DAMON D STEWART (NPI# 1134687684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134687684 |
| Entity Type | Individual |
| Full Name | DAMON D STEWART |
| Practice Address |
4544 San Fernando Rd Ste 201 Glendale CA 91204-5015 |
| Mailing Address |
6711 Saint Estaban St Apt C Tujunga CA 91042-3300 |
| Practice Telephone | 8182408843 |
| Practice Fax Number | 8182408885 |
| Mailing Telephone | 6614343069 |
| Enumeration Date | 2019-03-04 |
| Last Update Date | 2019-03-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDI-CAL | S9420999E34294 | 01 |
| Street Address |
4544 SAN FERNANDO RD STE 201 |
| City | GLENDALE |
| State | CA |
| Zip Code | 91204-5015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316385040 | Victor Rivera | Counselor | 4544 San Fernando Rd Ste 201, Glendale, CA 91204-5015 | 2013-06-04 |
| 1588212740 | Wilfredo Arbizu | Registered Nurse | 4544 San Fernando Rd Ste 201, Glendale, CA 91204-5015 | 2019-08-30 |
| 1548738891 | Ricky Reynaldo Reyes II | Counselor | 4544 San Fernando Rd Ste 201, Glendale, CA 91204-5015 | 2018-11-05 |
| 1639696271 | Susan Kathleen Perkins | Counselor | 4544 San Fernando Rd Ste 201, Glendale, CA 91204-5015 | 2017-08-24 |
| 1063806420 | Bianca Sanchez | Counselor | 4544 San Fernando Rd Ste 201, Glendale, CA 91204-5015 | 2015-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558997387 | Hope & Trust Trading LLC | Radiology | 318 W Colorado St #2, Glendale, CA 91204 | 2020-03-12 |
| 1972133387 | Yusuf Toliver | Counselor | 1027 S Central Ave, Suite 200, Glendale, CA 91204 | 2020-01-24 |
| 1538633136 | Pathology La Inc. | Clinical Medical Laboratory | 4634 San Fernando Rd., Same As Above, Glendale, CA 91204 | 2019-01-16 |
| 1295254050 | Glendale Back and Pain Center | Neurological Surgery | 710 S. Central Ave, Suite 240, Glendale, CA 91204 | 2017-09-13 |
| 1285163568 | Ez Trans, Inc. | Transportation Broker | 1626 S. Central Ave., Glendale, CA 91204 | 2017-06-08 |
| 1194254474 | Jenny Chung | Pharmacist | 3943 San Fernando Road, Glendale, CA 91204 | 2017-06-08 |
| 1396111886 | Fresenius Medical Care Glendale, LLC | Clinic/Center | 623 S Central Ave, Glendale, CA 91204 | 2015-08-19 |
| 1710302450 | New Age Foot and Ankle Podiatry PC | Podiatrist | 705 Ivy Street, Glendale, CA 91204 | 2014-03-04 |
| 1124454376 | Alber K. Karamanoukian Medical Clinic, Inc. | Clinic/Center | 810 S. Central Avenue, Suite 100, Glendale, CA 91204 | 2013-09-19 |
| 1548521156 | Glendale Plastic and Reconstructive Surgery Inc. | Plastic Surgery | 1500 S. Central Ave. #126, Glendale, CA 91204 | 2012-05-31 |
| Find all providers in zip 91204 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619509833 | Helen C Tuwei | Counselor | 4449 W Keating Cir, Glendale, AZ 85308-3549 | 2020-02-05 |
| 1902469547 | Nustart Inc | Counselor | 6608 San Fernando Rd, Glendale, CA 91201-1703 | 2019-04-18 |
| 1528529856 | Empowerment Behavioral Care LLC | Counselor | 6448 W Colter St, Glendale, AZ 85301-6527 | 2019-03-28 |
| 1881168813 | Jessica Martinez | Counselor | 632 Naranja Dr, Glendale, CA 91206-2522 | 2019-01-12 |
| 1710459359 | David Ibrahim | Counselor | 100 N Brand Blvd Ste 412, Glendale, CA 91203-2614 | 2018-12-20 |
| 1104308683 | David Gleghorn | Counselor | 6610 N 47th Ave Ste 678, Glendale, AZ 85301-4163 | 2018-08-31 |
| 1033590344 | Eryn Elizabeth Cloutier | Counselor | 7468 W Irma Ln, Glendale, AZ 85308-9662 | 2015-06-11 |
| 1326439811 | Robert D Klimek | Counselor | 4425 W Olive Ave Ste 200&140, Glendale, AZ 85302-3843 | 2015-02-05 |
| 1932549938 | Narine Jugharyan | Counselor | 501 E. Harvard Street, Unit A, Glendale, CA 91205 | 2013-07-05 |
| 1316385040 | Victor Rivera | Counselor | 4544 San Fernando Rd Ste 201, Glendale, CA 91204-5015 | 2013-06-04 |
| Find all providers in GLENDALE | ||||
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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.