STEPHANIE BERTULANO (NPI# 1700306461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700306461 |
| Entity Type | Individual |
| Full Name | STEPHANIE BERTULANO |
| Practice Address |
711 Del Amo Blvd Torrance CA 90502-1362 |
| Practice Telephone | 3103542300 |
| Enumeration Date | 2017-06-23 |
| Last Update Date | 2017-06-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP2201X |
Registered Nurse Specialization: Ambulatory Care |
95082888 | CA | Nursing Service Providers |
| Street Address |
711 DEL AMO BLVD |
| City | TORRANCE |
| State | CA |
| Zip Code | 90502-1362 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497844427 | Allen L Loggins | Preventive Medicine | 711 Del Amo Blvd, Torrance, CA 90502-1362 | 2006-10-11 |
| 1306355698 | Sandra Yu Kim | Registered Nurse | 711 Del Amo Blvd, Torrance, CA 90502-1362 | 2017-09-29 |
| 1053834697 | County of Los Angeles - Auditor Controller | Clinic/Center | 711 Del Amo Blvd, Torrance, CA 90502-1362 | 2017-07-25 |
| 1366991689 | County of Los Angeles | Clinic/Center | 711 Del Amo Blvd, Torrance, CA 90502-1362 | 2016-09-28 |
| 1083068720 | County of Los Angeles Auditor Controller | Clinic/Center | 711 Del Amo Blvd, Torrance, CA 90502-1362 | 2016-04-19 |
| 1437344876 | County of Los Angeles | Clinic/Center | 711 Del Amo Blvd, Torrance, CA 90502-1362 | 2007-09-10 |
| 1447465422 | Hansa Ravji Patel | Preventive Medicine | 711 Del Amo Blvd, Torrance, CA 90502-1362 | 2007-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992319149 | Gia Chodzen | Student in an Organized Health Care Education/Training Program | Harbor-ucla Dmh, 1000 W Carson St, #488, Torrance, CA 90502 | 2020-09-04 |
| 1750994919 | Desiree Elise Cervantes | Social Worker | Harbor Ucla Medical Center, 1000 West Carson Street, Torrance, CA 90502 | 2020-08-27 |
| 1205448644 | Tabitha Tamara Black | Student in an Organized Health Care Education/Training Program | Harbor Ucla Dmh 1000 W Carson Street, Number 488, Torrance, CA 90502 | 2020-08-18 |
| 1538718531 | Harbor-ucla Dmh | Student in an Organized Health Care Education/Training Program | Harbor-ucla Dmh, 1000 W Carson St Box #498, Torrance, CA 90502 | 2019-09-11 |
| 1891345831 | Sydney Del Carmen Wheat | Student in an Organized Health Care Education/Training Program | 1000 W Carson St Box #488, Torrance, CA 90502 | 2019-09-11 |
| 1467971283 | Grace Y Kim | Student in an Organized Health Care Education/Training Program | Lacdmh Hucla 1000 W. Carson Street, Torrance, CA 90502 | 2017-09-13 |
| 1619498631 | Shauntel Locus | Case Manager/Care Coordinator | 1124 W. Carson Street, Torrance, CA 90502 | 2017-06-29 |
| 1740700079 | Charlise Brown-scranton | Registered Nurse | 711 W. Del Amo Blvd, Torrance, CA 90502 | 2017-06-27 |
| 1497280978 | C Edward Villasenor Castelo | Specialist | 1000 W Carson St # D5, Torrance, CA 90502 | 2017-04-21 |
| 1114464393 | Brissa Giron | Counselor | 19401 Vermont Ave, Suite C100, Torrance, CA 90502 | 2017-01-25 |
| Find all providers in zip 90502 | ||||
| Taxonomy Code | 163WP2201X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Ambulatory Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346764230 | Roland Quero | Registered Nurse | 1000 W Carson St Rm 1m5, Torrance, CA 90502-2004 | 2017-08-01 |
| 1760903017 | Curtis Cortez Robertson Jr. | Registered Nurse | 1000 W Carson Ave, Torrance, CA 90509-2910 | 2017-06-27 |
| 1740700079 | Charlise Brown-scranton | Registered Nurse | 711 W. Del Amo Blvd, Torrance, CA 90502 | 2017-06-27 |
| 1558881573 | Kristin Elizabeth Nair | Registered Nurse | 1000 W Carson St Bldg N24, Torrance, CA 90502-2004 | 2017-06-21 |
| 1083143523 | Ramona Stewart | Registered Nurse | 1000 W Carson St # 433, Torrance, CA 90502-2004 | 2017-06-08 |
| 1023547700 | Danny Haynes | Registered Nurse | 1000 W Carson St # 449, Torrance, CA 90502-2004 | 2017-06-07 |
| 1073770020 | Theresa Guion Rojes | Registered Nurse | 22637 Ellinwood Dr, Torrance, CA 90505-3323 | 2008-05-19 |
| 1396354825 | Jonica Marie Rivas (gonzalez) | Registered Nurse | 1000 W Carson St, Torrance, CA 90502-2004 | 2020-07-30 |
| 1538701073 | Meena Kaur | Registered Nurse | 1000 W Carson St, Torrance, CA 90502-2004 | 2019-10-16 |
| 1386286045 | Lisa Marie Kephart | Registered Nurse | 1000 W Carson St, Torrance, CA 90502-2059 | 2019-10-15 |
| Find all providers in TORRANCE | ||||
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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.