MS. EARLA MAHALIA BURNETT (NPI# 1619091055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619091055 |
| Entity Type | Individual |
| Full Name | MS. EARLA MAHALIA BURNETT |
| Credential | PA-C |
| Practice Address |
1250 Pacific Ave Long Beach CA 90813-3026 |
| Mailing Address |
4419 E Lavante St Long Beach CA 90815-2748 |
| Practice Telephone | 5624370831 |
| Practice Fax Number | 5626242725 |
| Mailing Telephone | 5622301253 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA 16707 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1250 PACIFIC AVE |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90813-3026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528696911 | Dakota Troy Campbell | Registered Nurse | 1250 Pacific Ave, Long Beach, CA 90813-3026 | 2020-03-31 |
| 1457694226 | Quiana Wicks | Physician Assistant | 1250 Pacific Ave, Long Beach, CA 90813-3026 | 2013-03-30 |
| 1407037518 | Carol Marie Murdock | Nurse Practitioner | 1250 Pacific Ave, Long Beach, CA 90813-3026 | 2007-11-16 |
| 1710168091 | Jose Serna | Physician Assistant | 1250 Pacific Ave, Long Beach, CA 90813-3026 | 2007-11-15 |
| 1669669354 | Christopher Ming Tang | Internal Medicine | 1250 Pacific Ave, Long Beach, CA 90813 | 2007-09-27 |
| 1780885053 | David Socol | General Practice | 1250 Pacific Ave, Long Beach, CA 90813-3026 | 2007-05-31 |
| 1033310347 | Daniel Ries | General Practice | 1250 Pacific Ave, Long Beach, CA 90813-3026 | 2007-05-31 |
| 1629288998 | Teddie Mont Nabong | Physical Medicine & Rehabilitation | 1250 Pacific Ave, Long Beach, CA 90813-3026 | 2007-05-23 |
| 1164632527 | Charles Brian Tang | Preventive Medicine | 1250 Pacific Ave, Long Beach, CA 90813-3026 | 2007-05-23 |
| 1407065139 | Helen H.r. Tang | Preventive Medicine | 1250 Pacific Ave, Long Beach, CA 90813-3026 | 2007-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861018491 | Marisol Zobler | Social Worker | 820 Long Beach Bvld, Long Beach, CA 90813 | 2020-06-19 |
| 1437787009 | Cho Rok Kim | Student in an Organized Health Care Education/Training Program | Graduate Medical Education, 1050 Linden Ave., Long Beach, CA 90813 | 2020-03-30 |
| 1316407596 | Vicky Sandhu | Student in an Organized Health Care Education/Training Program | Graduate Medical Education, 1050 Linden Ave, Long Beach, CA 90813 | 2019-03-22 |
| 1245734912 | Madiha Naseem | Internal Medicine | Graduate Medical Education, 1050 Linden Avenue, Long Beach, CA 90813 | 2018-03-19 |
| 1689194508 | Naomi Ruiz | Specialist/Technologist | 838 Pine Ave Apt. 314, Long Beach, CA 90813 | 2017-06-21 |
| 1851831531 | Tyler Lappen | Student in an Organized Health Care Education/Training Program | 830 Atlantic Ave., Long Beach, CA 90813 | 2017-03-01 |
| 1639628886 | Assavuth Kim | Community Health Worker | 1471 Cherry Avenue, Long Beach, CA 90813 | 2016-09-29 |
| 1881031300 | Stacy Nicole Delgado-willis | Marriage & Family Therapist | 851 Pine Ave Ste 103, Long Beach, CA 90813 | 2013-05-23 |
| 1740623453 | Paula Ann Di Thomas | Nurse Practitioner | 1043 Elm Ave #104, Long Beach, CA 90813 | 2013-04-11 |
| 1629322722 | David O Chavez | Case Manager/Care Coordinator | 820 Long Beach Blvd, Long Beach, CA 90813 | 2012-10-29 |
| Find all providers in zip 90813 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508261256 | Trisha Luu | Physician Assistant | 3300 E. South Street, Suite 308, Long Beach, CA 90805 | 2014-10-23 |
| 1316284151 | Joan Eastlack | Physician Assistant | 432 Panama Ave, Long Beach, CA 90814-1909 | 2013-01-14 |
| 1205125267 | Renae C Bright | Physician Assistant | 461 E Broadway, Long Beach #4, Long Beach, NY 11561-4437 | 2011-03-30 |
| 1881903680 | Monte Carl Burnam Physician Assistant Professional Corporation | Physician Assistant | 1145 E Amelia Dr, Long Beach, CA 90807-2403 | 2010-09-28 |
| 1912233438 | Wesley Charles Adams | Physician Assistant | 3559 E South St, Long Beach, CA 90805-4519 | 2009-10-19 |
| 1396920864 | Mohammad A Shadjari | Physician Assistant | 1635 E Ocean Blvd, Apt. F3, Long Beach, CA 90802-6001 | 2008-01-03 |
| 1710047220 | Rosemary Tilmon-kellum | Physician Assistant | 1250 Bellflower Blvd., Student Health Center, Long Beach, CA 90840 | 2006-12-12 |
| 1760542930 | Paul Scott Margraf | Physician Assistant | 2880 Atlantic Ave Ste 230, Long Beach, CA 90806-1735 | 2006-12-11 |
| 1669404380 | Bonnie Michelle Moreno Harris | Physician Assistant | 2495 Pine Ave, Long Beach, CA 90806-3029 | 2006-07-06 |
| 1952850364 | Kaitlyn Vu | Physician Assistant | 2690 Pacific Ave Ste 290, Long Beach, CA 90806-2631 | 2016-09-26 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90813 |
Please comment or provide details below to improve the information on MS. EARLA MAHALIA BURNETT.
| 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.