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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

NICOLE KAZUE SHINTAKU
NPI 1609799147
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since August 01, 2026
840 N AVENUE 66, LOS ANGELES, CA 90042(626) 395-7100 Get Directions Write a Review

NPPES record added: August 1, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicole Kazue Shintaku NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE KAZUE SHINTAKU (NPI 1609799147) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1609799147
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameNICOLE KAZUE SHINTAKU
Location Address840 N AVENUE 66Los Angeles, CA 90042-1508
Mailing Address840 N Avenue 66Los Angeles, CA 90042-1508 · (626) 395-7100
Phone(626) 395-7100
Sole ProprietorNo
Enumeration DateAugust 1, 2026
NPPES CertifiedAugust 1, 2026
✔ NPI 1609799147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
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.
840 N AVENUE 66, Los Angeles, CA 90042
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JENNIE M. MATHESS PSY.D.
Psychologist (Clinical)
840 N AVENUE 66
LOS ANGELES, CA 90042
Los Angeles County (626) 395-7100
RUBY A GARCIA LPT
Licensed Psychiatric Technician
840 N AVENUE 66
LOS ANGELES, CA 90042
Los Angeles County (626) 395-7100
ALICIA GUERRA
Rehabilitation Practitioner
840 N AVENUE 66
LOS ANGELES, CA 90042
Los Angeles County (626) 395-7100
MS. ROMINA MONSERRAT TEJEDA LMFT
Marriage & Family Therapist
840 N AVENUE 66
LOS ANGELES, CA 90042
Los Angeles County (626) 395-7100
MARISSA LEE LUBAG
Peer Specialist
840 N AVENUE 66
LOS ANGELES, CA 90042
Los Angeles County (626) 395-7100
MAYRA MELGOZA
Social Worker (Clinical)
840 N AVENUE 66
LOS ANGELES, CA 90042
Los Angeles County (626) 395-7100
EVELYN AVILA
Social Worker (Clinical)
840 N AVENUE 66
LOS ANGELES, CA 90042
Los Angeles County (626) 395-7100
MALIYA GUERCY
Licensed Psychiatric Technician
840 N AVENUE 66
LOS ANGELES, CA 90042
Los Angeles County (626) 395-7100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Shintaku's NPI number?

The NPI number for Nicole Shintaku is 1609799147. It was assigned to this individual provider in the NPPES registry on August 1, 2026.

Where is Nicole Shintaku located?

Nicole Shintaku practices at 840 N Avenue 66, Los Angeles, CA 90042. The listed phone number is (626) 395-7100.

What is Nicole Shintaku's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Nicole Shintaku was last updated on August 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.