RAIA IVANKA CIMATU NOVAK (NPI# 1902260672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902260672 |
| Entity Type | Individual |
| Full Name | RAIA IVANKA CIMATU NOVAK |
| Other Name | RAIA IVANKA BULATAO CIMATU |
| Credential | PA |
| Practice Address |
2572 Atlantic Ave Long Beach CA 90806-2751 |
| Practice Telephone | 5627740844 |
| Practice Fax Number | 5627740848 |
| Mailing Telephone | 5627740844 |
| Mailing Fax Number | 5627740848 |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2019-03-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 53287 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PHYSICIAN ASSISTANT BOARD - STATE OF CALIFORNIA | PA53287 | 01 |
| Street Address |
2572 ATLANTIC AVE |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90806-2751 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780890749 | Juliane Lee | Optometrist | 2572 Atlantic Ave, Long Beach, CA 90806 | 2007-05-15 |
| 1205100120 | Brent Lee Gibson | Optometrist | 2572 Atlantic Ave, Long Beach, CA 90806-2751 | 2012-02-24 |
| 1811172257 | Walter M. Vukcevich, A Medical Group, Inc. | Specialist | 2572 Atlantic Ave, Long Beach, CA 90806-2751 | 2008-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437624913 | Blanca C Gonzalez | Community Health Worker | 2600 Redondo Ave 6th Floor, Long Beach, CA 90806 | 2018-10-10 |
| 1780192740 | New Healthcare Supplies Inc | Durable Medical Equipment & Medical Supplies | 1001 E Pacific Coast Hwy Ste 117, Long Beach, CA 90806 | 2018-01-11 |
| 1265946586 | California Sleep Neurology Organization for Wellness | Clinic/Center | 2651 Elm Avenue, Suite 205, Long Beach, CA 90806 | 2017-11-22 |
| 1053820613 | Magnolia Cedeno-moreno | Counselor | 2600 Redondo Ave. 3rd Fl, Long Beach, CA 90806 | 2017-09-27 |
| 1144747569 | Kimberly Savanannah Rodriguez | Social Worker | 2600 Redondo Ave., 6th Floor, Long Beach, CA 90806 | 2017-08-25 |
| 1194257170 | Sarah Mahmood | Pediatrics | The Children's Clinic, 2360 Pacific Ave, Long Beach, CA 90806 | 2017-03-29 |
| 1801334784 | Denise Harbor | Student in an Organized Health Care Education/Training Program | 721 East 28th Street, Suite 401, Long Beach, CA 90806 | 2017-02-10 |
| 1083152839 | Kim Vu | Student in an Organized Health Care Education/Training Program | 701 East 28th Street Ste. 416, Long Beach, CA 90806 | 2017-02-01 |
| 1568910719 | Andrea Corona | Community Health Worker | 850 W Wardlow Rd, Long Beach, CA 90806 | 2016-09-16 |
| 1235589110 | Sarah Keihany-yazdy | Nurse Practitioner | 2000 San Gabriel Ave, Long Beach, CA 90806 | 2016-06-21 |
| Find all providers in zip 90806 | ||||
| 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 |
|---|---|---|---|---|
| 1831703958 | Melanie Layne Mccoy | Physician Assistant | 202 Joyce Ave, Long Beach, MS 39560-4332 | 2020-09-04 |
| 1285244525 | Amir Kamal Abdou | Physician Assistant | 133 The Promenade N Unit 112, Long Beach, CA 90802-4728 | 2020-08-02 |
| 1316564156 | Eva Dolores Larson | Physician Assistant | 2230 Knoxville Ave, Long Beach, CA 90815-2340 | 2020-06-27 |
| 1609402148 | Justine Liao Huang | Physician Assistant | 2725 Pacific Ave, Long Beach, CA 90806-2612 | 2020-03-17 |
| 1962036525 | Gabriel Ernest Smith | Physician Assistant | 4541 Falcon Ave, Long Beach, CA 90807-1814 | 2020-02-22 |
| 1124660295 | Ngawina Veronica Komen | Physician Assistant | 1139 E Ocean Blvd Unit 109, Long Beach, CA 90802-5659 | 2019-10-10 |
| 1326691718 | Chelsea Caughran | Physician Assistant | 472 W Hill St, Long Beach, CA 90806-4548 | 2019-07-24 |
| 1255809216 | Mikaela Terez Zummo | Physician Assistant | 563 E Harrison St, Long Beach, NY 11561-2444 | 2018-11-07 |
| 1407338064 | Monali Patel | Physician Assistant | 237 W Ridgewood, Long Beach, CA 90805-6964 | 2018-08-30 |
| 1437679354 | Alana Doonachar | Physician Assistant | 100 Belmont Avenue, Long Beach, NY 11561 | 2017-06-21 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90806 |
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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.