Rebecca Tabitha Shefali Prakash (NPI# 1164963716, PAC ID# 2062781586) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1164963716 |
| PAC ID by PECOS | 2062781586 |
| Professional Enrollment ID | I20181101003226 |
| Full Name | Rebecca Tabitha Shefali Prakash |
| Organization Legal Name | REGENTS OF THE UNIVERSITY OF CALIFORNIA |
| Address |
1131 Wilshire Blvd Suite 100 Santa Monica CA 90401-2072 |
| Phone Number | 3103193475 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2062312291 |
| Number of Group Practice Members | 49 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050112 | SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL |
| 050262 | RONALD REAGAN U C L A MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1131 Wilshire Blvd, Suite 100, Santa Monica, CA 90401-2072 | 3103193475 | REGENTS OF THE UNIVERSITY OF CALIFORNIA |
| Organization Legal Name | REGENTS OF THE UNIVERSITY OF CALIFORNIA |
| Physicians | 1120 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jacob Oliver King Connelly | Orthopedic Surgery | Regents of The University of California | 24051 Newhall Ranch Rd, Bldg C, Valencia, CA 91355-5702 |
| Cathy Joyce Tang | Plastic and Reconstructive Surgery | Regents of The University of California | 101 City Dr S, Orange, CA 92868-3201 |
| Andrew Yang Sun | Urology | Regents of The University of California | 1260 15th St, Suite 1200, Santa Monica, CA 90404-1147 |
| Margaret Ann Regan Rainey | Nurse Practitioner | Regents of The University of California | 1225 15th St, Suite 2100, Santa Monica, CA 90404-1101 |
| Evan White | Radiation Oncology | Regents of The University of California | 959 Lane Ave, Suite B, Chula Vista, CA 91914-4528 |
| Sagir G Bera | Family Medicine | Regents of The University of California | 1000 Flower St, Glendale, CA 91201-3007 |
| Talia Landau Shorr | Family Medicine | Regents of The University of California | 4323 W Riverside Dr, Burbank, CA 91505-4044 |
| Fadi Saied | Orthopedic Surgery | Regents of The University of California | 2400 Bahamas Dr, Suite 200, Bakersfield, CA 93309-0747 |
| Douglas Rahn | Radiation Oncology | Regents of The University of California | 959 Lane Ave B, Chula Vista, CA 91914-4528 |
| Peggy S Perock | Physical Therapy | Regents of The University of California | 335 N La Brea Ave, Los Angeles, CA 90036-2517 |
| Street Address |
1131 WILSHIRE BLVD SUITE 100 |
| City | SANTA MONICA |
| State | CA |
| Zip | 90401-2072 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia Yee Ling Chang | Family Medicine | Regents University of California Los Angeles | 1131 Wilshire Blvd, Suite 300, Santa Monica, CA 90401-2066 |
| Raouf G Hallis | Family Medicine | Regents University of California Los Angeles | 1131 Wilshire Blvd, Suite 300, Santa Monica, CA 90401-2066 |
| Duncan Q Mcbride | Neurosurgery | 1131 Wilshire Blvd, Suite 100, Santa Monica, CA 90401-2072 | |
| Allen Chen | Physical Medicine and Rehabilitation | Regents of The University of California | 1131 Wilshire Blvd, Suite 100, Santa Monica, CA 90401-2072 |
| Julia Borshan Lee | Internal Medicine | Regents University of California Los Angeles | 1131 Wilshire Blvd, Suite 300, Santa Monica, CA 90401-2066 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kasey L Drapeau D Amato | Physician Assistant | Lauren L Reager A California Medical Corporation | 2001 Santa Monica Blvd, 990w, Santa Monica, CA 90401-0001 |
| Lisa M Masterson | Obstetrics/gynecology | 1333 Ocean Ave, Santa Monica, CA 90401-1023 | |
| Kyle J Mccurdy | Clinical Social Worker | Step Up On Second Street, Inc. | 1328 2nd St, Santa Monica, CA 90401-1122 |
| Dana L Harris | Psychiatry | Step Up On Second Street, Inc. | 1328 2nd St, Santa Monica, CA 90401-1122 |
| Sanaz Parsa | Psychiatry | Step Up On Second Street, Inc. | 1328 2nd St, Santa Monica, CA 90401-1122 |
| Clifford Roberts | Clinical Social Worker | Step Up On Second Street, Inc. | 1328 2nd St, Santa Monica, CA 90401-1122 |
| Jarrad Malamed | Clinical Social Worker | Step Up On Second Street, Inc. | 1328 2nd St, Santa Monica, CA 90401-1122 |
| Igor V Hunkoff | Psychiatry | Step Up On Second Street, Inc. | 1328 2nd St, Santa Monica, CA 90401-1122 |
| Janet Medenwald | Psychiatry | Step Up On Second Street, Inc. | 1328 2nd St, Santa Monica, CA 90401-1122 |
| John A Jimenez | Psychiatry | Step Up On Second Street, Inc. | 1328 2nd St, Santa Monica, CA 90401-1122 |
| Find all physicians in zip 90401 | |||
| City | SANTA MONICA |
| Zip Code | 90401 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SANTA MONICA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Rebecca Tabitha Shefali Prakash.
| 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.