MS. STACEY ANN WARNER


Address: 4755 E Cesar E Chavez Ave, Ste. A, Los Angeles, CA 90022-1267
Phone: 3232624194

MS. STACEY ANN WARNER (NPI# 1891139754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891139754
Entity Type Individual
Full Name MS. STACEY ANN WARNER
Credential CPNP
Practice Address 4755 E Cesar E Chavez Ave
Ste. A
Los Angeles
CA 90022-1267
Practice Telephone 3232624194
Mailing Telephone 3232624194
Enumeration Date 2013-04-23
Last Update Date 2016-09-29
NPI Deactivation Date 02/05/2015
NPI Reactivation Date 2016-09-12
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
19366 CA Physician Assistants & Advanced Practice Nursing Providers

Other Providers STACEY WARNER

NPI Name Taxonomy Address Enumeration
1972895654 Stacey Warner Speech-Language Pathologist 3801 Miranda Ave, Palo Alto, CA 94304-1207 2011-05-12
1083818686 Stacey Lynn Warner Anesthesiology 4144 N Central Expy Ste 360, Dallas, TX 75204-2156 2007-06-14

Office Location

Street Address 4755 E CESAR E CHAVEZ AVE
STE. A
City LOS ANGELES
State CA
Zip Code 90022-1267

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841493079 Tanya N Ornelas Physician Assistant 4755 E Cesar E Chavez Ave, Los Angeles, CA 90022-1267 2007-06-06
1356892517 Via Care Community Health Center Clinic/Center 4755 E Cesar E Chavez Ave, Los Angeles, CA 90022-1267 2016-10-21

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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1780155085 Amy Parker Nurse Practitioner 1160 N Westmoreland Ave, Los Angeles, CA 90029-1909 2018-12-12
1285100172 Kellie Ann Loera Nurse Practitioner 4650 W Sunset Blvd # Ms, Los Angeles, CA 90027-6062 2018-10-17
1629553649 Jamie Duly Nurse Practitioner 4650 W Sunset Blvd # 66, Los Angeles, CA 90027-6062 2018-09-25
1942788047 Annie Lee Thomson Nurse Practitioner 757 Westwood Plz Rm 5411, Los Angeles, CA 90095-8358 2018-07-31
1205347739 Carrie Locken Collins Nurse Practitioner 4650 W Sunset Blvd # 170, Los Angeles, CA 90027-6062 2017-10-24
1053821553 Kimberly Brooke Adams Nurse Practitioner 3131 Bagley Ave Apt 7, Los Angeles, CA 90034-2931 2017-10-10
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1003261272 Laura Elvira Espinosa Nurse Practitioner 2831 Vaquero Ave, Los Angeles, CA 90032-3008 2016-04-25
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Competitor

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City LOS ANGELES
Zip Code 90022

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Dataset Information

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.

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