JENNIFER MORENO PRIOR (NPI# 1821400490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821400490 |
| Entity Type | Individual |
| Full Name | JENNIFER MORENO PRIOR |
| Credential | PA-C |
| Practice Address |
4455 W 117th St #300 Hawthorne CA 90250 |
| Mailing Address |
4455 W 117th St Ste 300 Hawthorne CA 90250-2240 |
| Practice Telephone | 3106450444 |
| Practice Fax Number | 3109780599 |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2018-07-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4455 W 117TH ST #300 |
| City | HAWTHORNE |
| State | CA |
| Zip Code | 90250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235130832 | Fox Hills Pharmacy Inc | Pharmacy | 4455 W 117th St, Ste 101, Hawthorne, CA 90250-2241 | 2005-08-03 |
| 1457993792 | Tasha Dutil | Occupational Therapist | 4455 W 117th St, Hawthorne, CA 90250-2241 | 2019-10-08 |
| 1952960452 | Tanya Barton Henry | Pharmacist | 4455 W 117th St, Hawthorne, CA 90250-2241 | 2019-06-07 |
| 1245714716 | Patrick Knisley | Speech-Language Pathologist | 4455 W 117th St, Hawthorne, CA 90250-2241 | 2018-09-20 |
| 1427370733 | Maya Elena Wille | Pediatrics | 4455 W 117th St, Suite 300, Hawthorne, CA 90250-2241 | 2010-02-28 |
| 1427218510 | Karen Elizabeth Courtney | Registered Nurse | 4455 W 117th St, Hawthorne, CA 90250-2241 | 2008-06-11 |
| 1912189663 | Tahira Stewart | Family Medicine | 4455 W 117th St, #300, Hawthorne, CA 90250-2241 | 2007-12-04 |
| 1396945770 | Vanessa Laquinte Neal | Specialist | 4455 W 117th St, Hawthorne, CA 90250-2241 | 2007-07-23 |
| 1629192133 | Shereen Beverly, M.d. Inc. | Obstetrics & Gynecology | 4455 W 117th St, Suite 506, Hawthorne, CA 90250-2241 | 2007-03-19 |
| 1861522708 | La Vida Multispecialty Medical Group Inc | Specialist | 4455 W 117th St, Hawthorne, CA 90250-2241 | 2007-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508479627 | Alexis Lemmon | Dental Hygienist | 13450 Hawthrone Blvd, Hawthorne, CA 90250 | 2020-08-28 |
| 1336620459 | Lan Ngoc Ton | Dentist | 13450 S. Hawthorne Blvd, Hawthorne, CA 90250 | 2018-08-27 |
| 1356829261 | Karneth Health Inc | Internal Medicine | 4512 W. Imperial Hwy, Ste B, Hawthorne, CA 90250 | 2018-08-02 |
| 1225524663 | Viridian Healthcare LLC | In Home Supportive Care | 13658 Hawthorne Blvd Ste 201, Hawthorne, CA 90250 | 2018-07-09 |
| 1235636044 | Sonia Medical Center Inc | Clinic/Center | 4512 W Imperial Hwy, Hawthorne, CA 90250 | 2018-04-09 |
| 1518484807 | Jessica Anne-marie Auzenne-harris | Nurse Practitioner | 12618 Hawthorne Blvd, Hawthorne, CA 90250 | 2017-08-28 |
| 1669993358 | Ololade Olamide Obafemi | Nurse Practitioner | 12954 Hawthorne Boulevard, Suite 104, Hawthorne Morningside Medical Clinic, Hawthorne, CA 90250 | 2017-07-03 |
| 1588194534 | Marissam Medical Inc. | Durable Medical Equipment & Medical Supplies | 13508 Inglewood Ave, Hawthorne, CA 90250 | 2017-06-13 |
| 1043751886 | Ogbonna Iwuamadi Olelewe | Nurse Practitioner | 11712 S. Hawthorne Blvd, Hawthorne, CA 90250 | 2017-03-13 |
| 1952758898 | La Shada Kai Martin | Contractor | 13010 Kornblum Ave, Unit D, Hawthorne, CA 90250 | 2016-05-20 |
| Find all providers in zip 90250 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962045922 | Yasmin Ayoka Alaran | Physician Assistant | 2596 Denali Ct, Hawthorne, CA 90250-1658 | 2019-10-22 |
| 1174091045 | Sara Pomerantz | Physician Assistant | 19 Bradhurst Ave Ste 2850s, Hawthorne, NY 10532-2140 | 2018-11-08 |
| 1003301995 | Alyssa Rene Henry | Physician Assistant | 208 Lake Ray Rd, Hawthorne, FL 32640-5706 | 2018-06-25 |
| 1023138708 | Brian Christopher Creghan I | Physician Assistant | 6435 Se Hwy 301, Hawthorne, FL 32640 | 2007-03-29 |
| 1962401554 | Brian Scott Brooks | Physician Assistant | 22066 Se 71st Ave, Hawthorne, FL 32640-3969 | 2005-07-18 |
| 1073141180 | Kerwin Ebilane | Physician Assistant | 13429 Hawthorne Blvd, Hawthorne, CA 90250-5803 | 2020-04-01 |
| 1033743216 | Lorena Analisa Madera | Physician Assistant | 19 Bradhurst Ave Ste 2750s, Hawthorne, NY 10532-2140 | 2020-02-27 |
| 1699318014 | Danyl Leonidovich Fakhrutdinov | Physician Assistant | 2301 W El Segundo Blvd, Hawthorne, CA 90250-3315 | 2019-10-18 |
| 1336792589 | Taylor Soares | Physician Assistant | 21815 Se 71st Ave, Hawthorne, FL 32640-3974 | 2019-07-17 |
| 1891252680 | Russell David Fike | Physician Assistant | 4477 W 118th St Ste 409, Hawthorne, CA 90250-2259 | 2019-02-27 |
| Find all providers in HAWTHORNE | ||||
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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.