KELSEY STANDER (NPI# 1578977039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578977039 |
| Entity Type | Individual |
| Full Name | KELSEY STANDER |
| Credential | NP |
| Practice Address |
300 Medical Plaza # B200 Los Angeles CA 90095 |
| Mailing Address |
5767 W Century Blvd Ste 400 Los Angeles CA 90045-5631 |
| Practice Telephone | 3107941195 |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2020-01-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 95138010 | CA | Nursing Service Providers |
| N | 363L00000X | Nurse Practitioner | 95007127 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
95007127 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
95007127 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1801 Wilshire Boulevard, Suite 100, Santa Monica, CA 90403 | 3103195098 | 3103194552 |
| 200 Ucla Medical Plz, Los Angeles, CA 900951611 | 3103193222 | |
| 200 Ucla Medical Plz Suite 365, Los Angeles, CA 90095 | ||
| 275 8th Ave, New York, NY 100111611 | 2124630101 |
| Street Address |
300 MEDICAL PLAZA # B200 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90095 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629170477 | Eric M Cheng | Psychiatry & Neurology | 300 Medical Plaza # B200, Los Angeles, CA 90095-1769 | 2006-09-02 |
| 1174007330 | Erika Vargas | Nurse Practitioner | 300 Medical Plaza # B200, Los Angeles, CA 90095 | 2018-09-23 |
| 1710383146 | Timothy Shenkang Chang | Psychiatry & Neurology | 300 Medical Plaza # B200, Los Angeles, CA 90095-1769 | 2014-11-12 |
| 1174927594 | Leila Parand | Psychiatry & Neurology | 300 Medical Plaza # B200, Los Angeles, CA 90095 | 2014-10-14 |
| 1588906606 | Ranmal Aloka Samarasinghe | Psychiatry & Neurology | 300 Medical Plaza # B200, Los Angeles, CA 90095-2536 | 2013-03-27 |
| 1336400357 | Shital Pavawalla | Clinical Neuropsychologist | 300 Medical Plaza # B200, Los Angeles, CA 90095-6361 | 2012-06-06 |
| 1649546128 | Andrew Michael Wilson | Psychiatry & Neurology | 300 Medical Plaza # B200, Los Angeles, CA 90095 | 2012-03-28 |
| 1003182007 | Christopher Bradley Lening | Psychiatry & Neurology | 300 Medical Plaza # B200, Los Angeles, CA 90095-1544 | 2012-03-24 |
| 1194013623 | Kevin Patel | Psychiatry & Neurology | 300 Medical Plaza # B200, Los Angeles, CA 90095-1703 | 2011-07-19 |
| 1861719742 | Eric Williamson | Psychiatry & Neurology | 300 Medical Plaza # B200, Los Angeles, CA 90095-5127 | 2010-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982212155 | Alexandra Gubin | Social Worker | Ucla, 757 Westwood Medical Plaza, Los Angeles, CA 90095 | 2020-07-14 |
| 1952926263 | Georgina Parra | Student in an Organized Health Care Education/Training Program | 10833 Le Conteave, Los Angeles, CA 90095 | 2020-06-11 |
| 1609403575 | Yagmur Muftuoglu | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza, Neurosurgery, Los Angeles, CA 90095 | 2020-03-23 |
| 1619438173 | Brandon Covington Smith | Student in an Organized Health Care Education/Training Program | 727 Westwood Plaza, Dept of Internal Medicine, Los Angeles, CA 90095 | 2019-03-27 |
| 1184184913 | Alexander Daniel Yuen | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza (internal Medicine), Los Angeles, CA 90095 | 2019-03-19 |
| 1790266369 | Dana Saifan | Student in an Organized Health Care Education/Training Program | 1000 Veteran Avenue, Los Angeles, CA 90095 | 2018-08-22 |
| 1427549146 | Courtney Renee' Real | Registered Nurse | 757 Westwood Plz Ste 6236, Los Angeles, CA 90095 | 2018-05-29 |
| 1932605094 | Akash Atul Shah | Student in an Organized Health Care Education/Training Program | Ucla Department of Orthopaedic Surgery, 10833 Le Conte Avenue, 76-116 Chs, Los Angeles, CA 90095 | 2018-04-05 |
| 1316443435 | Dane Jensen Brodke | Orthopaedic Surgery | 757 Westwood Plaza, (orthopaedic Surgery), Los Angeles, CA 90095 | 2018-04-05 |
| 1477058824 | Thomas William Gaither Castellanos | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza, Urology, Los Angeles, CA 90095 | 2018-03-28 |
| Find all providers in zip 90095 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619445756 | Miran Michelle Lee | Nurse Practitioner | 757 Westwood Plz # 6w, Los Angeles, CA 90095-8358 | 2018-11-07 |
| 1235624057 | Maureen Nicole Copeland | Nurse Practitioner | 8540 S Sepulveda Blvd Ste 818, Los Angeles, CA 90045-3808 | 2018-06-25 |
| 1043724388 | Naoko Mitori | Nurse Practitioner | 200 S San Pedro St Ste 302, Los Angeles, CA 90012-5308 | 2017-11-22 |
| 1891206538 | Elizabeth S Kim | Nurse Practitioner | 100 Medical Plaza Suite 630e, Los Angeles, CA 90095-7368 | 2017-10-20 |
| 1205384310 | Elizabeth Garcia | Nurse Practitioner | 4499 Via Marisol, 111a, Los Angeles, CA 90042-5147 | 2016-09-18 |
| 1831559756 | Fara J. Delaney | Nurse Practitioner | 3756 Santa Rosalia Dr Ste 506, Los Angeles, CA 90008-3656 | 2016-03-04 |
| 1366800815 | Byung Cheol Yoo | Nurse Practitioner | 1118 Valencia St Apt 310, Los Angeles, CA 90015-2077 | 2016-01-29 |
| 1811376056 | Sojung Suk | Nurse Practitioner | 1055 S Victoria Ave, Los Angeles, CA 90019-1924 | 2015-05-20 |
| 1568863348 | Jaana Salonsaari | Nurse Practitioner | 2017 S Shenandoah St, Los Angeles, CA 90034-1218 | 2014-09-11 |
| 1194141275 | Shaojung Angel Hu | Nurse Practitioner | 9315 Cattaraugus Ave, Los Angeles, CA 90034-2338 | 2014-03-12 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90095 |
Please comment or provide details below to improve the information on KELSEY STANDER.
| 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.