NORTH END SPINAL TREATMENT (NPI# 1083162630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083162630 |
| Entity Type | Organization |
| Organization Name | NORTH END SPINAL TREATMENT |
| Practice Address |
1611 W 25th St San Pedro CA 90732-4301 |
| Mailing Address |
Po Box 1116 Hermosa Beach CA 90254-1116 |
| Practice Telephone | 3108333795 |
| Practice Fax Number | 3108332817 |
| Mailing Telephone | 3108333795 |
| Mailing Fax Number | 3108332817 |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2016-09-13 |
| Authorized Official Name | JOHN CONCA (GENERAL MANAGER) |
| Authorized Official Telephone | 3109550606 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | 193200000X | CA | Other Service Providers |
| Street Address |
1611 W 25TH ST |
| City | SAN PEDRO |
| State | CA |
| Zip Code | 90732-4301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659402261 | Kathi Wolfrum | Chiropractor | 1611 W 25th St, San Pedro, CA 90732-4301 | 2007-03-07 |
| 1548495732 | Kathi L. Wolfrum Chiropractic Corporation | Chiropractor | 1611 W 25th St, San Pedro, CA 90732-4301 | 2009-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538771241 | Alicia Avila | Student in an Organized Health Care Education/Training Program | 2227 Blue Butterfly Way, #7, San Pedro, CA 90732 | 2020-08-24 |
| 1619500543 | Udana Harris | Registered Nurse | 1300 West 7th Street, Obhc Unit, San Pedro, CA 90732 | 2020-02-19 |
| 1861042301 | Patricia Elaine Moses | Technician | 106 N. Western Ave Unit 102, San Pedro, CA 90732 | 2019-09-17 |
| 1629627393 | Antonio Ramon Martinez | Technician | 3141 Blue Butterfly Unit 66, San Pedro, CA 90732 | 2019-09-05 |
| 1487207700 | Victoria A. Shook, D.d.s., A Professional Corp. | Dentist | 28138 S. Western Ave., San Pedro, CA 90732 | 2019-07-17 |
| 1144566563 | Shaun E Chandran M D Inc | Orthopaedic Surgery | 1360 W 6th Street, Suite 305, San Pedro, CA 90732 | 2012-12-13 |
| 1316281280 | Jenny Luong | Physician Assistant | 1534 W. 25th St, San Pedro, CA 90732 | 2012-11-16 |
| 1033429519 | Eric M Feit Dpm Inc | Podiatrist | 1360 West 6th St., Suite 240, San Pedro, CA 90732 | 2010-10-18 |
| 1386808673 | Meysam Zaker | Dentist | 2470 S. Western Ave, San Pedro, Ca, CA 90732 | 2008-07-15 |
| 1376735340 | Francisco J. Correa, M.d., Inc | General Practice | 1350 W. 6th St, #3, San Pedro, CA 90732 | 2007-08-14 |
| Find all providers in zip 90732 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881257210 | Brittany Doryce Ashe | Case Manager/Care Coordinator | 443 W 16th St, San Pedro, CA 90731-4815 | 2019-04-22 |
| 1306376629 | Scott William Wilson | Case Manager/Care Coordinator | 1891 N. Gaffey Street Suite 219 & 221, San Pedro, CA 90036 | 2017-06-19 |
| 1972161149 | Carolina Nazario | Case Manager/Care Coordinator | 150 W 7th St, San Pedro, CA 90731-3320 | 2019-06-03 |
| 1801454087 | Beysi Lidia Orellana | Case Manager/Care Coordinator | 150 W 7th St, San Pedro, CA 90731-3320 | 2019-06-03 |
| 1902460207 | Cecelia Monzon | Case Manager/Care Coordinator | 921 S Beacon St, San Pedro, CA 90731-3740 | 2019-04-23 |
| 1558859660 | Krystal Michelle Cvitanovich | Case Manager/Care Coordinator | 921 S Beacon St, San Pedro, CA 90731-3740 | 2018-04-24 |
| 1124539820 | Roberta Lynn Venegas | Case Manager/Care Coordinator | 150 W 7th St, San Pedro, CA 90731-3320 | 2017-10-20 |
| 1811424930 | Maureen Nunn | Case Manager/Care Coordinator | 235 W 9th St, San Pedro, CA 90731-3711 | 2017-05-19 |
| 1457887960 | Michelle Leon | Case Manager/Care Coordinator | 235 W 9th St, San Pedro, CA 90731-3711 | 2017-05-03 |
| 1467984807 | Dannia Hernandez | Case Manager/Care Coordinator | 1891 N Gaffey St Ste 221, San Pedro, CA 90731-1270 | 2017-04-03 |
| Find all providers in SAN PEDRO | ||||
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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.