MICHELLE PORCIUNCULA (NPI# 1871030858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871030858 |
| Entity Type | Individual |
| Full Name | MICHELLE PORCIUNCULA |
| Practice Address |
9301 Wilshire Blvd Ste 404 Beverly Hills CA 90210-6137 |
| Mailing Address |
7320 Reseda Blvd Suite 371203 Reseda CA 91337-7001 |
| Practice Telephone | 3102789171 |
| Mailing Telephone | 8184330262 |
| Enumeration Date | 2017-01-27 |
| Last Update Date | 2018-10-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WG0000X |
Registered Nurse Specialization: General Practice |
804875 | CA | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95005617 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7320 Reseda Blvd, Suite 371203, Reseda, CA 913377001 | 8184330262 |
| Street Address |
9301 WILSHIRE BLVD STE 404 |
| City | BEVERLY HILLS |
| State | CA |
| Zip Code | 90210-6137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336318534 | Mikhail Yakov Rovensky | Chiropractor | 9301 Wilshire Blvd Ste 404, Beverly Hills, CA 90210-6137 | 2008-02-21 |
| 1013473073 | Rajdeep Sandhu | Family Medicine | 9301 Wilshire Blvd Ste 404, Beverly Hills, CA 90210-6137 | 2019-02-14 |
| 1639602378 | Jessica Kwan | Physician Assistant | 9301 Wilshire Blvd Ste 404, Beverly Hills, CA 90210-6137 | 2017-04-10 |
| 1871041798 | Mansi Mehta | Physician Assistant | 9301 Wilshire Blvd Ste 404, Beverly Hills, CA 90210-6137 | 2016-09-20 |
| 1417293283 | Jose Luis Duarte | Physician Assistant | 9301 Wilshire Blvd Ste 404, Beverly Hills, CA 90210-6137 | 2012-12-21 |
| 1497012421 | Uyen B Nguyen | Physician Assistant | 9301 Wilshire Blvd Ste 404, Beverly Hills, CA 90210-6137 | 2012-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225643786 | Diane Garcia | Social Worker | 436 N. Roxbury Drive, Suite 218, Beverly Hills, CA 90210 | 2020-09-11 |
| 1043834765 | Sheryl Kipper Weissberg | Marriage & Family Therapist | 9171 Wilshire Boulevard, Penthouse, Beverly Hills, CA 90210 | 2020-05-29 |
| 1093373912 | Jill Daloria | Speech-Language Pathologist | 201 N Crescent Drive, Beverly Hills, CA 90210 | 2019-06-05 |
| 1902363203 | Barry J Brock Md Inc. | Obstetrics & Gynecology | 421 N Rodeo Drive, Penthouse 1, Beverly Hills, CA 90210 | 2019-02-23 |
| 1861983884 | Beverly Hills Hair Free Corp | Contractor | 9301 Wilshire Blvd #310, Beverly Hills, CA 90210 | 2018-05-24 |
| 1245745389 | Richard L Gilbert | Marriage & Family Therapist | 301 North Bedford Drive Suite 401, Beverly Hills, CA 90210 | 2017-12-12 |
| 1588180970 | Richard Paul Braun IIi | Chiropractor | 9601 Wilshire Blvd., Within Equinox Spa, Beverly Hills, CA 90210 | 2017-08-17 |
| 1538683677 | Bh Therapy Corp. | Psychologist | 9107 Wilshire Blvd Suite 200, Beverly Hills, CA 90210 | 2017-07-31 |
| 1114374394 | Marvin Berkowitz | Family Medicine | 614 N Roxbury Dr., Beverly Hills, CA 90210 | 2016-05-18 |
| 1104287077 | Eva Silegy | Nurse Anesthetist, Certified Registered | 465 N. Roxbury Drive, Beverly Hills, CA 90210 | 2016-03-18 |
| Find all providers in zip 90210 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811538978 | Ayesha Oglesby | Nurse Practitioner | 18250 Huntley Sq N Apt 1824, Beverly Hills, MI 48025-5355 | 2019-09-30 |
| 1437715695 | Aleksandra Vartapetova | Nurse Practitioner | 9663 Santa Monica Blvd Ste 883, Beverly Hills, CA 90210-4303 | 2019-05-14 |
| 1164941696 | Jennifer Hollander | Nurse Practitioner | 153 S Lasky Dr Ste 8, Beverly Hills, CA 90212-1721 | 2017-09-15 |
| 1942658851 | Mariana Vergara | Nurse Practitioner | 435 N Bedford Dr Ste 402, Beverly Hills, CA 90210-4334 | 2016-06-01 |
| 1942476064 | Eileen P Walsh | Nurse Practitioner | 212 S Maple Dr, Beverly Hills, CA 90212-4014 | 2008-05-08 |
| 1487294708 | Chelsi Dayrit | Nurse Practitioner | 9675 Brighton Way Ste 380, Beverly Hills, CA 90210-5187 | 2020-01-15 |
| 1992358725 | Jillian Alexandra Roy | Nurse Practitioner | 421 N Rodeo Dr Ste T7, Beverly Hills, CA 90210-4531 | 2019-07-21 |
| 1669938320 | Kelly Peiffer | Nurse Practitioner | 436 N Bedford Dr Ste 105, Beverly Hills, CA 90210-4323 | 2019-02-18 |
| 1912462961 | Alla Maksimova | Nurse Practitioner | 8920 Wilshire Blvd Ste 520, Beverly Hills, CA 90211-1949 | 2019-02-04 |
| 1174018931 | Rakel K Assk | Nurse Practitioner | 31333 Southfield Rd Ste 130, Beverly Hills, MI 48025-5473 | 2018-06-25 |
| Find all providers in BEVERLY HILLS | ||||
| City | BEVERLY HILLS |
| Zip Code | 90210 |
Please comment or provide details below to improve the information on MICHELLE PORCIUNCULA.
| 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.