AMY ANNE SURNOCK (NPI# 1578061180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578061180 |
| Entity Type | Individual |
| Full Name | AMY ANNE SURNOCK |
| Credential | FNP |
| Practice Address |
1450 San Pablo Street Suite 5000 Los Angeles CA 99003 |
| Mailing Address |
Po Box 31309 Los Angeles CA 90031-0309 |
| Practice Telephone | 6266273041 |
| Mailing Telephone | 3234425790 |
| Enumeration Date | 2018-01-29 |
| Last Update Date | 2020-10-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
357457 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1450 SAN PABLO STREET SUITE 5000 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 99003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629084595 | Gary D Zeger | Pathology | 1450 San Pablo Street, Room 2422, Los Angeles, CA 90033-5313 | 2006-07-31 |
| 1184069825 | Anna John Mathew | Pathology | 1450 San Pablo Street, 2nd Floor Lab, Los Angeles, CA 90033-4500 | 2013-05-08 |
| 1801084462 | Curtis Lisante Cetrulo | Plastic Surgery | 1450 San Pablo Street, Suite 2000, Los Angeles, CA 90033-4500 | 2007-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700200011 | Stonewall Residential Care, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 28921 N. River Estates, Chattaroy, WA 99003 | 2014-02-06 |
| 1902859895 | Jessica A. Blackwell | Nurse Practitioner | 3419 E Elena Ln, Chattaroy, WA 99003-5121 | 2006-05-19 |
| 1669087367 | Village Health Telehealth Pllc | Clinic/Center | 3419 E Elena Ln, Chattaroy, WA 99003-5121 | 2020-09-10 |
| 1164772018 | Kristi Alana Conley | Community Health Worker | 13011 E Deer Creek Rd, Chattaroy, WA 99003-7001 | 2012-09-18 |
| 1316922792 | Victor S Stime | Dentist | 34705 N Newport Hwy, Riverside Dental Clinic, Chattaroy, WA 99003-7711 | 2005-12-08 |
| 1225087539 | David A Bennett | Pediatrics | 34705 N Newport Hwy, Chattaroy, WA 99003-7711 | 2006-05-06 |
| 1598713463 | David A Bennett Md | Pediatrics | 34705 N Newport Hwy, Chattaroy, WA 99003-7711 | 2006-05-04 |
| 1912976838 | Nathan P Stime | Family Medicine | 34705 N Newport Hwy, Suite A, Chattaroy, WA 99003-7711 | 2006-03-14 |
| 1376512293 | Nathan P Stime Md Riverside Medical-dental Clinic | Family Medicine | 34705 N Newport Hwy, Suite A, Chattaroy, WA 99003-7711 | 2006-03-14 |
| 1821472424 | Suzanna Toews | Social Worker | 35516 N Dunn Rd, Chattaroy, WA 99003-7726 | 2015-07-13 |
| Find all providers in zip 99003 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003640 | Samira Kadri | Nurse Practitioner | 431 S Burnside Ave Apt 3g, Los Angeles, CA 90036-5343 | 2020-11-08 |
| 1528672110 | Christopher Tria Coronel | Nurse Practitioner | 3435 Garden Ave, Los Angeles, CA 90039-1919 | 2020-09-01 |
| 1871119701 | Carina Lizette Guerra | Nurse Practitioner | St. John's Well Child and Family Center, Inc., 808 W. 58th Street, Los Angeles, CA 90037 | 2020-06-16 |
| 1548884216 | En Route Medical Staffing LLC | Nurse Practitioner | 3705 W Pico Blvd Ste 1714, Los Angeles, CA 90019-3451 | 2020-05-29 |
| 1922621432 | Latasha Tracy Warren | Nurse Practitioner | 1720 N Fuller Ave Apt 450, Los Angeles, CA 90046-3076 | 2020-05-19 |
| 1578184966 | Shin Il Kim | Nurse Practitioner | 450 Bauchet St Fl 8, Los Angeles, CA 90012-2907 | 2020-04-27 |
| 1457971160 | Karen Kim-chang | Nurse Practitioner | 450 Bauchet St Rm E815, Los Angeles, CA 90012-2907 | 2020-04-22 |
| 1912534033 | Anthony Felipe Banuelos Villa | Nurse Practitioner | 3437 Ellison St, Los Angeles, CA 90063-1901 | 2020-03-26 |
| 1629605506 | Ana Yely Nunez Nunez | Nurse Practitioner | 6017 Miramonte Blvd, Los Angeles, CA 90001-1327 | 2020-03-23 |
| 1154957769 | Maybel Deguzman Dumlao | Nurse Practitioner | 4371 Stewart Ave, Los Angeles, CA 90066-6133 | 2020-03-14 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 99003 |
Please comment or provide details below to improve the information on AMY ANNE SURNOCK.
| 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.