SHELLEY SAGO (NPI# 1184161333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184161333 |
| Entity Type | Individual |
| Full Name | SHELLEY SAGO |
| Practice Address |
19401 S. Vermont C100 Torrance CA 90520 |
| Mailing Address |
1645 W 108th St Los Angeles CA 90047-4412 |
| Practice Telephone | 3109195500 |
| Mailing Telephone | 4244650998 |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2017-01-26 |
| 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) |
Behavioral Health & Social Service Providers |
| Street Address |
19401 S. VERMONT C100 |
| City | TORRANCE |
| State | CA |
| Zip Code | 90520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821564915 | Jane Mattei | Student in an Organized Health Care Education/Training Program | Rua Tiradentes, 333, 2 Andar, Porto Alegre, RS 90520550 | 2018-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750982054 | Joseph Ashimedua Modestus | Psychiatry & Neurology | 22433 South Vermont Ave, Apt 412, Torrance, CA 90502-9050 | 2020-11-03 |
| 1306446091 | Candace Maglinao | Family Medicine | 21010 Anza Ave Apt 12, Torrance, CA 90503-4254 | 2020-10-30 |
| 1609476589 | Southbay Care Home, Inc. | Assisted Living Facility | 19917 Anza Avenue, Torrance, CA 90503-2005 | 2020-10-29 |
| 1235738782 | Peninsula Healthcare Center | Nurse Practitioner | 22330 Hawthorne Blvd Ste 208, Torrance, CA 90505-2536 | 2020-10-25 |
| 1659970333 | Flatow Medical Corporation | Psychiatry & Neurology | 4840 Mindora Dr, Torrance, CA 90505-2140 | 2020-10-22 |
| 1134727159 | Samantha Om | Occupational Therapist | 3210 Sepulveda Blvd, Torrance, CA 90505-2719 | 2020-10-12 |
| 1417554023 | Hameed A. Khan, M.d., Inc. | Family Medicine | 3655 Lomita Blvd Ste 421, Torrance, CA 90505-1934 | 2020-10-06 |
| 1962019133 | Megan Sheardown | Behavioral Analyst | 3524 Torrance Blvd Ste 105, Torrance, CA 90503-4821 | 2020-09-30 |
| 1952918708 | Ashley Santiago | Behavior Technician | 21515 Hawthorne Blvd Unit Gl100, Torrance, CA 90503-6501 | 2020-09-25 |
| 1164039012 | Alese Marie Hernandez | Registered Nurse | 24239 Park St, Torrance, CA 90505-6554 | 2020-09-24 |
| Find all providers in TORRANCE | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639646854 | Jamie Elizabeth Brown | Counselor | 1124 W Carson St Bldg N33, Torrance, CA 90502-2006 | 2018-10-25 |
| 1902325517 | Diane Elizabeth Rogers | Counselor | 20300 S. Vermont Ave, Suite 275, Torrance, CA 90501 | 2017-09-14 |
| 1194246819 | Rebecca Senter | Counselor | 1124 W. Carson St N33, Torrance, CA 90501 | 2017-07-03 |
| 1447771563 | Sylvia Patricia Becerra-prossor | Counselor | 1124 W Carson St # N33, Torrance, CA 90502-2006 | 2017-06-28 |
| 1295255636 | Darlene M Walker | Counselor | 1124 W Carson St # 33, Torrance, CA 90502-2006 | 2017-06-27 |
| 1346760618 | Gabriela Solorio | Counselor | 1124 W Carson St Bldg N-33, Torrance, CA 90502-2006 | 2017-06-27 |
| 1033646831 | Melissa Hogan | Counselor | 20300 S Vermont Ave, Ste. 245, Torrance, CA 90502-1338 | 2017-05-11 |
| 1114464393 | Brissa Giron | Counselor | 19401 Vermont Ave, Suite C100, Torrance, CA 90502 | 2017-01-25 |
| 1912441098 | April Almeida | Counselor | 1548 W 207th St, Apt. 1, Torrance, CA 90501-1914 | 2016-12-08 |
| 1205275815 | Jinhee C Kim | Counselor | 291 Del Amo Fashion Sq Unit 14404, Torrance, CA 90503-9258 | 2013-06-17 |
| Find all providers in TORRANCE | ||||
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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.