COUNTY OF LOS ANGELES (NPI# 1114967965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114967965 |
| Entity Type | Organization |
| Organization Name | COUNTY OF LOS ANGELES |
| Other Organization Name | LOS ANGELES CO SAN FERNANDO PHCY |
| Practice Address |
1212 Pico St San Fernando CA 91340-3503 |
| Mailing Address |
313 N Figueroa St Ste 701 Los Angeles CA 90012-2602 |
| Practice Telephone | 8188376945 |
| Practice Fax Number | 8188376952 |
| Mailing Telephone | 2132407717 |
| Mailing Fax Number | 2139759623 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2014-04-01 |
| Authorized Official Name | AMY GUTIERREZ (CHIEF PHARMACY OFFICER) |
| Authorized Official Telephone | 2132407717 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | PHE44724 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 1995684 | 01 |
| Other Name | Type Code |
|---|---|
| LOS ANGELES CO SAN FERNANDO PHCY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538767082 | County of Los Angeles | Clinic/Center | 6902 Atlantic Ave, Bell, CA 90201-3647 | 2020-10-15 |
| 1407468507 | County of Los Angeles | Clinic/Center | 242 E 6th St, Los Angeles, CA 90014-2117 | 2020-08-19 |
| 1194373431 | County of Los Angeles | Ambulance | 1320 N Eastern Ave, Los Angeles, CA 90063-3244 | 2019-08-29 |
| 1760841126 | County of Los Angeles | Psychiatric Hospital | 5800 South St Apt 163, Lakewood, CA 90713-1331 | 2016-02-15 |
| 1639573363 | County of Los Angeles | Chronic Disease Hospital | 1983 Marengo St Rm B4h100, Gi/liver Division, Diagnostic and Treatment Building, Los Angeles, CA 90033-1370 | 2014-10-09 |
| 1720499619 | County of Los Angeles | Clinic/Center | 242 East 6th Street, Los Angeles, CA 90014 | 2014-05-13 |
| 1801160296 | County of Los Angeles | General Acute Care Hospital | 2020 Zonal Ave Rm 115, Los Angeles, CA 90089-0121 | 2012-03-02 |
| 1861765877 | County of Los Angeles | Clinic/Center | 522 S. San Pedro Street, Los Angeles, CA 90013-2102 | 2012-02-22 |
| 1740465582 | County of Los Angeles | Clinical Medical Laboratory | 12750 Erickson Ave, Downey, CA 90242-4024 | 2007-12-28 |
| 1447444294 | County of Los Angeles | Clinic/Center | 241 N Figueroa St, Los Angeles, CA 90012-2601 | 2007-09-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COUNTY OF LOS ANGELES | 222 S Hill St, 3rd Floor, Los Angeles, CA 90012-3508 |
| Street Address |
1212 PICO ST |
| City | SAN FERNANDO |
| State | CA |
| Zip Code | 91340-3503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821643776 | Laura Tapia-tamayo | Registered Nurse | 1212 Pico St, San Fernando, CA 91340-3503 | 2019-08-07 |
| 1073172128 | Barbara Barcelona-zito | Licensed Vocational Nurse | 1212 Pico St, San Fernando, CA 91340-3503 | 2019-06-12 |
| 1538728589 | Angie Castell | Licensed Vocational Nurse | 1212 Pico St, San Fernando, CA 91340-3503 | 2019-06-12 |
| 1396304440 | Marie Verdugo | Licensed Vocational Nurse | 1212 Pico St, San Fernando, CA 91340-3503 | 2019-06-12 |
| 1841859980 | Maria Avalos Jimenez | Licensed Vocational Nurse | 1212 Pico St, San Fernando, CA 91340-3503 | 2019-06-12 |
| 1831629187 | Veronica Rodriguez | Registered Nurse | 1212 Pico St, San Fernando, CA 91340 | 2017-06-19 |
| 1285164590 | Meehee Ju | Registered Nurse | 1212 Pico St, San Fernando, CA 91340-3503 | 2017-06-19 |
| 1619407137 | Patricia Moreno | Registered Nurse | 1212 Pico St, San Fernando, CA 91340-3503 | 2017-06-18 |
