PHOEBEDEL CASTRO REYES (NPI# 1700485265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700485265 |
Entity Type | Individual |
Full Name | PHOEBEDEL CASTRO REYES |
Credential | MSN, FNP-BC |
Practice Address |
400 W 30th St Los Angeles CA 90007-3320 |
Practice Telephone | 2132843200 |
Mailing Telephone | 2132843200 |
Enumeration Date | 2020-10-25 |
Last Update Date | 2020-10-25 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
NP95015223 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
400 W 30TH ST |
City | LOS ANGELES |
State | CA |
Zip Code | 90007-3320 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427030386 | Simone Cox | Nurse Practitioner | 400 W 30th St, Los Angeles, CA 90007-3320 | 2005-11-16 |
1093322588 | Marisa Marcarello | Nurse Practitioner | 400 W 30th St, Los Angeles, CA 90007-3320 | 2020-09-28 |
1235750183 | Nadasha M Scott | Registered Nurse | 400 W 30th St, Los Angeles, CA 90007-3320 | 2020-05-01 |
1962036822 | Vyvyan Mai Huynh | Registered Nurse | 400 W 30th St, Los Angeles, CA 90007-3320 | 2020-02-28 |
1447882717 | Ashley Rose Lowe | Physician Assistant | 400 W 30th St, Los Angeles, CA 90007-3320 | 2020-02-05 |
1942847272 | Yashica Warren | Nurse Practitioner | 400 W 30th St, Los Angeles, CA 90007-3320 | 2019-12-05 |
1295370112 | Rebecca Geoula | Physician Assistant | 400 W 30th St, Los Angeles, CA 90007-3320 | 2019-11-14 |
1215570544 | Sue Hee Chong | Nurse Practitioner | 400 W 30th St, Los Angeles, CA 90007-3320 | 2019-10-18 |
1073154258 | Jonathan Allan Rivas | Registered Nurse | 400 W 30th St, Los Angeles, CA 90007-3320 | 2019-09-30 |
1528619590 | Veronica Lashelle Ward | Physician Assistant | 400 W 30th St, Los Angeles, CA 90007-3320 | 2019-09-21 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093278632 | St. John's Well Child and Family Center, Inc. | Clinic/Center | 1060 West Exposition Blvd., Los Angeles, CA 90007 | 2019-04-10 |
1639690803 | Michelle Pittman | Registered Nurse | 2829 South Grand Ave., H. Claude Hudson Chc, Los Angeles, CA 90007 | 2017-06-28 |
1568983773 | Debbie Sharon Gillett | Registered Nurse | 2829 South Grand Avenue, H. Claude Hudson Health Center, Los Angeles, CA 90007 | 2017-06-28 |
1043749435 | Tamika Brown | Driver | 2947 Van Buren Place, Los Angeles, CA 90007 | 2017-06-08 |
1356891857 | Eli Gendler | General Practice | 2501 South Hill St., Los Angeles, CA 90007 | 2016-10-07 |
1770037715 | Jennifer R Knutson | Nurse Practitioner | 2409 S. Vermont Ave., Los Angeles, CA 90007 | 2016-08-08 |
1386006088 | Matthew Welzenbach | Internal Medicine | St. John's Well Child, 1910 Magnolia Ave #101, Los Angeles, CA 90007 | 2016-03-22 |
1316315765 | Gary L Nollins | Counselor | 145 W 22ns Street, Los Angeles, CA 90007 | 2015-09-02 |
1861882698 | Tarlan, P. Akhavan Dds A Prof Corp | Dentist | 2407 South Vermont Ave, Los Angeles, CA 90007 | 2015-02-02 |
1316341258 | Jessica Huang | Student in an Organized Health Care Education/Training Program | 854 West Adams Blvd, Los Angeles, CA 90007 | 2014-10-21 |
Find all providers in zip 90007 |
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 | 90007 |
Please comment or provide details below to improve the information on PHOEBEDEL CASTRO REYES.
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.