COREY KEITH MCKENZIE (NPI# 1164863478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164863478 |
| Entity Type | Individual |
| Full Name | COREY KEITH MCKENZIE |
| Practice Address |
1619 Santa Monica Blvd Santa Monica CA 90404-1807 |
| Mailing Address |
6202 S Pacific Coast Hwy Apartment 11 Redondo Beach CA 90277-5928 |
| Practice Telephone | 3103295855 |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2013-07-15 |
| Gender Code | M |
| 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 |
| Street Address |
1619 SANTA MONICA BLVD |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90404-1807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649309469 | Step Up On Second Street, Inc. | Community/Behavioral Health | 1619 Santa Monica Blvd, Santa Monica, CA 90404-1807 | 2007-03-05 |
| 1235780313 | Eran Mcdonald | Community Health Worker | 1619 Santa Monica Blvd, Santa Monica, CA 90404-1807 | 2019-09-20 |
| 1194375790 | Tiera Watts | Case Manager/Care Coordinator | 1619 Santa Monica Blvd, Santa Monica, CA 90404-1807 | 2019-09-16 |
| 1841849726 | Bethany Rose Findlay | Case Manager/Care Coordinator | 1619 Santa Monica Blvd, Santa Monica, CA 90404-1807 | 2019-09-04 |
| 1033768858 | Tessa Candiotti | Counselor | 1619 Santa Monica Blvd, Santa Monica, CA 90404-1807 | 2019-09-04 |
| 1265099345 | Grant Stephen Robert Rehfeld | Community Health Worker | 1619 Santa Monica Blvd, Santa Monica, CA 90404-1807 | 2019-05-23 |
| 1093289696 | Nicole Warmsley | Community Health Worker | 1619 Santa Monica Blvd, Santa Monica, CA 90404-1807 | 2019-01-16 |
| 1073096350 | Christine Chavez | Counselor | 1619 Santa Monica Blvd, Santa Monica, CA 90404-1807 | 2018-09-12 |
| 1871075846 | Gina Francesca Regalbuto | Student in an Organized Health Care Education/Training Program | 1619 Santa Monica Blvd, Santa Monica, CA 90404-1807 | 2018-09-05 |
| 1952881633 | Janine Yvette Betts | Student in an Organized Health Care Education/Training Program | 1619 Santa Monica Blvd, Santa Monica, CA 90404-1807 | 2018-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306453352 | Jasmine Burton | Physical Therapist | 1714 17th Street, Santa Monica, CA 90404 | 2020-09-24 |
| 1003431685 | Cintia Haydee Ctibor | Behavior Technician | 1869 9th Street, Santa Monica, CA 90404 | 2020-06-10 |
| 1073137261 | Sydney Kristine Valerio | Counselor | 1869 9th St, Santa Monica, CA 90404 | 2020-06-03 |
| 1710507082 | James Gilbert Cunningham | Marriage & Family Therapist | 1708 Olympic Blvd, Santa Monica, CA 90404 | 2020-04-16 |
| 1841763687 | Crystal Monique Mckinley X | Counselor | 1865 9th St, Santa Monica, CA 90404 | 2019-01-04 |
| 1952872749 | Cesar O Munoz | Licensed Vocational Nurse | 1865 9th St., Santa Monica, CA 90404 | 2018-12-06 |
| 1023596574 | Joseph J Pinzone Md Inc | Internal Medicine | 2001 Santa Monica Blvd Ste 1190, Santa Monica, CA 90404 | 2018-08-06 |
| 1548763535 | Alan Rubenstein Dds Inc | Dentist | 1260 15th St., #703, Santa Monica, CA 90404 | 2018-03-15 |
| 1669993382 | Aaron Wilson | Counselor | 1453 16th Street, Santa Monica, CA 90404 | 2017-07-03 |
| 1922472471 | Chianni Lin | Acupuncturist | 2222 Santa Monica Blvd, Ste. 105, Santa Monica, CA 90404 | 2015-11-20 |
| Find all providers in zip 90404 | ||||
| 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 |
|---|---|---|---|---|
| 1598185647 | Matthew Mcadams | Rehabilitation Practitioner | 1453 16th St., Santa Monica, CA 90404 | 2014-04-16 |
| 1043542475 | Heidi K Manheim | Rehabilitation Practitioner | 1339 20th St., Santa Monica, CA 90404-2033 | 2010-02-10 |
| 1588893481 | Michelle Mintz | Rehabilitation Practitioner | 1537 Berkeley St, #7, Santa Monica, CA 90404-3224 | 2009-07-13 |
| 1528671898 | Terri S Lee | Rehabilitation Practitioner | 1339 20th St, Santa Monica, CA 90404-2033 | 2020-08-26 |
| 1760976070 | Michael Lopez | Rehabilitation Practitioner | 1527 4th St, Santa Monica, CA 90401-2358 | 2018-06-20 |
| 1255860615 | Melissa Sarah Velasquez | Rehabilitation Practitioner | 1450 20th St, Santa Monica, CA 90404-2906 | 2017-06-08 |
| 1851748206 | Rebecca James | Rehabilitation Practitioner | 2730 Wilshire Blvd, Suite 660, Santa Monica, CA 90403-4743 | 2016-05-16 |
| 1235514613 | Hannah Salanoa-ogbechie | Rehabilitation Practitioner | 1527 4th St, Santa Monica, CA 90401 | 2015-07-27 |
| 1831437250 | Shana Joy Gerson | Rehabilitation Practitioner | 1339 20th St, Santa Monica, CA 90404-2033 | 2013-01-18 |
| 1619227162 | Richard Blackburn | Rehabilitation Practitioner | 1328 2nd St, Santa Monica, CA 90401-1122 | 2012-09-12 |
| Find all providers in SANTA MONICA | ||||
| City | SANTA MONICA |
| Zip Code | 90404 |
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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.