| 1881123396 | Claire Acoba | Registered Nurse | 1212 Pico St, San Fernando, CA 91340-3503 | 2017-06-08 |
| 1447789151 | Dora Elva Crespo I | Registered Nurse | 1212 Pico St, San Fernando, CA 91340-3503 | 2017-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043844301 | Atalla Dental Corp. | Clinic/Center | 557 N. Maclay Ave., San Fernando, CA 91340 | 2020-02-26 |
| 1235623190 | Kohan & Rodef Dental Corporation | Dentist | 500 San Fernardo Mission Blvd Suite #2, San Fernardo, CA 91340 | 2018-06-14 |
| 1700388766 | North Valley Diagnostics Services, Inc. | Electrodiagnostic Medicine | 670 San Fernando Mission Blvd, #d, San Fernando, CA 91340 | 2018-03-06 |
| 1750889531 | Garfield Beach Cvs, L.l.c | Durable Medical Equipment & Medical Supplies | 1204 San Fernando Rd, San Fernando, CA 91340 | 2018-01-26 |
| 1689118598 | Maira Yesenia Lopez | Counselor | 565 S. Brand Blvd, San Fernando, CA 91340 | 2016-12-12 |
| 1386042166 | Afsaneh Mazaheri-sichani | Dentist | 777 Turman St., Suite 107, San Fernando, CA 91340 | 2014-12-11 |
| 1396154167 | Lorena Tercero | Marriage & Family Therapist | 302 S. Brand Blvd, San Fernando, CA 91340 | 2014-08-06 |
| 1689082836 | Germine Aznavour | Pharmacist | 12920 Foothill Blvd, San Fernando, CA 91340 | 2014-07-31 |
| 1841605151 | Aswani Dental Corporation | Clinic/Center | 12940 Foothill Blvd Ste C, San Fernando, CA 91340 | 2014-06-25 |
| 1467705624 | Brenda Lira | Social Worker | 11565 Laurel Canyon Blvd., Suite 116, San Fernando, CA 91340 | 2012-10-24 |
| Find all providers in zip 91340 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033586953 | Casa Blanca Pharmacy Inc | Pharmacy | 2012 Glenoaks Blvd, San Fernando, CA 91340-1625 | 2015-08-26 |
| 1740323328 | Absolute Care, Inc. | Pharmacy | 541 N Maclay Ave Ste 104, San Fernando, CA 91340-2478 | 2007-02-14 |
| 1396893095 | Northeast Valley Health Corporation | Pharmacy | 1600 San Fernando Rd, San Fernando, CA 91340-3115 | 2007-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528940 | Kaiser Foundation Health Plan Inc | Pharmacy | 4647 Zion Ave Fl4, Rm 4825, San Diego, CA 92120-2507 | 2020-11-06 |
| 1891394128 | Scriptdash Inc | Pharmacy | 4240 Kearny Mesa Rd Ste 107, San Diego, CA 92111-3769 | 2020-10-19 |
| 1235736737 | Scriptdash Inc | Pharmacy | 2360 Qume Dr, San Jose, CA 95131-1838 | 2020-10-07 |
| 1023615150 | Kaiser Foundation Health Plan Inc | Pharmacy | 9550 Escondido Ave Fl 1, Rm 1100, Hesperia, CA 92345-9120 | 2020-10-01 |
| 1033725478 | Happy Med Inc. | Pharmacy | 210 S Grand Ave Ste 116, Glendora, CA 91741-4262 | 2020-09-21 |
| 1366058794 | Joanna Jongae Kim | Pharmacy | 1020 S Anaheim Blvd Ste 101, Anaheim, CA 92805-5807 | 2020-09-21 |
| 1114532231 | Prime Rx San Gabriel, Inc. | Pharmacy | 533 W Las Tunas Dr # 102, San Gabriel, CA 91776-1133 | 2020-09-15 |
| 1164034260 | Tin Rx At The Tower Inc. | Pharmacy | 1801 Colorado Ave Ste 300, Turlock, CA 95382-2708 | 2020-08-19 |
| 1144831702 | Cameron Michael Rehmani Seraji | Pharmacy | 10542 Villa Del Cerro, Santa Ana, CA 92705-1486 | 2020-08-16 |
| 1881204907 | Kaiser Foundation Health Plan Inc | Pharmacy | 25821 S Vermont Ave Fl 4, Rm 4049, Harbor City, CA 90710-3518 | 2020-08-04 |
| Find all providers with the same taxonomy | ||||
| City | SAN FERNANDO |
| Zip Code | 91340 |
Please comment or provide details below to improve the information on COUNTY OF LOS ANGELES.
| 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.