MARK KEVIN NACENO YU (NPI# 1558921148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558921148 |
| Entity Type | Individual |
| Full Name | MARK KEVIN NACENO YU |
| Practice Address |
10048 Mills Ave Whittier CA 90604-1201 |
| Practice Telephone | 5629039678 |
| Practice Fax Number | 5629037638 |
| Mailing Telephone | 5629039678 |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2019-06-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 75781 | CA | Pharmacy Service Providers |
| Street Address |
10048 MILLS AVE |
| City | WHITTIER |
| State | CA |
| Zip Code | 90604-1201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922042290 | Garfield Beach Cvs LLC | Pharmacy | 10048 Mills Ave, Whittier, CA 90604-1201 | 2006-06-16 |
| 1538774278 | Daniel Viet Phan | Pharmacist | 10048 Mills Ave, Whittier, CA 90604-1201 | 2020-09-10 |
| 1992223770 | Monique Boyun Park | Pharmacist | 10048 Mills Ave, Whittier, CA 90604-1201 | 2017-08-31 |
| 1669829172 | Jolie Phou | Pharmacist | 10048 Mills Ave, Whittier, CA 90604-1201 | 2016-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891156642 | Estella Hernandez | Counselor | 10511 Mills Avenue, Whittier, CA 90604 | 2016-03-08 |
| 1306231576 | Victor Pinedo | Nurse Practitioner | 1244 E. Washington Blvd, Whittier, CA 90604 | 2015-04-03 |
| 1598172983 | Southern California University of Health Sciences | Clinic/Center | 16200 East Amber Valley Dr, Whittier, CA 90604 | 2014-07-17 |
| 1902226145 | Gia Renee Hamilton | Marriage & Family Therapist | 10231 Ruoff Ave., (transitional Housing Program), Whittier, CA 90604 | 2014-04-25 |
| 1437420403 | Sahabi and Saffari-nazari Dental Corporation | Dentist | 14322 Telegraph Road, Whittier, CA 90604 | 2012-01-23 |
| 1710118476 | Anupama Kizhakkeveettil | Acupuncturist | 16200 E Amber Valley Dr, Southern California University of Health Sciences, Whittier, CA 90604 | 2009-07-29 |
| 1720213325 | Matthew Harold Eurich | Chiropractor | 16200 E. Amber Valley Dr., Whittier, CA 90604 | 2009-05-27 |
| 1205028107 | Phylissa June Savedra I | Social Worker | 10511 Colima Rd, Whittier, CA 90604 | 2007-08-14 |
| 1821121377 | Gary C. Tanner | Chiropractor | 16200 Amber Valley Drive, Whittier, CA 90604 | 2007-03-13 |
| 1700917812 | Nicole Alexander | Marriage & Family Therapist | 14181 Telegraph Rd, Whittier, CA 90604 | 2007-03-08 |
| Find all providers in zip 90604 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265071773 | Tanya Federoff | Pharmacist | 10347 Corley Dr, Whittier, CA 90604-1111 | 2019-12-31 |
| 1487150512 | Margaret Baker Luis Sammor | Pharmacist | 14124 Viburnum Dr, Whittier, CA 90604-2540 | 2018-04-05 |
| 1235646613 | Curtis Hirabayashi | Pharmacist | 12462 Putnam St Ste 105, Whittier, CA 90602-1049 | 2018-01-07 |
| 1619416146 | Matthew Philip Caplis | Pharmacist | 11104 Pounds Ave, Whittier, CA 90603-3231 | 2017-02-16 |
| 1912449299 | Diti Dalal | Pharmacist | 12560 Whittier Blvd, Whittier, CA 90602-1045 | 2016-11-17 |
| 1184082513 | Tien Tran | Pharmacist | 12826 Philadelphia St Ste C, Whittier, CA 90601-4117 | 2016-01-30 |
| 1386071090 | Amy Christine Lee | Pharmacist | 15725 Whittier Boulevard, Whittier, CA 90603-6511 | 2013-09-27 |
| 1336495639 | Tasveera Darji | Pharmacist | 11659 Waddell St, Whittier, CA 90606-3350 | 2012-07-24 |
| 1720365984 | Jeffrey Alan Paresa | Pharmacist | 15025 Mulberry Dr, Whittier, CA 90604-1528 | 2011-11-15 |
| 1851676993 | Jimmy Yip | Pharmacist | 15740 La Forge St, Whittier, CA 90603-2334 | 2011-10-20 |
| Find all providers in WHITTIER | ||||
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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.