DEPARTMENT OF HEALTH SERVICES (NPI# 1043668023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043668023 |
| Entity Type | Organization |
| Organization Name | DEPARTMENT OF HEALTH SERVICES |
| Other Organization Name | LOS ANGELES COUNTY SHERIFF'S DEPARTMENT |
| Practice Address |
450 Bauchet St Msb ----room E873 Los Angeles CA 90012-2907 |
| Practice Telephone | 3235684550 |
| Mailing Telephone | 3235684550 |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2016-05-31 |
| Authorized Official Name | MICHELE M GREEN (NURSE PRACTITIONER WHCNP) |
| Authorized Official Telephone | 3107024285 |
| Authorized Official Credential | BSN, PHN, MSN, N |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2400X |
Clinic/Center Specialization: Prison Health |
14185 | CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Los Angeles County Sheriff's Department | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295167070 | Department of Health Services | Clinic/Center | 810 Grove St, Sonoma, CA 95476-5328 | 2013-08-05 |
| 1255547600 | Department of Health Services | Clinic/Center | 415 Humboldt St, Santa Rosa, CA 95404-4214 | 2007-05-15 |
| 1376757989 | Department of Health Services | Clinic/Center | 7425 Rancho Los Guilicos Rd, Santa Rosa, CA 95409-6519 | 2007-05-10 |
| 1407068992 | Department of Health Services | Clinic/Center | 617 W 9th St, Santa Rosa, CA 95401-5438 | 2007-05-04 |
| 1639207103 | Department of Health Services | Clinic/Center | 3400 Chanate Rd, Santa Rosa, CA 95404-1710 | 2007-02-28 |
| 1205980547 | Department of Health Services | Clinic/Center | 415 Riley Street, Santa Rosa, CA 95404 | 2007-01-23 |
| 1841344181 | Department of Health Services | Substance Abuse Rehabilitation Facility | 1430 Neotomas Ave, Santa Rosa, CA 95405-7575 | 2007-01-23 |
| 1114071453 | Department of Health Services | Clinic/Center | 155 N. Pythian Road, Santa Rosa, CA 95409 | 2007-01-23 |
| 1376696914 | Department of Health Services | Clinic/Center | 2665a Dutton Mdw, Santa Rosa, CA 95407-7730 | 2007-01-18 |
| 1386076156 | Department of Health Services | Clinic/Center | 100 W 3rd St, Cloverdale, CA 95425-3204 | 2013-08-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DEPARTMENT OF HEALTH SERVICES | 50 Douglas Dr Ste 310a, Martinez, CA 94553-4003 |
| System for Award Management (SAM) Entities | DEPARTMENT OF HEALTH SERVICES/CLINICS | 4600 Broadway Ste 2500, Sacramento, CA 95820-1527 |
| Street Address |
450 BAUCHET ST MSB ----ROOM E873 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90012-2907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841214269 | Los Angeles County Department of Mental Health | Clinic/Center | 450 Bauchet St, Los Angeles, CA 90012-2907 | 2006-07-27 |
| 1265031678 | Lorena Langie-sidahmed | Nurse Practitioner | 450 Bauchet St, Los Angeles, CA 90012-2907 | 2020-10-19 |
| 1508476292 | Nahirobi Jasmin Madrid Antunez | Nurse Practitioner | 450 Bauchet St, Los Angeles, CA 90012-2907 | 2020-08-06 |
| 1902415623 | Prince Bedford Acquah | Nurse Practitioner | 450 Bauchet St, Los Angeles, CA 90012-2907 | 2020-07-28 |
| 1265041347 | Ogochukwu Ike | Nurse Practitioner | 450 Bauchet St, Los Angeles, CA 90012-2907 | 2020-07-24 |
| 1861019226 | Takeisa Denise Crowder | Nurse Practitioner | 450 Bauchet St, Los Angeles, CA 90012-2907 | 2020-07-01 |
| 1649894320 | Trini Mong Bui | Nurse Practitioner | 450 Bauchet St, Los Angeles, CA 90012-2907 | 2020-05-29 |
