MR. BADRU NASSER MUTAAWE (NPI# 1366922239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366922239 |
| Entity Type | Individual |
| Full Name | MR. BADRU NASSER MUTAAWE |
| Credential | BSN, RN |
| Practice Address |
1424 S Bentley Ave Apt 201 Los Angeles CA 90025-6685 |
| Practice Telephone | 7819567118 |
| Mailing Telephone | 7819567118 |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2018-08-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0200X |
Registered Nurse Specialization: Critical Care Medicine |
834846 | CA | Nursing Service Providers |
| Street Address |
1424 S BENTLEY AVE APT 201 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90025-6685 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962324 | Marjan-marcia Khalitchi-alavi | Psychologist | 12400 Wilshire Blvd #230, Los Angeles, CA 90025 | 2020-11-06 |
| 1245852599 | Maureen Bridget Mcglynn | Marriage & Family Therapist | 1531 Purdue Avenue, Los Angeles, CA 90025 | 2020-05-09 |
| 1578118857 | Gregory J Bogie | Physical Therapist | 10351 Santa Monica Blvd. Suite 101, Los Angeles, CA 90025 | 2019-08-05 |
| 1518527712 | David Allen Goldstein | Marriage & Family Therapist | 12301 Wilshire Blvd., Suite 515, Los Angeles, CA 90025 | 2019-06-19 |
| 1386104875 | Kevin Meir Youssefzadeh | Student in an Organized Health Care Education/Training Program | 304 Dowlen Dr, Los Angeles, CA 90025 | 2019-03-21 |
| 1336609189 | Psychotherapy Center for Healing and Personal Growth | Psychologist | 2001 S. Barington Ave Suite 222, Los Angeles, CA 90025 | 2019-03-20 |
| 1477028819 | Flora Ma | Nurse Practitioner | 1726 Purdue Ave, Apt 2, Los Angeles, CA 90025 | 2018-10-12 |
| 1457834285 | Yeesul Yoo | Chiropractor | 2001 S. Barrington Ave Suite 101, Los Angeles, CA 90025 | 2018-09-07 |
| 1902387160 | Angelica Carmen Regalado | Behavior Technician | 7400 Pacific Blvd. Suite A & B, Walnut Park, CA 90025 | 2018-08-26 |
| 1033603378 | Craig Allen Gillett | Marriage & Family Therapist | 11847 Wilshire Blvd., #300, Los Angeles, CA 90025 | 2018-06-20 |
| Find all providers in zip 90025 | ||||
| Taxonomy Code | 163WC0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Critical Care Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669095162 | John Hinestrosa | Registered Nurse | 1457 Colorado Blvd Apt 204, Los Angeles, CA 90041-2378 | 2020-05-19 |
| 1366951113 | Kola Ogundipe | Registered Nurse | 1731 Stearns Dr, Los Angeles, CA 90035-4627 | 2017-09-25 |
| 1871904151 | Benjamin Gerendash | Registered Nurse | 1450 S Beverly Dr Apt 306, Los Angeles, CA 90035-3073 | 2014-05-08 |
| 1003992942 | Jo-ann Orsillo Eastwood | Registered Nurse | 4-940 Ucla School of Nursing Factor, 700 Tiverton Blvd.box 956918, Los Angeles, CA 90095-6918 | 2006-10-31 |
| 1255814091 | Jacob Schonau-taylor | Registered Nurse | 2051 Marengo St, Los Angeles, CA 90033-1352 | 2018-09-07 |
| 1497237325 | Christine Raimondo | Registered Nurse | 2051 Marengo St, Los Angeles, CA 90033-1352 | 2018-09-06 |
| 1316429517 | Babatunde Bamidele | Registered Nurse | 2051 Marengo St, Los Angeles, CA 90033-1352 | 2018-09-04 |
| 1760903512 | Loren Ann C Carino | Registered Nurse | 8900 Beverly Blvd, Los Angeles, CA 90048 | 2017-07-02 |
| 1326580069 | Alana Marie France | Registered Nurse | Ronald Reagan Ucla Medical Ctr, Los Angeles, CA 90095-0001 | 2016-11-11 |
| 1336698141 | Sommer Lynn Carter | Registered Nurse | 1500 San Pablo St, Los Angeles, CA 90033-5313 | 2016-09-22 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90025 |
Please comment or provide details below to improve the information on MR. BADRU NASSER MUTAAWE.
| 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.