MRS. HEATHER DEL VILLAR BOGDANOV (NPI# 1558534685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558534685 |
| Entity Type | Individual |
| Full Name | MRS. HEATHER DEL VILLAR BOGDANOV |
| Credential | N.P. |
| Practice Address |
1500 E. Duarte Road Duarte CA 91010 |
| Mailing Address |
Po Box 512185 Los Angeles CA 90051-0185 |
| Practice Telephone | 6262564673 |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2019-06-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | NP 17636 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
17636 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CLINICAL NURSE SPECIALIST | CNS 2814 | 01 |
| CA | REGISTERED NURSE LICENSE | RN 617845 | 01 |
| CA | NURSE PRACTITIONER LICENS | NP 17636 | 01 |
| CA | PUBLIC HEALTHE NURSE | PHN 66386 | 01 |
| Street Address |
1500 E. DUARTE ROAD |
| City | DUARTE |
| State | CA |
| Zip Code | 91010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487620829 | Cornelia G. Banciu-odell | Internal Medicine | 1500 E. Duarte Road, Duarte, CA 91010 | 2006-02-26 |
| 1831661537 | Shan Ju Lin | Nurse Practitioner | 1500 E. Duarte Road, Duarte, CA 91010 | 2018-12-19 |
| 1922581941 | Brittany Nicole Duvall | Nurse Practitioner | 1500 E. Duarte Road, Duarte, CA 91010 | 2018-09-14 |
| 1720573017 | Sarah Kay De Belen | Nurse Practitioner | 1500 E. Duarte Road, Duarte, CA 91010 | 2018-06-28 |
| 1740728484 | Julie Jean | Nurse Practitioner | 1500 E. Duarte Road, Duarte, CA 91010 | 2017-02-02 |
| 1952848137 | Chelsea Marie Abad | Nurse Practitioner | 1500 E. Duarte Road, Duarte, CA 91010 | 2017-01-25 |
| 1245777663 | Christien Jeyasingh | Nurse Practitioner | 1500 E. Duarte Road, Duarte, CA 91010 | 2017-01-24 |
| 1982064093 | Mariya Milgram | Nurse Practitioner | 1500 E. Duarte Road, Duarte, CA 91010 | 2016-03-02 |
| 1790151405 | Alice Han | Nurse Practitioner | 1500 E. Duarte Road, Duarte, CA 91010 | 2015-08-17 |
| 1982081899 | Janet Rattanapichetkul | Nurse Practitioner | 1500 E. Duarte Road, Duarte, CA 91010 | 2015-04-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386266849 | Cheyenne King | Student in an Organized Health Care Education/Training Program | 1801 Huntington Drive, Duarte, Ca 91010, Duarte, CA 91010 | 2020-05-07 |
| 1114578028 | Cristian Gonzalez | Case Manager/Care Coordinator | 2250 E Foothill Ave, Pasadena, CA 91010 | 2019-09-23 |
| 1366932378 | Maisie Madrid | Marriage & Family Therapist | 1801 Huntington Drive, Duarte, CA 91010 | 2018-05-15 |
| 1598289571 | Bertha Maria Torres | Social Worker | 938 E. Huntington Drive, Unit A, Duarte, CA 91010 | 2017-08-01 |
| 1598292286 | Sheila Ramirez | Occupational Therapy Assistant | 2302 Citrus View Ave, Duarte, CA 91010 | 2017-05-12 |
| 1982059556 | Patricia Mendoza | Case Manager/Care Coordinator | 2502 E.huntington Dr., Duarte, CA 91010 | 2016-05-02 |
| 1770966178 | Sinziana Dumitra | Surgery | 1500 Durate Road California, Mob L001, Duarte, CA 91010 | 2015-07-02 |
| 1477940161 | Jin Sun L Bitar | Internal Medicine | 1500 Duarte Rd # Wing4, Duarte, CA 91010 | 2015-04-20 |
| 1659625622 | Jeanette Marie Petermann | Nurse Practitioner | 1036 East Huntington Drive, Duarte, CA 91010 | 2012-10-30 |
| 1649534397 | Nathaniel J Khoe Dds. Inc | Dentist | 1016 Huntington Drive, Duarte, CA 91010 | 2012-06-27 |
| Find all providers in zip 91010 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629531686 | Frances Dy | Nurse Practitioner | 1101 Ohio Way, Duarte, CA 91010-2124 | 2019-04-08 |
| 1700288586 | Kimberly Lui | Nurse Practitioner | 1500 Duarte Road, Duarte, CA 91010-3012 | 2014-09-23 |
| 1093349532 | Emma Elizabeth Heer Mazzilli | Nurse Practitioner | 1500 Duarte Rd, Duarte, CA 91010-3012 | 2020-02-24 |
| 1194293142 | Yvette Herzfeld Theodore | Nurse Practitioner | 1500 Duarte Rd, Duarte, CA 91010-3012 | 2018-11-07 |
| 1528554284 | Marianna Dichigrikian | Nurse Practitioner | 1500 Duarte Rd, Duarte, CA 91010-3012 | 2018-07-06 |
| 1720573017 | Sarah Kay De Belen | Nurse Practitioner | 1500 E. Duarte Road, Duarte, CA 91010 | 2018-06-28 |
| 1427426618 | Vlad Gheorghiu | Nurse Practitioner | 1500 Duarte Rd, Duarte, CA 91010-3012 | 2015-09-04 |
| 1770971418 | Brian Christopher Bowman | Nurse Practitioner | 1500 E Duarte Road, Duarte, CA 91010-3012 | 2015-01-05 |
| 1295139244 | Norma Tiedge | Nurse Practitioner | 1500 E. Duarte Road, Duarte, CA 91010 | 2014-10-20 |
| 1881010429 | Katrina M Duncan | Nurse Practitioner | 1500 Duarte Rd, Duarte, CA 91010-3012 | 2014-03-06 |
| Find all providers in DUARTE | ||||
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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.