CALISTA E EZEOKOYE (NPI# 1003279118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003279118 |
| Entity Type | Individual |
| Full Name | CALISTA E EZEOKOYE |
| Other Name | CALISTA WHALEM |
| Practice Address |
1200 Wilshire Blvd Ste 300 Los Angeles CA 90017-1931 |
| Mailing Address |
1000 San Gabriel Blvd Ste 200 Rosemead CA 91770-4394 |
| Practice Telephone | 2134817464 |
| Practice Fax Number | 2134817147 |
| Mailing Telephone | 3237240019 |
| Mailing Fax Number | 3232487044 |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2020-02-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
95003322 | CA | Nursing Service Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
95003322 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
95003322 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11149 Crenshaw Blvd, Inglewood, CA 903032338 | 3109938053 |
| Street Address |
1200 WILSHIRE BLVD STE 300 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90017-1931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346434818 | Erica Irene Schaecher | Marriage & Family Therapist | 1200 Wilshire Blvd Ste 300, Los Angeles, CA 90017-1931 | 2007-08-28 |
| 1124631825 | Amy Pedroza | Social Worker | 1200 Wilshire Blvd Ste 300, Los Angeles, CA 90017-1931 | 2020-08-24 |
| 1750927729 | Alejandro Sigala | Marriage & Family Therapist | 1200 Wilshire Blvd Ste 300, Los Angeles, CA 90017-1931 | 2019-11-25 |
| 1336790203 | Deisy Kim | Counselor | 1200 Wilshire Blvd Ste 300, Los Angeles, CA 90017-1931 | 2019-09-23 |
| 1538713508 | Yesenia Gutierrez | Case Manager/Care Coordinator | 1200 Wilshire Blvd Ste 300, Los Angeles, CA 90017-1931 | 2019-07-29 |
| 1043872906 | Gentiane Tc Toto | Marriage & Family Therapist | 1200 Wilshire Blvd Ste 300, Los Angeles, CA 90017-1931 | 2019-07-01 |
| 1215597711 | Natasha Aftandilians | Marriage & Family Therapist | 1200 Wilshire Blvd Ste 300, Los Angeles, CA 90017-1931 | 2019-06-17 |
| 1982269726 | Bryant Soto | Marriage & Family Therapist | 1200 Wilshire Blvd Ste 300, Los Angeles, CA 90017 | 2019-05-07 |
| 1124580923 | Gabriela Licea | Case Manager/Care Coordinator | 1200 Wilshire Blvd Ste 300, Los Angeles, CA 90017-1931 | 2019-04-02 |
| 1679033856 | Christina Paulina Briones | Social Worker | 1200 Wilshire Blvd Ste 300, Los Angeles, CA 90017-1931 | 2019-03-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833617 | Guadalupe Vallejo | Licensed Vocational Nurse | 515 Columbia Avenue, #200, 515 Columbia Avenue, Los Angeles, CA 90017 | 2020-08-25 |
| 1376181768 | Nirlok Corporation | Optometrist | 750 West 7th Street, Los Angeles, CA 90017 | 2019-12-16 |
| 1689228223 | Marycarmen Beltran | Student in an Organized Health Care Education/Training Program | 333 S. Beaudry Ave., Los Angeles, CA 90017 | 2019-08-01 |
| 1639661465 | Robin B Horowitz | Counselor | 333 South Beaudry Avenue, Los Angeles, CA 90017 | 2018-06-06 |
| 1710483797 | Rose Jadidian | Pharmacist | 701 S. Flower, Ste. 3150, Los Angeles, CA 90017 | 2018-03-30 |
| 1417469875 | Marykarla Gallegos | Case Manager/Care Coordinator | 1125 W. 6th St., Suite 103, Los Angeles, CA 90017 | 2017-10-25 |
| 1134646516 | Maria Salas | Rehabilitation Practitioner | 333 S Beaudry Ave., Los Angeles, CA 90017 | 2017-08-25 |
| 1932638202 | Butterfli Technologies Inc | Transportation Broker | 865 S Figueroa St Ste 2750, Los Angeles, CA 90017 | 2017-06-08 |
| 1316493125 | Phamily Love Foundation | Community/Behavioral Health | 626 Wilshire Blvd ., Suite 910, Los Angeles, CA 90017 | 2016-08-31 |
| 1215392188 | Jessica R. Garcia-hillard | Specialist/Technologist | 1111 W. 6th St., Suite 111, Los Angeles, CA 90017 | 2015-12-21 |
| Find all providers in zip 90017 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750994323 | Gina Ameri | Nurse Practitioner | 10968 Rose Ave Apt 6, Los Angeles, CA 90034-5329 | 2020-08-24 |
| 1689203093 | Farooque Azam | Nurse Practitioner | 1654 Middleton Pl, Los Angeles, CA 90062-1033 | 2020-04-07 |
| 1336600410 | Karen Meske | Nurse Practitioner | 4295 Via Arbolada Unit 106, Los Angeles, CA 90042-5105 | 2019-03-29 |
| 1356822142 | Together Psychiatric Nurse Practitioner and Associates, A Nursing Corp | Nurse Practitioner | 3030 W Olympic Blvd Ste 217, Los Angeles, CA 90006-6507 | 2018-08-28 |
| 1588161129 | Louise Thompson | Nurse Practitioner | 512 S Park View St Apt 408, Los Angeles, CA 90057-2744 | 2018-04-10 |
| 1295248110 | Tehila Tanya Abrekov | Nurse Practitioner | 1539 S Shenandoah St Apt 303, Los Angeles, CA 90035-4479 | 2017-11-14 |
| 1649545328 | Dana Lynn Lambrose | Nurse Practitioner | 1055 Wilshire Blvd Ste 1705, Los Angeles, CA 90017-5600 | 2012-03-14 |
| 1427290030 | Gerald M Baltz | Nurse Practitioner | 8060 Melrose Ave Ste 200, Los Angeles, CA 90046-7037 | 2009-03-27 |
| 1568603256 | Jordan Swiskow | Nurse Practitioner | 1625 Schrader Blvd # 402, Los Angeles, CA 90028-6213 | 2009-03-10 |
| 1316018591 | Sharon Collette Mcdaniel | Nurse Practitioner | 550 S Vermont Ave Ste 601, Los Angeles, CA 90020-1912 | 2006-11-10 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90017 |
Please comment or provide details below to improve the information on CALISTA E EZEOKOYE.
| 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.