MISS LATINA BECKETT (NPI# 1962012518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962012518 |
| Entity Type | Individual |
| Full Name | MISS LATINA BECKETT |
| Practice Address |
2335 Mountain Ave Duarte CA 91010-3559 |
| Mailing Address |
12501 Chandler Blvd Ste 102 Valley Village CA 91607-1955 |
| Practice Telephone | 8188216012 |
| Practice Fax Number | 8188216014 |
| Mailing Telephone | 8188216012 |
| Mailing Fax Number | 8188216014 |
| Enumeration Date | 2020-08-07 |
| Last Update Date | 2020-08-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
2335 MOUNTAIN AVE |
| City | DUARTE |
| State | CA |
| Zip Code | 91010-3559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689710535 | Community Care Center Inc. | Skilled Nursing Facility | 2335 Mountain Ave, Duarte, CA 91010-3559 | 2007-01-29 |
| 1215232376 | Celena Horton | Social Worker | 2335 Mountain Ave, Duarte, CA 91010-3559 | 2011-01-21 |
| 1962728246 | Kf Community Care LLC | Skilled Nursing Facility | 2335 Mountain Ave, Duarte, CA 91010-3559 | 2010-04-12 |
| 1639344898 | Broadwater Community Care Center, LLC | Skilled Nursing Facility | 2335 Mountain Ave, Duarte, CA 91010-3559 | 2008-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386266849 | Cheyenne King | Student in an Organized Health Care Education/Training Program | 1801 Huntington Drive, Duarte, Ca 91010, Duarte, CA 91010 | 2020-05-07 |
| 1114578028 | Cristian Gonzalez | Case Manager/Care Coordinator | 2250 E Foothill Ave, Pasadena, CA 91010 | 2019-09-23 |
| 1366932378 | Maisie Madrid | Marriage & Family Therapist | 1801 Huntington Drive, Duarte, CA 91010 | 2018-05-15 |
| 1598289571 | Bertha Maria Torres | Social Worker | 938 E. Huntington Drive, Unit A, Duarte, CA 91010 | 2017-08-01 |
| 1598292286 | Sheila Ramirez | Occupational Therapy Assistant | 2302 Citrus View Ave, Duarte, CA 91010 | 2017-05-12 |
| 1982059556 | Patricia Mendoza | Case Manager/Care Coordinator | 2502 E.huntington Dr., Duarte, CA 91010 | 2016-05-02 |
| 1770966178 | Sinziana Dumitra | Surgery | 1500 Durate Road California, Mob L001, Duarte, CA 91010 | 2015-07-02 |
| 1477940161 | Jin Sun L Bitar | Internal Medicine | 1500 Duarte Rd # Wing4, Duarte, CA 91010 | 2015-04-20 |
| 1659625622 | Jeanette Marie Petermann | Nurse Practitioner | 1036 East Huntington Drive, Duarte, CA 91010 | 2012-10-30 |
| 1649534397 | Nathaniel J Khoe Dds. Inc | Dentist | 1016 Huntington Drive, Duarte, CA 91010 | 2012-06-27 |
| Find all providers in zip 91010 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386266849 | Cheyenne King | Student in an Organized Health Care Education/Training Program | 1801 Huntington Drive, Duarte, Ca 91010, Duarte, CA 91010 | 2020-05-07 |
| 1366859324 | Mercedes N Costello | Student in an Organized Health Care Education/Training Program | 2502 E. Huntington Dr, Duarte, CA 91010-2221 | 2014-07-22 |
| 1902937204 | Luisa A Reyes | Student in an Organized Health Care Education/Training Program | 1801 Huntington Dr, Duarte, CA 91010-2686 | 2007-03-08 |
| 1598381345 | Tania Elizabeth Aguilar | Student in an Organized Health Care Education/Training Program | 1801 Huntington Dr, Duarte, CA 91010-2686 | 2020-06-17 |
| 1487279006 | Dianna Perez | Student in an Organized Health Care Education/Training Program | 1801 Huntington Dr, Duarte, CA 91010-2686 | 2020-06-09 |
| 1346864949 | Lauren Ashley Fields | Student in an Organized Health Care Education/Training Program | 1801 Huntington Dr, Duarte, CA 91010-2686 | 2020-05-31 |
| 1275156465 | Angelica Rendon | Student in an Organized Health Care Education/Training Program | 1801 Huntington Dr, Duarte, CA 91010-2686 | 2020-05-21 |
| 1609497023 | Lauren Giselle Martinez Carlos | Student in an Organized Health Care Education/Training Program | 1801 Huntington Dr, Duarte, CA 91010-2686 | 2020-04-27 |
| 1902458482 | Adriana Garcia | Student in an Organized Health Care Education/Training Program | 1801 Huntington Drive, Duarte, CA 91010 | 2019-07-15 |
| 1588216303 | Arely Ulloa | Student in an Organized Health Care Education/Training Program | 1801 Huntington Dr, Duarte, CA 91010-2686 | 2019-07-11 |
| Find all providers in DUARTE | ||||
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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.