ELIZABETH FREDGANT (NPI# 1063068203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063068203 |
| Entity Type | Individual |
| Full Name | ELIZABETH FREDGANT |
| Practice Address |
11600 Eldridge Ave Sylmar CA 91342-6506 |
| Practice Telephone | 8186863000 |
| Mailing Telephone | 8186863000 |
| Enumeration Date | 2019-08-13 |
| Last Update Date | 2019-08-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
11600 ELDRIDGE AVE |
| City | SYLMAR |
| State | CA |
| Zip Code | 91342-6506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982203956 | Pedro Eduardo Rivas | Rehabilitation Practitioner | 11600 Eldridge Ave, Sylmar, CA 91342-6506 | 2020-10-21 |
| 1164058657 | Robert Romulus Jackson I | Case Manager/Care Coordinator | 11600 Eldridge Ave, Sylmar, CA 91342-6506 | 2020-03-17 |
| 1063064434 | Israel Emmanuel El'shaddai | Counselor | 11600 Eldridge Ave, Sylmar, CA 91342-6506 | 2019-07-15 |
| 1922567460 | Andreas Eugene Branch | Counselor | 11600 Eldridge Ave, Sylmar, CA 91342-6506 | 2019-03-14 |
| 1649747585 | Mary Salveron | Licensed Vocational Nurse | 11600 Eldridge Ave, Sylmar, CA 91342-6506 | 2018-10-29 |
| 1184104671 | Lilly Marie Temple | Student in an Organized Health Care Education/Training Program | 11600 Eldridge Ave, Sylmar, CA 91342 | 2018-08-15 |
| 1538608732 | Ana Gonzalez | Licensed Vocational Nurse | 11600 Eldridge Ave, Sylmar, CA 91342-6506 | 2017-02-21 |
| 1205260635 | Ryan James Sullivan | Marriage & Family Therapist | 11600 Eldridge Ave, Sylmar, CA 91342-6506 | 2013-08-21 |
| 1215260518 | Ninoska Molina Weckl | Marriage & Family Therapist | 11600 Eldridge Ave, Sylmar, CA 91342-6506 | 2009-09-17 |
| 1467686998 | Maxine Marie Hughes | Marriage & Family Therapist | 11600 Eldridge Ave, Sylmar, CA 91342-6506 | 2009-05-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629687223 | Evelyn Pinto Morales | Technician, Other | 14445 Olive View Dr, Sylmar, CA 91342 | 2020-07-29 |
| 1528520988 | Yeun Lim | Student in an Organized Health Care Education/Training Program | 14445 Olive View Dr., Cottage H1, Attn D. Ray, Sylmar, CA 91342 | 2019-04-04 |
| 1467914317 | Sevak Hovagimyan | Pharmacist | 13677 Foothill Blvd #b, Sylmar, CA 91342 | 2019-04-01 |
| 1619455086 | Cameda Trichele Dickerson | Counselor | Phoenix House 116600 Eldridge, Lake View Terrace, CA 91342 | 2018-07-30 |
| 1407349624 | Joseph Sungkon Choi | Acupuncturist | 10274 Foothill Blvd, Sylmar, CA 91342 | 2018-06-12 |
| 1780194522 | Joe Anthony Cardenas | Specialist/Technologist | 15450 Roxford Street, Sylmar, CA 91342 | 2017-10-06 |
| 1336668466 | Juan Hernandez | Chiropractor | 13950 Foothill Blvd Apt 108, Sylmar, CA 91342 | 2017-09-09 |
| 1891213492 | Richard Ignacio Martinez | Nurse Practitioner | 14987 Oro Grande St., Sylmar, CA 91342 | 2017-09-03 |
| 1104349497 | Vanessa Gamboa | Social Worker | 13145 Bromont Ave., 14, Sylmar, CA 91342 | 2017-07-19 |
| 1982138368 | Christina Guest | Psychiatry & Neurology | Olive View Medical Center, 14445 Olive View Drive, Sylmar, CA 91342 | 2017-04-12 |
| Find all providers in zip 91342 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| 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. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861020935 | Emilie Jane Fowler | Student in an Organized Health Care Education/Training Program | 14445 Olive View Dr Rm 2b-182, Sylmar, CA 91342-1437 | 2020-04-01 |
| 1528520988 | Yeun Lim | Student in an Organized Health Care Education/Training Program | 14445 Olive View Dr., Cottage H1, Attn D. Ray, Sylmar, CA 91342 | 2019-04-04 |
| 1275021545 | Phoebe Johnson-black | Student in an Organized Health Care Education/Training Program | 14445 Olive View Dr Ste 2b-182, Sylmar, CA 91342-1437 | 2018-04-23 |
| 1295267052 | Aditi Annu Sharma | Student in an Organized Health Care Education/Training Program | 14445 Olive View Dr # R, Sylmar, CA 91342-1437 | 2017-03-31 |
| 1891115572 | John James Hollowed Jr. | Student in an Organized Health Care Education/Training Program | 14445 Olive View Dr Ucla Olive View Medical Center, Department of Internal Medicine, Sylmar, CA 91342 | 2014-04-22 |
| 1982225405 | Sandy Peoples | Student in an Organized Health Care Education/Training Program | 14445 Olive View Dr, Sylmar, CA 91342-1437 | 2020-05-06 |
| 1255952503 | Samir Shah | Student in an Organized Health Care Education/Training Program | 14445 Olive View Dr, Sylmar, CA 91342-1437 | 2020-04-28 |
| 1407476864 | Jennifer Vanessa Mogi | Student in an Organized Health Care Education/Training Program | 14445 Olive View Dr, Sylmar, CA 91342-1437 | 2020-04-25 |
| 1376163717 | Mia Kunitomo | Student in an Organized Health Care Education/Training Program | 14445 Olive View Dr, Sylmar, CA 91342-1437 | 2020-04-24 |
| 1215557830 | Jonathan Mason Allen | Student in an Organized Health Care Education/Training Program | 14445 Olive View Dr, Sylmar, CA 91342-1437 | 2020-04-23 |
| Find all providers in SYLMAR | ||||
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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.