JASMIN KHOUNTHAVONG
Registered Nurse (Medical-Surgical)

Address: 2051 Marengo St, Los Angeles, CA 90033-1352

JASMIN KHOUNTHAVONG (NPI# 1962096495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification Group License Number License State Taxonomy Group
Y 163WM0705X Registered Nurse
Specialization: Medical-Surgical
95155200 CA Nursing Service Providers

Other Provider Identifiers

Identifier State Issuer Type Code
11405746 CA KAISER Other

Office Location

Street Address 2051 MARENGO ST
City LOS ANGELES
State CA
Zip Code 90033-1352

Providers in the same location

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

Providers in the same zip code

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

Providers in the same zip code prefix

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 Information

Taxonomy Code 163WM0705X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Medical-Surgical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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

Competitor

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City LOS ANGELES
Zip Code 90033

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Dataset Information

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.