Jennafer Diane Piccolo (NPI# 1720410061, PAC ID# 9234496696) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1720410061 |
| PAC ID by PECOS | 9234496696 |
| Professional Enrollment ID | I20171120003670 |
| Full Name | Jennafer Diane Piccolo |
| Organization Legal Name | AVA SHAMBAN A MEDICAL CORPORATION |
| Address |
9915 Santa Monica Blvd Beverly Hills CA 90212-1606 |
| Phone Number | 3108439915 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 5698890846 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 9915 Santa Monica Blvd, Beverly Hills, CA 90212-1606 | 3108439915 | AVA SHAMBAN A MEDICAL CORPORATION |
| Organization Legal Name | AVA SHAMBAN A MEDICAL CORPORATION |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ava T Shamban | Dermatology | Ava Shamban A Medical Corporation | 9915 Santa Monica Blvd, Beverly Hills, CA 90212-1606 |
| Christine M Nell | Nurse Practitioner | Ava Shamban A Medical Corporation | 9915 Santa Monica Blvd, Beverly Hills, CA 90212-1606 |
| Street Address |
9915 SANTA MONICA BLVD |
| City | BEVERLY HILLS |
| State | CA |
| Zip | 90212-1606 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ava T Shamban | Dermatology | Ava Shamban A Medical Corporation | 9915 Santa Monica Blvd, Beverly Hills, CA 90212-1606 |
| Christine M Nell | Nurse Practitioner | Ava Shamban A Medical Corporation | 9915 Santa Monica Blvd, Beverly Hills, CA 90212-1606 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelle Riley | Physician Assistant | Brad Penenberg Md, Inc | 120 S Spalding, Suite 400, Beverly Hills, CA 90212 |
| Brad Penenberg | Orthopedic Surgery | Brad Penenberg Md, Inc | 120 S Spalding, Suite 400, Beverly Hills, CA 90212 |
| Irish Dawn Dorsey | Physician Assistant | Brad Penenberg Md, Inc | 120 S Spalding, Suite 400, Beverly Hills, CA 90212 |
| Izolda Sigal-liberman | Psychologist, Clinical | 152 S Lasky Dr, Suite 101, Beverly Hills, CA 90212-1715 | |
| Jerry R Sher | Physical Therapy | 9740 Wilshire Blvd B, Beverly Hills, CA 90212-1820 | |
| Ashish G Shah | Anesthesiology | Westside Anesthesia Services | 120 S Spalding Dr, Suite 100, Beverly Hills, CA 90212-1830 |
| Hessam Nowzari | Oral Surgery | Hessam Nowzari Dds Phd Inc | 120 S Spalding Dr, Beverly Hills, CA 90212-1840 |
| Millicent O Rovelo | Plastic and Reconstructive Surgery | 120 S Spalding Dr, Suite 340, Beverly Hills, CA 90212-1841 | |
| Aaron Stone | Plastic and Reconstructive Surgery | 120 S Spalding Dr, Suite 330, Beverly Hills, CA 90212-1841 | |
| Johnson Lee | Plastic and Reconstructive Surgery | 120 S Spalding Dr, 340 Johnson Lee Md Plas Sur, Beverly Hills, CA 90212-1841 | |
| Find all physicians in zip 90212 | |||
| City | BEVERLY HILLS |
| Zip Code | 90212 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | BEVERLY HILLS + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Jennafer Diane Piccolo.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.