KAMALA KENNETRIA GIPSON (NPI# 1225470636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225470636 |
| Entity Type | Individual |
| Full Name | KAMALA KENNETRIA GIPSON |
| Credential | PNP |
| Practice Address |
2707 S Central Ave Los Angeles CA 90011-5527 |
| Mailing Address |
110 E Spruce Ave Apartment #6 Inglewood CA 90301-2752 |
| Practice Telephone | 3232345000 |
| Enumeration Date | 2013-07-26 |
| Last Update Date | 2013-07-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
22511 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2707 S CENTRAL AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90011-5527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649292459 | Naeemah Howell Ghafur | Family Medicine | 2707 S Central Ave, Los Angeles, CA 90011-5527 | 2006-07-24 |
| 1518409432 | Caroline Mckinley | Nurse Practitioner | 2707 S Central Ave, Los Angeles, CA 90011-5527 | 2016-11-09 |
| 1548610322 | Central Neighborhood Health Foundation - Inglewood | Clinic/Center | 2707 S Central Ave, Los Angeles, CA 90011-5527 | 2016-06-13 |
| 1346640414 | Noemi G. Relampagos | Nurse Practitioner | 2707 S Central Ave, Los Angeles, CA 90011-5527 | 2014-08-26 |
| 1205269347 | Central Neighborhood Health Foundation | Clinic/Center | 2707 S Central Ave, Los Angeles, CA 90011-5527 | 2013-08-13 |
| 1801151964 | Elea Cho-yee Wong | Nurse Practitioner | 2707 S Central Ave, Los Angeles, CA 90011-5527 | 2012-07-05 |
| 1639453079 | Elizabeth Ngassa | Nurse Practitioner | 2707 S Central Ave, Los Angeles, CA 90011-5527 | 2011-10-04 |
| 1306133657 | Central Neighborhood Health Foundation | Clinic/Center | 2707 S Central Ave, Los Angeles, CA 90011-5527 | 2011-07-07 |
| 1235450495 | Mary Christine Deasis Gonzales | Nurse Practitioner | 2707 S Central Ave, Los Angeles, CA 90011-5527 | 2010-06-22 |
| 1417194259 | Altamed Health Services Corp | Clinic/Center | 2707 S Central Ave, Los Angeles, CA 90011-5527 | 2009-01-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184223935 | Commercial & Housing Support Aid | Assisted Living Facility | 120 - 122 East 24th Street, Los Angeles, CA 90011 | 2020-10-22 |
| 1295377711 | Joseph D Madrigal | Home Health Aide | 1977 Anzac Ave, Los Angeles, CA 90011 | 2019-10-16 |
| 1538641212 | Brenda Bahena | Community Health Worker | South Central Family Health Center, 4425 S. Central Ave, Los Angeles, CA 90011 | 2018-08-30 |
| 1083101851 | Bronwyn Anne Hazlewood | Student in an Organized Health Care Education/Training Program | 3740 Maple Ave, 1/2 B, Los Angeles, CA 90011 | 2018-04-17 |
| 1164941183 | Kimberly Denise Lister- Gutierrez | Counselor | 303 E 52nd Street, Los Angeles, CA 90011 | 2017-09-11 |
| 1205252533 | Jameese B Smith | Case Manager/Care Coordinator | 271 E. 43rd Street, Los Angeles, CA 90011 | 2014-03-11 |
| 1033533153 | Avalon-carver Community Center | Community/Behavioral Health | 4920 S. Avalon Blvd, Los Angeles, CA 90011 | 2014-02-10 |
| 1245672500 | Kellie D Bougard | Student in an Organized Health Care Education/Training Program | 4920 South Avalon Blvd, Los Angeles, CA 90011 | 2013-07-26 |
| 1578909404 | Ma. Jasmin F Binas | Nurse Practitioner | 2707 S.central Ave., Los Angeles, CA 90011 | 2013-05-19 |
| 1912343344 | California Assisted Pharmacy, Inc | Pharmacy | 646 E 28th St, Ste #1, Los Angeles, CA 90011 | 2013-05-13 |
| Find all providers in zip 90011 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083260087 | Liezl Ann Bobila Bautista | Nurse Practitioner | 3317 Bagley Ave Apt 6, Los Angeles, CA 90034-2866 | 2019-08-15 |
| 1780155085 | Amy Parker | Nurse Practitioner | 1160 N Westmoreland Ave, Los Angeles, CA 90029-1909 | 2018-12-12 |
| 1285100172 | Kellie Ann Loera | Nurse Practitioner | 4650 W Sunset Blvd # Ms, Los Angeles, CA 90027-6062 | 2018-10-17 |
| 1629553649 | Jamie Duly | Nurse Practitioner | 4650 W Sunset Blvd # 66, Los Angeles, CA 90027-6062 | 2018-09-25 |
| 1942788047 | Annie Lee Thomson | Nurse Practitioner | 757 Westwood Plz Rm 5411, Los Angeles, CA 90095-8358 | 2018-07-31 |
| 1205347739 | Carrie Locken Collins | Nurse Practitioner | 4650 W Sunset Blvd # 170, Los Angeles, CA 90027-6062 | 2017-10-24 |
| 1053821553 | Kimberly Brooke Adams | Nurse Practitioner | 3131 Bagley Ave Apt 7, Los Angeles, CA 90034-2931 | 2017-10-10 |
| 1013360213 | Kelly Barth | Nurse Practitioner | 1880 Century Park E, Suite 425, Los Angeles, CA 90067-1600 | 2016-07-22 |
| 1003261272 | Laura Elvira Espinosa | Nurse Practitioner | 2831 Vaquero Ave, Los Angeles, CA 90032-3008 | 2016-04-25 |
| 1689059016 | Sandra Moon | Nurse Practitioner | 3810 Wilshire Blvd Apt 2211, #2211, Los Angeles, CA 90010-3230 | 2015-07-27 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90011 |
Please comment or provide details below to improve the information on KAMALA KENNETRIA GIPSON.
| 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.