CHARMAINE BADE


Address: 1223 23rd St Apt A, Santa Monica, CA 90404-1323
Phone: (818) 621-5130

CHARMAINE BADE (NPI# 1376071472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376071472
Entity Type Individual
Full Name CHARMAINE BADE
Credential NURSE PRACTITIONER
Practice Address 1223 23rd St Apt A
Santa Monica
CA 90404-1323
Practice Telephone (818) 621-5130
Mailing Telephone 8186215130
Enumeration Date 2017-06-01
Last Update Date 2017-06-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
95006391 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1223 23RD ST APT A
City SANTA MONICA
State CA
Zip Code 90404-1323

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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275059131 Ana Maricela Rocha Nurse Practitioner 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 2017-08-22
1831554682 Brettney Daugherty Nurse Practitioner 1711 Ocean Park Blvd, Santa Monica, CA 90405-4901 2015-12-22
1306053038 Amy Michelle Taylor Serafini Nurse Practitioner 2001 Santa Monica Blvd, Suite 360w, Santa Monica, CA 90404 2007-05-16

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NPI Name Taxonomy Address Enumeration
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1053918094 Janel Nicole Sanglerat Nurse Practitioner 416 Aviation Blvd, Santa Rosa, CA 95403-1032 2020-10-02
1790382760 Christopher Tran Nurse Practitioner 11441 Heacock St Ste F, Moreno Valley, CA 92557-7907 2020-10-02
1487266292 Mollie Shira Hudson Nurse Practitioner 14 Whitmore Pl Apt 15, Oakland, CA 94611-4635 2020-08-21
1962014381 Mario Javier Herrera Nurse Practitioner 2130 High Pointe Dr, Apt 108, Corona, CA 92879 2020-08-18
1952912131 Norman Ivan Kier Nurse Practitioner 3834 Edison Ave, Sacramento, CA 95821-2728 2020-08-12
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Competitor

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City SANTA MONICA
Zip Code 90404

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Dataset Information

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.

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