MARCHE KRISTEN CASILLAS (NPI# 1689172520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689172520 |
| Entity Type | Individual |
| Full Name | MARCHE KRISTEN CASILLAS |
| Credential | NP |
| Practice Address |
780 Atlantic Ave Long Beach CA 90813-4565 |
| Practice Telephone | 5626241111 |
| Mailing Telephone | 5626241111 |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2018-01-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
95008435 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
780 ATLANTIC AVE |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90813-4565 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891820627 | Solomon Laktineh | Pediatrics | 780 Atlantic Ave, Long Beach, CA 90813-4565 | 2007-02-22 |
| 1609404110 | Amber Haney | Nurse Practitioner | 780 Atlantic Ave, Long Beach, CA 90813-4565 | 2020-03-30 |
| 1538675467 | Angelica Velasquez | Nurse Practitioner | 780 Atlantic Ave, Long Beach, CA 90813-4565 | 2017-12-14 |
| 1184138224 | Tracee D Suntharaphat | Family Medicine | 780 Atlantic Ave, Long Beach, CA 90813-4565 | 2017-11-28 |
| 1437454543 | Solomon Laktineh, M.d., A Medical Corporation | Pediatrics | 780 Atlantic Ave, Long Beach, CA 90813-4565 | 2011-01-20 |
| 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 | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497361612 | Brandon Philip Obero Vinzon | Nurse Practitioner | 155 E 4th St Apt 206, Long Beach, CA 90802-2498 | 2020-09-22 |
| 1275004145 | Rayveion Laquita Medlock | Nurse Practitioner | 40 Cedar Walk Unit 2115, Long Beach, CA 90802-7922 | 2018-12-17 |
| 1528451820 | Marjorie Buencamino | Nurse Practitioner | 8140 E Token St, Long Beach, CA 90808-3355 | 2015-03-11 |
| 1063800480 | Lily Te Long | Nurse Practitioner | 2046 Atlantic Ave, Long Beach, CA 90806-4916 | 2015-01-07 |
| 1306278924 | Christopher Stephen Gentry | Nurse Practitioner | 2700 Bellflower Blvd, #112, Long Beach, CA 90822 | 2013-08-06 |
| 1558619718 | Christina Pearce | Nurse Practitioner | 3325 Palo Verde Ave Ste 203, Long Beach, CA 90808-4132 | 2012-08-20 |
| 1538202866 | Regina A. Clifton | Nurse Practitioner | 999 Atlantic Ave, Suite 203, Long Beach, CA 90813-4514 | 2007-02-15 |
| 1578173951 | Candace Cam | Nurse Practitioner | 2650 Elm Ave Ste 301, Long Beach, CA 90806-1600 | 2020-07-31 |
| 1609404110 | Amber Haney | Nurse Practitioner | 780 Atlantic Ave, Long Beach, CA 90813-4565 | 2020-03-30 |
| 1366083099 | Loren Rachel Chan | Nurse Practitioner | 701 E 28th St, Long Beach, CA 90806-2759 | 2019-10-03 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90813 |
Please comment or provide details below to improve the information on MARCHE KRISTEN CASILLAS.
| 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.