AMANDA LARSON (NPI# 1063789006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063789006 |
| Entity Type | Individual |
| Full Name | AMANDA LARSON |
| Practice Address |
4900 Serrania Ave Woodland Hills CA 91364-3301 |
| Practice Telephone | 8183471577 |
| Practice Fax Number | 8183471326 |
| Mailing Telephone | 8183471577 |
| Enumeration Date | 2011-11-18 |
| Last Update Date | 2014-11-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457745986 | Amanda Larson | Nurse Practitioner | 420 12th St Se, Apt 16, Le Mars, IA 51031-2800 | 2015-03-23 |
| 1487955316 | Amanda Nicole Larson | Military Health Care Provider | 500 Center St, Building 22, Wahiawa, HI 96786-3007 | 2010-11-09 |
| 1114568912 | Amanda Maria Larson | Counselor | 3292 County Road 220, Middleburg, FL 32068-4357 | 2019-10-02 |
| 1154887453 | Amanda Larson | Nurse Practitioner | 9000 W Wisconsin Ave, Milwaukee, WI 53226 | 2019-02-12 |
| 1285150060 | Amanda Larson | Physician Assistant | 2401 S 31st St, Temple, TX 76508-0001 | 2017-08-14 |
| 1922454727 | Amanda Larson | Occupational Therapist | 742 Sterbenz Dr, Hudson, WI 54016-8327 | 2016-05-11 |
| 1275914913 | Amanda Larson | Physical Therapist | 1977 Dewar Dr Ste J, Rock Springs, WY 82901-5757 | 2015-06-17 |
| 1053729327 | Amanda Larson | Registered Nurse | 5801 Crossings Blvd, Antioch, TN 37013-3130 | 2014-07-30 |
| 1609292713 | Amanda Larson | Psychologist | 1009 44th St Sw, 103, Wyoming, MI 49509 | 2014-03-13 |
| 1336464544 | Amanda Celest Roof Larson | Orthopaedic Surgery | 315 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2010-03-30 |
| Street Address |
4900 SERRANIA AVE |
| City | WOODLAND HILLS |
| State | CA |
| Zip Code | 91364-3301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437224805 | Anthony Madril IIi | Social Worker | 4900 Serrania Ave, Woodland Hills, CA 91364-3301 | 2006-11-21 |
| 1912558685 | Kathya Olmos | Licensed Vocational Nurse | 4900 Serrania Ave, Woodland Hills, CA 91364-3301 | 2019-09-24 |
| 1023662160 | Adriana Navarro Gonzalez | Rehabilitation Practitioner | 4900 Serrania Ave, Woodland Hills, CA 91364-3301 | 2019-07-26 |
| 1861044828 | Tashaka Jack | Licensed Vocational Nurse | 4900 Serrania Ave, Woodland Hills, CA 91364 | 2019-07-10 |
| 1134780414 | Janyss Suarez | Licensed Vocational Nurse | 4900 Serrania Ave, Woodland Hills, CA 91364-3301 | 2019-06-26 |
| 1073074191 | Stephanie Danelia Castillo | Case Manager/Care Coordinator | 4900 Serrania Ave, Woodland Hills, CA 91364-3301 | 2019-03-29 |
| 1578028403 | John Alexander Marquez | Case Manager/Care Coordinator | 4900 Serrania Ave, Woodland Hills, CA 91364-3301 | 2019-02-05 |
| 1992273130 | Evelyn Susana Felix | Rehabilitation Practitioner | 4900 Serrania Ave, Woodland Hills, CA 91364-3301 | 2018-11-06 |
| 1427531417 | Katarina Itzell Vidana | Case Manager/Care Coordinator | 4900 Serrania Ave, Woodland Hills, CA 91364-3301 | 2018-09-14 |
