MS. ANNIE KANCHANASUWAN (NPI# 1609832385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609832385 |
Entity Type | Individual |
Full Name | MS. ANNIE KANCHANASUWAN |
Credential | RN, GNP, GCNS-BC |
Practice Address |
988 S Fair Oaks Ave Pasadena CA 91105-2626 |
Mailing Address |
3731 Revere Ave Los Angeles CA 90039-1818 |
Practice Telephone | 6267994193 |
Mailing Telephone | 3236623007 |
Enumeration Date | 2006-04-22 |
Last Update Date | 2008-01-30 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
15980 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
988 S FAIR OAKS AVE |
City | PASADENA |
State | CA |
Zip Code | 91105-2626 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689648693 | Todd Hee | Internal Medicine | 988 S Fair Oaks Ave, Pasadena, CA 91105-2626 | 2006-02-15 |
1699294710 | Lori Kleban | Registered Nurse | 988 S Fair Oaks Ave, Pasadena, CA 91105-2626 | 2017-09-11 |
1679822837 | Kyle H Chang | Family Medicine | 988 S Fair Oaks Ave, Pasadena, CA 91105-2626 | 2012-09-04 |
1770877409 | Patricia Ann O'connell | Nurse Practitioner | 988 S Fair Oaks Ave, Pasadena, CA 91105-2626 | 2011-05-28 |
1568768323 | Josh Syungrul Baek | Family Medicine | 988 S Fair Oaks Ave, Pasadena, CA 91105-2626 | 2011-01-26 |
1003045527 | Melissa Main Udell | Psychologist | 988 S Fair Oaks Ave, Pasadena, CA 91105-2626 | 2009-07-06 |
1003066556 | Woosin Chung | Nurse Practitioner | 988 S Fair Oaks Ave, Pasadena, CA 91105-2626 | 2008-09-21 |
1578719274 | Shilpa Swamy | Internal Medicine | 988 S Fair Oaks Ave, Pasadena, CA 91105-2626 | 2008-08-13 |
1356502611 | Emelia Mardigian | Registered Nurse | 988 S Fair Oaks Ave, Pasadena, CA 91105-2626 | 2008-06-19 |
1699954867 | Georgina Rose Cabrera | Nurse Practitioner | 988 S Fair Oaks Ave, Pasadena, CA 91105-2626 | 2007-10-24 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619451697 | Tonya Michlin | Registered Nurse | 800 Fairmount Ave Ste 110, Pasadena, CA 91105 | 2018-09-17 |
1639674161 | David Marcus Md, Inc. | Psychiatry & Neurology | 107 S. Fair Oaks Avenue, Suite #315, Pasadena, CA 91105 | 2018-03-27 |
1548778541 | Elias & Jun Dental Corp | Dentist | 301 S. Fair Oaks Ave., Ste 107, Pasadena, CA 91105 | 2018-01-12 |
1013429745 | Whitney Catalano | Dietitian, Registered | 100 S Orange Grove Blvd, 103, Pasadena, CA 91105 | 2017-11-03 |
1518485630 | Marlon O Miller | Counselor | 1020 South Arroyo Parkway, Pasadena, CA 91105 | 2017-09-08 |
1316469976 | Alexandra Scott | Speech-Language Pathologist | 235 La Vereda Road, Pasadena, CA 91105 | 2017-07-14 |
1346770443 | Amanda Grace Gentz | Rehabilitation Practitioner | 210 S De Lacey, Ste 110, Pasadena, CA 91105 | 2017-06-13 |
1427598390 | Melina Gomez Loza | Licensed Vocational Nurse | 66 Hilburt St #2, Pasadena, CA 91105 | 2017-02-27 |
1588115281 | Ramon Banuelos | Rehabilitation Practitioner | 210 S. Delacey Ave Suite 110, Pasadena, CA 91105 | 2016-10-18 |
1922554245 | Daniel Joseph Ybarra | Student in an Organized Health Care Education/Training Program | 100 W. California Blvd. Pasadena, Ca 91105, Pasadena, CA 91105 | 2016-08-28 |
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Taxonomy Code | 363LG0600X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Gerontology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
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1285894253 | Senior House Calls | Nurse Practitioner | 7900 Oak Point Ct, Pasadena, MD 21122-2370 | 2008-06-13 |
1902362411 | Elizabeth Avila | Nurse Practitioner | 5010 Crenshaw Rd Ste 130, Pasadena, TX 77505-4615 | 2019-02-20 |
1669956306 | Lauren Malecki Meekins | Nurse Practitioner | 8028 Ritchie Hwy Ste 108, Pasadena, MD 21122-1020 | 2018-09-19 |
1477853091 | Tai Marie Samuels | Nurse Practitioner | 797 S Fair Oaks Ave, Pasadena, CA 91105-2617 | 2010-10-29 |
1598070211 | Carmen Lozano | Nurse Practitioner | 393 E Walnut St, Pasadena, CA 91188-0001 | 2010-08-18 |
1912236001 | Choi Hyangsook Siegel | Nurse Practitioner | 301 S Fair Oaks Ave Ste 300, Pasadena, CA 91105-2562 | 2009-12-18 |
1699954867 | Georgina Rose Cabrera | Nurse Practitioner | 988 S Fair Oaks Ave, Pasadena, CA 91105-2626 | 2007-10-24 |
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1225677198 | Shannon Ha Duyen Sicat | Nurse Practitioner | 2617 E Chapman Ave Ste 109, Orange, CA 92869-3245 | 2019-12-24 |
1528605961 | Elsa L Pineda-flores | Nurse Practitioner | 1513 S Grand Ave Ste 306, Los Angeles, CA 90015-3075 | 2019-12-04 |
1447895073 | Kemi Osilesi | Nurse Practitioner | 1943 Seasons St, Simi Valley, CA 93065-0580 | 2019-11-07 |
1487297107 | Fareeha Sipra | Nurse Practitioner | Fresno County Jail, 1225 M Street, Fresno, CA 93721 | 2019-10-25 |
1255993531 | May Therese Ronci | Nurse Practitioner | 38504 Cougar Pass, Palmdale, CA 93551-5019 | 2019-07-08 |
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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.