ENEASE MANSOORIAN (NPI# 1174172118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174172118 |
| Entity Type | Individual |
| Full Name | ENEASE MANSOORIAN |
| Practice Address |
4401 Crenshaw Blvd Ste 300 Los Angeles CA 90043-1200 |
| Mailing Address |
3031 S Vermont Ave Los Angeles CA 90007-3033 |
| Practice Telephone | 3232908360 |
| Mailing Telephone | 3233732400 |
| Enumeration Date | 2019-09-11 |
| Last Update Date | 2019-09-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
4401 CRENSHAW BLVD STE 300 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90043-1200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487775045 | Kariann Lorraine Herrera | Counselor | 4401 Crenshaw Blvd Ste 300, Los Angeles, CA 90043 | 2007-04-02 |
| 1629685474 | Birtukan Belete | Student in an Organized Health Care Education/Training Program | 4401 Crenshaw Blvd Ste 300, Los Angeles, CA 90043-1200 | 2020-09-25 |
| 1699248385 | Natalie Michelle Esparza | Social Worker | 4401 Crenshaw Blvd Ste 300, Los Angeles, CA 90043-1200 | 2019-01-06 |
| 1598249500 | Nancy Salazar | Student in an Organized Health Care Education/Training Program | 4401 Crenshaw Blvd Ste 300, Los Angeles, CA 90043-1200 | 2018-09-17 |
| 1154820694 | Karina Melara-arroyo | Marriage & Family Therapist | 4401 Crenshaw Blvd Ste 300, Los Angeles, CA 90043-1200 | 2018-02-11 |
| 1245738525 | Natalie Wahl | Counselor | 4401 Crenshaw Blvd Ste 300, Los Angeles, CA 90043-1200 | 2018-01-31 |
| 1346763919 | Mordechai Polityko | Marriage & Family Therapist | 4401 Crenshaw Blvd Ste 300, Los Angeles, CA 90043-1200 | 2017-07-25 |
| 1679003511 | Tandrea Nicole Tarver | Marriage & Family Therapist | 4401 Crenshaw Blvd Ste 300, Los Angeles, CA 90043-1200 | 2017-06-13 |
| 1285176081 | Vicente Morales Gonzalez | Rehabilitation Practitioner | 4401 Crenshaw Blvd Ste 300, Los Angeles, CA 90043-1200 | 2016-11-09 |
| 1144776048 | Gabriela Rojas Tufino | Marriage & Family Therapist | 4401 Crenshaw Blvd Ste 300, Los Angeles, CA 90043-1200 | 2016-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841772209 | Ichizo Yamada | Counselor | 5318 S Crenshaw Blvd., Los Angeles, CA 90043 | 2018-09-02 |
| 1568961613 | Marnelle Mascardo | Counselor | 5318 S. Crenshaw Blvd., Los Angeles, CA 90043 | 2018-02-05 |
| 1700315199 | Positive Imagery Foundation | Prevention Professional | 5906 7th Avenue, Suite 1, Los Angeles, CA 90043 | 2017-06-08 |
| 1770946303 | Toby Lapesarde | Licensed Vocational Nurse | 5300 Angeles Vista Boulevard, Los Angeles, CA 90043 | 2016-03-31 |
| 1134591480 | Coast Wise Solution | Case Management | 2728 54th St, Los Angeles, CA 90043 | 2015-10-27 |
| 1033589155 | Nina Gonzaga | Marriage & Family Therapist | 4401 Crendshaw Blvd, #300, Los Angeles, CA 90043 | 2015-10-01 |
| 1861743189 | Donna M. Tizenor-tate | Counselor | 5300 Angeles Vista Blvd., Los Angeles, CA 90043 | 2012-09-26 |
| 1952657736 | Willie Frank Sibley Jr. | General Practice | 4330 Monteith Dr, Los Angeles, CA 90043 | 2012-07-30 |
| 1639449119 | Nelson M Okeke | Counselor | 8814 S. Western Ave, La, CA 90043 | 2011-12-30 |
| 1578840799 | Economic Services, Incorporated | Exclusive Provider Organization | 5144 Crenshaw Blvd., Los Angeles, CA 90043 | 2011-11-16 |
| Find all providers in zip 90043 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020657 | Corinne Elizabeth Zachry | Student in an Organized Health Care Education/Training Program | 1149 S Hill St # H375, Los Angeles, CA 90015-2212 | 2020-10-15 |
| 1750989588 | Jasmine Carpenter | Student in an Organized Health Care Education/Training Program | 4920 S Avalon Blvd, Los Angeles, CA 90011-4004 | 2020-10-14 |
| 1801401062 | Rachel Brenner | Student in an Organized Health Care Education/Training Program | 3787 S Vermont Ave Apt 2, Los Angeles, CA 90007-4203 | 2020-09-14 |
| 1326653593 | Lamia Binhuwaishel | Student in an Organized Health Care Education/Training Program | 4650 Sunset Blvd, Craniofacial and Special Needs Ortho, Los Angeles, CA 90027 | 2020-09-14 |
| 1154936565 | Samrah Shaheer Abbasi | Student in an Organized Health Care Education/Training Program | 3022 Oakhurst Ave, Los Angeles, CA 90034-2856 | 2020-09-11 |
| 1568077071 | Amber Mottola | Student in an Organized Health Care Education/Training Program | 550 N Figueroa St Apt 4084, Los Angeles, CA 90012-3389 | 2020-09-11 |
| 1760096937 | Elizabeth Idema | Student in an Organized Health Care Education/Training Program | 1559 N Commonwealth Ave, Los Angeles, CA 90027-5513 | 2020-09-03 |
| 1053924225 | Deanna Sharon Lin | Student in an Organized Health Care Education/Training Program | 520 So Lafayette Park Place, 3rd Floor, Los Angeles, CA 90057-5400 | 2020-08-28 |
| 1003429762 | Kendra Knudsen | Student in an Organized Health Care Education/Training Program | 611 Levering Ave Apt 3, Los Angeles, CA 90024-2325 | 2020-08-24 |
| 1750993515 | Deena Basilious | Student in an Organized Health Care Education/Training Program | 1403 S Union Ave, Los Angeles, CA 90015-3205 | 2020-08-21 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90043 |
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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.