HERITAGE CLINIC AND THE COMMUNITY ASSISTANCE PROGRAM FOR SENIORS (NPI# 1093049546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093049546 |
| Entity Type | Organization |
| Organization Name | HERITAGE CLINIC AND THE COMMUNITY ASSISTANCE PROGRAM FOR SENIORS |
| Other Organization Name | HERITAGE LOS ANGELES |
| Practice Address |
3600 Wilshire Blvd Ste 2200 Los Angeles CA 90010-2632 |
| Mailing Address |
447 N El Molino Ave Pasadena CA 91101-1403 |
| Practice Telephone | 6265778480 |
| Practice Fax Number | 6265778978 |
| Mailing Telephone | 6265778480 |
| Mailing Fax Number | 6265778978 |
| Enumeration Date | 2009-09-30 |
| Last Update Date | 2018-12-18 |
| Authorized Official Name | VATCHE KELARTINIAN (CEO) |
| Authorized Official Telephone | 6265778480 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
CA | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Heritage Los Angeles | Doing Business As Name - Organization |
| Heritage-Mid-City | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023234747 | Heritage Clinic and The Community Assistance Program for Seniors | Psychologist | 43807 10th St W Ste D, Lancaster, CA 93534-4805 | 2007-04-18 |
| 1306899091 | Heritage Clinic and The Community Assistance Program for Seniors | Psychologist | 447 N El Molino Ave, Pasadena, CA 91101-1403 | 2006-05-17 |
| 1376681163 | Heritage Clinic and The Community Assistance Program for Seniors | Psychologist | 3939 Atlantic Ave, Suite 103, Long Beach, CA 90807-3536 | 2007-02-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | HERITAGE CLINIC AND THE COMMUNITY ASSISTANCE PROGRAM FOR SENIORS | 447 N El Molino Ave, Pasadena, CA 91101-1403 |
| Street Address |
3600 WILSHIRE BLVD STE 2200 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90010-2632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669507851 | Grace Kim | Psychologist | 3600 Wilshire Blvd Ste 2200, Los Angeles, CA 90010-2632 | 2007-02-21 |
| 1629606132 | Jennifer Rodriguez | Case Manager/Care Coordinator | 3600 Wilshire Blvd Ste 2200, Los Angeles, CA 90010-2632 | 2020-03-30 |
| 1003461203 | Jasmine Martinez | Case Manager/Care Coordinator | 3600 Wilshire Blvd Ste 2200, Los Angeles, CA 90010-2632 | 2019-08-05 |
| 1528611779 | Mayra Alejandra Martinez | Counselor | 3600 Wilshire Blvd Ste 2200, Los Angeles, CA 90010-2632 | 2019-07-17 |
| 1154989911 | Marianna Shiman | Case Manager/Care Coordinator | 3600 Wilshire Blvd Ste 2200, Los Angeles, CA 90010-2632 | 2019-06-05 |
| 1114580180 | Rocio Martinez | Case Manager/Care Coordinator | 3600 Wilshire Blvd Ste 2200, Los Angeles, CA 90010-2632 | 2019-04-16 |
| 1447720289 | Inna Paravian | Case Manager/Care Coordinator | 3600 Wilshire Blvd Ste 2200, Los Angeles, CA 90010-2632 | 2018-12-04 |
| 1821579947 | Gina Renee Estrada | Case Manager/Care Coordinator | 3600 Wilshire Blvd Ste 2200, Los Angeles, CA 90010-2632 | 2018-08-27 |
| 1871073239 | Carlos Raul Santell | Rehabilitation Counselor | 3600 Wilshire Blvd Ste 2200, Los Angeles, CA 90010-2632 | 2018-08-15 |
| 1821582180 | Ana Petrosyan | Case Manager/Care Coordinator | 3600 Wilshire Blvd Ste 2200, Los Angeles, CA 90010-2632 | 2018-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205454204 | Sage Minds | Psychiatry & Neurology | 3860 Wilshire Blvd, P04-1188, Los Angeles, CA 90010 | 2020-07-07 |
| 1629602750 | Shalva, A Psychology Corporation | Counselor | 4221 Wilshire Boulevlard, Suite 170b, Los Angeles, CA 90010 | 2020-02-27 |
| 1609346287 | Leticia Arteaga | Marriage & Family Therapist | 3580 Wilshire Blvd Suite 800, Los Angeles, CA 90010 | 2018-11-27 |
| 1891265559 | Maria Nguyen | Case Manager/Care Coordinator | 3424 Wilshire Blvd Ste 1000, Los Angeles, CA 90010 | 2018-11-26 |
| 1568955474 | Cherie Emi Okada | Student in an Organized Health Care Education/Training Program | 358 Wilshire Blvd, Suite 2000, Los Angeles, CA 90010 | 2018-06-14 |
| 1780101832 | Bj Park, Chiropractic | Acupuncturist | 3020 Wilshire Blvd., Suite 220, Los Angeles, CA 90010 | 2017-08-29 |
| 1952828188 | Karin Alm | Case Manager/Care Coordinator | 3580 Wilshire Blvd., Suite 2000, Los Angeles, CA 90010 | 2017-08-28 |
| 1295257111 | Freddy Pablo | Rehabilitation Practitioner | 3580 Wilshire Blvd., Ste. 800, Los Angeles, CA 90010 | 2017-07-12 |
| 1770032690 | Astghik Harutyunyan | Special Hospital | 3699 Wilshire Blve, Los Angeles, CA 90010 | 2016-10-04 |
| 1629446281 | Praveena Chinniah | Behavioral Analyst | 4221 Wilshire Blvd., Suite 300a, Los Angeles, CA 90010 | 2015-09-11 |
| Find all providers in zip 90010 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962324 | Marjan-marcia Khalitchi-alavi | Psychologist | 12400 Wilshire Blvd #230, Los Angeles, CA 90025 | 2020-11-06 |
| 1851990626 | Sarah R Martin | Psychologist | 650 Charles E Young Dr S # 12-096, Los Angeles, CA 90095-8347 | 2020-10-22 |
| 1184223851 | Emily Jenchura | Psychologist | 11301 Wilshire Blvd (116b, Rm. A-130), Los Angeles, CA 90073 | 2020-10-22 |
| 1679189377 | Dr. Sandra Jeanne Brim, Ph.d. | Psychologist | 11601 Gorham Ave Apt 1, Los Angeles, CA 90049-4738 | 2020-09-17 |
| 1194330274 | Marilyn S Zweifach | Psychologist | 3606 Barry Avenue, Los Angeles, CA 90066 | 2020-09-15 |
| 1538787874 | Molly Burrets | Psychologist | 5619 N Figueroa St Apt 219, Los Angeles, CA 90042-4979 | 2020-07-13 |
| 1770100737 | Mary Carde | Psychologist | 1572 Ensley Ave, Los Angeles, CA 90024-5325 | 2020-06-25 |
| 1134745193 | Bloom Psychology, Inc. | Psychologist | 3800 Barham Blvd Ste 420, Los Angeles, CA 90068-1042 | 2020-06-24 |
| 1639799406 | Joseph Aguayo | Psychologist | 11849 W Olympic Blvd Ste 202, Los Angeles, CA 90064-1148 | 2020-04-22 |
| 1912536020 | Butterflly Health, Inc. | Psychologist | 3530 Wilshire Blvd Ste 1650, Los Angeles, CA 90010-2371 | 2020-04-02 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90010 |
Please comment or provide details below to improve the information on HERITAGE CLINIC AND THE COMMUNITY ASSISTANCE PROGRAM FOR SENIORS.
| 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.