Blvd Suite 100 Carson CA 90745-2210 |
| Phone Number | 3108356627 |
| Gender | F |
| Graduation Year | 1999 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5991609737 |
| Number of Group Practice Members | 250 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 29525 Canwood St, Suite 300, Agoura Hills, CA 91301-4232 | 8187062477 | PROVIDENCE MEDICAL INSTITUTE |
| 21501 Avalon Blvd, Suite 100, Carson, CA 90745-2210 | 3108356627 | PROVIDENCE MEDICAL INSTITUTE |
| Organization Legal Name | PROVIDENCE MEDICAL INSTITUTE |
| Physicians | 252 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa A Garner | Nurse Practitioner | Providence Medical Institute | 24035 Newhall Ranch Rd, Santa Clarita, CA 91355-5702 |
| Jennifer S Lee | Nurse Practitioner | Providence Medical Institute | 12618 Hawthorne Blvd, Hawthorne, CA 90250-3907 |
| Danielle N Anderson | Obstetrics/gynecology | Providence Medical Institute | 2601 W Alameda Avenue, Suite 212, Burbank, CA 91505-4800 |
| Julie A Gould | Obstetrics/gynecology | Providence Medical Institute | 405 N Maclay Ave, Suite 104, San Fernando, CA 91340-2455 |
| Reza Askari | Obstetrics/gynecology | Providence Medical Institute | 621 S Butte St, San Pedro, CA 90732-3510 |
| Brenda Shen | Family Medicine | Providence Medical Institute | 2382 Crenshaw Blvd, Suite 5, Torrance, CA 90501-3333 |
| Raj U Dugel | Ophthalmology | Providence Medical Institute | 4825 Torrance Blvd, Suite 100, Torrance, CA 90503-4167 |
| Jeffrey Work | Interventional Cardiology | Providence Medical Institute | 21501 Avalon Blvd, Suite 100, Carson, CA 90745-2210 |
| Peter J Georgio Ii | Family Medicine | Providence Medical Institute | 1010 N Sepulveda Blvd, Manhattan Beach, CA 90266-5929 |
| Michael M Marvi | Neurology | Providence Medical Institute | 1870 Veteran Ave, Apt 102, Los Angeles, CA 90025-4569 |
| Street Address |
21501 AVALON BLVD SUITE 100 |
| City | CARSON |
| State | CA |
| Zip | 90745-2210 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey Work | Interventional Cardiology | Providence Medical Institute | 21501 Avalon Blvd, Suite 100, Carson, CA 90745-2210 |
| James M Fox | Orthopedic Surgery | Providence Medical Institute | 21501 Avalon Blvd, Suite 100, Carson, CA 90745-2210 |
| Norman F Cantor | Otolaryngology | Providence Medical Institute | 21501 Avalon Blvd, Suite 100, Carson, CA 90745-2210 |
| Laura Record | Physician Assistant | Providence Medical Institute | 21501 Avalon Blvd, Suite 100, Carson, CA 90745-2210 |
| Ravi Shankar | Hematology/oncology | Providence Medical Institute | 21501 Avalon Blvd, Suite 100, Carson, CA 90745-2210 |
| Ryan D Mattie | Pain Management | Providence Medical Institute | 21501 Avalon Blvd, Suite 100, Carson, CA 90745-2210 |
| Dawn A Cashie | Obstetrics/gynecology | Providence Medical Institute | 21501 Avalon Blvd, Suite 100, Carson, CA 90745-2210 |
| Bharat H Shah | Cardiovascular Disease (cardiology) | Providence Medical Institute | 21501 Avalon Blvd, Suite 100, Carson, CA 90745-2210 |
| Nirav J Shah | Orthopedic Surgery | Providence Medical Institute | 21501 Avalon Blvd, Suite 100, Carson, CA 90745-2210 |
| Michael Pin | Family Medicine | Providence Medical Institute | 21501 Avalon Blvd, Suite 100, Carson, CA 90745-2210 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Renee E Smith | Psychiatry | 21515 S Figueroa St, Carson, CA 90745-1947 | |
| Helen Zadourian | Nurse Practitioner | Providence Medical Institute | 21501 Avalon Blvd, Suite 100, Carson, CA 90745-2210 |
| Maria Jan | Internal Medicine | Providence Medical Institute | 21501 Avalon Blvd, Suite 100, Carson, CA 90745-2210 |
| Alpa P Patel | Physician Assistant | Providence Medical Institute | 21501 Avalon Blvd, Suite 100, Carson, CA 90745-2210 |
| Evan J Bachner | Orthopedic Surgery | Providence Medical Institute | 21501 Avalon Blvd, Suite 100, Carson, CA 90745-2210 |
| Purab C Viswanath | Orthopedic Surgery | Providence Medical Institute | 21501 Avalon Blvd, Suite 100, Carson, CA 90745-2210 |
| Jane U Ekejiuba | Family Medicine | Providence Medical Institute | 21501 Avalon Blvd, Suite 100, Carson, CA 90745-2210 |
| Marc Ehrich | Interventional Cardiology | Providence Medical Institute | 21501 Avalon Blvd, Suite 100, Carson, CA 90745-2210 |
| Jeffrey E. Galpin | Internal Medicine | Providence Medical Institute | 21501 Avalon Blvd, Suite 100, Carson, CA 90745-2210 |
| Kevin A Nadel | Orthopedic Surgery | Providence Medical Institute | 21501 Avalon Blvd, Suite 100, Carson, CA 90745-2210 |
| Find all physicians in zip 90745 | |||
| City | CARSON |
| Zip Code | 90745 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CARSON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Collette King.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.