PRISCILLA JOANN MADISON (NPI# 1073091013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073091013 |
| Entity Type | Individual |
| Full Name | PRISCILLA JOANN MADISON |
| Other Name | PRISCILLA JOANN BEDOLLA |
| Credential | NP |
| Practice Address |
1680 E 120th St Los Angeles CA 90059-3026 |
| Mailing Address |
961 E California Blvd Unit 104 Pasadena CA 91106-4057 |
| Practice Telephone | 4243388000 |
| Mailing Telephone | 3233488015 |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2019-11-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 95009290 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1680 E 120TH ST |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90059-3026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548453814 | Tzu-jen Tzao | Emergency Medicine | 1680 E 120th St, Los Angeles, CA 90059-3026 | 2007-08-21 |
| 1518577238 | Jarvis Jimenez | Social Worker | 1680 E 120th St, Los Angeles, CA 90059-3026 | 2020-08-06 |
| 1972132892 | Veronica Ulanday Velasquez | Physical Therapist | 1680 E 120th St, Los Angeles, CA 90059-3026 | 2020-04-02 |
| 1720618010 | Jonathan Andrew Robinson | Registered Nurse | 1680 E 120th St, Los Angeles, CA 90059-3026 | 2020-01-25 |
| 1770123663 | Ma Glenda Jatulan Ravas | Nurse Practitioner | 1680 E 120th St, Los Angeles, CA 90059-3026 | 2020-01-09 |
| 1649819228 | Meaza Sefineh | Nurse Practitioner | 1680 E 120th St, Los Angeles, CA 90059-3026 | 2019-12-31 |
| 1629621826 | Munazza Hakim | Pharmacy | 1680 E 120th St, Los Angeles, CA 90059-3026 | 2019-07-17 |
| 1215590518 | Briauna Linton | Nurse Practitioner | 1680 E 120th St, Los Angeles, CA 90059-3026 | 2019-04-22 |
| 1336634690 | Zeus Fernandez | Student in an Organized Health Care Education/Training Program | 1680 E 120th St, Los Angeles, CA 90059-3026 | 2018-06-28 |
| 1477066132 | Basak Julia Kanlilar-ruiz | Nurse Practitioner | 1680 E 120th St, Los Angeles, CA 90059-3026 | 2017-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235759788 | Juan Jimenez Jr. | Technician, Pathology | 1860 E 120th St, Los Angeles, CA 90059 | 2020-04-24 |
| 1538717780 | Donald O Nwanze | Pharmacist | Mlk Outpatient Center (pharmacy), 1670 East 120th Street, Los Angeles, CA 90059 | 2019-08-30 |
| 1295391050 | Sheela Hoyle | Counselor | 836 East Saucer Lane, Los Angeles, CA 90059 | 2019-05-16 |
| 1750852471 | Carlos Tovar Sr. | Community Health Worker | 1720 E 120st, Los Angeles, CA 90059 | 2018-12-06 |
| 1699293910 | Amy Caryn Bolenbaugh | Recreation Therapist | 1720 E 120th Street, Los Angeles, CA 90059 | 2017-09-07 |
| 1417475757 | Scott Lee Jones | Recreation Therapist | Augustus F. Hawkins, 1720 E. 120th Street, Rm. 2196, Los Angeles, CA 90059 | 2017-09-07 |
| 1881118859 | Darlene Renee Tillman | Speech-Language Pathologist | 1670 E 120th Strret, Los Angeles, CA 90059 | 2017-08-01 |
| 1609306430 | Valda Therese Flores | Registered Nurse | 1670 E. 120th Street, Los Angeles, CA 90059 | 2017-06-14 |
| 1093244006 | Bongsill Chung | Registered Nurse | 1670 East 120th St, Los Angeles, CA 90059 | 2017-06-05 |
| 1730573395 | Apollonia Godoy | Registered Nurse | 1670 E. 120th St, 4th Floor, Module A, Los Angeles, CA 90059 | 2015-03-22 |
| Find all providers in zip 90059 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245845700 | Amber Li | Nurse Practitioner | 3852 Bostwick St, Los Angeles, CA 90063-1765 | 2020-09-11 |
| 1750995916 | Yeranui Stepanyan Np Advance Practice Nursing Apc | Nurse Practitioner | 1711 W Temple St Fl 1, Los Angeles, CA 90026-7329 | 2020-09-04 |
| 1255943452 | Emily Wright | Nurse Practitioner | 11500 W Olympic Blvd Ste 570, Los Angeles, CA 90064-1536 | 2020-08-19 |
| 1174134472 | Hanna Song | Nurse Practitioner | 1234 Wilshire Blvd Apt 437, Los Angeles, CA 90017-1983 | 2020-08-11 |
| 1760090351 | Katherine Tran | Nurse Practitioner | 11120 Queensland St Unit B11, Los Angeles, CA 90034-5230 | 2020-07-20 |
| 1811512072 | Annabel Jeng | Nurse Practitioner | 3360 Isabel Dr, Los Angeles, CA 90065-1931 | 2020-06-13 |
| 1205465994 | Tania Parhami | Nurse Practitioner | 2045 S Bentley Ave Apt 201, Los Angeles, CA 90025-5673 | 2020-04-03 |
| 1205466349 | Laura Madeline Locke | Nurse Practitioner | 127 S San Vicente Blvd Ste 6600, Los Angeles, CA 90048-3311 | 2020-01-16 |
| 1629616412 | Marcie Lynn Hulpa | Nurse Practitioner | 11812 Gorham Ave Apt 203, Los Angeles, CA 90049-5491 | 2019-12-12 |
| 1457901183 | Alexandria Rebecca Borys | Nurse Practitioner | 200 Ucla Medical Plz Ste B265b2, Los Angeles, CA 90095-8344 | 2019-09-15 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90059 |
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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.