DR. OPAL PATEL (NPI# 1114547056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114547056 |
Entity Type | Individual |
Full Name | DR. OPAL PATEL |
Credential | DPM |
Practice Address |
2865 Atlantic Ave Long Beach CA 90806-1740 |
Practice Telephone | 5629330107 |
Practice Fax Number | 5629330101 |
Mailing Telephone | 5629330107 |
Mailing Fax Number | 5629330101 |
Enumeration Date | 2020-04-21 |
Last Update Date | 2020-04-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care | ||
Y | 390200000X | Student in an Organized Health Care Education/Training Program | CA | Student, Health Care |
Street Address |
2865 ATLANTIC AVE |
City | LONG BEACH |
State | CA |
Zip Code | 90806-1740 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104829092 | Gene Ray Bouch | Family Medicine | 2865 Atlantic Ave, Ste 206, Long Beach, CA 90806-7423 | 2005-05-24 |
1710507710 | Drake Khoi Dinh | Pharmacist | 2865 Atlantic Ave, Long Beach, CA 90806-1740 | 2020-04-20 |
1639730047 | Dana Brems | Podiatrist | 2865 Atlantic Ave, Long Beach, CA 90806-1740 | 2019-06-26 |
1194388033 | Jamie Reynar | Physical Therapist | 2865 Atlantic Ave, Long Beach, CA 90806-1740 | 2019-04-16 |
1932652633 | Pain Doctors Md Medical Corporation | Pain Medicine | 2865 Atlantic Ave, 226, Long Beach, CA 90806-1740 | 2016-07-28 |
1134586209 | Kristeen Derrick | Physician Assistant | 2865 Atlantic Ave, Suite 205, Long Beach, CA 90806-1740 | 2016-01-20 |
1578939369 | Allhealth Professional Corp | Internal Medicine | 2865 Atlantic Ave, Suite 226, Long Beach, CA 90806-1740 | 2015-08-14 |
1881012201 | Prohealth Partners A Medical Group Inc | Orthopaedic Surgery | 2865 Atlantic Ave, Suite 221, Long Beach, CA 90806-1740 | 2014-04-02 |
1164769535 | Gregory S Thomas Md Mph Corporation | Internal Medicine | 2865 Atlantic Ave, Suite 104, Long Beach, CA 90806-1740 | 2013-01-05 |
1215230370 | Humberto R. Ravelo, Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2865 Atlantic Ave, 215, Long Beach, CA 90806-1740 | 2010-12-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437624913 | Blanca C Gonzalez | Community Health Worker | 2600 Redondo Ave 6th Floor, Long Beach, CA 90806 | 2018-10-10 |
1780192740 | New Healthcare Supplies Inc | Durable Medical Equipment & Medical Supplies | 1001 E Pacific Coast Hwy Ste 117, Long Beach, CA 90806 | 2018-01-11 |
1265946586 | California Sleep Neurology Organization for Wellness | Clinic/Center | 2651 Elm Avenue, Suite 205, Long Beach, CA 90806 | 2017-11-22 |
1053820613 | Magnolia Cedeno-moreno | Counselor | 2600 Redondo Ave. 3rd Fl, Long Beach, CA 90806 | 2017-09-27 |
1144747569 | Kimberly Savanannah Rodriguez | Social Worker | 2600 Redondo Ave., 6th Floor, Long Beach, CA 90806 | 2017-08-25 |
1194257170 | Sarah Mahmood | Pediatrics | The Children's Clinic, 2360 Pacific Ave, Long Beach, CA 90806 | 2017-03-29 |
1801334784 | Denise Harbor | Student in an Organized Health Care Education/Training Program | 721 East 28th Street, Suite 401, Long Beach, CA 90806 | 2017-02-10 |
1083152839 | Kim Vu | Student in an Organized Health Care Education/Training Program | 701 East 28th Street Ste. 416, Long Beach, CA 90806 | 2017-02-01 |
1568910719 | Andrea Corona | Community Health Worker | 850 W Wardlow Rd, Long Beach, CA 90806 | 2016-09-16 |
1235589110 | Sarah Keihany-yazdy | Nurse Practitioner | 2000 San Gabriel Ave, Long Beach, CA 90806 | 2016-06-21 |
Find all providers in zip 90806 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942811229 | Dwayne Tatnall | Student in an Organized Health Care Education/Training Program | 4110 Santa Fe Ave, Long Beach, CA 90810-1439 | 2020-08-11 |
1366067902 | Graciela Ignacio | Student in an Organized Health Care Education/Training Program | 1780 Aquarius St, Long Beach, CA 90810-3217 | 2020-06-09 |
1710506514 | Sabreen Onallah | Student in an Organized Health Care Education/Training Program | 5901 E 7th St Bldg 166, Long Beach, CA 90822-5201 | 2020-04-11 |
1437787009 | Cho Rok Kim | Student in an Organized Health Care Education/Training Program | Graduate Medical Education, 1050 Linden Ave., Long Beach, CA 90813 | 2020-03-30 |
1972131761 | James Tolentino | Student in an Organized Health Care Education/Training Program | 3218 Maine Ave, Long Beach, CA 90806-1236 | 2020-03-29 |
1720615560 | Andrew Cabrera | Student in an Organized Health Care Education/Training Program | 5901 E 7th St # 12160, Long Beach, CA 90822-5201 | 2020-03-23 |
1639717770 | Brucha Buff | Student in an Organized Health Care Education/Training Program | 70 W Beech St, Long Beach, NY 11561-3407 | 2019-12-19 |
1790333268 | Chandara Duongmeas | Student in an Organized Health Care Education/Training Program | 3565 Linden Ave Unit 220, Long Beach, CA 90807-4528 | 2019-08-28 |
1174179733 | Taureece James Wilson | Student in an Organized Health Care Education/Training Program | 135 E Eldridge St, Long Beach, CA 90807-5018 | 2019-08-09 |
1992350094 | Kaitlyn May Saephan | Student in an Organized Health Care Education/Training Program | 200 Pine Avenue, Suite 400, Long Beach, CA 90802 | 2019-08-06 |
Find all providers in LONG BEACH |
City | LONG BEACH |
Zip Code | 90806 |
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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.