JOSE ANTONIO ROSALES (NPI# 1063715209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063715209 |
| Entity Type | Individual |
| Full Name | JOSE ANTONIO ROSALES |
| Practice Address |
4715 Crenshaw Blvd Los Angeles CA 90043-1233 |
| Mailing Address |
2525 Veteran Avenue Los Angeles CA 90064 |
| Practice Telephone | 3239883744 |
| Mailing Telephone | 3103085081 |
| Enumeration Date | 2010-12-09 |
| Last Update Date | 2010-12-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568085827 | Jose Ahumada Rosales | Counselor | 1414 W Kearney Blvd, Fresno, CA 93706-2702 | 2020-05-21 |
| 1710487632 | Jose Rosales | Chore Provider | 5000 W Oakey Blvd Ste E1, Las Vegas, NV 89146-3398 | 2018-02-16 |
| 1639456536 | Jose M Rosales Jr. | Pharmacist | 1000 Ogden Ave, Downers Grove, IL 60515-2803 | 2011-11-07 |
| 1326210477 | Jose De Jesus Rosales | Counselor | 1400 N Johnson Ave Ste 101, El Cajon, CA 92020-1651 | 2008-03-28 |
| 1114118221 | Jose Luis Rosales | Nurse Practitioner | 4371 E Lohman Ave, Las Cruces, NM 88011-8443 | 2007-08-05 |
| 1467581140 | Jose Benjamin Rosales | Marriage & Family Therapist | 474 Valencia St Ste 135, San Francisco, CA 94103-3415 | 2007-03-05 |
| 1295761948 | Jose J Rosales | Family Medicine | 1035 Town Center Dr, Orange City, FL 32763-8360 | 2006-06-24 |
| Street Address |
4715 CRENSHAW BLVD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90043-1233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689858672 | Dixon Recovery Institute, Inc. | Counselor | 4715 Crenshaw Blvd, 2nd Floor, Los Angeles, CA 90043-1233 | 2007-12-26 |
| 1104169127 | Keith Gerard Davis | Counselor | 4715 Crenshaw Blvd, Los Angeles, CA 90043-1233 | 2013-03-27 |
| 1912249749 | Tracy R Varnado | Counselor | 4715 Crenshaw Blvd, Los Angeles, CA 90043-1233 | 2013-03-19 |
| 1285984195 | Stephisha Walton | Counselor | 4715 Crenshaw Blvd, Los Angeles, CA 90043-1233 | 2012-09-18 |
| 1720384803 | Ann M Young | Counselor | 4715 Crenshaw Blvd, Los Angeles, CA 90043-1233 | 2011-02-07 |
| 1881990968 | Christian A Smith | Counselor | 4715 Crenshaw Blvd, Los Angeles, CA 90043-1233 | 2011-02-07 |
| 1700180155 | Dixon Recovery Institute | Case Management | 4715 Crenshaw Blvd, Los Angeles, CA 90043-1233 | 2010-12-28 |
| 1205139599 | Alyxandria L Kuhn | Counselor | 4715 Crenshaw Blvd, Los Angeles, CA 90043-1233 | 2010-12-08 |
| 1679876064 | Cas'mir C Turton | Counselor | 4715 Crenshaw Blvd, Los Angeles, CA 90043-1233 | 2010-12-07 |
| 1669775052 | Carlos Lopez | Counselor | 4715 Crenshaw Blvd, Los Angeles, CA 90043-1233 | 2010-12-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841772209 | Ichizo Yamada | Counselor | 5318 S Crenshaw Blvd., Los Angeles, CA 90043 | 2018-09-02 |
| 1568961613 | Marnelle Mascardo | Counselor | 5318 S. Crenshaw Blvd., Los Angeles, CA 90043 | 2018-02-05 |
| 1700315199 | Positive Imagery Foundation | Prevention Professional | 5906 7th Avenue, Suite 1, Los Angeles, CA 90043 | 2017-06-08 |
| 1770946303 | Toby Lapesarde | Licensed Vocational Nurse | 5300 Angeles Vista Boulevard, Los Angeles, CA 90043 | 2016-03-31 |
| 1134591480 | Coast Wise Solution | Case Management | 2728 54th St, Los Angeles, CA 90043 | 2015-10-27 |
| 1033589155 | Nina Gonzaga | Marriage & Family Therapist | 4401 Crendshaw Blvd, #300, Los Angeles, CA 90043 | 2015-10-01 |
| 1861743189 | Donna M. Tizenor-tate | Counselor | 5300 Angeles Vista Blvd., Los Angeles, CA 90043 | 2012-09-26 |
| 1952657736 | Willie Frank Sibley Jr. | General Practice | 4330 Monteith Dr, Los Angeles, CA 90043 | 2012-07-30 |
| 1639449119 | Nelson M Okeke | Counselor | 8814 S. Western Ave, La, CA 90043 | 2011-12-30 |
| 1578840799 | Economic Services, Incorporated | Exclusive Provider Organization | 5144 Crenshaw Blvd., Los Angeles, CA 90043 | 2011-11-16 |
| Find all providers in zip 90043 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457377 | Marian Locke | Counselor | 3901 W Adams Blvd, Los Angeles, CA 90018-1756 | 2020-11-05 |
| 1871193888 | Daniel Luna | Counselor | 811 Beacon Ave, Los Angeles, CA 90017-2113 | 2020-10-28 |
| 1962000240 | Frederick P Delafield Iv | Counselor | 679 1/2 Levering Ave, Los Angeles, CA 90024-2350 | 2020-10-09 |
| 1578179941 | Leo Vasquezawarez | Counselor | 470 E 3rd St # Ab, Los Angeles, CA 90013-1629 | 2020-09-21 |
| 1801401963 | Manuel Gambino | Counselor | 11301 Wilshire Blvd Bldg 337, Los Angeles, CA 90073-1003 | 2020-09-14 |
| 1871107219 | Frances Field | Counselor | 3739 Mentone Ave Apt 7, Los Angeles, CA 90034-6444 | 2020-09-02 |
| 1730707985 | Lucia Miguel | Counselor | 1428 W 59th St, Los Angeles, CA 90047-1209 | 2020-07-13 |
| 1821615220 | Sarah Payne | Counselor | 3217 North Eastern Ave, Los Angeles, CA 90032 | 2020-07-01 |
| 1376168070 | Mercedes Elkoff | Counselor | 1745 Warnall Ave, Los Angeles, CA 90024-5358 | 2020-06-09 |
| 1508481201 | Jeanine Ingram | Counselor | 3815 Lockland Dr, Los Angeles, CA 90008-3533 | 2020-06-09 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90043 |
Please comment or provide details below to improve the information on JOSE ANTONIO ROSALES.
| 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.