MICHAEL BARRAZA (NPI# 1174641302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174641302 |
| Entity Type | Individual |
| Full Name | MICHAEL BARRAZA |
| Practice Address |
4060 Watson Plaza Dr Lakewood CA 90712-4033 |
| Practice Telephone | 5624206325 |
| Mailing Telephone | 5624206325 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2012-06-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY 23994 | CA | Behavioral Health & Social Service Providers |
| Street Address |
4060 WATSON PLAZA DR |
| City | LAKEWOOD |
| State | CA |
| Zip Code | 90712-4033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962825083 | Sheryl Martinez | Social Worker | 4060 Watson Plaza Dr, Lakewood, CA 90712-4033 | 2014-01-24 |
| 1760728364 | Trishanne Fenty-munro | Counselor | 4060 Watson Plaza Dr, Lakewood, CA 90712-4033 | 2012-12-31 |
| 1689924201 | Stacy Springmeyer | Psychologist | 4060 Watson Plaza Dr, Lakewood, CA 90712-4033 | 2012-09-11 |
| 1194001982 | Cameon Rae Morgan | Social Worker | 4060 Watson Plaza Dr, Lakewood, CA 90712-4033 | 2011-10-25 |
| 1548597040 | Department of Children and Family Services | Foster Care Agency | 4060 Watson Plaza Dr, Lakewood, CA 90712-4033 | 2009-11-04 |
| 1275772527 | Los Angeles County Department of Mental Health | Clinic/Center | 4060 Watson Plaza Dr, Lakewood, CA 90712-4033 | 2009-02-10 |
| 1184807943 | Alejandra Perez | Psychologist | 4060 Watson Plaza Dr, Lakewood, CA 90712-4033 | 2007-12-14 |
| 1831384791 | Erin K Sheehy | Social Worker | 4060 Watson Plaza Dr, Lakewood, CA 90712-4033 | 2007-09-12 |
| 1639364177 | Meghan Renee Dawson | Social Worker | 4060 Watson Plaza Dr, Lakewood, CA 90712-4033 | 2007-09-07 |
| 1083806152 | Los Angeles Countydepartment of Mental Health | General Acute Care Hospital | 4060 Watson Plaza Dr, Lakewood, CA 90712-4033 | 2007-08-13 |
| Find all providers in the same location | ||||
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|---|---|---|---|---|
| 1689289944 | Createwellness LLC | Social Worker | 5250 Hayter Avenue, Lakewood, CA 90712 | 2020-09-14 |
| 1801451398 | Marilou Toquero Dental Corp | Durable Medical Equipment & Medical Supplies | 3203 Carson St Suite 2, Lakewood, CA 90712 | 2019-05-09 |
| 1225510126 | N Ozder Dental Practice Inc | Clinic/Center | 5037 Lakewood Blvd, Lakewood, CA 90712 | 2018-09-06 |
| 1003394446 | Robert Michael Schlesinger | Counselor | 5150 Candlewood St Ste 13a, Lakewood, CA 90712 | 2018-07-28 |
| 1316439847 | P.r.i.s.m. Institute Inc. | Chiropractor | 5233 Premiere Ave, Lakewood, CA 90712 | 2018-05-31 |
| 1316477938 | Broadleaf Healthcare | Orthotist | 4345 Levelside Ave, Lakewood, CA 90712 | 2017-06-15 |
| 1679008049 | Adrienne Yoshiko Doi | Podiatrist | 3700 East South Street, Lakewood, CA 90712 | 2017-04-24 |
| 1841747334 | Garrison R Weaver-gourdeau | Chiropractor | 4115 E. South St, Lakewood, CA 90712 | 2016-09-01 |
| 1073967394 | Mirna S Rizkalla | Family Medicine | 3650 South St Ste 404, Lakewood, CA 90712 | 2016-04-22 |
| 1841657251 | Roxanna Jimenez | Rehabilitation Practitioner | 5818 Clark Ave, Lakewood, CA 90712 | 2016-01-15 |
| Find all providers in zip 90712 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
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| 1043686991 | Vincent Thomas Gollogly | Psychologist | 11444 Gravelly Lake Dr Sw, Lakewood, WA 98499-1404 | 2015-08-14 |
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| 1093126369 | Elizabeth Ormond Ahlers | Psychologist | 1687 Cole Blvd Ste 103, Lakewood, CO 80401-3318 | 2014-05-08 |
| 1114346343 | Meshkin B Amirirad | Psychologist | 1492 S Jellison St, Lakewood, CO 80232-5025 | 2014-04-15 |
| Find all providers in LAKEWOOD | ||||
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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.