JESSICA TABARES (NPI# 1659921641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659921641 |
| Entity Type | Individual |
| Full Name | JESSICA TABARES |
| Practice Address |
8427 Long Beach Blvd South Gate CA 90280-2014 |
| Mailing Address |
5302 Premiere Ave Lakewood CA 90712-2008 |
| Practice Telephone | 3235852486 |
| Mailing Telephone | 5625223451 |
| Enumeration Date | 2019-09-12 |
| Last Update Date | 2019-09-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 768369 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
768369 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
8427 LONG BEACH BLVD |
| City | SOUTH GATE |
| State | CA |
| Zip Code | 90280-2014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457577587 | Daniel Rey Pallan | Physician Assistant | 8427 Long Beach Blvd, South Gate, CA 90280-2014 | 2007-04-17 |
| 1073791828 | La Libertad Medical Clinic Inc | General Practice | 8427 Long Beach Blvd, South Gate, CA 90280-2014 | 2008-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861989758 | Downey Family Cosmetic Dentistry | Clinic/Center | 9212 Lakewood Blvd, Downey, CA 90280 | 2018-04-17 |
| 1720529936 | Carewest Non-emergency Services, LLC | Non-emergency Medical Transport (VAN) | 10423 Atlantic Ave, South Gate, CA 90280 | 2017-03-20 |
| 1669844593 | Consumerhealth, Inc. | Dentist | 9918 Atlantic Aveneue, South Gate, CA 90280 | 2015-10-30 |
| 1366810988 | T & T Care Inc | Pharmacy | 8330 Long Beach Blvd Ste 112, South Gate, CA 90280 | 2015-09-14 |
| 1831579234 | Mariana Silva | Licensed Psychiatric Technician | 8160 Victoria Ave. Apt. A, South Gate, CA 90280 | 2015-06-02 |
| 1417396060 | Compatior, Inc. | Community/Behavioral Health | 4363 Tweedy Blvd, South Gate, CA 90280 | 2013-06-17 |
| 1508158197 | Eddy Ang | Family Medicine | 8627 Atlantic Ave, South Gate, CA 90280 | 2011-05-13 |
| 1750528691 | Herbert Perez | Dental Assistant | 4149 Tweey Blvd #j, South Gate, CA 90280 | 2009-01-14 |
| 1962615773 | Harold Edward Potts | Chiropractor | 10010 California Ave., South Gate, CA 90280 | 2007-05-08 |
| 1821113507 | Magdy F Tadros | Dentist | 3173 Tweedy Blvd, South Gate, CA 90280 | 2007-03-20 |
| Find all providers in zip 90280 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932728821 | Iliana Dominguez | Nurse Practitioner | 4225 Duane Way, South Gate, CA 90280-4903 | 2020-04-11 |
| 1801395785 | Henry A. Vasquez | Nurse Practitioner | 8225 Long Beach Blvd Ste C, South Gate, CA 90280-2010 | 2018-02-06 |
| 1417059122 | Grace Origel | Nurse Practitioner | 10001 California Ave, South Gate, CA 90280-6005 | 2006-09-02 |
| 1871008276 | Suzette Salas Mcbrayer | Nurse Practitioner | 9401 Long Beach Blvd, South Gate, CA 90280-4144 | 2017-12-07 |
| 1114381936 | Ednagrace Guillen | Nurse Practitioner | 3050 Tweedy Blvd, South Gate, CA 90280 | 2016-04-07 |
| 1205159548 | Andrew David Szalas | Nurse Practitioner | 3529 Firestone Blvd, South Gate, CA 90280-3031 | 2010-03-01 |
| 1356585640 | Marcia Barrera | Nurse Practitioner | 3050 Tweedy Blvd, South Gate, CA 90280-5742 | 2009-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003640 | Samira Kadri | Nurse Practitioner | 431 S Burnside Ave Apt 3g, Los Angeles, CA 90036-5343 | 2020-11-08 |
| 1801497706 | Ana Maria Cajigas De Jesus | Nurse Practitioner | 313 S Velva Pl, Anaheim, CA 92804-2647 | 2020-11-06 |
| 1609477421 | Taylor Mcknight | Nurse Practitioner | 5073 Oxford Dr, Cypress, CA 90630-3653 | 2020-11-06 |
| 1619578465 | Roslyn Dykes-barrow | Nurse Practitioner | 17631 Mulberry Dr, Carson, CA 90746-7403 | 2020-11-06 |
| 1861093601 | Philana P Mcdonald | Nurse Practitioner | 183 Stonebridge Ln, Paso Robles, CA 93446-1926 | 2020-11-06 |
| 1386245264 | Annie Parikh | Nurse Practitioner | 11675 Lambert Ave, El Monte, CA 91732-1955 | 2020-11-05 |
| 1073114096 | Blanca De Jesus Serrano | Nurse Practitioner | 18144 Outer Hwy 18 Ste 200, Apple Valley, CA 92307-2212 | 2020-11-05 |
| 1578164166 | Aimon Sangwanpanich | Nurse Practitioner | 8520 Shirley Ave, Northridge, CA 91324-4149 | 2020-11-02 |
| 1043810757 | Casie Lee Mcguire | Nurse Practitioner | 1826 Rainbow Terrace Ln, Montebello, CA 90640-1953 | 2020-10-30 |
| 1295335099 | Jail Lopez | Nurse Practitioner | 3171 Lynwood Rd, Lynwood, CA 90262-4118 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH GATE |
| Zip Code | 90280 |
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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.