LINA TSEGAYE WOLDEMARIAM (NPI# 1821587130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821587130 |
| Entity Type | Individual |
| Full Name | LINA TSEGAYE WOLDEMARIAM |
| Credential | NP |
| Practice Address |
1703 Termino Ave Ste 203 Long Beach CA 90804-2128 |
| Mailing Address |
3740 Santa Rosalia Dr Apt 406 Los Angeles CA 90008-3625 |
| Practice Telephone | 5629613137 |
| Mailing Telephone | 9094610338 |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2018-05-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
95008685 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1703 TERMINO AVE STE 203 |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90804-2128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164800488 | Cynthia W Chao D O A Professional Corporation | Preferred Provider Organization | 1703 Termino Ave Ste 203, Long Beach, CA 90804-2128 | 2015-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821616673 | Exporter Medical LLC | Durable Medical Equipment & Medical Supplies | 2990 E. Pacific Coast Hwy., Suite B, Long Beach, CA 90804 | 2020-07-08 |
| 1700436094 | Magdalema Ballesteros-reynolds | Technician | 844 Ohio Ave, Long Beach, CA 90804 | 2019-09-18 |
| 1093365447 | Edelmira D Sanchez | Technician | 837 Bennett Ave, Long Beach, CA 90804 | 2019-09-18 |
| 1164980165 | Carlton Fortenberry | Behavior Technician | 775 Obispo Ave., Unit 1, Long Beach, CA 90804 | 2019-03-08 |
| 1427522812 | Western Dental Services, Inc. | Dentist | 2306 E 7th Street, Long Beach, CA 90804 | 2019-01-18 |
| 1124557657 | Keav Siv Khov | Social Worker | 4510 East Pacific Coast Highway, Suite 600, Long Beach, CA 90804 | 2017-06-08 |
| 1265966576 | Kensie Hoag | Social Worker | 4510 E PCh, Suite 305, Long Beach, CA 90804 | 2017-04-13 |
| 1528424389 | Rem Pacific Sleep Center, Inc. | Specialist/Technologist | 2990 E. Pacific Coast Hwy, Suite A, Long Beach, CA 90804 | 2016-01-10 |
| 1417326935 | Kelli Ann Carlson | Student in an Organized Health Care Education/Training Program | 2025 E. 7th Street, Long Beach, CA 90804 | 2015-09-15 |
| 1487059010 | Kenenth K. Lee, D.d.s., Inc. | Preferred Provider Organization | 4755 E. Anaheim St., Long Beach, CA 90804 | 2014-10-24 |
| Find all providers in zip 90804 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871769273 | Kay Marie Anthony | Nurse Practitioner | 400 W Broadway, Long Beach, CA 90802-4401 | 2008-05-06 |
| 1861619876 | Candice Anne Flood | Nurse Practitioner | 1066 Atlantic Ave Ste D, Long Beach, CA 90813-3400 | 2007-04-19 |
| 1134263627 | Kathleen Dematteis Stroben | Nurse Practitioner | 2525 Grand Ave. #106, Long Beach, CA 90815 | 2007-02-16 |
| 1205820537 | Melinda Marie Bellomy-muth | Nurse Practitioner | 1050 Linden Ave, Long Beach, CA 90813 | 2005-09-01 |
| 1801495171 | Heather Ann Sykora | Nurse Practitioner | 2888 Long Beach Blvd Ste 400, Long Beach, CA 90806-1553 | 2020-10-19 |
| 1679086979 | Cinthia Elizabeth Otero | Nurse Practitioner | 455 E Columbia St Ste 201, Long Beach, CA 90806-1620 | 2017-11-08 |
| 1558768390 | Judie-ann Dobalian | Nurse Practitioner | 6628 Cherry Ave, Long Beach, CA 90805-1715 | 2014-11-21 |
| 1437496304 | Judy Elan Smith | Nurse Practitioner | 1250 N Bellflower Blvd, Long Beach, CA 90840-0004 | 2013-01-11 |
| 1598847584 | Patricia Norris-koepcke | Nurse Practitioner | 2777 Long Beach Blvd, Suite 200, Long Beach, CA 90806-1571 | 2006-10-19 |
| 1114015203 | Mary Bond | Nurse Practitioner | 2777 Long Beach Blvd, Long Beach, CA 90806-1571 | 2006-10-11 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90804 |
Please comment or provide details below to improve the information on LINA TSEGAYE WOLDEMARIAM.
| 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.