THEATRINA ROSE ROQUE (NPI# 1760855761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760855761 |
| Entity Type | Individual |
| Full Name | THEATRINA ROSE ROQUE |
| Other Name | THEATRINA ROSE MENDOZA |
| Credential | RN |
| Practice Address |
550 S Vermont Ave Los Angeles CA 90020-1912 |
| Practice Telephone | 2137382382 |
| Mailing Telephone | 2137382382 |
| Enumeration Date | 2015-11-12 |
| Last Update Date | 2015-11-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
691036 | CA | Nursing Service Providers |
| Street Address |
550 S VERMONT AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90020-1912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447217781 | Glenn Francis Vrabel | Psychologist | 550 S Vermont Ave, 10th Floor, Los Angeles, CA 90020-1912 | 2006-04-28 |
| 1437750577 | Jorge Eliseo Lopez | Driver | 550 S Vermont Ave, Los Angeles, CA 90020-1912 | 2020-11-04 |
| 1831790138 | Cynthia Arnell Williams | Behavior Technician | 550 S Vermont Ave, Los Angeles, CA 90020-1912 | 2020-11-03 |
| 1770183550 | Candice Hendrix | Behavior Technician | 550 S Vermont Ave, Los Angeles, CA 90020-1912 | 2020-10-29 |
| 1083214084 | Gabrielle Denise Parker | Community Health Worker | 550 S Vermont Ave, Los Angeles, CA 90020-1912 | 2020-10-28 |
| 1003433368 | Shannon Ashly Requena | Student in an Organized Health Care Education/Training Program | 550 S Vermont Ave, Los Angeles, CA 90020-1912 | 2020-07-01 |
| 1053934364 | David Snell | Case Manager/Care Coordinator | 550 S Vermont Ave, Los Angeles, CA 90020-1912 | 2020-05-20 |
| 1891315974 | Desiree Block Hegazy | Registered Nurse | 550 S Vermont Ave, Los Angeles, CA 90020-1912 | 2020-04-20 |
| 1669091773 | Doris Benosa | Registered Nurse | 550 S Vermont Ave, Los Angeles, CA 90020-1912 | 2020-04-09 |
| 1598314874 | Cosette Carleo | Social Worker | 550 S Vermont Ave, Los Angeles, CA 90020-1912 | 2019-09-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164948048 | Edwina Antoinette Hunter | Community Health Worker | 550 S. Vermont Ave, 6th Floor, Los Angeles, CA 90020 | 2017-08-22 |
| 1639520661 | Jacqueline Carrasco | Counselor | 550 South Vermont Ave, 10th Floor, Los Angeles, CA 90020 | 2016-06-30 |
| 1649630914 | Hee Seung Lee | Marriage & Family Therapist | 3727 W. 6th Street, Suite 507, Los Angeles, CA 90020 | 2016-03-01 |
| 1134596273 | Jocelyn Marie Lee | Optometrist | 3750 W 6th St Ste 113, Los Angeles, CA 90020 | 2015-08-24 |
| 1316327075 | Lourdes Encarnacion Araujo | Social Worker | 550 S Vermont Ave 3rd Floor, Los Angeles, CA 90020 | 2015-06-08 |
| 1477933463 | Department of Mental Health | Clinic/Center | 550 South Vermont, Los Angeles, CA 90020 | 2015-06-04 |
| 1538566047 | Calvin A. Kim | Internal Medicine | 4220 W 3rd St Ste 201, Los Angeles, CA 90020 | 2014-11-26 |
| 1093115792 | John Abaya | Counselor | 550 S Vermont Ave 10th Floor, Los Angeles, CA 90020 | 2014-08-29 |
| 1528494481 | Sung Eun Lee | Acupuncturist | 340 S New Hampshire Ave #211, Los Angeles, CA 90020 | 2013-09-23 |
| 1861836587 | Robert Lee Smalls Jr. | Marriage & Family Therapist | 550 South Vermont Avenue, Juvenile Justice Transition Aftercare Services Division, Los Angeles, CA 90020 | 2013-04-24 |
| Find all providers in zip 90020 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881292910 | Molly E Reid | Registered Nurse | 1000 S Grand Ave Apt 451, Los Angeles, CA 90015-3474 | 2020-10-12 |
| 1902445786 | Maury M Hopkins | Registered Nurse | 1883 Marengo Street, Los Angeles, CA 90033 | 2019-12-27 |
| 1962064022 | Sharon Gedan | Registered Nurse | 8170 Beverly Blvd Ste 204, Los Angeles, CA 90048-4532 | 2019-06-28 |
| 1285156299 | Nancy Laurel Brewster | Registered Nurse | 550 S Vermont Ave Ste 701, Los Angeles, CA 90020-1912 | 2017-07-11 |
| 1316468622 | Diosdada Bartolo | Registered Nurse | 550 S Vermont Ave Rm 701, Los Angeles, CA 90020-1912 | 2017-06-28 |
| 1396110136 | Eileen Galit | Registered Nurse | 550 S Vermont Ave Fl 7, Los Angeles, CA 90020-1912 | 2015-12-04 |
| 1982072427 | Vlada Poutsillo | Registered Nurse | 550 S Vermont Ave Fl 601, Los Angeles, CA 90020-1912 | 2015-09-14 |
| 1306237045 | Leila Espanola Jimenez | Registered Nurse | 4508 Wawona St, Los Angeles, CA 90065-5231 | 2015-02-17 |
| 1851795587 | Michelle Paige-hilley | Registered Nurse | 4650 Sunset Blvd. Ms#53, Children's Hospital Los Angeles, Los Angeles, CA 90027-0000 | 2014-10-09 |
| 1508141623 | Rodolfo Lara Jr. | Registered Nurse | 11221 Van Buren Ave, Los Angeles, CA 90044-1333 | 2011-10-20 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90020 |
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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.