KATHREEN KIAMCO (NPI# 1043602857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043602857 |
| Entity Type | Individual |
| Full Name | KATHREEN KIAMCO |
| Practice Address |
1005 E Washington Blvd Ste A Los Angeles CA 90021-3082 |
| Mailing Address |
2801 S San Pedro St Los Angeles CA 90011-2023 |
| Practice Telephone | 3232333100 |
| Practice Fax Number | 3232334100 |
| Mailing Telephone | 3232333100 |
| Enumeration Date | 2015-03-03 |
| Last Update Date | 2019-04-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 95000820 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95000820 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1093023277 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2801 S San Pedro St, Los Angeles, CA 90011 | 3232333100 | 3232333124 |
| Street Address |
1005 E WASHINGTON BLVD STE A |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90021-3082 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407988033 | Patricia R Vizcarra | Counselor | 1005 E Washington Blvd Ste A, Los Angeles, CA 90021-3082 | 2007-03-09 |
| 1700374600 | Judith Onyepunuka | Physician Assistant | 1005 E Washington Blvd Ste A, Los Angeles, CA 90021-3082 | 2018-04-25 |
| 1821528019 | Carlos Alberto Millan Espinoza | Family Medicine | 1005 E Washington Blvd Ste A, Los Angeles, CA 90021-3082 | 2017-06-19 |
| 1184007759 | Sonia Elena Jaramillo | Dietitian, Registered | 1005 E Washington Blvd Ste A, Los Angeles, CA 90021-3082 | 2015-07-01 |
| 1699167999 | Sandy Cadena | Family Medicine | 1005 E Washington Blvd Ste A, Los Angeles, CA 90021-3082 | 2015-02-23 |
| 1144658741 | Sharon Quesada | Physician Assistant | 1005 E Washington Blvd Ste A, Los Angeles, CA 90021-3020 | 2013-10-17 |
| 1023216678 | Edgar Alexander Chavez | Family Medicine | 1005 E Washington Blvd Ste A, Los Angeles, CA 90021-3020 | 2007-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386104222 | Para Los Ninos | Community/Behavioral Health | 835 Stanford Avenue, Los Angeles, CA 90021 | 2019-03-25 |
| 1750826293 | Dion David Thomas | Counselor | 600 E 7th Street #105, Los Angeles, CA 90021 | 2016-12-19 |
| 1255713921 | Stephanie Castillo | Counselor | 453 S. Indiana St., Los Angeles, CA 90021 | 2015-06-18 |
| 1700217437 | Gabriela Turcios | Counselor | 2116-2118 S. Central Ave, Los Angeles, CA 90021 | 2013-12-05 |
| 1033456934 | Brenda Denise Perez | Counselor | 838 Est. 6th Treet, Los Angeles, CA 90021 | 2013-01-11 |
| 1083885370 | Dina Moss | Rehabilitation Practitioner | 921 Compton Blv, Compton, CA 90021 | 2008-03-14 |
| 1760692339 | Deanna Perez | Physician Assistant | 515 E. 6th Street, Los Angeles, CA 90021 | 2007-05-23 |
| 1033322573 | Nguyen Trong Doan | Physician Assistant | 1663 Beverly Blvd., #201, Los Angeles, CA 90021 | 2007-05-08 |
| 1740834258 | Janette Lozada | Counselor | 849 E 6th St, Los Angeles, CA 90021 | 2019-08-01 |
| 1588166789 | Roseanna Low | Counselor | 905 E 8th St, Los Angeles, CA 90021 | 2018-03-02 |
| Find all providers in zip 90021 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003640 | Samira Kadri | Nurse Practitioner | 431 S Burnside Ave Apt 3g, Los Angeles, CA 90036-5343 | 2020-11-08 |
| 1528672110 | Christopher Tria Coronel | Nurse Practitioner | 3435 Garden Ave, Los Angeles, CA 90039-1919 | 2020-09-01 |
| 1871119701 | Carina Lizette Guerra | Nurse Practitioner | St. John's Well Child and Family Center, Inc., 808 W. 58th Street, Los Angeles, CA 90037 | 2020-06-16 |
| 1548884216 | En Route Medical Staffing LLC | Nurse Practitioner | 3705 W Pico Blvd Ste 1714, Los Angeles, CA 90019-3451 | 2020-05-29 |
| 1922621432 | Latasha Tracy Warren | Nurse Practitioner | 1720 N Fuller Ave Apt 450, Los Angeles, CA 90046-3076 | 2020-05-19 |
| 1578184966 | Shin Il Kim | Nurse Practitioner | 450 Bauchet St Fl 8, Los Angeles, CA 90012-2907 | 2020-04-27 |
| 1457971160 | Karen Kim-chang | Nurse Practitioner | 450 Bauchet St Rm E815, Los Angeles, CA 90012-2907 | 2020-04-22 |
| 1912534033 | Anthony Felipe Banuelos Villa | Nurse Practitioner | 3437 Ellison St, Los Angeles, CA 90063-1901 | 2020-03-26 |
| 1629605506 | Ana Yely Nunez Nunez | Nurse Practitioner | 6017 Miramonte Blvd, Los Angeles, CA 90001-1327 | 2020-03-23 |
| 1154957769 | Maybel Deguzman Dumlao | Nurse Practitioner | 4371 Stewart Ave, Los Angeles, CA 90066-6133 | 2020-03-14 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90021 |
Please comment or provide details below to improve the information on KATHREEN KIAMCO.
| 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.