JASMIN KHOUNTHAVONG (NPI# 1962096495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962096495 |
| Entity Type | Individual |
| Full Name | JASMIN KHOUNTHAVONG |
| Gender | Female |
| Practice Address | 2051 Marengo St Los Angeles CA 90033-1352 |
| Practice Telephone | 3234091000 |
| Mailing Address | 730 S Marengo Ave Pasadena CA 91106-3886 |
| Certification Date | 2021-02-25 |
| Enumeration Date | 2021-02-25 |
| Last Update Date | 2021-02-25 |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| Y | 163WM0705X | Registered Nurse Specialization: Medical-Surgical | 95155200 | CA | Nursing Service Providers |
| Identifier | State | Issuer | Type Code |
|---|---|---|---|
| 11405746 | CA | KAISER | Other |
| Street Address | 2051 MARENGO ST |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90033-1352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013501048 | Jessica Maria Salas | Registered Nurse | 2051 Marengo St, Los Angeles, CA 90033-1352 | 2021-02-20 |
| 1417549791 | Yicheng Bao | Student in an Organized Health Care Education/Training Program | 2051 Marengo St, Los Angeles, CA 90033-1352 | 2021-02-08 |
| 1427640192 | Marlene Yvonne Cajigal | Respiratory Therapist, Registered | 2051 Marengo St, Los Angeles, CA 90033-1352 | 2021-02-04 |
| 1619569373 | Brian Pardo | Respiratory Therapist, Certified | 2051 Marengo St, Los Angeles, CA 90033-1352 | 2021-02-04 |
| 1518558188 | Brian Staggs | Respiratory Therapist, Certified | 2051 Marengo St, Los Angeles, CA 90033-1352 | 2021-01-27 |
| 1255920252 | Stephanie Lee | Speech-Language Pathologist | 2051 Marengo St, Los Angeles, CA 90033-1352 | 2021-01-13 |
| 1750978730 | Salome Flores Barnhart | Nurse Practitioner · Family | 2051 Marengo St, Los Angeles, CA 90033-1352 | 2020-12-24 |
| 1073109039 | Loyd Manlutac | Respiratory Therapist, Registered | 2051 Marengo St, Los Angeles, CA 90033-1352 | 2020-12-14 |
| 1881298495 | Francisco Eduardo Sanchez Jr. | Respiratory Therapist, Registered | 2051 Marengo St, Los Angeles, CA 90033-1352 | 2020-11-24 |
| 1891399465 | Andy Lyuh | Pharmacist | 2051 Marengo St, Los Angeles, CA 90033-1352 | 2020-11-24 |
| Find all providers in the same address | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699331108 | Lauri Y Mar · Lauri Y Woo | Dietitian, Registered | 2053 Marengo St Rm 2c115, Los Angeles, CA 90033-1352 | 2019-05-10 |
| 1780101766 | Andre Orlando Marshall | Respiratory Therapist, Registered · Pulmonary Function Technologist | 2053 Marengo St, Los Angeles, CA 90033-1352 | 2017-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255925772 | Vandan R Kasar | Student in an Organized Health Care Education/Training Program | 1200 N State St, Clinic Tower, #1100, Los Angeles, CA 90033 | 2021-02-24 |
| 1639772601 | Nelida Zevallos | Registered Nurse | 1720 E Cesar Chavez Ave., Los Angeles, CA 90033 | 2020-11-20 |
| 1376165050 | Noa Yee | Student in an Organized Health Care Education/Training Program | 1200 N. State Street, Gnh 1011, Los Angeles, CA 90033 | 2020-05-15 |
| 1629690144 | Monica Lopez | Respiratory Therapist, Registered · General Care | 1251 Marengo St, Los Angeles, CA 90033 | 2020-05-07 |
| 1649890401 | Antonio Hernandez Saenz | Student in an Organized Health Care Education/Training Program | 1200 N. State Street Gnh 1060k, Los Angeles, CA 90033 | 2020-04-22 |
| 1407475726 | Nolan Broussard | Student in an Organized Health Care Education/Training Program | 1200 N State Street, Gnh 1060k, Los Angeles, CA 90033 | 2020-04-16 |
| 1821617135 | Megan Eiko Fischer-Colbrie | Student in an Organized Health Care Education/Training Program | 1200 N. State St, Gnh 1060k, Los Angeles, CA 90033 | 2020-04-16 |
| 1417585100 | Kelsey Grace Shea | Student in an Organized Health Care Education/Training Program | 1200 N State St Ird 112, Los Angeles, CA 90033 | 2020-03-30 |
