ELIZABETH NGASSA (NPI# 1639453079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639453079 |
| Entity Type | Individual |
| Full Name | ELIZABETH NGASSA |
| Credential | NP |
| Practice Address |
2707 S Central Ave Los Angeles CA 90011-5527 |
| Practice Telephone | 3232345000 |
| Mailing Telephone | 3232345000 |
| Enumeration Date | 2011-10-04 |
| Last Update Date | 2016-10-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 533266 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP129594 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2707 S CENTRAL AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90011-5527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649292459 | Naeemah Howell Ghafur | Family Medicine | 2707 S Central Ave, Los Angeles, CA 90011-5527 | 2006-07-24 |
| 1518409432 | Caroline Mckinley | Nurse Practitioner | 2707 S Central Ave, Los Angeles, CA 90011-5527 | 2016-11-09 |
| 1548610322 | Central Neighborhood Health Foundation - Inglewood | Clinic/Center | 2707 S Central Ave, Los Angeles, CA 90011-5527 | 2016-06-13 |
| 1346640414 | Noemi G. Relampagos | Nurse Practitioner | 2707 S Central Ave, Los Angeles, CA 90011-5527 | 2014-08-26 |
| 1205269347 | Central Neighborhood Health Foundation | Clinic/Center | 2707 S Central Ave, Los Angeles, CA 90011-5527 | 2013-08-13 |
| 1225470636 | Kamala Kennetria Gipson | Nurse Practitioner | 2707 S Central Ave, Los Angeles, CA 90011-5527 | 2013-07-26 |
| 1801151964 | Elea Cho-yee Wong | Nurse Practitioner | 2707 S Central Ave, Los Angeles, CA 90011-5527 | 2012-07-05 |
| 1306133657 | Central Neighborhood Health Foundation | Clinic/Center | 2707 S Central Ave, Los Angeles, CA 90011-5527 | 2011-07-07 |
| 1235450495 | Mary Christine Deasis Gonzales | Nurse Practitioner | 2707 S Central Ave, Los Angeles, CA 90011-5527 | 2010-06-22 |
| 1417194259 | Altamed Health Services Corp | Clinic/Center | 2707 S Central Ave, Los Angeles, CA 90011-5527 | 2009-01-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184223935 | Commercial & Housing Support Aid | Assisted Living Facility | 120 - 122 East 24th Street, Los Angeles, CA 90011 | 2020-10-22 |
| 1295377711 | Joseph D Madrigal | Home Health Aide | 1977 Anzac Ave, Los Angeles, CA 90011 | 2019-10-16 |
| 1538641212 | Brenda Bahena | Community Health Worker | South Central Family Health Center, 4425 S. Central Ave, Los Angeles, CA 90011 | 2018-08-30 |
| 1083101851 | Bronwyn Anne Hazlewood | Student in an Organized Health Care Education/Training Program | 3740 Maple Ave, 1/2 B, Los Angeles, CA 90011 | 2018-04-17 |
| 1164941183 | Kimberly Denise Lister- Gutierrez | Counselor | 303 E 52nd Street, Los Angeles, CA 90011 | 2017-09-11 |
| 1205252533 | Jameese B Smith | Case Manager/Care Coordinator | 271 E. 43rd Street, Los Angeles, CA 90011 | 2014-03-11 |
| 1033533153 | Avalon-carver Community Center | Community/Behavioral Health | 4920 S. Avalon Blvd, Los Angeles, CA 90011 | 2014-02-10 |
| 1245672500 | Kellie D Bougard | Student in an Organized Health Care Education/Training Program | 4920 South Avalon Blvd, Los Angeles, CA 90011 | 2013-07-26 |
| 1578909404 | Ma. Jasmin F Binas | Nurse Practitioner | 2707 S.central Ave., Los Angeles, CA 90011 | 2013-05-19 |
| 1912343344 | California Assisted Pharmacy, Inc | Pharmacy | 646 E 28th St, Ste #1, Los Angeles, CA 90011 | 2013-05-13 |
| Find all providers in zip 90011 | ||||
| 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 | 90011 |
Please comment or provide details below to improve the information on ELIZABETH NGASSA.
| 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.