JEROME P. WYKOFF (NPI# 1982702940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982702940 |
| Entity Type | Individual |
| Full Name | JEROME P. WYKOFF |
| Credential | CRNA |
| Practice Address |
601 S Westmoreland Ave Los Angeles CA 90005-3902 |
| Mailing Address |
3050 E Airport Way Long Beach CA 90806-2404 |
| Practice Telephone | 2137387238 |
| Mailing Telephone | 5624269661 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 318 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDI-CAL | RN2422240 | 01 |
| Street Address |
601 S WESTMORELAND AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90005-3902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891886420 | Robert G. Smith Jr. | Obstetrics & Gynecology | 601 S Westmoreland Ave, Los Angeles, CA 90005-3902 | 2006-09-27 |
| 1992347330 | Soo Hyun Sandy Lee | Nurse Practitioner | 601 S Westmoreland Ave, Los Angeles, CA 90005-3902 | 2019-10-16 |
| 1346753084 | Christina Pella | Physician Assistant | 601 S Westmoreland Ave, Los Angeles, CA 90005 | 2017-11-15 |
| 1275882821 | Dana Lee Slay | Social Worker | 601 S Westmoreland Ave, Los Angeles, CA 90005-3902 | 2012-08-29 |
| 1154572139 | Cassandre Casseus Ribeiro | Nurse Anesthetist, Certified Registered | 601 S Westmoreland Ave, Los Angeles, CA 90005-3902 | 2008-10-08 |
| 1841339678 | Family Planning Associates Medical Group, Inc. | Clinical Medical Laboratory | 601 S Westmoreland Ave, Los Angeles, CA 90005-3902 | 2007-02-06 |
| 1811071657 | Insuk Hong | Nurse Practitioner | 601 S Westmoreland Ave, Los Angeles, CA 90005-3902 | 2006-10-25 |
| 1306931266 | Family Planning Associates Medical Group, Inc. | Clinic/Center | 601 S Westmoreland Ave, Los Angeles, CA 90005-3902 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255964680 | Hong Il Kim | Dentist | 610 South Havard Blvd, 101, Los Angeles, CA 90005 | 2020-02-13 |
| 1467929265 | Galina Vardanyan | Optometrist | 621 S Western Ave Ste 214, Los Angeles, CA 90005 | 2018-10-30 |
| 1740761642 | Kyung Sook Chung | Acupuncturist | 603 S Mariposa Ave #102, Los Angeles, CA 90005 | 2018-08-28 |
| 1891274155 | Chinese Healing Arts, Inc | Acupuncturist | 2837 Hyperion Ave, Los Angeles, CA 90005 | 2018-08-08 |
| 1992298624 | Hak S. Choi Dds Inc | Dentist | 680 Wilshire Pl Ste 314, Los Angeles, CA 90005 | 2018-06-07 |
| 1891287918 | Marlene Sanchez Torres | Counselor | 679 S New Hampshire Ave # 400, Los Angeles, CA 90005 | 2018-06-04 |
| 1255828562 | Arianna Houriani | Student in an Organized Health Care Education/Training Program | 714 S Plymouth Blvd, Los Angeles, CA 90005 | 2018-04-23 |
| 1548776404 | Destiny Ann Galvan | Licensed Psychiatric Technician | 679 New Hamshire Ave, Los Angeles, CA 90005 | 2017-12-14 |
| 1255859385 | Tiany Siao Tian So | Dietitian, Registered | 740 S St Andrew Pl, Apt 15, Los Angeles, CA 90005 | 2017-09-08 |
| 1962931246 | Jooyong Shin | Acupuncturist | 400 S Western Ave #203, Los Angeles, CA 90005 | 2017-06-08 |
| Find all providers in zip 90005 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134655616 | Joeann Johnson | Nurse Anesthetist, Certified Registered | 1360 S Figueroa St Apt 405, Los Angeles, CA 90015-2883 | 2017-05-03 |
| 1841678182 | Uriah Bahn | Nurse Anesthetist, Certified Registered | 215 W 7th St, Apt #406, Los Angeles, CA 90014-1839 | 2015-05-06 |
| 1457789398 | Mona Mansoori | Nurse Anesthetist, Certified Registered | 640 N La Jolla Ave, Los Angeles, CA 90048-2237 | 2013-10-30 |
| 1053650275 | Vadim Kuraev | Nurse Anesthetist, Certified Registered | 1830 S. Point View St, Los Angeles, CA 90035-3002 | 2013-02-07 |
| 1376896712 | Amy Hudson Crna Inc | Nurse Anesthetist, Certified Registered | 7367 Waring Ave, Los Angeles, CA 90046-7529 | 2012-10-23 |
| 1881970903 | Llewy Charl Rimular | Nurse Anesthetist, Certified Registered | 1533 Rosalia Rd, Los Angeles, CA 90027-5519 | 2011-11-03 |
| 1942582390 | Monique Jabbour | Nurse Anesthetist, Certified Registered | 1520 San Pable Street, Los Angeles, CA 90033 | 2011-09-12 |
| 1760714273 | Barbara L. Giroux, Crna, A Nursing Corp. | Nurse Anesthetist, Certified Registered | 8088 Oakwood Ave, Los Angeles, CA 90048-2254 | 2010-02-08 |
| 1235370677 | Tseganesh Haileselassie | Nurse Anesthetist, Certified Registered | 1318 Woodruff Ave, Los Angeles, CA 90024-5130 | 2009-03-16 |
| 1457592917 | Elizabeth Ann Lopez | Nurse Anesthetist, Certified Registered | 1811 S New England St, Los Angeles, CA 90006-5313 | 2009-03-13 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90005 |
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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.