ALICIA AVILA (NPI# 1538771241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538771241 |
Entity Type | Individual |
Full Name | ALICIA AVILA |
Practice Address |
2227 Blue Butterfly Way #7 San Pedro CA 90732 |
Practice Telephone | 2137982950 |
Mailing Telephone | 2137982950 |
Enumeration Date | 2020-08-24 |
Last Update Date | 2020-08-24 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548828114 | Alicia Avila | Community Health Worker | 3518 W 25th St, Cleveland, OH 44109-1951 | 2019-05-30 |
Street Address |
2227 BLUE BUTTERFLY WAY #7 |
City | SAN PEDRO |
State | CA |
Zip Code | 90732 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619500543 | Udana Harris | Registered Nurse | 1300 West 7th Street, Obhc Unit, San Pedro, CA 90732 | 2020-02-19 |
1861042301 | Patricia Elaine Moses | Technician | 106 N. Western Ave Unit 102, San Pedro, CA 90732 | 2019-09-17 |
1629627393 | Antonio Ramon Martinez | Technician | 3141 Blue Butterfly Unit 66, San Pedro, CA 90732 | 2019-09-05 |
1487207700 | Victoria A. Shook, D.d.s., A Professional Corp. | Dentist | 28138 S. Western Ave., San Pedro, CA 90732 | 2019-07-17 |
1144566563 | Shaun E Chandran M D Inc | Orthopaedic Surgery | 1360 W 6th Street, Suite 305, San Pedro, CA 90732 | 2012-12-13 |
1316281280 | Jenny Luong | Physician Assistant | 1534 W. 25th St, San Pedro, CA 90732 | 2012-11-16 |
1033429519 | Eric M Feit Dpm Inc | Podiatrist | 1360 West 6th St., Suite 240, San Pedro, CA 90732 | 2010-10-18 |
1386808673 | Meysam Zaker | Dentist | 2470 S. Western Ave, San Pedro, Ca, CA 90732 | 2008-07-15 |
1376735340 | Francisco J. Correa, M.d., Inc | General Practice | 1350 W. 6th St, #3, San Pedro, CA 90732 | 2007-08-14 |
1821166869 | Lucy T White Dds Inc | Dentist | 1441 W 7th St, San Pedro, CA 90732 | 2006-11-30 |
Find all providers in zip 90732 |
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 |
---|---|---|---|---|
1073059325 | Gabriela Andreina Peraza | Student in an Organized Health Care Education/Training Program | 1891 N Gaffey St Ste 221, San Pedro, CA 90731-1270 | 2017-01-10 |
1134406242 | Vittoria Marie Imperial Ledesma | Student in an Organized Health Care Education/Training Program | 514 W 26th St, Apt 317, San Pedro, CA 90731-6373 | 2011-11-03 |
1114170677 | Juliette Peat | Student in an Organized Health Care Education/Training Program | 339 W 6th St, San Pedro, CA 90731-3317 | 2008-10-28 |
1851839724 | Pamela Street | Student in an Organized Health Care Education/Training Program | 1891 N Gaffey St, Suite 221, San Pedro, CA 90731-1267 | 2017-02-10 |
1518417211 | Christina Suan | Student in an Organized Health Care Education/Training Program | 921 S Beacon St, San Pedro, CA 90731-3740 | 2016-10-06 |
1669928701 | Jorge Beanato | Student in an Organized Health Care Education/Training Program | 1891 N Gaffey St, Suite 228, San Pedro, CA 90731-1267 | 2016-08-29 |
1356709539 | Ron J Ewell | Student in an Organized Health Care Education/Training Program | 150 W 7th St, San Pedro, CA 90731-3320 | 2016-02-03 |
1265899785 | Juan Carlos Fernandez | Student in an Organized Health Care Education/Training Program | 150 W 7th St, San Pedro, CA 90731-3320 | 2016-01-28 |
1548639461 | Mika Ozawa | Student in an Organized Health Care Education/Training Program | 921 S Beacon St, San Pedro, CA 90731-3740 | 2015-09-22 |
1477939635 | Kirsten Yabuta | Student in an Organized Health Care Education/Training Program | 599 W 9th St, San Pedro, CA 90731-3105 | 2015-08-10 |
Find all providers in SAN PEDRO |
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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.