| 1013545011 | Isabelle Laurence Magro | Student in an Organized Health Care Education/Training Program | 1200 N. State Street, Clinic Tower, Suite A2e, Los Angeles, CA 90033 | 2020-03-27 |
| 1437786464 | Augusto Cezar Schmidt | Student in an Organized Health Care Education/Training Program | 1100 N. State Street, Clinic Tower A7e, Los Angeles, CA 90033 | 2020-03-27 |
| Find all providers in zip 90033 | ||||
| Taxonomy Code | 163WM0705X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Medical-Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619566197 | Vida Adaro | 6234 Colgate Ave, Los Angeles, CA 90036-3144 | 2021-01-11 | |
| 1396393641 | Janelle Bogran | 175 S Hoover St, Los Angeles, CA 90004-6078 | 2019-08-29 | |
| 1285070292 | Nikki Choa | 1200 N State St, Department of Urology, Los Angeles, CA 90033-1029 | 2013-05-16 | |
| 1376860023 | Shana Cripe | 2010 Zonal Ave, Opd 3p-61, Los Angeles, CA 90089-0121 | 2010-04-21 | |
| 1306941158 | Carolyn Robertson | 11601 Wilshire Blvd, 5th Floor, Los Angeles, CA 90025-0509 | 2006-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346834520 | Hai Shan Lee | 415 W Valley Blvd, San Gabriel, CA 91776-3728 | 2021-02-27 | |
| 1902499098 | Farrah Nagin | 500 Pasteur Dr, Palo Alto, CA 94304-1048 | 2021-02-19 | |
| 1992398044 | Sarah O'Connell Birney | 3975 Old Redwood Hwy, Santa Rosa, CA 95403-1719 | 2021-02-18 | |
| 1902499858 | Victoria Mae Lachapell | 1100 W Stewart Dr, Orange, CA 92868-3849 | 2021-02-11 | |
| 1962092270 | Caarolyn A Amaechi | 3851 Rosecrans St, San Diego, CA 92110-3115 | 2021-01-20 | |
| 1902495641 | Prabhjot Kaur | 16615 Picardy Pl, Fontana, CA 92336-1485 | 2021-01-17 | |
| 1598354714 | Kristin Michelle Mountford | 1400 Barton Rd Apt 502, Redlands, CA 92373-5452 | 2021-01-12 | |
| 1619566197 | Vida Adaro | 6234 Colgate Ave, Los Angeles, CA 90036-3144 | 2021-01-11 | |
| 1376149609 | Rafael Paolo Himang Aquino | 8608 Big Rock Rd, Santee, CA 92071-3518 | 2020-12-10 | |
| 1104429778 | Grace Ndundu | 9568 Moss Hill Way, Sacramento, CA 95829-9364 | 2020-11-17 | |
| Find all providers in the same taxonomy | ||||
| City | LOS ANGELES |
| Zip Code | 90033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215362959 | Jasmin L Alexander · Jasmin Jackson | Registered Nurse | 9425 222nd St, Apt.3, Queens Village, NY 11428-2046 | 2013-09-12 |
| 1588133193 | Jasmin A Soto · Jasmin Gutierrez Advincula | Nurse Anesthetist, Certified Registered | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2018-11-13 |
| 1306454210 | Jasmin Alon Coleman · Jasmin A Ferrell | Specialist | 255 Executive Dr Ste Ll105, Plainview, NY 11803-1718 | 2020-07-16 |
| 1477183325 | Jasmin Russell · Jasmin Sias | Counselor | 21 Industrial Park Dr Ste 104d, Waldorf, MD 20602-2751 | 2020-01-20 |
| 1700402476 | Jasmin Gill · Jasmin Litt | Registered Nurse | 5322 Fulmer Ct, Jurupa Valley, CA 91752-4475 | 2020-06-18 |
| 1689921322 | Jasmin Canfield · Jasmin Shanck | Counselor · Addiction (Substance Use Disorder) | 1411 E 31st St # B-2, Oakland, CA 94602-1018 | 2012-08-13 |
| 1609492131 | Jasmin Collazo · Jasmin Acevedo | Social Worker · Clinical | 555 Mount Prospect Ave Apt 12e, Newark, NJ 07104-1538 | 2020-06-20 |
| 1962921189 | Jasmin Kunz · Jasmin Stonacek | Speech-Language Pathologist | 7821 Terry Dr, La Vista, NE 68128-3943 | 2017-09-19 |
| 1104950880 | Jasmin Allen · Jasmin Sanders | Social Worker · Clinical | 14901 Central Ave, Chino, CA 91710-9500 | 2007-03-15 |
| 1023563236 | Jasmin Carlblom · Jasmin Hanson | Physical Therapist · Pediatrics | 6776 Lake Dr, Suite 220, Lino Lakes, MN 55014 | 2016-08-17 |
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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.