MAGNOLIA VELA (NPI# 1083795231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083795231 |
| Entity Type | Individual |
| Full Name | MAGNOLIA VELA |
| Credential | MNT |
| Practice Address |
3711 Long Beach Blvd Ste 904 Long Beach CA 90807-3324 |
| Mailing Address |
3015 Ladoga Ave Long Beach CA 90808-4017 |
| Practice Telephone | 5628106739 |
| Practice Fax Number | 8664036068 |
| Mailing Telephone | 5628106739 |
| Mailing Fax Number | 8664036068 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2020-06-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
MNT894684 | CA | Dietary & Nutritional Service Providers |
| Y | 133V00000X | Dietitian, Registered | MNT894684 | CA | Dietary & Nutritional Service Providers |
| N | 133VN1005X |
Dietitian, Registered Specialization: Nutrition, Renal |
MNT894684 | CA | Dietary & Nutritional Service Providers |
| N | 133VN1006X |
Dietitian, Registered Specialization: Nutrition, Metabolic |
MNT894684 | CA | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | REG DIETICIAN PROVIDER NO | MNT894684 | 01 |
| Street Address |
3711 LONG BEACH BLVD STE 904 |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90807-3324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366467334 | Guy L Trimble Iv | Chiropractor | 3711 Long Beach Blvd, Ste. 200, Long Beach, CA 90807-3315 | 2006-07-12 |
| 1245717966 | Chau Phung | Nurse Practitioner | 3711 Long Beach Blvd, Long Beach, CA 90807-3315 | 2018-07-25 |
| 1780122085 | Emergent Care Obgyn Associates Inc | Emergency Medicine | 3711 Long Beach Blvd, Ste 700, Long Beach, CA 90807-3315 | 2017-02-07 |
| 1811442601 | Complete Women Care | Non-Pharmacy Dispensing Site | 3711 Long Beach Blvd, Suite 700, Long Beach, CA 90807-3315 | 2016-08-22 |
| 1659765279 | Trimble & Tieu Chiropractic, Inc | Chiropractor | 3711 Long Beach Blvd, Suite 200, Long Beach, CA 90807-3315 | 2015-03-20 |
| 1538558168 | Tiombe C Sewell | Marriage & Family Therapist | 3711 Long Beach Blvd, Suite 1016e, Long Beach, CA 90807-3315 | 2015-01-20 |
| 1083002745 | Pacific Wellness Center Chiropractic, Iseke Beltran Inc | Chiropractor | 3711 Long Beach Blvd, Suite 200, Long Beach, CA 90807-3315 | 2015-01-05 |
| 1518360122 | Jacqueline King | Obstetrics & Gynecology | 3711 Long Beach Blvd, Suite 700, Long Beach, CA 90807-3315 | 2014-09-27 |
| 1083013668 | Boris Gelman Md, Inc. | Anesthesiology | 3711 Long Beach Blvd, Suite 905, Long Beach, CA 90807-3315 | 2014-08-19 |
| 1225455124 | Judith Gaw | Registered Nurse | 3711 Long Beach Blvd, Long Beach, CA 90807-3315 | 2014-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992359434 | Kanna Lynn Curtis | Behavioral Analyst | 3491 Elm Avenue, Long Beach, CA 90807 | 2019-08-01 |
| 1891359394 | David Smith Samuel Tchon Dds Inc | Dentist | 4231 Long Beach Blvd, Long Beach, CA 90807 | 2019-04-30 |
| 1477038354 | Ryan Bacani | Registered Nurse | 4506 N Banner Drive Apt 3, Long Beach, CA 90807 | 2018-09-26 |
| 1508363516 | Joemari Salvani | Dentist | 4578 Atlantic Avenue, Long Beach, CA 90807 | 2018-04-07 |
| 1881110096 | Shafeeullah Hashim Gaines | Counselor | 4335 Altantic Ave, Long Beach, CA 90807 | 2017-08-18 |
| 1295259943 | Debresia Jackson | Community Health Worker | 900 E. Wardlow Rd, Long Beach, CA 90807 | 2017-08-02 |
| 1073036315 | United Mobile Rad LLC | Radiologic Technologist | 1720 E Cartagena St, Long Beach, CA 90807 | 2017-07-19 |
| 1336675800 | La-pham and Kansagra Dental Corporation | Dentist | 4578 Atlantic Ave, Long Beach, CA 90807 | 2017-05-03 |
| 1114462637 | Andunett Langhum | Counselor | 4335 Atlantic Blved, Long Beach, CA 90807 | 2016-12-20 |
| 1942742507 | Mt Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 3646 Long Beach Blvd Ste 212, Long Beach, CA 90807 | 2016-11-14 |
| Find all providers in zip 90807 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568070167 | Erin Fitzpatrick | Dietitian, Registered | 630 Shore Rd Apt 507, Long Beach, NY 11561-4628 | 2020-07-20 |
| 1942827167 | Guy D Denton Jr. | Dietitian, Registered | 1739 N Stanton Pl Apt 7, Long Beach, CA 90804-7917 | 2020-07-03 |
| 1497394258 | Austin Nicholus Peesset Bou | Dietitian, Registered | 1716 E 53rd St, Long Beach, CA 90805-6214 | 2019-12-27 |
| 1558909291 | Daniel Feldman | Dietitian, Registered | 68 Barnes St, Long Beach, NY 11561-2615 | 2019-12-12 |
| 1396383246 | Lukes Dietitians | Dietitian, Registered | 5030 E 2nd St Ste 200a, Long Beach, CA 90803-5349 | 2019-12-11 |
| 1972029130 | Lilia Bolgov | Dietitian, Registered | 3528 E 2nd St, Apt 1, Long Beach, CA 90803 | 2017-08-19 |
| 1356875900 | Kathleen Gabriel Mccool | Dietitian, Registered | 21 65th Pl, Unit A, Long Beach, CA 90803-5627 | 2017-04-19 |
| 1710426713 | Marie Everett | Dietitian, Registered | 3553 Atlantic Ave # 553, Long Beach, CA 90807-5606 | 2017-02-23 |
| 1295277648 | Shelby Yaceczko | Dietitian, Registered | 350 Wisconsin Ave Apt 1, Long Beach, CA 90814-5699 | 2016-11-15 |
| 1356899371 | Vicky Adeva | Dietitian, Registered | 1043 Elm Ave Ste 401, Long Beach, CA 90813-3296 | 2016-09-19 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90807 |
Please comment or provide details below to improve the information on MAGNOLIA VELA.
| 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.