KASALYN THUVAMONTOLRAT


Address: 625 S Fair Oaks Ave, Suite 325, Pasadena, CA 91105-2613
Phone: 6265359344

KASALYN THUVAMONTOLRAT (NPI# 1396282711) 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) 1396282711
Entity Type Individual
Full Name KASALYN THUVAMONTOLRAT
Credential NP
Practice Address 625 S Fair Oaks Ave
Suite 325
Pasadena
CA 91105-2613
Practice Telephone 6265359344
Practice Fax Number 6265359387
Mailing Telephone 6265359344
Mailing Fax Number 6265359387
Enumeration Date 2017-01-23
Last Update Date 2017-01-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
95005101 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 625 S FAIR OAKS AVE
SUITE 325
City PASADENA
State CA
Zip Code 91105-2613

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1740615871 Malia Rhiannon Kehaunani Woolsey Nurse Practitioner 625 S Fair Oaks Ave, Suite 215, Pasadena, CA 91105-2613 2013-09-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619451697 Tonya Michlin Registered Nurse 800 Fairmount Ave Ste 110, Pasadena, CA 91105 2018-09-17
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1518485630 Marlon O Miller Counselor 1020 South Arroyo Parkway, Pasadena, CA 91105 2017-09-08
1316469976 Alexandra Scott Speech-Language Pathologist 235 La Vereda Road, Pasadena, CA 91105 2017-07-14
1346770443 Amanda Grace Gentz Rehabilitation Practitioner 210 S De Lacey, Ste 110, Pasadena, CA 91105 2017-06-13
1427598390 Melina Gomez Loza Licensed Vocational Nurse 66 Hilburt St #2, Pasadena, CA 91105 2017-02-27
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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

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1790011534 Esther Chou Nurse Practitioner 430 Pembrook Dr, Pasadena, CA 91107-2223 2009-10-29
1316116932 Jennifer Alice Birch Nurse Practitioner 630 S Raymond Ave Unit 301, Pasadena, CA 91105-3206 2008-02-28
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1467844589 Inna Ella Spivak Nurse Practitioner 100 W California Blvd, Pasadena, CA 91105-3010 2015-02-26
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Competitor

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City PASADENA
Zip Code 91105

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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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