MRS. CRYSTAL DANAE BURGERS (NPI# 1720397383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720397383 |
Entity Type | Individual |
Full Name | MRS. CRYSTAL DANAE BURGERS |
Credential | ARNP |
Practice Address |
1045 W Redondo Beach Blvd Ste. # 500 Gardena CA 90247-4128 |
Practice Telephone | 3103293492 |
Practice Fax Number | 3103293799 |
Mailing Telephone | 3103293492 |
Mailing Fax Number | 3103293799 |
Enumeration Date | 2010-09-30 |
Last Update Date | 2010-09-30 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
RN 509268 NP 147 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1045 W REDONDO BEACH BLVD STE. # 500 |
City | GARDENA |
State | CA |
Zip Code | 90247-4128 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073513925 | Kimberly Jill Eddings-reece | Internal Medicine | 1045 W Redondo Beach Blvd, Suite 240, Gardena, CA 90247-4128 | 2005-07-21 |
1891118477 | Christine Marie Gutierrez | Nurse Practitioner | 1045 W Redondo Beach Blvd, St 500, Gardena, CA 90247-4128 | 2014-02-02 |
1265772107 | Matthew Thomas Breismeister | Physical Therapist | 1045 W Redondo Beach Blvd, 130, Gardena, CA 90247-4128 | 2013-02-28 |
1952670341 | Annette A. Coronel-perey,m.d., Inc. | Pediatrics | 1045 W Redondo Beach Blvd, Suite 100, Gardena, CA 90247-4128 | 2011-12-14 |
1144458928 | Kelly Yu | Podiatrist | 1045 W Redondo Beach Blvd, Suite 106, Gardena, CA 90247-4128 | 2009-06-30 |
1083890701 | East-west Eye Institute A Medical Corporation | Optometrist | 1045 W Redondo Beach Blvd, Suite 400, Gardena, CA 90247-4128 | 2008-01-11 |
1336324805 | Gary E Ford M.d.,(a Professional Corporation) | Otolaryngology | 1045 W Redondo Beach Blvd, Suite 575, Gardena, CA 90249-4128 | 2008-01-03 |
1750560710 | Sanford H Gaynor, M.d.,inc. | Internal Medicine | 1045 W Redondo Beach Blvd, Suite 115, Gardena, CA 90247-4128 | 2007-10-26 |
1982894572 | Lawrence I Rubin Dpm, Inc | Podiatrist | 1045 W Redondo Beach Blvd, #250, Gardena, CA 90247-4128 | 2007-07-30 |
1801918248 | Tim T. Tsukamoto | Pharmacist | 1045 W Redondo Beach Blvd, Suite 140, Gardena, CA 90247-4128 | 2007-04-05 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982204707 | Melissa Reyes | Home Health Aide | 835 N Rosecrans Ave Apt 125, Gardena, CA 90247 | 2020-10-30 |
1538645569 | Christopher Jabarie Markham | Case Manager/Care Coordinator | 12817 S Hoover St Apt 14, Gardena, CA 90247 | 2018-07-12 |
1013404243 | Sunshine Community Resource Organization Center | Counselor | 1202 W 135th Street, Gardena, CA 90247 | 2018-04-13 |
1124537261 | Nina Vu | Pharmacist | 14416 Plum Lane, Unit 3, Gardena, CA 90247 | 2017-09-20 |
1356871008 | Delaram Moshfegh | Pharmacist | 1735 Artesia Blvd, Gardena, CA 90247 | 2017-06-15 |
1497290522 | Better Vision Optical | Eyewear Supplier (Equipment, not the service) | 1121 W Gardena Blvd Ste A, Gardena, CA 90247 | 2016-12-28 |
1013394832 | Lydia Gonzalez | Case Management | 13605 S Vermont Ave Apt 16, Gardena, CA 90247 | 2015-04-30 |
1396147682 | Daniel Medical Group, Inc. | Acupuncturist | 2015 W Redondo Beach Blvd., Ste F, Gardena, CA 90247 | 2014-09-18 |
1386913663 | Linda Doreen Humphries | Nurse Practitioner | 1141 W. Redondo Beach Blvd., Suite 402, Gardena, CA 90247 | 2011-12-15 |
1215229547 | Everett D Wong | Social Worker | 1045 W Redondo Beach Blvd Ste 150, Gardena, CA 90247 | 2011-05-04 |
Find all providers in zip 90247 |
Taxonomy Code | 363LX0001X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Obstetrics & Gynecology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518486125 | Patty Montoya | Nurse Practitioner | 1026 Felder St, Gardena, CA 90248-3348 | 2017-09-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548819964 | Myra Sepulveda | Nurse Practitioner | 1700 Lombard St Ste 110, Oxnard, CA 93030-8288 | 2019-09-09 |
1639641699 | Zahra Jeylani Nur | Nurse Practitioner | 15101 Spectrum, Irvine, CA 92618-3426 | 2018-12-31 |
1902357817 | Alexandria Ludlow | Nurse Practitioner | 350 John Muir Pkwy Ste 205, Brentwood, CA 94513-5193 | 2016-10-17 |
1477922102 | Vanessa Domush | Nurse Practitioner | 845 E. Willow St, Signal Hill, CA 90755 | 2015-09-23 |
1174999015 | Kristina Hagopian | Nurse Practitioner | 8920 Wilshire Blvd Ste 525, Beverly Hills, CA 90211-1968 | 2015-08-14 |
1639553076 | Pacific Women's Healthcare Associates | Nurse Practitioner | 500 Superior Ave Ste 310, Newport Beach, CA 92663-3609 | 2015-07-15 |
1548655921 | Trudi J Petersen | Nurse Practitioner | 1700 Shattuck Ave # 75, Berkeley, CA 94709-3402 | 2015-04-01 |
1932590775 | Samah Shahzya Kureshi | Nurse Practitioner | 2619 Vanderbilt Ln Unit B, Redondo Beach, CA 90278-3318 | 2015-02-16 |
1346645801 | Norma Nix | Nurse Practitioner | 22423 Chase St, West Hills, CA 91304-3321 | 2014-10-27 |
1942602594 | Jeanelle T Margosian | Nurse Practitioner | 6215 N Fresno St Ste 108, Fresno, CA 93710-5267 | 2014-09-25 |
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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.