| 1568086221 | Hanh Minh Phu | Nurse Practitioner | 450 Bauchet St, Los Angeles, CA 90012-2907 | 2020-05-28 |
| 1124641998 | Edwin Torres | Nurse Practitioner | 450 Bauchet St, Los Angeles, CA 90012-2907 | 2020-05-27 |
| 1942821665 | Ann Olufunke Carter | Nurse Practitioner | 450 Bauchet St, Los Angeles, CA 90012-2907 | 2020-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538654124 | Los Angeles County Children and Families First - Proposition 10 Commis | Case Management | 750 N. Alameda Street, Suite 300, Los Angeles, CA 90012 | 2018-06-26 |
| 1750886511 | Pain Control Clinic | Acupuncturist | 321 E. 1st St. #220, Los Angeles, CA 90012 | 2018-03-26 |
| 1891224325 | Brenda D Sazo | Community Health Worker | 1000 N. Alameda St, # 350, Los Angeles, CA 90012 | 2017-06-08 |
| 1740719012 | Fatemeh Arabpour | Dentist | 505 N Figueroa Apt #534, Los Angeles, CA 90012 | 2017-06-08 |
| 1033667662 | Olga Witrago | Case Manager/Care Coordinator | 701 W Cersar Chavez Suite 201, Los Angeles, CA 90012 | 2016-09-12 |
| 1902269962 | Samantha Martinez | Licensed Practical Nurse | 701 West Cesar Chavez Av, Los Angeles, CA 90012 | 2016-03-29 |
| 1760847313 | Maria Emilia Manosa Rosales | Social Worker | 701 W. Cesar Chavez Ave., Los Angeles, CA 90012 | 2015-12-28 |
| 1609242999 | Hilary Adams | Psychologist | 250 E 1st St Ste 300, Los Angeles, CA 90012 | 2015-08-20 |
| 1831586288 | Thanh Ngoc Nguyen Trinh | Nurse Practitioner | 180 N Los Angeles St, Los Angeles, CA 90012 | 2015-04-23 |
| 1760880827 | Bertha Regina Garcia | Licensed Vocational Nurse | 701 W. Cesar E. Chavez Ave Suite201, Los Angeles, CA 90012 | 2014-12-05 |
| Find all providers in zip 90012 | ||||
| Taxonomy Code | 261QP2400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Prison Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346496601 | Los Angeles Countydepartment of Mental Health | Clinic/Center | 450 Bauchet St, Los Angeles, CA 90012-2907 | 2008-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801435631 | County of Sacramento | Clinic/Center | 651 I Street, Sacramento, CA 95814 | 2019-12-26 |
| 1801430418 | Federal Correctional Complex Lompoc | Clinic/Center | 3901 Klein Blvd, Lompoc, CA 93436-2706 | 2019-11-06 |
| 1861052060 | County of San Mateo | Clinic/Center | 1300 Maple St., Redwood City, CA 94063 | 2019-06-19 |
| 1750941977 | County of San Mateo | Clinic/Center | 300 Bradford St., Redwood City, CA 94063 | 2019-06-19 |
| 1669032868 | County of San Mateo | Clinic/Center | 222 Paul Scannell Dr., San Mateo, CA 94402 | 2019-06-19 |
| 1841620689 | Orange County Health Care Agency | Clinic/Center | 550 N. Flower Street, Santa Ana, CA 92706 | 2013-11-14 |
| 1154621555 | American Correctional Solutions, Inc. | Clinic/Center | 1588 N Batavia St, Orange, CA 92867-3553 | 2010-11-01 |
| 1104033661 | Jail Health Services Pharmacy | Clinic/Center | 1 Moreland Drive Cj#5 Pharmacy, San Bruno, CA 94066-1670 | 2007-05-16 |
| 1598847519 | Jail Psych Services - Rccc | Clinic/Center | 12450 Bruceville Rd, Elk Grove, CA 95757-9784 | 2006-10-19 |
| 1780181222 | Department of State Hospital Coalinga | Clinic/Center | 24511 W Jayne Ave, Coalinga, CA 93210-9516 | 2018-04-11 |
| Find all providers with the same taxonomy | ||||
| City | LOS ANGELES |
| Zip Code | 90012 |
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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.