MR. KEVIN RICHARDSON (NPI# 1235363524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235363524 |
| Entity Type | Individual |
| Full Name | MR. KEVIN RICHARDSON |
| Credential | RN |
| Practice Address |
2311 W El Segundo Blvd Hawthorne CA 90250-3315 |
| Practice Telephone | 3232416730 |
| Practice Fax Number | 3237561163 |
| Mailing Telephone | 3232416730 |
| Mailing Fax Number | 3237561163 |
| Enumeration Date | 2009-05-14 |
| Last Update Date | 2009-05-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
663729 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CALIFORNIA BOARD OF REGISTERED NURSES | 663729 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003049909 | Kevin Richardson | Adult Companion | 5029 Ne Killingsworth St, Portland, OR 97218 | 2009-08-26 |
| 1821258385 | Kevin Richardson | Pharmacist | 7887 N La Cholla Blvd, Apt #1026, Tucson, AZ 85741-4313 | 2008-06-09 |
| 1043853617 | Kevin Richardson | Counselor | 1901 D St Se, Washington, DC 20003-2534 | 2019-10-25 |
| 1689136897 | Kevin Michael Richardson | Student in an Organized Health Care Education/Training Program | 1700 E Saunders St, Laredo, TX 78041-5474 | 2019-04-05 |
| 1497128391 | Kevin Richardson | Social Worker | 22 Us Oval Ste 100, Plattsburgh, NY 12903-5901 | 2015-11-02 |
| 1861864852 | Kevin Richardson | Physician Assistant | 10715 Downsville Pike, Hagerstown, MD 21740-7240 | 2015-10-29 |
| 1538577200 | Kevin Richardson | Anesthesiologist Assistant | 6431 Fannin St, Houston, TX 77030-1501 | 2014-07-25 |
| 1639502107 | Kevin Richardson | Occupational Therapist | 166 Mount Pleasant Rd, Newtown, CT 06470-1456 | 2013-08-19 |
| 1639320054 | Kevin Eugene Richardson | Occupational Therapist | 41505 Carlotta Dr, Palm Desert, CA 92211-3279 | 2008-10-03 |
| 1548465107 | Kevin D Richardson | Orthopaedic Surgery | 9150 Huebner Rd Ste 390, San Antonio, TX 78240-1545 | 2007-06-15 |
| Street Address |
2311 W EL SEGUNDO BLVD |
| City | HAWTHORNE |
| State | CA |
| Zip Code | 90250-3315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861425282 | Los Angeles County Department of Mental Health | Clinic/Center | 2311 W El Segundo Blvd, Hawthorne, CA 90250-3315 | 2006-07-09 |
| 1326699091 | Raquel Morales | Case Manager/Care Coordinator | 2311 W El Segundo Blvd, Hawthorne, CA 90250-3315 | 2019-09-24 |
| 1790290690 | Latay Watts | Social Worker | 2311 W El Segundo Blvd, Hawthorne, CA 90250-3315 | 2017-12-13 |
| 1679093272 | Andrea Delae Grimes | Social Worker | 2311 W El Segundo Blvd, Hawthorne, CA 90250-3315 | 2017-06-23 |
| 1215487848 | Mayra Machuca | Rehabilitation Practitioner | 2311 W El Segundo Blvd, Hawthorne, CA 90250-3315 | 2016-10-06 |
| 1912457615 | Rosalie White | Counselor | 2311 W El Segundo Blvd, Hawthorne, CA 90250-3315 | 2016-10-06 |
| 1316495799 | Sarai Rubio | Social Worker | 2311 W El Segundo Blvd, Hawthorne, CA 90250-3315 | 2016-09-14 |
| 1447707542 | Michelle Lee | Social Worker | 2311 W El Segundo Blvd, Hawthorne, CA 90250-3315 | 2016-09-06 |
| 1619338936 | Javier Roberto Rodriguez-winter | Social Worker | 2311 W El Segundo Blvd, Hawthorne, CA 90250-3315 | 2016-03-14 |
| 1063809424 | Nikita Hearns | Social Worker | 2311 W El Segundo Blvd, Hawthorne, CA 90250-3315 | 2015-04-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508479627 | Alexis Lemmon | Dental Hygienist | 13450 Hawthrone Blvd, Hawthorne, CA 90250 | 2020-08-28 |
| 1336620459 | Lan Ngoc Ton | Dentist | 13450 S. Hawthorne Blvd, Hawthorne, CA 90250 | 2018-08-27 |
| 1356829261 | Karneth Health Inc | Internal Medicine | 4512 W. Imperial Hwy, Ste B, Hawthorne, CA 90250 | 2018-08-02 |
| 1225524663 | Viridian Healthcare LLC | In Home Supportive Care | 13658 Hawthorne Blvd Ste 201, Hawthorne, CA 90250 | 2018-07-09 |
| 1235636044 | Sonia Medical Center Inc | Clinic/Center | 4512 W Imperial Hwy, Hawthorne, CA 90250 | 2018-04-09 |
| 1518484807 | Jessica Anne-marie Auzenne-harris | Nurse Practitioner | 12618 Hawthorne Blvd, Hawthorne, CA 90250 | 2017-08-28 |
| 1669993358 | Ololade Olamide Obafemi | Nurse Practitioner | 12954 Hawthorne Boulevard, Suite 104, Hawthorne Morningside Medical Clinic, Hawthorne, CA 90250 | 2017-07-03 |
| 1588194534 | Marissam Medical Inc. | Durable Medical Equipment & Medical Supplies | 13508 Inglewood Ave, Hawthorne, CA 90250 | 2017-06-13 |
| 1043751886 | Ogbonna Iwuamadi Olelewe | Nurse Practitioner | 11712 S. Hawthorne Blvd, Hawthorne, CA 90250 | 2017-03-13 |
| 1952758898 | La Shada Kai Martin | Contractor | 13010 Kornblum Ave, Unit D, Hawthorne, CA 90250 | 2016-05-20 |
| Find all providers in zip 90250 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114485356 | Princess Walsh | Counselor | 12700 Inglewood Ave # 601, Hawthorne, CA 90250-4293 | 2019-03-06 |
| 1700374907 | Carlos Martinez | Counselor | 4718 W 136th St, Hawthorne, CA 90250-5738 | 2018-04-24 |
| 1578946547 | Michelle Castillo | Counselor | 4116 W Broadway Apt C, Hawthorne, CA 90250-4099 | 2015-07-08 |
| 1184972499 | Rashea L Murphy | Counselor | 2311 El Segundo Ave, Hawthorne, CA 90250 | 2012-08-16 |
| 1902199540 | Ruby V Paparello | Counselor | 5324 W. 138th Place, Hawthorne, CA 90250 | 2011-05-16 |
| 1295035459 | Diane C. Sardanopoli | Counselor | 89 3rd Ave, Hawthorne, NJ 07506-2413 | 2010-10-21 |
| 1700038544 | Makina Lenee' Golston | Counselor | 2108 Saint Augusta Ln, Hawthorne, CA 90250-3372 | 2008-10-10 |
| 1174772875 | Nadira Veras | Counselor | 5009 W 137th St, Hawthorne, CA 90250-6528 | 2008-09-17 |
| 1306094420 | Jeffrey Scott Anderson | Counselor | 226 Linda Ave., Hawthorne, NY 10532 | 2008-09-03 |
| 1235274358 | Marcella Marie Moran | Counselor | 51 Liberty St, Hawthorne, NY 10532-1339 | 2007-02-20 |
| Find all providers in HAWTHORNE | ||||
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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.