| 1023598711 | Evelyn Rodriguez | Licensed Vocational Nurse | 4900 Serrania Ave, Woodland Hills, CA 91364-3301 | 2018-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316574890 | Woodland Hills Cardiology Group, PC | Internal Medicine | Woodland Hills Cardiology Group, PC, 22900 Ventura Blvd, Ste 165, Woodland Hills, CA 91364 | 2020-03-25 |
| 1952940967 | Creative Care, Inc. | Substance Abuse Rehabilitation Facility | 5311 Topanga Canyon Blvd, Suites 203 & 207, Woodland Hills, CA 91364 | 2019-12-23 |
| 1629544531 | Jessica Sarah Anishban | Marriage & Family Therapist | 22935 Ventura Blvd Ste 212, Woodland Hills, CA 91364 | 2018-10-17 |
| 1194249128 | Katia Siri | Acupuncturist | 4830 Winnetka Avenue, Woodland Hills, CA 91364 | 2017-08-01 |
| 1457881070 | Navid Messian | Marriage & Family Therapist | 5308 Penfield Ave., Woodland Hills, CA 91364 | 2017-06-15 |
| 1801330766 | Samantha Meghann Mathew | Behavioral Analyst | 20259 Ventura Blvd Ste 259a, Woodland Hills, CA 91364 | 2016-12-12 |
| 1356793947 | Evolve Growth Initiatives, LLC | Clinic/Center | 4810 Azucena Rd, Woodland Hills, CA 91364 | 2016-07-07 |
| 1538516976 | Chris Massman | Marriage & Family Therapist | 5242 Darro Road, Woodland Hills, CA 91364 | 2016-05-16 |
| 1588065874 | Morrice Barkers Apprey | Marriage & Family Therapist | 21031 Ventura Blvd., #704, Woodland Hills, CA 91364 | 2014-09-06 |
| 1144640723 | Kenneth Gustafson | Physical Therapy Assistant | 23888 Mulholland Drive, Ms # 270, Woodland Hills, CA 91364 | 2014-04-22 |
| Find all providers in zip 91364 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407410590 | Brionne Caryn Clemons | Rehabilitation Practitioner | 6710 Variel Ave Apt 330, Woodland Hills, CA 91303-4803 | 2019-04-24 |
| 1326489147 | Victoria Lynn Sanhamel | Rehabilitation Practitioner | 21535 Erwin St, Unit 117, Woodland Hills, CA 91367-2418 | 2013-07-09 |
| 1609423771 | Cesar De Los Santos | Rehabilitation Practitioner | 20501 Ventura Blvd Ste 170, Woodland Hills, CA 91364-6258 | 2019-08-22 |
| 1023662160 | Adriana Navarro Gonzalez | Rehabilitation Practitioner | 4900 Serrania Ave, Woodland Hills, CA 91364-3301 | 2019-07-26 |
| 1992273130 | Evelyn Susana Felix | Rehabilitation Practitioner | 4900 Serrania Ave, Woodland Hills, CA 91364-3301 | 2018-11-06 |
| 1659852887 | Marlena Teo Millare | Rehabilitation Practitioner | 21600 Oxnard St Ste 1800, Woodland Hills, CA 91367 | 2018-08-26 |
| 1659888972 | Edith Pena | Rehabilitation Practitioner | 4900 Serrania Ave, Woodland Hills, CA 91364 | 2018-01-09 |
| 1467969782 | Francisco Covarrubias | Rehabilitation Practitioner | 4900 Serrania Ave, Woodland Hills, CA 91364 | 2018-01-09 |
| 1376058628 | Ana Flores | Rehabilitation Practitioner | 4900 Serrania Ave, Woodland Hills, CA 91364 | 2017-12-08 |
| 1033623871 | Nabil Montez | Rehabilitation Practitioner | 4900 Serrania Ave, Woodland Hills, CA 91364 | 2017-11-30 |
| Find all providers in WOODLAND HILLS | ||||
| City | WOODLAND HILLS |
| Zip Code | 91364 |
Please comment or provide details below to improve the information on AMANDA LARSON.
| 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.