TIMOTHY BISTLINE (NPI# 1568987394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568987394 |
| Entity Type | Individual |
| Full Name | TIMOTHY BISTLINE |
| Practice Address |
11303 Wilshire Blvd Bldg 116 Los Angeles CA 90025-5069 |
| Practice Telephone | (310) 903-9707 |
| Mailing Telephone | 3109039707 |
| Enumeration Date | 2017-08-14 |
| Last Update Date | 2017-08-14 |
| Gender Code | M |
| 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 |
| Street Address |
11303 WILSHIRE BLVD BLDG 116 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90025-5069 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104044270 | Cheryl Hackett | Case Manager/Care Coordinator | 11303 Wilshire Blvd Bldg 116, Los Angeles, CA 90025-5069 | 2007-04-23 |
| 1356956585 | Tiffany Nicole Derosier | Rehabilitation Practitioner | 11303 Wilshire Blvd Bldg 116, Los Angeles, CA 90025-5069 | 2020-09-14 |
| 1225649544 | Donnie Albert Agnew | Rehabilitation Practitioner | 11303 Wilshire Blvd Bldg 116, Los Angeles, CA 90025-5069 | 2020-08-11 |
| 1063037729 | Larmar Ervin Avila | Rehabilitation Practitioner | 11303 Wilshire Blvd Bldg 116, Los Angeles, CA 90025-5069 | 2020-06-09 |
| 1023645322 | Josh Alfred Cleary | Marriage & Family Therapist | 11303 Wilshire Blvd Bldg 116, Los Angeles, CA 90025-5069 | 2020-03-25 |
| 1649810565 | Alexandria Holcomb | Student in an Organized Health Care Education/Training Program | 11303 Wilshire Blvd Bldg 116, Los Angeles, CA 90025-5069 | 2020-01-08 |
| 1285289140 | Richard Carnell Donaldson | Rehabilitation Practitioner | 11303 Wilshire Blvd Bldg 116, Los Angeles, CA 90025-5069 | 2019-08-07 |
| 1841843513 | Darryl Lovett | Rehabilitation Practitioner | 11303 Wilshire Blvd Bldg 116, Los Angeles, CA 90025-5069 | 2019-07-22 |
| 1659933521 | Bobby Gene Glover Jr I | Community Health Worker | 11303 Wilshire Blvd Bldg 116, Los Angeles, CA 90025-5069 | 2019-07-01 |
| 1679036982 | Tyler James Craft | Case Manager/Care Coordinator | 11303 Wilshire Blvd Bldg 116, Los Angeles, CA 90025-5069 | 2019-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962324 | Marjan-marcia Khalitchi-alavi | Psychologist | 12400 Wilshire Blvd #230, Los Angeles, CA 90025 | 2020-11-06 |
| 1245852599 | Maureen Bridget Mcglynn | Marriage & Family Therapist | 1531 Purdue Avenue, Los Angeles, CA 90025 | 2020-05-09 |
| 1578118857 | Gregory J Bogie | Physical Therapist | 10351 Santa Monica Blvd. Suite 101, Los Angeles, CA 90025 | 2019-08-05 |
| 1518527712 | David Allen Goldstein | Marriage & Family Therapist | 12301 Wilshire Blvd., Suite 515, Los Angeles, CA 90025 | 2019-06-19 |
| 1386104875 | Kevin Meir Youssefzadeh | Student in an Organized Health Care Education/Training Program | 304 Dowlen Dr, Los Angeles, CA 90025 | 2019-03-21 |
| 1336609189 | Psychotherapy Center for Healing and Personal Growth | Psychologist | 2001 S. Barington Ave Suite 222, Los Angeles, CA 90025 | 2019-03-20 |
| 1477028819 | Flora Ma | Nurse Practitioner | 1726 Purdue Ave, Apt 2, Los Angeles, CA 90025 | 2018-10-12 |
| 1457834285 | Yeesul Yoo | Chiropractor | 2001 S. Barrington Ave Suite 101, Los Angeles, CA 90025 | 2018-09-07 |
| 1902387160 | Angelica Carmen Regalado | Behavior Technician | 7400 Pacific Blvd. Suite A & B, Walnut Park, CA 90025 | 2018-08-26 |
| 1033603378 | Craig Allen Gillett | Marriage & Family Therapist | 11847 Wilshire Blvd., #300, Los Angeles, CA 90025 | 2018-06-20 |
| Find all providers in zip 90025 | ||||
| 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 |
|---|---|---|---|---|
| 1164020657 | Corinne Elizabeth Zachry | Student in an Organized Health Care Education/Training Program | 1149 S Hill St # H375, Los Angeles, CA 90015-2212 | 2020-10-15 |
| 1750989588 | Jasmine Carpenter | Student in an Organized Health Care Education/Training Program | 4920 S Avalon Blvd, Los Angeles, CA 90011-4004 | 2020-10-14 |
| 1801401062 | Rachel Brenner | Student in an Organized Health Care Education/Training Program | 3787 S Vermont Ave Apt 2, Los Angeles, CA 90007-4203 | 2020-09-14 |
| 1326653593 | Lamia Binhuwaishel | Student in an Organized Health Care Education/Training Program | 4650 Sunset Blvd, Craniofacial and Special Needs Ortho, Los Angeles, CA 90027 | 2020-09-14 |
| 1154936565 | Samrah Shaheer Abbasi | Student in an Organized Health Care Education/Training Program | 3022 Oakhurst Ave, Los Angeles, CA 90034-2856 | 2020-09-11 |
| 1568077071 | Amber Mottola | Student in an Organized Health Care Education/Training Program | 550 N Figueroa St Apt 4084, Los Angeles, CA 90012-3389 | 2020-09-11 |
| 1760096937 | Elizabeth Idema | Student in an Organized Health Care Education/Training Program | 1559 N Commonwealth Ave, Los Angeles, CA 90027-5513 | 2020-09-03 |
| 1053924225 | Deanna Sharon Lin | Student in an Organized Health Care Education/Training Program | 520 So Lafayette Park Place, 3rd Floor, Los Angeles, CA 90057-5400 | 2020-08-28 |
| 1003429762 | Kendra Knudsen | Student in an Organized Health Care Education/Training Program | 611 Levering Ave Apt 3, Los Angeles, CA 90024-2325 | 2020-08-24 |
| 1750993515 | Deena Basilious | Student in an Organized Health Care Education/Training Program | 1403 S Union Ave, Los Angeles, CA 90015-3205 | 2020-08-21 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90025 |
Please comment or provide details below to improve the information on TIMOTHY BISTLINE.
| 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.