WANDA NELSON (NPI# 1174642235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174642235 |
| Entity Type | Individual |
| Full Name | WANDA NELSON |
| Practice Address |
19231 Victory Blvd Suite 554 Reseda CA 91335-6308 |
| Practice Telephone | 8187761755 |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427454990 | Wanda Marie Nelson | Dental Hygienist | 31 Well Ave, Danbury, CT 06810-6301 | 2014-11-11 |
| 1396973665 | Wanda Denise Nelson | Specialist | 3275 Creekway Ln, Decatur, GA 30034-4909 | 2009-06-25 |
| 1801008743 | Wanda Jean Nelson | Nurse Practitioner | 133 S College Ave, Suite 101, College Place, WA 99324-1193 | 2007-05-04 |
| Street Address |
19231 VICTORY BLVD SUITE 554 |
| City | RESEDA |
| State | CA |
| Zip Code | 91335-6308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104821859 | Gregg A Louk | Dentist | 19231 Victory Blvd, Ste 250, Reseda, CA 91335-6340 | 2005-06-18 |
| 1023597788 | Jessica Avila | Rehabilitation Practitioner | 19231 Victory Blvd, Reseda, CA 91335-6308 | 2018-08-13 |
| 1417312984 | Care Connection Home Health Agency Inc | Home Health | 19231 Victory Blvd, Suite 259, Reseda, CA 91335-6308 | 2015-12-28 |
| 1972900850 | Marjan Sadeghi | Acupuncturist | 19231 Victory Blvd, Suite 350, Reseda, CA 91335-6308 | 2014-11-20 |
| 1386061893 | Milton L. Payne Incorporated | Chiropractor | 19231 Victory Blvd, Suite 557, Reseda, CA 91335-6308 | 2014-03-21 |
| 1508282401 | Pacific Imaging Enterprises, Inc. | Clinic/Center | 19231 Victory Blvd, Suite 153, Reseda, CA 91335-6308 | 2014-03-15 |
| 1881933562 | Jason Song Acupuncture & Herbs, Inc. | Acupuncturist | 19231 Victory Blvd, Suite 211, Reseda, CA 91335-6308 | 2013-01-31 |
| 1346599859 | Maryam Monjezi | Acupuncturist | 19231 Victory Blvd, Ste 350, Reseda, CA 91335-6308 | 2012-08-30 |
| 1780948604 | Svetlana Mironova | Acupuncturist | 19231 Victory Blvd, Suite 350, Reseda, CA 91335-6308 | 2012-06-26 |
| 1407117195 | Roya Rahimzadeh Moghadam | Chiropractor | 19231 Victory Blvd, Suite 356, Reseda, CA 91335-6308 | 2012-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356968754 | Thomas Allen Hambright | Massage Therapist | 7510 Corbin Avenue, Unit #8, Reseda, CA 91335 | 2020-07-01 |
| 1558912014 | Harriet Ann Bickel | Technician | 18006 Hatton St., Reseda, CA 91335 | 2019-09-26 |
| 1528627106 | Topanga Hospice Care, Inc. | Hospice Care, Community Based | 5311 Topanga Canyon Blvd., Suite 302, Reseda, CA 91335 | 2019-06-07 |
| 1881174043 | Aludra Inc. | Hospice Care, Community Based | 18325 Sherman Way, Suite A, Reseda, CA 91335 | 2018-08-17 |
| 1417437658 | Buonora Development, Inc | Physical Therapist | 19325 Sherman Way, Reseda, CA 91335 | 2018-08-16 |
| 1770073793 | Deanna Marie Niekamp | Counselor | 7232 Canby Ave. #4,5,6, Reseda, CA 91335 | 2018-05-15 |
| 1013423383 | Bassa Logistic Inc | Non-emergency Medical Transport (VAN) | 19537 Valerio Street, Reseda, CA 91335 | 2017-12-21 |
| 1093237919 | Belinda Reser | Counselor | 7101 Baird St, Reseda, CA 91335 | 2017-07-12 |
| 1720500028 | Hermine Karapetyan | Hearing Instrument Specialist | 19367 Victory Blvd., Suite 14, Reseda, CA 91335 | 2017-07-09 |
| 1902352461 | Baird Group Home | Residential Treatment Facility, Emotionally Disturbed Children | 7701 Baird Avenue, Reseda, CA 91335 | 2016-08-25 |
| Find all providers in zip 91335 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700414414 | Itzel Cahuantzi | Counselor | 7805 Reseda Blvd Apt 314, Reseda, CA 91335-1914 | 2020-03-29 |
| 1235613852 | Eulalia Miranda Reyes | Counselor | 7232 Canby Ave # 456, Reseda, CA 91335-3006 | 2018-09-19 |
| 1770073793 | Deanna Marie Niekamp | Counselor | 7232 Canby Ave. #4,5,6, Reseda, CA 91335 | 2018-05-15 |
| 1093237919 | Belinda Reser | Counselor | 7101 Baird St, Reseda, CA 91335 | 2017-07-12 |
| 1790103372 | Matthew Longoria | Counselor | 6956 Bertrand Ave, Reseda, CA 91335-4708 | 2014-04-01 |
| 1912243007 | Roberto Sosa Sandoval | Counselor | 18553 Arminta St, Reseda, CA 91335-1834 | 2012-12-18 |
| 1699908053 | Ramona Russum | Counselor | 7232 Canby Ave Ste 456, Reseda, CA 91335-3006 | 2009-09-01 |
| 1720238678 | Rebecca Greenough | Counselor | 19231 Victory Bld, Suite #554, Reseda, CA 91335 | 2008-09-29 |
| 1780873422 | Christina Ruth Fernandez | Counselor | 7232 Canby Ave Ste 4, Reseda, CA 91335-8143 | 2007-10-18 |
| 1063620532 | Mohammad Farrokh Emad | Counselor | 7232 Camby St, Reseda, CA 91335 | 2007-05-18 |
| Find all providers in RESEDA | ||||
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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.